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Global Health: Science and Practice
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Global Health: Science and Practice

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More articles from ORIGINAL ARTICLE

  • Open Access
    A Resource Planning Analysis of District Hospital Surgical Services in the Democratic Republic of the Congo
    Melanie Sion, Dheepa Rajan, Hyppolite Kalambay, Jean-Pierre Lokonga, Joseph Bulakali, Mathias Mossoko, Dieudonne Kwete, Gerard Schmets, Edward Kelley, Tarcisse Elongo, Luis Sambo and Meena Cherian
    Global Health: Science and Practice March 2015, 3(1):56-70; https://doi.org/10.9745/GHSP-D-14-00165

    District hospitals in the DRC, on average, could not provide 21% of lifesaving surgical interventions due to deficiencies in basic infrastructure and essential surgical equipment and supplies. Surgery's important health impact and proportionally low service delivery budget argue for greater emphasis on surgical interventions, including for obstetric care.

  • Open Access
    Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results
    Dora Ward Curry, Jesse Rattan, Shuyuan Huang and Elizabeth Noznesky
    Global Health: Science and Practice March 2015, 3(1):25-33; https://doi.org/10.9745/GHSP-D-14-00112

    A family planning program in 5 crisis-affected settings reached more than 52,000 new contraceptive users in just 2.5 years. Long-acting reversible contraceptives (LARCs) made up 61% of the method mix, with implants predominating in most countries. IUD use also increased over time as the program intensified its efforts to improve provider skills and user awareness. These findings demonstrate the strong popularity of LARCs and the feasibility of providing them in fragile settings even though they require more training and infrastructure support than short-acting methods.

  • Open Access
    Trends in the Contraceptive Method Mix in Low- and Middle-Income Countries: Analysis Using a New “Average Deviation” Measure
    John Ross, Jill Keesbury and Karen Hardee
    Global Health: Science and Practice March 2015, 3(1):34-55; https://doi.org/10.9745/GHSP-D-14-00199

    Applying a standard measure of the method mix evenness suggests 4 patterns among 15 countries moving toward a more balanced mix: (1) rise of one previously underrepresented or new method, (2) replacement of traditional with modern methods, (3) continued but declining domination by a single method, and (4) general movement toward a balanced mix. Improving availability of underutilized or new methods can improve the method mix, although better implementation of more popular methods might increase contraceptive use more expeditiously.

  • Open Access
    Predictors of Workforce Retention Among Malawian Nurse Graduates of a Scholarship Program: A Mixed-Methods Study
    Kelly Schmiedeknecht, Melanie Perera, Ellen Schell, Joyce Jere, Elizabeth Geoffroy and Sally Rankin
    Global Health: Science and Practice March 2015, 3(1):85-96; https://doi.org/10.9745/GHSP-D-14-00170

    Several non-remuneration strategies may help improve retention of public-sector nurses: availability of supplies, adequate housing, advancement opportunities, and a positive work environment. A scholarship program with close follow-up of graduates may also help improve retention.

  • Open Access
    Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation
    Dora Ward Curry, Jesse Rattan, Jean Jose Nzau and Kamlesh Giri
    Global Health: Science and Practice March 2015, 3(1):14-24; https://doi.org/10.9745/GHSP-D-14-00164

    Extending access to a wide variety of contraceptive methods, including long-acting reversible methods, is feasible in crisis-affected countries by focusing on best practices such as competency-based training, supply chain support, systematic supervision, and community mobilization. Prudent use of data helps drive program improvements.

  • Open Access
    Successful Proof of Concept of Family Planning and Immunization Integration in Liberia
    Chelsea M Cooper, Rebecca Fields, Corinne I Mazzeo, Nyapu Taylor, Anne Pfitzer, Mary Momolu and Cuallau Jabbeh-Howe
    Global Health: Science and Practice March 2015, 3(1):71-84; https://doi.org/10.9745/GHSP-D-14-00156

    Mobilizing vaccinators to provide mothers key family planning information and referrals to co-located, same-day family planning services was feasible in resource-limited areas of Liberia, leading to substantial increases in contraceptive use. Conversely, impact on immunization rates was less clear, but at a minimum there was no decrease in doses administered.

  • You have access
    Getting closer to people: family planning provision by drug shops in Uganda
    Angela Akol, Dawn Chin-Quee, Patricia Wamala-Mucheri, Jane Harriet Namwebya, Sarah Jilani Mercer and John Stanback
    Global Health: Science and Practice December 2014, 2(4):472-481; https://doi.org/10.9745/GHSP-D-14-00085

    Private drug shops can effectively provide contraceptive methods, especially injectables, complementing government services. Most drug shop clients in 4 peri-urban areas of Uganda were continuing users of DMPA; had switched from other providers, mainly government clinics, because the drug shops had fewer stock-outs and were more convenient (closer location, shorter waiting time, more flexible hours); and were satisfied with the quality of services. The drug shops provided a substantial part of the total market share for family planning services in their areas.

  • You have access
    Demand generation activities and modern contraceptive use in urban areas of four countries: a longitudinal evaluation
    Ilene S Speizer, Meghan Corroon, Lisa Calhoun, Peter Lance, Livia Montana, Priya Nanda and David Guilkey
    Global Health: Science and Practice December 2014, 2(4):410-426; https://doi.org/10.9745/GHSP-D-14-00109

    Demand generation activities that were significantly associated with increased use of modern contraception in India (Uttar Pradesh), Kenya, Nigeria, and Senegal included: (1) community outreach activities, such as home visits and group discussions about family planning; (2) local radio programs; and (3) branded slogans and print materials circulated widely across the city. Television programming was also significant in India and Nigeria. Exposure to more activities may increase women's likelihood of using contraception.

  • You have access
    Using behavior change communication to lead a comprehensive family planning program: the Nigerian Urban Reproductive Health Initiative
    Susan Krenn, Lisa Cobb, Stella Babalola, Mojisola Odeku and Bola Kusemiju
    Global Health: Science and Practice December 2014, 2(4):427-443; https://doi.org/10.9745/GHSP-D-14-00009

    Greater exposure to a comprehensive family planning program in urban Nigeria that emphasized demand generation and communication theory was associated with improved ideation among women (their beliefs, ideas, and feelings about family planning), and more positive ideation was associated with greater contraceptive use, especially among the poor. Improving providers' knowledge, attitudes, and skills was also key. By the end of the observation period, outreach through mobile service delivery contributed nearly one-half of the project clinics' family planning services.

  • You have access
    Strengthening government management capacity to scale up HIV prevention programs through the use of Technical Support Units: lessons from Karnataka state, India
    Sema K Sgaier, John Anthony, Parinita Bhattacharjee, James Baer, Vidyacharan Malve, Aparajita Bhalla and Vijaykumar S Hugar
    Global Health: Science and Practice December 2014, 2(4):444-458; https://doi.org/10.9745/GHSP-D-14-00141

    A Technical Support Unit of managerial and technical experts, embedded in but distinct from the government, provided support in 5 key areas: strategic planning; monitoring and evaluation; supportive supervision; training; and information, education, and communication. This model likely contributed to effective and rapid scale up of Karnataka state's HIV prevention program. A clear mandate, close collaboration, and well-defined roles were keys to success.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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