Latest Articles
- Taking knowledge for health the extra mile: participatory evaluation of a mobile phone intervention for community health workers in Malawi
A participatory evaluation process called Net-Map showed that providing community health workers (CHWs) with mobile phones and essential technical information changed CHWs, from passive recipients of information with little influence to active information agents who sought and provided information to improve health services.
- mHealth resources to strengthen health programs
A suite of resources provides implementation guidance for mHealth initiatives, particularly in less developed countries. The suite includes an eLearning course, online guide, evidence database, and a High-Impact Practices brief, along with the mHealth Working Group and website.
- Does free pregnancy testing reduce service denial in family planning clinics? A cluster-randomized experiment in Zambia and Ghana
Pregnancy tests, which cost very little (∼US$0.10) and are often required for successful family planning service delivery, may reduce service denial, and should be available in all family planning clinics at no or minimal cost to clients.
- Understanding where parents take their sick children and why it matters: a multi-country analysis
To effectively reach children with potentially life-threatening illness with needed treatment, it is important to understand where parents seek care. Data from 42 DHS and MICS surveys conducted since 2005 show that a majority of care in Africa is sought from the public sector; in South Asia, from the private sector; and in Southeast Asia, from a public-private mix. We recommend that such data be made available in standard DHS and MICS reports.
- Factors limiting immunization coverage in urban Dili, Timor-Leste
Simple access to immunization services does not necessarily translate into uptake of services. In Timor-Leste, key determinants of the success of vaccination efforts are health workers' attitudes, the manner in which patients are treated, aspects of service organization, adequate supply of vaccines, and caregivers' basic knowledge about immunization.
- Child malnutrition in Haiti: progress despite disasters
Despite a devastating earthquake and a major cholera outbreak in Haiti in 2010, surveys in 2006 and 2012 document marked reductions in child undernutrition. Intensive relief efforts in nutrition as well as synergies and improvements in various sectors before and after the earthquake were likely contributing factors.
- Fulfilling the PEPFAR mandate: a more equitable use of PEPFAR resources across global health
As PEPFAR moves beyond its “emergency stage,” it should now help support a more sustainable development mode, including an equitable platform for meeting a broad range of priority health needs, while continuing to pursue the goal of an AIDS-free generation.
- “A cup of tea with our CBD agent … ”: community provision of injectable contraceptives in Kenya is safe and feasible
Community health workers can safely provide the injectable DMPA when appropriately trained and supervised. We also found a fivefold increase in contraceptive uptake—a finding that builds on evidence from other countries for supportive policy change.
- Early pregnancy detection by female community health volunteers in Nepal facilitated referral for appropriate reproductive health services
Trained female community health volunteers provided low-cost urine pregnancy tests in their communities, leading to counseling and appropriate referrals for antenatal care, family planning, or comprehensive abortion care.
- Providing technical assistance to ministries of health: lessons learned over 30 years
Pursuing true country ownership for effective programs requires a long-term approach involving persistence, patience, keen understanding of counterparts' perspective, deference, building trust, focus on priorities, technical competence, and sustained optimism.