Latest Articles
- Health Care Service Readiness and Quality of Care for Sexual Violence in Garissa, Kwale, Narok, and West Pokot Counties, Kenya: A Mixed-Methods Study
Sexual violence survivors in surveyed counties in Kenya face a dual barrier to effective care: community-level obstacles—including stigma, lack of awareness, and reliance on informal justice systems—delay health facility access beyond the critical 72-hour window, while health system gaps prevent those who do seek care from receiving complete, quality-assured care and treatment.
- IMPACT: A Structured Human-Centered Design Process for Integrating Community Health Worker Insights Into Program Policy in Pakistan
A human-centered design competition successfully engaged community health workers in policy design to improve polio vaccination.
- Trends and Patterns in Wealth Index Assets: Observations From 68 Countries
This commentary outlines 4 practical lessons derived from analyzing a country-specific measure of wealth available for use in 68 countries, serving as axioms for development practitioners to simplify questions related to identifying relative poverty and project design and implementation.
- A User-Centered Approach to Achieving High Degree of Digital Health Technology Utilization for Community HIV Case Management and Data Collection in Ethiopia
A mobile health application, co-designed with frontline CHWs and local partners, enabled standardized HIV case management and high-quality, real-time community data collection, analysis, and use that informed program decision-making.
- Patterns and Drivers of Packaged (Fortified) Maize Flour Purchase in Urban and Peri-Urban Kenya
Two of three residents living in and around two major Kenyan cities—Nairobi and Kisumu—are reached by large-scale fortification of maize flour. Both poor and non-poor consumers benefit, although price is a deterrent in some settings.
- Enhancing Service Quality and Empowerment in Government Clinics Through Continuous Quality Improvement of Community Score Cards: A Case Study From the Dominican Republic
A comprehensive Community Score Card monitoring and evaluation toolkit, integrating quantitative and qualitative data over multiple cycles of the intervention, helped drive continuous quality improvement in social accountability leading to the empowerment of health service providers, users, and youth to work together to improve government-run health clinics in the Dominican Republic.
- Exploring a Road Map to Achieving Tobacco Endgame in sub-Saharan Africa: A Qualitative Study Among Stakeholders From 12 Countries
Interviews with diverse tobacco control stakeholders from 12 countries in sub-Saharan Africa suggest support for tobacco endgame strategies to end the tobacco epidemic in the region.
- Stakeholder Perceptions on Innovative Private Pharmacy Distribution Channels and Implications for Medicine Quality in Zambia: A Qualitative Study
Innovative pharmacy channels in Zambia offer benefits, such as enhanced traceability and improved quality assurance, but also face challenges, including slow adoption of technology, financial barriers to innovation, and regulatory hurdles. A 3-pronged approach involving technological integration, government support, and robust regulatory frameworks is recommended to realize the full benefits of such innovative distribution channels and ensure access to quality medicines.
- A Comprehensive Strategy to Mitigate Institutional Maternal Mortality: Lessons From a Quality Improvement Initiative in Brazilian Maternity Hospitals
Maternal deaths can be prevented through quality improvement and job instruction methods that enhance the early detection and management of the primary life-threatening conditions contributing to institutional maternal mortality.
- Assessing the Generalizability of Client Experience Measurement Tools in Low- and Middle-Income Countries: A Narrative Review
Existing measures of person-centered health care quality and responsiveness, across multiple health areas, share many conceptual similarities with the concept of client experience of care, suggesting that developing a cross-cutting, common measure of client experience is possible.