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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
    Enhancing Antiretroviral Therapy Initiation for Hospitalized and Recently Discharged People Living With HIV in Johannesburg, South Africa
    Natasha Davies, Melanie Bisnauth and Kate Rees
    Global Health: Science and Practice January 2025, https://doi.org/10.9745/GHSP-D-24-00017

    A dedicated HIV-services team can support effective antiretroviral therapy (ART) initiations for hospitalized people with HIV through structured case finding, ART initiation, and post-discharge linkage support. Replicating this model across South Africa and the region could improve individual outcomes.

  • Open Access
    A Novel Approach to Assessing the Potential of Electronic Decision Support Systems to Improve the Quality of Antenatal Care in Nepal
    Biraj Man Karmacharya, Seema Das, Abha Shrestha, Abha Shrestha, Sulata Karki, Rajani Shakya, Emma Radovich, Loveday Penn-Kekana, Clara Calvert, Oona M.R. Campell and Ona L. McCarthy
    Global Health: Science and Practice January 2025, https://doi.org/10.9745/GHSP-D-23-00370

    An electronic decision support system alone is not enough to provide quality antenatal care in the Nepalese setting.

  • Open Access
    Process Evaluation of Teaching Critical Thinking About Health Using the Informed Health Choices Intervention in Rwanda: A Mixed Methods Study
    Michael Mugisha, Andrew D. Oxman, Laetitia Nyirazinyoye, Anne Marie Uwitonze, Clarisse Marie Claudine Simbi, Faith Chesire, Ronald Ssenyonga, Matt Oxman, Allen Nsangi, Daniel Semakula, Margaret Kaseje, Nelson K. Sewankambo, Sarah Rosenbaum and Simon Lewin
    Global Health: Science and Practice December 2024, 12(6):e2300483; https://doi.org/10.9745/GHSP-D-23-00483

    In this process evaluation, we found that teacher training, student factors, and school support helped the implementation of an intervention designed to help students think critically about health claims.

  • Open Access
    Simulation-Based Education of Health Workers in Low- and Middle-Income Countries: A Systematic Review
    Samuel J.A. Robinson, Angus M.A. Ritchie, Maurizio Pacilli, Debra Nestel, Elizabeth McLeod and Ramesh Mark Nataraja
    Global Health: Science and Practice December 2024, 12(6):e2400187; https://doi.org/10.9745/GHSP-D-24-00187

    Simulation-based education has been widely applied in low- and middle-income countries and has been shown to improve outcomes in a variety of contexts.

  • Open Access
    Accelerating Progress in Women’s Sexual and Reproductive Health and Rights Decision-Making: Trends in 32 Low- and Middle-Income Countries and Future Perspectives
    Mengjia Liang, Lindsay Katz, Emilie Filmer-Wilson and Priscilla Idele
    Global Health: Science and Practice December 2024, 12(6):e2400228; https://doi.org/10.9745/GHSP-D-24-00228

    This study highlights significant country and subnational variations in the progress of achieving universal sexual and reproductive health and reproductive rights, demonstrating the urgent need for targeted, culturally informed interventions to empower women globally and close persistent gaps in reproductive rights and bodily autonomy.

  • Open Access
    Hybrid Mentorship of Medical Laboratories to Achieve ISO 15189:2012 Accreditation in Malawi: The University of Maryland Malawi Experience
    Hannaniah Moyo, Sophia Osawe, Charles Nyangulu, Philemon Ndhlovu, Visopo Harawa, Oscar Divala, Malango Msukwa, Talishiea Croxton, Natalia Blanco, Dyson Mwandama, Memory Mkandawire, Elizabeth Kampira, Muluken Kaba, Alice Maida, Andrew F. Auld, Lindsay Kim, Reuben Mwenda, Howard Kress, James Kandulu, Thresa Sumani, Joseph Bitilinyu, Thokozani Kalua and Alash’le Abimiku
    Global Health: Science and Practice December 2024, 12(6):e2400254; https://doi.org/10.9745/GHSP-D-24-00254

    We describe a valuable hybrid mentorship and training model for supporting medical laboratories in low-resource settings in improving laboratory quality management systems and achieving accreditation.

  • Open Access
    Emergency Obstetric Care Access Dynamics in Kampala City, Uganda: Analysis of Women’s Self-Reported Care-Seeking Pathways
    Catherine Birabwa, Lenka Beňová, Josefien van Olmen, Aline Semaan, Peter Waiswa and Aduragbemi Banke-Thomas
    Global Health: Science and Practice December 2024, 12(6):e2400242; https://doi.org/10.9745/GHSP-D-24-00242

    The findings of this cross-sectional survey suggest that care pathways of women with obstetric complications in Kampala often involve at least 2 formal providers and reflect possible inefficiencies in the referral process, including potential delays and unnecessary steps.

  • Open Access
    Self-Reflection as a Starting Point: Observations in Global Health Research
    Wouter Bakker, Thomas van den Akker and Jelle Stekelenburg
    Global Health: Science and Practice December 2024, 12(6):e2300381; https://doi.org/10.9745/GHSP-D-23-00381

    As researchers in global health, we reflect on the inequities in our work and our own struggles with these inequities and suggest some points to consider to address them in future global health work.

  • Open Access
    No Matter When or Where: Addressing the Need for Continuous Family Planning Services During Shocks and Stressors
    Sarah Rich, Lily Jacobi, Nesrine Talbi, Ashley Wolfington and Kelly McDonald
    Global Health: Science and Practice December 2024, 12(6):e2400124; https://doi.org/10.9745/GHSP-D-24-00124

    Global progress on meeting family planning needs is threatened by worsening, intersecting crises. We call on global, national, and local partners to strengthen emergency preparedness to facilitate continuous family planning services, no matter when or where they are needed, to support sexual and reproductive health.

  • Open Access
    The Case for Parent-Implemented Programs to Mitigate Musculoskeletal Complications in Children With Severe Cerebral Palsy in Resource-Limited Settings
    Shayne R. van Aswegen, Mark T. Richards and Brenda M. Morrow
    Global Health: Science and Practice December 2024, 12(6):e2300463; https://doi.org/10.9745/GHSP-D-23-00463

    Children with severe cerebral palsy are vulnerable to orthopedic complications, particularly in resource-limited settings, which can compound disability. A focus on home-based programs may help to improve their quality of life and participation.

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