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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
    Are national policies and programs for prevention and management of postpartum hemorrhage and preeclampsia adequate? A key informant survey in 37 countries
    Jeffrey Michael Smith, Sheena Currie, Tirza Cannon, Deborah Armbruster and Julia Perri
    Global Health: Science and Practice August 2014, 2(3):275-284; https://doi.org/10.9745/GHSP-D-14-00034

    Most surveyed countries have many supportive policies and program elements, but issues remain that impede maternal health efforts, including: inconsistent availability of essential commodities, particularly misoprostol; limitations on midwives' scope of practice; incomplete or out-of-date service delivery guidelines; and weak reporting systems.

  • Open Access
    Maximizing the benefits of improved cookstoves: moving from acquisition to correct and consistent use
    Anita Shankar, Michael Johnson, Ethan Kay, Raj Pannu, Theresa Beltramo, Elisa Derby, Stephen Harrell, Curt Davis and Helen Petach
    Global Health: Science and Practice August 2014, 2(3):268-274; https://doi.org/10.9745/GHSP-D-14-00060

    The adoption of clean cooking technologies goes beyond mere product acquisition and requires attention to issues of cooking traditions, user engagement, gender dynamics, culture, and religion to effect correct and consistent use.

  • Open Access
    Development and use of a master health facility list: Haiti's experience during the 2010 earthquake response
    Alyson Rose-Wood, Nathan Heard, Roody Thermidor, Jessica Chan, Fanor Joseph, Gerald Lerebours, Antonio Zugaldia, Kimberly Konkel, Michael Edwards, Bill Lang and Carmen-Rosa Torres
    Global Health: Science and Practice August 2014, 2(3):357-365; https://doi.org/10.9745/GHSP-D-14-00029

    Collaboration between the Haitian government and NGOs after the 2010 earthquake contributed to a more accurate and complete master health facility list, which helped coordinate emergency response operations as well as strengthen the routine health information system. Open data and social networks facilitated the collection and sharing of health facility information and in maintenance of the list over time.

  • Open Access
    Can traditional birth attendants be trained to accurately identify septic infants, initiate antibiotics, and refer in a rural African setting?
    Christopher John Gill, William B MacLeod, Grace Phiri-Mazala, Nicholas G Guerina, Mark Mirochnick, Anna B Knapp and Davidson H Hamer
    Global Health: Science and Practice August 2014, 2(3):318-327; https://doi.org/10.9745/GHSP-D-14-00045

    Despite having limited training, these TBAs were able to accurately identify critically ill neonates, initiate treatment in the field, and refer for further care. Given their proximity to the mother/infant pair, and their role in rural communities, training and equipping TBAs in this role could be effective in reducing neonatal mortality.

  • Open Access
    Plausible role for CHW peer support groups in increasing care-seeking in an integrated community case management project in Rwanda: a mixed methods evaluation
    Anne Langston, Jennifer Weiss, Justine Landegger, Thomas Pullum, Melanie Morrow, Melene Kabadege, Catherine Mugeni and Eric Sarriot
    Global Health: Science and Practice August 2014, 2(3):342-354; https://doi.org/10.9745/GHSP-D-14-00067

    During national scale up of iCCM in Rwanda, greater improvements in care-seeking were found in the districts where Kabeho Mwana implemented its model than in the rest of the country. Success was attributed to an emphasis on routine data review, intensive monitoring, collaborative supervision, community mobilization, and, in particular, CHW peer support groups.

  • Open Access
    Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale
    James D Shelton
    Global Health: Science and Practice August 2014, 2(3):253-258; https://doi.org/10.9745/GHSP-D-14-00066

    Because public health must operate at scale in widely diverse, complex situations, randomized controlled trials (RCTs) have limited utility for public health. Other methodologies are needed. A key conceptual backbone is a detailed “theory of change” to apply appropriate evidence for each operational component. Synthesizing patterns of findings across multiple methodologies provides key insights. Programs operating successfully across a variety of settings can provide some of the best evidence. Challenges include judging the quality of such evidence and assisting programs to apply it. WHO and others should shift emphasis from RCTs to more relevant evidence when assessing public health issues.

  • Open Access
    Major challenges to scale up of visual inspection-based cervical cancer prevention programs: the experience of Guatemalan NGOs
    Anita Nandkumar Chary and Peter J Rohloff
    Global Health: Science and Practice August 2014, 2(3):307-317; https://doi.org/10.9745/GHSP-D-14-00073

    Scale up of visual inspection with acetic acid (VIA) in Guatemala encountered major challenges, including high attrition of people trained, didactic training without hands-on skills building, lack of continued supervision, and provision of VIA alone without immediate on-site provision of cryotherapy.

  • Open Access
    Getting family planning and population back on track
    Malcolm Potts
    Global Health: Science and Practice May 2014, 2(2):145-151; https://doi.org/10.9745/GHSP-D-14-00012

    After a generation of partial neglect, renewed attention is being paid to population and voluntary family planning. Realistic access to family planning is a prerequisite for women's autonomy. For the individual, family, society, and our fragile planet, family planning has great power.

  • Open Access
    Medical barriers to emergency contraception: a cross-sectional survey of doctors in North India
    M E Khan, Anvita Dixit, Isha Bhatnagar and Martha Brady
    Global Health: Science and Practice May 2014, 2(2):210-218; https://doi.org/10.9745/GHSP-D-13-00139

    Emergency contraceptive pills (ECPs) are extremely safe and do not interfere with implantation. Yet many surveyed physicians in India did not know that there are no contraindications to using ECPs, and many had negative attitudes about ECP users. Most were against having ECPs available over-the-counter and wanted to impose age restrictions. Efforts are needed to address such misconceptions that might lead to limiting ECP availability.

  • Open Access
    Informed push distribution of contraceptives in Senegal reduces stockouts and improves quality of family planning services
    Bocar Mamadou Daff, Cheikh Seck, Hassan Belkhayat and Perri Sutton
    Global Health: Science and Practice May 2014, 2(2):245-252; https://doi.org/10.9745/GHSP-D-13-00171

    Dedicated logisticians restocked contraceptives monthly at facilities to maintain defined minimum stock levels, freeing up clinic staff. High stockout rates were virtually eliminated. Also, quality and timely data on contraceptives distributed allowed for better program management.

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