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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
    Results From a Multimethod Exploratory Scale Development Process to Measure Authoritarian Provider Attitudes in Democratic Republic of Congo and Togo
    Martha Silva, Kathryn Spielman, Leanne Dougherty, Sethson Kassegne and Amanda Kalamar
    Global Health: Science and Practice November 2023, 11(Supplement 1):e2200421; https://doi.org/10.9745/GHSP-D-22-00421

    Provider attitudes are a recognized driver of provider behaviors that may influence client behaviors & outcomes–the authors present a scale development & validation process resulting in survey items measuring authoritarian provider attitudes.

  • Open Access
    Six Recommendations for Provider Behavior Change in Family Planning
    Heather Hancock, Olivia Carlson, Hope Hempstone, Bethany Arnold, Kamden Hoffmann, Xaher Gul and Kathryn Spielman
    Global Health: Science and Practice November 2023, 11(Supplement 1):e2200495; https://doi.org/10.9745/GHSP-D-22-00495

    Future provider behavior change interventions in FP/RH should engage a wider range of provider cadres and apply varied behavior change strategies, using a systems approach to address the holistic set of factors that influence provider behavior.

  • Open Access
    Applying a Power and Gender Lens to Understanding Health Care Provider Experience and Behavior: A Multicountry Qualitative Study
    Pooja Sripad, Summer Peterson, Daoudou Idrissou, Martha Kamanga, Abigail Kezembe, Charity Ndwiga, Chantalle Okondo, Anja Noeliarivelo Ranjalahy, Natacha Stevanovic-Fenn, Charlotte E. Warren, Brady Zieman and Sanyukta Mathur
    Global Health: Science and Practice November 2023, 11(Supplement 1):e2200420; https://doi.org/10.9745/GHSP-D-22-00420

    Applying a power lens to understand provider behavior illuminates how interpersonal, social, and structural relations influence health care providers' power to provide high-quality care.

  • Open Access
    Advancing Our Understanding of Provider Behavior Change for Improved Health Outcomes
    Amanda Kalamar, Foyeke Oyedokun-Adebagbo and Laura Reichenbach
    Global Health: Science and Practice November 2023, 11(Supplement 1):e2300314; https://doi.org/10.9745/GHSP-D-23-00314

    The articles in this supplement highlight the need for strengthening the measure of provider behavior change and provide new evidence and tools for advancing our understanding of provider behavior and effective ways to ensure delivery of high-quality care that supports both clients and providers.

  • Open Access
    Methods and Measures to Assess Health Care Provider Behavior and Behavioral Determinants in Reproductive, Maternal, Newborn, and Child Health: A Rapid Review
    Leanne Dougherty, Sanyukta Mathur, Xaher Gul, Kathryn Spielman, Vandana Tripathi, Christina Wakefield and Martha Silva
    Global Health: Science and Practice November 2023, 11(Supplement 1):e2200407; https://doi.org/10.9745/GHSP-D-22-00407

    There is a limited understanding of health care provider behavior change approaches and how they're being measured. This rapid review identifies methods and measures to understand opportunities and gaps in assessing and improving health care provider performance.

  • Open Access
    Unveiling Maternal Health Insights During the COVID-19 Pandemic in Pakistan: Using Causal Loop Diagrams to Illuminate and Prevent Unintended Policy Effects
    Shamsa Zafar, Pei Shan Loo, Ayesha Rasheeda Avais, Saera Afghan, Don de Savigny, Daniel Cobos Muñoz and Carmen Sant Fruchtman
    Global Health: Science and Practice October 2023, 11(5):e2100803; https://doi.org/10.9745/GHSP-D-21-00803

    The authors explain that using causal loop diagrams can visualize retrospectively the unintended negative consequences of COVID-19 related policies on maternal health and has potential to be used prospectively to foster decision-making to prevent those consequences.

  • Open Access
    Calculating the Costs of Implementing Integrated Packages of Community Health Services: Methods, Experiences, and Results From 6 sub-Saharan African Countries
    David Collins, Ulla Griffiths, Sarah Birse, Yohana Dukhan, Fadima Yaya Bocoum, Alfred Driwale, Humphries Nsona, Jerome Pfaffmann-Zambruni, Hannah Sarah F. Dini and Colin Gilmartin
    Global Health: Science and Practice October 2023, 11(5):e2200472; https://doi.org/10.9745/GHSP-D-22-00472

    Authors of this article calculated the costs of implementing community health programs and compared the results across 6 sub-Saharan African countries, providing evidence for helping governments plan for sufficient resources for their effective implementation.

  • Open Access
    Out-of-Pocket Expenditure for Antenatal Care Amid Free Health Care Provision: Evidence From a Large Pregnancy Cohort in Rural Sri Lanka
    Sajan Praveena Gunarathna, Nuwan Darshana Wickramasinghe, Thilini Chanchala Agampodi, Indika Ruwan Prasanna and Suneth Buddhika Agampodi
    Global Health: Science and Practice October 2023, 11(5):e2200410; https://doi.org/10.9745/GHSP-D-22-00410

    The authors report that even with the free health care services provided by the government, out-of-pocket expenditure for antenatal care in Sri Lanka is high, and women in low-income groups have a higher expenditure compared to higher-income groups.

  • Open Access
    Lessons From Implementing Ask-Boost-Connect-Discuss, a Peer-Delivered Psychosocial Intervention for Young Mothers Living With HIV in Malawi, Tanzania, Uganda, and Zambia
    Christina Laurenzi, Don Operario, Chipo Mutambo, Eugene Mupakile, Blessings Banda, Fileuka Ngakongwa, Richard Kilonzo, Chuma Busakhwe, Agnes Ronan and Elona Toska
    Global Health: Science and Practice October 2023, 11(5):e2300077; https://doi.org/10.9745/GHSP-D-23-00077

    To respond to the distinct needs of young mothers living with HIV, peer supporters can be trained to provide structured psychosocial support. The authors assessed the feasibility of using young peers to deliver this psychosocial support.

  • Open Access
    Implementation of a Multisectoral Approach to Address Adolescent Pregnancy: A Case Study of Subnational Advocacy Informing National Scale-Up in Kenya
    Beatrice Kwachi, Sally Njiri, Sam Mulyanga, Irene Choge, Rammah Mwalimu and Susan Ontiri
    Global Health: Science and Practice October 2023, 11(5):e2200546; https://doi.org/10.9745/GHSP-D-22-00546

    Implementation of a multisectoral initiative to address adolescent pregnancy in Kenya required strong leadership and ownership at both national and subnational levels. Advocacy is key to harnessing leadership, ownership, and scale-up.

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