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Global Health: Science and Practice

Dedicated to what works in global health programs

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More articles from ORIGINAL ARTICLE

  • Open Access
    Factors Associated With Community Health Worker Performance Differ by Task in a Multi-Tasked Setting in Rural Zimbabwe
    Rukundo A Kambarami, Mduduzi NN Mbuya, David Pelletier, Dadirai Fundira, Naume V Tavengwa and Rebecca J Stoltzfus
    Global Health: Science and Practice June 2016, 4(2):238-250; https://doi.org/10.9745/GHSP-D-16-00003

    Programs should consider specific tasks and how they relate to health worker factors, community support, and the work context. In a setting where community health workers were responsible for multiple tasks, those who referred more pregnant women were female, unmarried, under 40 years old, and from larger households, and they felt they had adequate work resources and positive feedback from supervisors and the community. In contrast, workers with high scores on delivering household behavior change lessons were from smaller households and received more supportive supervision.

  • Open Access
    School Distribution as Keep-Up Strategy to Maintain Universal Coverage of Long-Lasting Insecticidal Nets: Implementation and Results of a Program in Southern Tanzania
    Shabbir Lalji, Jeremiah M Ngondi, Narjis G Thawer, Autman Tembo, Renata Mandike, Ally Mohamed, Frank Chacky, Charles D Mwalimu, George Greer, Naomi Kaspar, Karen Kramer, Bertha Mlay, Kheri Issa, Jane Lweikiza, Anold Mutafungwa, Mary Nzowa, Ritha A Willilo, Waziri Nyoni, David Dadi, Mahdi M Ramsan, Richard Reithinger and Stephen M Magesa
    Global Health: Science and Practice June 2016, 4(2):251-263; https://doi.org/10.9745/GHSP-D-16-00040

    A school-based net distribution program, piloted in the Southern Zone of Tanzania to sustain ≥80% universal net coverage previously attained through mass campaigns, successfully issued nets to nearly all eligible students and teachers. Keys to success included:

    • Effective collaboration between the Ministry of Health, local government, and implementing partners

    • Social mobilization to sensitize the community about the importance of net use

    • Development of a mobile application to facilitate data collection and analysis

  • Open Access
    Feasibility and Effectiveness of mHealth for Mobilizing Households for Indoor Residual Spraying to Prevent Malaria: A Case Study in Mali
    Keith Mangam, Elana Fiekowsky, Moussa Bagayoko, Laura Norris, Allison Belemvire, Rebecca Longhany, Christen Fornadel and Kristen George
    Global Health: Science and Practice June 2016, 4(2):222-237; https://doi.org/10.9745/GHSP-D-15-00381

    Sending voice and/or text messages to mobilize households for spraying was more costly per structure and less effective at preparing structures than traditional door-to-door mobilization approaches supplemented with radio and town hall announcements. Challenges included:

    • Lack of familiarity with mobile phones and with public health mobile messaging

    • Lack of face-to-face communication with mobilizers, making it easier to ignore mobilization messages and preventing trust-building

    • Low literacy levels

    • Gender differentials in access to mobile phones

  • Open Access
    Success Providing Postpartum Intrauterine Devices in Private-Sector Health Care Facilities in Nigeria: Factors Associated With Uptake
    George IE Eluwa, Ronke Atamewalen, Kingsley Odogwu and Babatunde Ahonsi
    Global Health: Science and Practice June 2016, 4(2):276-283; https://doi.org/10.9745/GHSP-D-16-00072

    41% of women delivering in the social franchise private facilities chose the postpartum IUD. Factors associated with acceptance included lower education, higher parity, and being single. Scale-up of postpartum IUD services in both public and private facilities has the potential to significantly increase use of long-acting reversible contraception in Nigeria.

  • Open Access
    Is Household Wealth Associated With Use of Long-Acting Reversible and Permanent Methods of Contraception? A Multi-Country Analysis
    Jorge I Ugaz, Minki Chatterji, James N Gribble and Kathryn Banke
    Global Health: Science and Practice March 2016, 4(1):43-54; https://doi.org/10.9745/GHSP-D-15-00234

    In general, across the developing world, wealthier women are more likely than poorer women to use long-acting and permanent methods of contraception instead of short-acting methods. Exceptions are Bangladesh, India, and possibly Haiti.

  • Open Access
    Expanding Access to the Intrauterine Device in Public Health Facilities in Ethiopia: A Mixed-Methods Study
    Yewondwossen Tilahun, Sarah Mehta, Habtamu Zerihun, Candace Lew, Mohamad I Brooks, Tariku Nigatu, Kidest Lulu Hagos, Mengistu Asnake, Adeba Tasissa, Seid Ali, Ketsela Desalegn and Girmay Adane
    Global Health: Science and Practice March 2016, 4(1):16-28; https://doi.org/10.9745/GHSP-D-15-00365

    Following the introduction of IUDs into the Ethiopian public health sector, use of the method increased from <1% in 2011 to 6% in 2014 in a sample of 40 health facilities. This shift occurred in the context of wide method choice, following provider training, provision of post-training supplies, and community-based awareness creation. The IUD was acceptable to a diverse range of clients, including new contraceptive users, those with little to no education, those from rural areas, and younger women, thus suggesting a strong latent demand for IUDs in Ethiopia.

  • Open Access
    The Single-Visit Approach as a Cervical Cancer Prevention Strategy Among Women With HIV in Ethiopia: Successes and Lessons Learned
    Netsanet Shiferaw, Graciela Salvador-Davila, Konjit Kassahun, Mohamad I Brooks, Teklu Weldegebreal, Yewondwossen Tilahun, Habtamu Zerihun, Tariku Nigatu, Kidest Lulu, Ismael Ahmed, Paul D Blumenthal and Mengistu Asnake
    Global Health: Science and Practice March 2016, 4(1):87-98; https://doi.org/10.9745/GHSP-D-15-00325

    With the single-visit approach for cervical cancer prevention, women with positive “visual inspection of the cervix with acetic acid wash” (VIA) test results receive immediate treatment of the precancerous lesion with cryotherapy. The approach worked successfully for women with HIV in Ethiopia in secondary and tertiary health facilities, with high screening and cryotherapy treatment rates. Sustainability and appropriate scale-up of such programs must address wider health system challenges including human resource constraints and shortage of essential supplies.

  • Open Access
    Meeting Postpartum Women’s Family Planning Needs Through Integrated Family Planning and Immunization Services: Results of a Cluster-Randomized Controlled Trial in Rwanda
    Lisa S Dulli, Marga Eichleay, Kate Rademacher, Steve Sortijas and Théophile Nsengiyumva
    Global Health: Science and Practice March 2016, 4(1):73-86; https://doi.org/10.9745/GHSP-D-15-00291

    Integrating contraceptive services into infant immunization services was effective, acceptable, and feasible without negatively affecting immunization uptake. Yet unmet need for contraception remained high, including among a substantial number of women who were waiting for menses to return even though, at 6 months or more postpartum, they were at risk of an unintended pregnancy. More effort is needed to educate women about postpartum return to fertility and to encourage those desiring to space or limit pregnancy to use effective contraception.

  • Open Access
    Routine Immunization Consultant Program in Nigeria: A Qualitative Review of a Country-Driven Management Approach for Health Systems Strengthening
    Meghan O’Connell and Chizoba Wonodi
    Global Health: Science and Practice March 2016, 4(1):29-42; https://doi.org/10.9745/GHSP-D-15-00209

    Despite challenges in material and managerial support, some state-level consultants appear to have improved routine immunization programming through supportive supervision and capacity building of health facility staff as well as advocacy for timely dispersion of funds. This country-led, problem-focused model of development assistance deserves further consideration.

  • Open Access
    Casas Maternas in the Rural Highlands of Guatemala: A Mixed-Methods Case Study of the Introduction and Utilization of Birthing Facilities by an Indigenous Population
    Ira Stollak, Mario Valdez, Karin Rivas and Henry Perry
    Global Health: Science and Practice March 2016, 4(1):114-131; https://doi.org/10.9745/GHSP-D-15-00266

    In an isolated mountainous area of Guatemala with high maternal mortality, an NGO-sponsored approach engaged communities to operate local, culturally appropriate birthing facilities and is achieving high and equitable utilization. Likely success factors:

    • Community engagement and ownership

    • Close location of facilities

    • Perceived high quality of services

    • Engagement of traditional birth attendants in the birthing process and as advocates for facility use

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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