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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
    Effect on Neonatal Mortality of Newborn Infection Management at Health Posts When Referral Is Not Possible: A Cluster-Randomized Trial in Rural Ethiopia
    Tedbabe Degefie Hailegebriel, Brian Mulligan, Simon Cousens, Bereket Mathewos, Steve Wall, Abeba Bekele, Jeanne Russell, Deborah Sitrin, Biruk Tensou, Joy Lawn, Joseph de Graft Johnson, Hailemariam Legesse, Sirak Hailu, Assaye Nigussie, Bogale Worku and Abdullah Baqui
    Global Health: Science and Practice June 2017, 5(2):202-216; https://doi.org/10.9745/GHSP-D-16-00312

    Health Extension Workers (HEWs), in general, properly provided antibiotic treatment of possible severe bacterial infections in newborns at the health post level. But only about half of newborns estimated to have infections in the intervention area received treatment by HEWs, and home visits and referrals declined in the final months of the study. Cluster-level analysis suggests a mortality reduction consistent with this level of treatment coverage, although the finding did not reach statistical significance.

  • Open Access
    Limited Service Availability, Readiness, and Use of Facility-Based Delivery Care in Haiti: A Study Linking Health Facility Data and Population Data
    Wenjuan Wang, Michelle Winner and Clara R Burgert-Brucker
    Global Health: Science and Practice June 2017, 5(2):244-260; https://doi.org/10.9745/GHSP-D-16-00311

    Proximity to a health facility offering delivery services and readiness of the facilities to provide such services were poor in both rural and urban areas outside of Port-au-Prince. Availability of a proximate facility was significantly associated with women in rural and urban areas delivering at a facility, as was the quality of delivery care available at the facilities but only in urban areas.

  • Open Access
    Benefits and Limitations of Text Messages to Stimulate Higher Learning Among Community Providers: Participants' Views of an mHealth Intervention to Support Continuing Medical Education in Vietnam
    Lora L Sabin, Anna Larson Williams, Bao Ngoc Le, Augusta R Herman, Ha Viet Nguyen, Rebecca R Albanese, Wenjun Xiong, Hezekiah OA Shobiye, Nafisa Halim, Lien Thi Ngoc Tran, Marion McNabb, Hai Hoang, Ariel Falconer, Tam Thi Thanh Nguyen and Christopher J Gill
    Global Health: Science and Practice June 2017, 5(2):261-273; https://doi.org/10.9745/GHSP-D-16-00348

    The original intention was to deliver technical content through brief text messages to stimulate participants to undertake deeper learning. While participants appreciated the convenience and relevance of the text messages, their scores of higher-order knowledge did not improve. The intervention may not have been successful because the messages lacked depth and interactivity, and participants were not explicitly encouraged to seek deeper learning.

  • Open Access
    Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People
    Eva Burke, Judy Gold, Lalaina Razafinirinasoa and Anna Mackay
    Global Health: Science and Practice March 2017, 5(1):33-43; https://doi.org/10.9745/GHSP-D-16-00321

    Program accomplishments during the first 18 months:

    • More than 58,000 free vouchers distributed to young people, of which 74% were redeemed.

    • 79% chose long-acting reversible contraceptives (LARCs) and 51% received STI counseling.

    Client profile data snapshot:

    • 69% had never previously used contraception and 96% were 20 or younger.

  • Open Access
    Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia
    Karen Weidert, Amanuel Gessessew, Suzanne Bell, Hagos Godefay and Ndola Prata
    Global Health: Science and Practice March 2017, 5(1):44-56; https://doi.org/10.9745/GHSP-D-16-00344

    Volunteer community health workers (CHWs) administered injectable contraceptives to women in the community for a small fee while providing counseling and referrals for other methods. Over nearly 3 years, more than 600 CHWs provided an estimated 15,410 injections. The model has the potential to improve sustainability of community-based distribution programs by incorporating social marketing principles to partially recover commodity costs and compensate CHWs.

  • Open Access
    A Non–Gas-Based Cryotherapy System for the Treatment of Cervical Intraepithelial Neoplasia: A Mixed-Methods Approach for Initial Development and Testing
    Miriam Cremer, Proma Paul, Katie Bergman, Michael Haas, Mauricio Maza, Albert Zevallos, Miguel Ossandon, Jillian D Garai and Jennifer L Winkler
    Global Health: Science and Practice March 2017, 5(1):57-64; https://doi.org/10.9745/GHSP-D-16-00270

    A non–gas-based treatment device for early cervical cancer treatment, adapted for use in low-resource settings to improve ease of use, portability, and durability, performed similarly to a standard gas-based cryotherapy device in small-scale testing. A large randomized clinical trial is currently underway for further assessment.

  • Open Access
    Women's Limited Choice and Availability of Modern Contraception at Retail Outlets and Public-Sector Facilities in Luanda, Angola, 2012–2015
    Benjamin Nieto-Andrade, Eva Fidel, Rebecca Simmons, Dana Sievers, Anya Fedorova, Suzanne Bell, Karen Weidert and Ndola Prata
    Global Health: Science and Practice March 2017, 5(1):75-89; https://doi.org/10.9745/GHSP-D-16-00304

    Despite high rates of unintended pregnancy, access to a wide range of contraceptive methods, especially injectables and long-acting reversible contraceptives (LARCs), is severely limited in both public and private facilities. Knowledge of contraceptive choices is likewise limited, yet a substantial proportion of women are not using their preferred method among the methods they know of.

  • Open Access
    Comparing Women's Contraceptive Preferences With Their Choices in 5 Urban Family Planning Clinics in Ghana
    Sarah D Rominski, Emmanuel SK Morhe, Ernest Maya, Abukar Manu and Vanessa K Dalton
    Global Health: Science and Practice March 2017, 5(1):65-74; https://doi.org/10.9745/GHSP-D-16-00281

    Women's method choice largely matched their stated desired duration of effectiveness but not their desires to avoid certain side effects. While most women reported they were counseled about side effects, many fewer reported being specifically counseled about common menstrual side effects with their chosen method, including side effects the women said would cause them to stop using the method.

  • Open Access
    Indoor Residual Spraying Delivery Models to Prevent Malaria: Comparison of Community- and District-Based Approaches in Ethiopia
    Benjamin Johns, Yemane Yeebiyo Yihdego, Lena Kolyada, Dereje Dengela, Sheleme Chibsa, Gunawardena Dissanayake, Kristen George, Hiwot Solomon Taffese and Bradford Lucas
    Global Health: Science and Practice December 2016, 4(4):529-541; https://doi.org/10.9745/GHSP-D-16-00165

    Integrating indoor residual spraying into the institutionalized community-based health system in 5 districts was more efficient than the district-based model and did not compromise quality or compliance with environmental standards.

  • Open Access
    Social Mobilization and Community Engagement Central to the Ebola Response in West Africa: Lessons for Future Public Health Emergencies
    Amaya M Gillespie, Rafael Obregon, Rania El Asawi, Catherine Richey, Erma Manoncourt, Kshiitij Joshi, Savita Naqvi, Ade Pouye, Naqibullah Safi, Ketan Chitnis and Sabeeha Quereshi
    Global Health: Science and Practice December 2016, 4(4):626-646; https://doi.org/10.9745/GHSP-D-16-00226

    Key lessons for the crucial components of social mobilization and community engagement in this context:

    • Invest in trusted local community members to facilitate community entrance and engagement.

    • Use key communication networks and channels with wide reach and relevance to the community, such as radio in low-resource settings or faith-based organizations.

    • Invest in strategic partnerships to tap relevant capacities and resources.

    • Support a network of communication professionals who can deploy rapidly for lengthy periods.

    • Balance centralized mechanisms to promote consistency and quality with decentralized programming for flexibility and adaptation to local needs.

    • Evolve communication approaches and messaging over time with the changing outbreak patterns, e.g., from halting disease transmission to integration and support of survivors.

    • Establish clear communication indicators and analyze and share data in real time.

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