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Global Health: Science and Practice
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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
    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
    Not Ready for Primetime: Challenges of Antenatal Ultrasound in Low- and Middle-Income Country Settings
    Global Health: Science and Practice June 2017, 5(2):180-181; https://doi.org/10.9745/GHSP-D-17-00213

    Even under optimized trial conditions, antenatal ultrasound was difficult to implement in Equateur Province, DRC. Moreover, the broader study across 5 countries failed to find an impact on pregnancy outcomes. Use of antenatal ultrasound screening appears not to be ready for wide application in low- and middle-income countries.

  • Open Access
    The Importance of Mental Well-Being for Health Professionals During Complex Emergencies: It Is Time We Take It Seriously
    Mary Surya, Dilshad Jaff, Barbara Stilwell and Johanna Schubert
    Global Health: Science and Practice June 2017, 5(2):188-196; https://doi.org/10.9745/GHSP-D-17-00017

    We call on humanitarian aid organizations to integrate proven mental health strategies to protect the mental health of their workforce and improve staff capacity to provide care for vulnerable populations. Such strategies could include:

    • Pre-deployment training

    • Art therapy

    • Team building

    • Physical exercise

    • Mindfulness or contemplative techniques

    • Mind-body exercises

    • Narrative Exposure Therapy

    • Eye movement desensitization and reprocessing

  • Open Access
    Can We Expect Results-Based Financing to Improve Quality of Care?
    Global Health: Science and Practice March 2017, 5(1):1-3; https://doi.org/10.9745/GHSP-D-17-00069

    Performance-based incentives as currently employed appear poorly adapted for improving quality of clinical processes. They mainly measure structural items that, while easier to measure, are remote from actual clinical quality, and they could even perversely lead to heightened attention to those factors at the expense of clinical quality.

  • Open Access
    Excellent Family Planning Progress in Nigeria Reported by PMA2020
    Global Health: Science and Practice March 2017, 5(1):28-32; https://doi.org/10.9745/GHSP-D-17-00094
    • Modern method contraceptive prevalence among married women in Nigeria has jumped to 16.0% in 2016 compared with <10% in 2013.

    • Notable increases were observed in the South as well as in some Northern states that had strong programming.

    • Most of the increase was in the uptake of highly effective implants and injectables.

    • But substantial unmet need for family planning remains, especially among the poorest quintile.

    • Implants and IUDs are not offered in many facilities and stock-outs are common, suggesting further progress is achievable with improved program effort.

  • Open Access
    Winners of the Consortium of Universities for Global Health–Global Health: Science and Practice Annual Student Manuscript Contest
    James D Shelton, Pierre Buekens and Elizabeth Grant
    Global Health: Science and Practice March 2017, 5(1):4-5; https://doi.org/10.9745/GHSP-D-17-00053

    The 2 inaugural winners of the CUGH–GHSP Annual Student Manuscript Contest describe (1) the American Mock World Health Organization model for engaging students in global health policy and diplomacy, and (2) a successful Indo-U.S. twinning model of global health academic partnership led by students.

  • Open Access
    “New Users” Are Confusing Our Counting: Reaching Consensus on How to Measure “Additional Users” of Family Planning
    Aisha Dasgupta, Michelle Weinberger, Ben Bellows and Win Brown
    Global Health: Science and Practice March 2017, 5(1):6-14; https://doi.org/10.9745/GHSP-D-16-00328

    FP2020's overarching goal is framed around the new metric of “additional users.” This measure inherently captures population-level change but has been conflated with other ambiguous metrics, such as “new users.” Therefore, we propose a standard set of terms to provide more consistent measurement. Although commonly used service-level metrics cannot be directly compared to the population-level metric of additional users, we describe 2 modeling approaches that can allow service-level data to inform estimates of additional users.

  • Open Access
    Quality of Care in Performance-Based Financing: How It Is Incorporated in 32 Programs Across 28 Countries
    Jessica Gergen, Erik Josephson, Martha Coe, Samantha Ski, Supriya Madhavan and Sebastian Bauhoff
    Global Health: Science and Practice March 2017, 5(1):90-107; https://doi.org/10.9745/GHSP-D-16-00239

    Structural aspects of quality such as equipment and infrastructure were the most frequently measured, with some measurement of processes of clinical care. Further examination is warranted to assess whether variations in how quality of care is incorporated into performance-based financing programs lead to differential effects.

  • Open Access
    American Mock World Health Organization: An Innovative Model for Student Engagement in Global Health Policy
    Mia Lei, Neha Acharya, Edith Kwok Man Lee, Emma Catherine Holcomb and Veronica Kapoor
    Global Health: Science and Practice March 2017, 5(1):164-174; https://doi.org/10.9745/GHSP-D-16-00138

    The American Mock World Health Organization (AMWHO) provides a platform for students to apply their knowledge of global health policy through simulations of the World Health Assembly (WHA). This model engages and empowers future global leaders in health policy while sharpening their skills in diplomacy, public speaking, and conflict resolution. The major theme for the AMWHO 2015 was Universal Health Coverage, reflecting what the WHA had discussed in preceding months.

  • Open Access
    Possible Reasons for Limited Effectiveness of a Skills and Drills Intervention to Improve Emergency Obstetric and Newborn Care
    Helen A Allott, Helen Smith, Terry Kana, Mselenge Mdegela, Sarah Bar-Zeev and Charles Ameh
    Global Health: Science and Practice March 2017, 5(1):175-176; https://doi.org/10.9745/GHSP-D-17-00055

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