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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 ARTICLES

  • Open Access
    Design, Implementation, and Evaluation of a School Insecticide-Treated Net Distribution Program in Cross River State, Nigeria
    Angela Acosta, Emmanuel Obi, Richmond Ato Selby, Iyam Ugot, Matthew Lynch, Mark Maire, Kassahun Belay, Abidemi Okechukwu, Uwem Inyang, Jessica Kafuko, George Greer, Lilia Gerberg, Megan Fotheringham, Hannah Koenker and Albert Kilian
    Global Health: Science and Practice June 2018, 6(2):272-287; https://doi.org/10.9745/GHSP-D-17-00350

    Three years following a mass bed net distribution campaign, the addition of school-based distribution to antenatal care (ANC) distribution in Cross River State, Nigeria, increased household ownership of any net to nearly 80%, whereas ownership in the comparison area was below 50%. School distribution was nearly equitable among rich and poor, and very few households obtained nets from both ANC and schools, suggesting complementary reach.

  • Open Access
    Cumulative effects of heat exposure and storage conditions of Oxytocin-in-Uniject in rural Ghana: implications for scale up
    Luke C Mullany, Sam Newton, Samuel Afari-Asiedu, Edward Adiibokah, Charlotte T Agyemang, Patience Cofie, Steve Brooke, Seth Owusu-Agyei and Cynthia K Stanton
    Global Health: Science and Practice August 2014, 2(3):285-294; https://doi.org/10.9745/GHSP-D-14-00043

    Oxytocin-in-Uniject devices could be stored 30 to 40 days without refrigeration under typical field conditions, with wastage levels below 10%, based on simulation studies.

  • Open Access
    Are national policies and programs for prevention and management of postpartum hemorrhage and preeclampsia adequate? A key informant survey in 37 countries
    Jeffrey Michael Smith, Sheena Currie, Tirza Cannon, Deborah Armbruster and Julia Perri
    Global Health: Science and Practice August 2014, 2(3):275-284; https://doi.org/10.9745/GHSP-D-14-00034

    Most surveyed countries have many supportive policies and program elements, but issues remain that impede maternal health efforts, including: inconsistent availability of essential commodities, particularly misoprostol; limitations on midwives' scope of practice; incomplete or out-of-date service delivery guidelines; and weak reporting systems.

  • Open Access
    Can traditional birth attendants be trained to accurately identify septic infants, initiate antibiotics, and refer in a rural African setting?
    Christopher John Gill, William B MacLeod, Grace Phiri-Mazala, Nicholas G Guerina, Mark Mirochnick, Anna B Knapp and Davidson H Hamer
    Global Health: Science and Practice August 2014, 2(3):318-327; https://doi.org/10.9745/GHSP-D-14-00045

    Despite having limited training, these TBAs were able to accurately identify critically ill neonates, initiate treatment in the field, and refer for further care. Given their proximity to the mother/infant pair, and their role in rural communities, training and equipping TBAs in this role could be effective in reducing neonatal mortality.

  • Open Access
    Plausible role for CHW peer support groups in increasing care-seeking in an integrated community case management project in Rwanda: a mixed methods evaluation
    Anne Langston, Jennifer Weiss, Justine Landegger, Thomas Pullum, Melanie Morrow, Melene Kabadege, Catherine Mugeni and Eric Sarriot
    Global Health: Science and Practice August 2014, 2(3):342-354; https://doi.org/10.9745/GHSP-D-14-00067

    During national scale up of iCCM in Rwanda, greater improvements in care-seeking were found in the districts where Kabeho Mwana implemented its model than in the rest of the country. Success was attributed to an emphasis on routine data review, intensive monitoring, collaborative supervision, community mobilization, and, in particular, CHW peer support groups.

  • Open Access
    Major challenges to scale up of visual inspection-based cervical cancer prevention programs: the experience of Guatemalan NGOs
    Anita Nandkumar Chary and Peter J Rohloff
    Global Health: Science and Practice August 2014, 2(3):307-317; https://doi.org/10.9745/GHSP-D-14-00073

    Scale up of visual inspection with acetic acid (VIA) in Guatemala encountered major challenges, including high attrition of people trained, didactic training without hands-on skills building, lack of continued supervision, and provision of VIA alone without immediate on-site provision of cryotherapy.

  • Open Access
    Nationwide implementation of integrated community case management of childhood illness in Rwanda
    Catherine Mugeni, Adam C Levine, Richard M Munyaneza, Epiphanie Mulindahabi, Hannah C Cockrell, Justin Glavis-Bloom, Cameron T Nutt, Claire M Wagner, Erick Gaju, Alphonse Rukundo, Jean Pierre Habimana, Corine Karema, Fidele Ngabo and Agnes Binagwaho
    Global Health: Science and Practice August 2014, 2(3):328-341; https://doi.org/10.9745/GHSP-D-14-00080

    Between 2008 and 2011, Rwanda introduced iCCM of childhood illness nationwide. One year after iCCM rollout, community-based treatment for diarrhea and pneumonia had increased significantly, and under-5 mortality and overall health facility use had declined significantly.

  • Open Access
    Strategic contracting practices to improve procurement of health commodities
    Leslie Arney, Prashant Yadav, Roger Miller and Taylor Wilkerson
    Global Health: Science and Practice August 2014, 2(3):295-306; https://doi.org/10.9745/GHSP-D-14-00068

    Practices such as flexible, pre-established framework agreements can improve timeliness and cost of procurement and help improve commodity security. Addressing legislative barriers and building technical capacity in contract management may facilitate the use of such practices.

  • Open Access
    Medical barriers to emergency contraception: a cross-sectional survey of doctors in North India
    M E Khan, Anvita Dixit, Isha Bhatnagar and Martha Brady
    Global Health: Science and Practice May 2014, 2(2):210-218; https://doi.org/10.9745/GHSP-D-13-00139

    Emergency contraceptive pills (ECPs) are extremely safe and do not interfere with implantation. Yet many surveyed physicians in India did not know that there are no contraindications to using ECPs, and many had negative attitudes about ECP users. Most were against having ECPs available over-the-counter and wanted to impose age restrictions. Efforts are needed to address such misconceptions that might lead to limiting ECP availability.

  • Open Access
    Preferences for a potential longer-acting injectable contraceptive: perspectives from women, providers, and policy makers in Kenya and Rwanda
    Elizabeth E Tolley, Kevin McKenna, Caroline Mackenzie, Fidele Ngabo, Emmanuel Munyambanza, Jennet Arcara, Kate H Rademacher and Anja Lendvay
    Global Health: Science and Practice May 2014, 2(2):182-194; https://doi.org/10.9745/GHSP-D-13-00147

    High effectiveness, predictable return to fertility, and a single, prepackaged, disposable delivery system ranked high. Side effects were generally acceptable to women if they did not last long or disrupt daily activities. Cost was considered important for providers but not so much for most potential users.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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