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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
    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.

  • Open Access
    Evaluating Country Performance After Transitioning From Gavi Assistance: An Applied Synthetic Control Analysis
    Robert John Kolesar, Rok Spruk and Tsheten Tsheten
    Global Health: Science and Practice August 2023, 11(4):e2200536; https://doi.org/10.9745/GHSP-D-22-00536

    After transitioning from Gavi support, most countries in this analysis maintained or improved key outcomes compared to expected performance. Transition planning should include assessing risk factors and engaging country actors for post-transition assistance.

  • Open Access
    The Journey Toward Establishing Inpatient Care for Small and Sick Newborns in Ethiopia, India, Malawi, and Rwanda
    Patricia S. Coffey, Kiersten Israel-Ballard, Laura Meyer, Kimberly Mansen, Nesibu Agonafir, Mitiku Bekere, Queen Dube, Gerard Kaberuka, Jayendra Kasar, Aishwarya Kharade, Sudhir Maknikar, Kelsang Choeki Namgyal, Alinane Linda Nyondo-Mipando, Stephen Rulisa, Bogale Worku and Cyril Engmann
    Global Health: Science and Practice August 2023, 11(4):e2200510; https://doi.org/10.9745/GHSP-D-22-00510

    Documenting the journey to establish inpatient care for small and sick newborns in Ethiopia, India, Malawi, and Rwanda, the authors showcase the remarkable progress and share lessons with stakeholders in other countries who aim to do the same.

  • Open Access
    Regarding “Down but Not Out: Vasectomy Is Faring Poorly Almost Everywhere—We Can Do Better to Make It a True Method Option”
    Michel Labrecque
    Global Health: Science and Practice August 2023, 11(4):e2300163; https://doi.org/10.9745/GHSP-D-23-00163
  • Open Access
    Digitalizing Clinical Guidelines: Experiences in the Development of Clinical Decision Support Algorithms for Management of Childhood Illness in Resource-Constrained Settings
    Fenella Beynon, Frédérique Guérin, Riccardo Lampariello, Torsten Schmitz, Rainer Tan, Natschja Ratanaprayul, Tigest Tamrat, Karell G. Pellé, Gaud Catho, Kristina Keitel, Irene Masanja and Clotilde Rambaud-Althaus
    Global Health: Science and Practice August 2023, 11(4):e2200439; https://doi.org/10.9745/GHSP-D-22-00439

    Clinical decision support systems can strengthen the quality of IMCI but can vary because of the need for interpretation when translating narrative guidelines into decision logic combined with considerations of context and design choices.

  • Open Access
    Individual, Community, and Health Facility Predictors of Postnatal Care Utilization in Rural Tanzania: A Multilevel Analysis
    Florina Serbanescu, Purni Abeysekara, Alicia Ruiz, Michelle Schmitz, Sunday Dominico, Jason Hsia and Paul Stupp
    Global Health: Science and Practice August 2023, 11(4):e2200502; https://doi.org/10.9745/GHSP-D-22-00502

    PNC visits are an opportunity to promote physical and emotional recovery, offer infant care and feeding advice, detect and treat postpartum complications, and discuss birth spacing. Offering PNC in nearby health facilities with adequate quality of care can increase usage rates.

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