Latest Articles
- Community Health Workers Improve HIV Disclosure Among HIV-Affected Sexual Partners in Rural Uganda: A Quasi-Experimental Study
HIV disclosure is critical to achieve positive HIV treatment and management outcomes. Community health worker–led mechanisms may be used to support disclosure among adults living with HIV in heterosexual relationships in rural settings.
- Changes in Child Undernutrition and Overweight in India From 2006 to 2021: An Ecological Analysis of 36 States
India has historically displayed high levels of child stunting and low levels of child overweight. Despite improvements in human development indicators between 2006 and 2021, population-level reductions in child stunting have slowed and child overweight is rising faster than predicted by human development indicators.
- Making Removals Part of Informed Choice: A Mixed-Method Study of Client Experiences With Removal of Long-Acting Reversible Contraceptives in Senegal
Governments must plan to ensure that removal services for long-acting reversible contraceptives are accessible and affordable to handle growing demand. Participants seeking method removal in Senegal reported largely satisfactory experiences, with a few areas for potential strengthening.
- Primary Health Care Management Effectiveness as a Driver of Family Planning Service Readiness: A Cross-Sectional Analysis in Central Mozambique
We found higher levels of management effectiveness in primary health care facilities to be independently associated with an increased likelihood of improved family planning service readiness in central Mozambique. Strengthening management capabilities and reinforcing management roles at the primary health care level may improve health system readiness and provision of quality family planning services.
- Barriers and Facilitators to Data Use for Decision Making: The Experience of the African Health Initiative Partnerships in Ethiopia, Ghana, and Mozambique
Data for decision making on clinical care and health service management is crucial, yet implementers lack knowledge on the determinants of effective implementation. Findings from this study conducted in the context of primary health care systems in Ethiopia, Ghana, and Mozambique fill this knowledge gap.
- Health System Resilience: Withstanding Shocks and Maintaining Progress
Building a resilient system capable of responding to health threats while maintaining essential health service delivery requires health systems to embed implementation research capacity to create the knowledge needed, ensure the affordability and accessibility of health care services at all levels of delivery, and provide the range of services needed to meet the population’s needs.
- Drivers and Barriers to Improved Data Quality and Data-Use Practices: An Interpretative Qualitative Study in Addis Ababa, Ethiopia
The Ethiopia government’s implementation of strategies to improve data quality, as outlined in its Information Revolution Roadmap, has led to higher data quality and improved data use, but barriers to optimal data-use practices must be addressed to create a culture of information use.
- Lessons Learned From the Capacity-Building and Mentorship Program to Improve Health Information Systems in 11 Districts of Ethiopia
Health information systems strengthening interventions, such as the capacity-building and mentorship program used, leverages the expertise of stakeholders from multiple disciplines and can help improve data quality and information use at health facilities.
- Maternal and Child Health Care Service Disruptions and Recovery in Mozambique After Cyclone Idai: An Uncontrolled Interrupted Time Series Analysis
Timely and relevant information is vital to help identify and track areas of improvement after extreme weather events and during emergencies to prioritize limited resources. Routine data can provide useful evidence of health system performance during and after natural disasters, contributing to an effective and efficient response.
- The African Health Initiative’s Role in Advancing the Use of Embedded Implementation Research for Health Systems Strengthening
The African Health Initiative has demonstrated the feasibility of changing the traditional knowledge generation paradigm by using an embedded implementation research approach to improve health systems’ performance and strengthen capacity for knowledge generation and use.