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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
    Volunteer Community Health and Agriculture Workers Help Reduce Childhood Malnutrition in Tajikistan
    Roman Yorick, Faridun Khudonazarov, Andrew J. Gall, Karah Fazekas Pedersen and Jennifer Wesson
    Global Health: Science and Practice March 2021, 9(Supplement 1):S137-S150; https://doi.org/10.9745/GHSP-D-20-00325

    Paired agricultural and health interventions led by volunteer community health workers and community agricultural workers through home visits, community events, and peer support groups proved successful in improving nutrition of children and may be applicable in other contexts.

  • Open Access
    Implementation of a Community Transport Strategy to Reduce Delays in Seeking Obstetric Care in Rural Mozambique
    Felizarda Amosse, Helena Boene, Mai-Lei Woo Kinshella, Sharla Drebit, Sumedha Sharma, Prestige Tatenda Makanga, Anifa Valá, Laura A. Magee, Peter von Dadelszen, Marianne Vidler, Esperança Sevene, Khátia Munguambe and the Community Level Interventions for Pre-eclampsia (CLIP) Working Group
    Global Health: Science and Practice March 2021, 9(Supplement 1):S122-S136; https://doi.org/10.9745/GHSP-D-20-00511

    Encouraging local transport programs and transport infrastructure in poorly-resourced communities can help improve community access and strengthen engagement with health systems. Mobilizing community resources and leadership to implement a community-based transport scheme in rural Mozambique to support referrals to health facilities can help improve maternal and child health outcomes.

  • Open Access
    Applying the Community Health Worker Coverage and Capacity Tool for Time-Use Modeling for Program Planning in Rwanda and Zanzibar
    Melanie Morrow, Eric Sarriot, Allyson R. Nelson, Felix Sayinzoga, Beatrice Mukamana, Evariste Kayitare, Halima Khamis, Omar Abdalla and William Winfrey
    Global Health: Science and Practice March 2021, 9(Supplement 1):S65-S78; https://doi.org/10.9745/GHSP-D-20-00324

    The C3 Tool supports community health worker (CHW) program planning by making tradeoffs apparent between human resources and the services to be provided at varying levels of population coverage. Governments in Rwanda and Zanzibar used the tool, respectively, to optimize CHW time allocation and to estimate how many CHWs were needed to meet universal health coverage goals.

  • Open Access
    Community Health Worker Program Sustainability in Africa: Evidence From Costing, Financing, and Geospatial Analyses in Mali
    Patrick Pascal Saint-Firmin, Birama Diakite, Kevin Ward, Mitto Benard, Sara Stratton, Christine Ortiz, Arin Dutta and Seydou Traore
    Global Health: Science and Practice March 2021, 9(Supplement 1):S79-S97; https://doi.org/10.9745/GHSP-D-20-00404

    Understanding specific program costs through efficiency analyses and geospatial targeting allows national stakeholders to make strategic, targeted investments, making the first steps toward sustainability. Costs required for community health worker programs can be reduced without sacrificing quality, and spending can be geographically targeted to optimize service use by rural populations. Results from Mali provide an example for other sub-Saharan African countries.

  • Open Access
    Evaluating Vertical Malaria Community Health Worker Programs as Malaria Declines: Learning From Program Evaluations in Honduras and Lao PDR
    Harriet G. Napier, Madeline Baird, Evelyn Wong, Eliza Walwyn-Jones, Manuel Espinoza Garcia, Lizeth Cartagena, Nontokozo Mngadi, Viengxay Vanisaveth, Viengphone Sengsavath, Phoutnalong Vilay, Kenesay Thongpiou, Theodoor Visser and Justin M. Cohen
    Global Health: Science and Practice March 2021, 9(Supplement 1):S98-S110; https://doi.org/10.9745/GHSP-D-20-00379

    Community case management by community health workers has substantially reduced malaria across the Greater Mekong Subregion and Central America. To sustain current and achieve further reductions in malaria, surveillance and delivery platforms must be redesigned to ensure their continued use by key populations.

  • Open Access
    Prevention of COVID-19 in Internally Displaced Persons Camps in War-Torn North Kivu, Democratic Republic of the Congo: A Mixed-Methods Study
    Kasereka M. Claude, Muyisa Sahika Serge, Kahindo Kahatane Alexis and Michael T. Hawkes
    Global Health: Science and Practice December 2020, 8(4):638-653; https://doi.org/10.9745/GHSP-D-20-00272

    Internally displaced persons fleeing violent conflict represent a neglected population with heightened vulnerability to pandemic COVID-19. We provide a rare snapshot of the overwhelming challenges faced by internally displaced persons in Eastern Democratic Republic of the Congo as they brace for COVID-19.

  • Open Access
    Using Community Health Workers and a Smartphone Application to Improve Diabetes Control in Rural Guatemala
    Sean Duffy, Derek Norton, Mark Kelly, Alejandro Chavez, Rafael Tun, Mariana Niño de Guzmán Ramírez, Guanhua Chen, Paul Wise and Jim Svenson
    Global Health: Science and Practice December 2020, 8(4):699-720; https://doi.org/10.9745/GHSP-D-20-00076

    A smartphone application providing algorithmic clinical decision support enabled community health workers to improve diabetes control for a group of patients in rural Guatemala. This approach enables task sharing with physicians and other advanced practitioners for chronic disease care, which is particularly important in low-resource settings.

  • Open Access
    Behavioral Insights Into Micronutrient Powder Use for Childhood Anemia in Arequipa, Peru
    Jessica D. Brewer, Julianna Shinnick, Karina Román, Maria P. Santos, Valerie A. Paz-Soldan and Alison M. Buttenheim
    Global Health: Science and Practice December 2020, 8(4):721-731; https://doi.org/10.9745/GHSP-D-20-00078

    Health care provider-caregiver interactions and caregivers’ shifting emotional states between intention formation and use affected their adherence to a government-provided micronutrient powder intervention to prevent childhood anemia. In counseling directed to caregivers, we suggest providers offer clear messaging on MNP impact and planning for challenges during MNP use.

  • Open Access
    Contraceptive Method Mix: Updates and Implications
    Jane T. Bertrand, John Ross, Tara M. Sullivan, Karen Hardee and James D. Shelton
    Global Health: Science and Practice December 2020, 8(4):666-679; https://doi.org/10.9745/GHSP-D-20-00229

    Trends in contraceptive method mix show that dominance of 1 method in the mix remains very common, though countries and regions throughout the world are diverse as to which method is dominant. Our analysis argues for continued concerted efforts of programs to increase contraceptive method choice.

  • Open Access
    A Cluster-Randomized Trial to Test Sharing Histories as a Training Method for Community Health Workers in Peru
    Laura C. Altobelli, José Cabrejos-Pita, Mary Penny and Stan Becker
    Global Health: Science and Practice December 2020, 8(4):732-758; https://doi.org/10.9745/GHSP-D-19-00332

    Women naturally communicate using life narratives. Through systematic recall and sharing memories of their own childbearing and child rearing experiences, community health workers (CHWs) become engaged and empowered to change their own and other mothers’ health behaviors. Training CHW with sharing histories can improve capabilities as change agents for better child health.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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