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Global Health: Science and Practice

Dedicated to what works in global health programs

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Latest Articles

  • Open Access
    Standardizing Measurement of Contraceptive Use Among Unmarried Women
    Madeleine Short Fabic and Apoorva Jadhav
    Global Health: Science and Practice December 2019, 7(4):564-574; https://doi.org/10.9745/GHSP-D-19-00298

    Because contraceptive prevalence and unmet need for family planning estimates for unmarried women vary widely depending on the chosen sexual recency inclusion factor, all data platforms should adopt a 1-month window in these calculations to have comparable and actionable estimates.

  • Open Access
    Realizing the “40 by 2022” Commitment From the United Nations High-Level Meeting on the Fight to End Tuberculosis: What Will It Take to Meet Rapid Diagnostic Testing Needs?
    Amy S. Piatek, William A. Wells, Kaiser C. Shen and Charlotte E. Colvin
    Global Health: Science and Practice December 2019, 7(4):551-563; https://doi.org/10.9745/GHSP-D-19-00244

    Existing rapid diagnostics offer faster and more sensitive diagnosis of tuberculosis (TB) and simultaneous detection of multidrug-resistant TB. A 5-fold increase in investment in these tools is needed to meet the needs of the TB community and the United Nations’ ambitious 40 million by 2022 diagnosis and treatment target.

  • Open Access
    The Burden of Respiratory Syncytial Virus Infection in Adults and Reproductive-Aged Women
    Bernard Gonik
    Global Health: Science and Practice December 2019, 7(4):515-520; https://doi.org/10.9745/GHSP-D-19-00121

    Currently available data on respiratory syncytial virus (RSV) disease burden in adults and reproductive-aged women are limited. These data are critically needed to assist in the advancement of strategies related to maternal RSV vaccination for the passive protection of their newborn children.

  • Open Access
    Effects of a Peer-Led Intervention on HIV Care Continuum Outcomes Among Contacts of Children, Adolescents, and Young Adults Living With HIV in Zimbabwe
    Talent Tapera, Nicola Willis, Kudakwashe Madzeke, Tanyaradzwa Napei, Mather Mawodzeke, Stanley Chamoko, Abigail Mutsinze, Teddy Zvirawa, Beatrice Dupwa, Aveneni Mangombe, Anesu Chimwaza, Talent M. Makoni, Winnie Mandewo, Mbazi Senkoro, Philip Owiti, Jaya Prasad Tripathy and Ajay M.V. Kumar
    Global Health: Science and Practice December 2019, 7(4):575-584; https://doi.org/10.9745/GHSP-D-19-00210

    An intervention focused on children, adolescents, and young adults living with HIV using a cadre of dedicated peers—community adolescent treatment supporters—led to improvements along the HIV care cascade among their household contacts and sexual partners.

  • Open Access
    A Tablet-Based Tool for Care During Labor+Attention to System Requirements
    Stephen Hodgins
    Global Health: Science and Practice December 2019, 7(4):498-499; https://doi.org/10.9745/GHSP-D-19-00384

    Evidence on using a tablet-based labor decision-support tool suggests the potential for improved practices in labor management. Further rigorous study on these tools is needed to assess the improvements in labor care and outcomes as well as the system requirements needed to achieve such improvements.

  • Open Access
    Using Digital Technology for Sexual and Reproductive Health: Are Programs Adequately Considering Risk?
    Loraine J. Bacchus, Kate Reiss, Kathryn Church, Manuela Colombini, Erin Pearson, Ruchira Naved, Chris Smith, Kathryn Andersen and Caroline Free
    Global Health: Science and Practice December 2019, 7(4):507-514; https://doi.org/10.9745/GHSP-D-19-00239

    Digital technologies provide opportunities for advancing sexual and reproductive health and services but also present potential risks. We propose 4 steps to reducing potential harms: (1) consider potential harms during intervention design, (2) mitigate or minimize potential harms during the design phase, (3) measure adverse outcomes during implementation, and (4) plan how to support those reporting adverse outcomes.

  • Open Access
    Effectiveness of an Electronic Partogram: A Mixed-Method, Quasi-Experimental Study Among Skilled Birth Attendants in Kenya
    Harshadkumar Sanghvi, Diwakar Mohan, Lindsay Litwin, Eva Bazant, Patricia Gomez, Tara MacDowell, Levis Onsase, Valentino Wabwile, Charles Waka, Zahida Qureshi, Eunice Omanga, Anthony Gichangi and Ruth Muia
    Global Health: Science and Practice December 2019, 7(4):521-539; https://doi.org/10.9745/GHSP-D-19-00195

    Use of the electronic partogram, a digital labor-support application, is associated with improved fetal outcomes and greater use of interventions to maintain normal labor compared to the paper partograph.

  • Open Access
    Provider-Initiated Family Planning Within HIV Services in Malawi: Did Policy Make It Into Practice?
    Erin K. McGinn and Laili Irani
    Global Health: Science and Practice December 2019, 7(4):540-550; https://doi.org/10.9745/GHSP-D-19-00192

    Four years after Malawi embraced a policy of provider-initiated family planning (PIFP) within its HIV Clinical Guidelines, this policy remained largely unimplemented at the health facility level. Strengthening PIFP in Malawi’s public and private health facilities will require targeted and comprehensive systems changes.

  • Open Access
    Using the Unmanned Aerial Vehicle Delivery Decision Tool to Consider Transporting Medical Supplies via Drone
    Margaret Eichleay, Emily Evens, Kayla Stankevitz and Caleb Parker
    Global Health: Science and Practice December 2019, 7(4):500-506; https://doi.org/10.9745/GHSP-D-19-00119

    We developed an unmanned aerial vehicle (UAV) Delivery Decision Tool to help health system decision makers identify their transport challenges and explore the potential utility and impact of UAVs on the broader health system.

  • Open Access
    Increasing Family Planning Access in Kenya Through Engagement of Faith-Based Health Facilities, Religious Leaders, and Community Health Volunteers
    Allison Ruark, Jane Kishoyian, Mona Bormet and Douglas Huber
    Global Health: Science and Practice September 2019, 7(3):478-490; https://doi.org/10.9745/GHSP-D-19-00107

    The Christian Health Association of Kenya (CHAK) partnered with health facilities managed by faith-based organizations (FBOs), religious leaders, and community health volunteers to increase access to family planning in western Kenya. FBO-managed health facilities saw large increases in family planning uptake over the 5-year project, particularly for implants.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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