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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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Health Topics

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  • Open Access
    Cost of Contraceptive Implant Removal Services Must Be Considered When Responding to the Growing Demand for Removals
    Jill E Sergison, Randy M Stalter, Rebecca L Callahan, Kate H Rademacher and Markus J Steiner
    Global Health: Science and Practice June 2017, 5(2):330-332; https://doi.org/10.9745/GHSP-D-17-00100
  • Open Access
    Preventing Peer Violence Against Children: Methods and Baseline Data of a Cluster Randomized Controlled Trial in Pakistan
    Judith McFarlane, Rozina Karmaliani, Hussain Maqbool Ahmed Khuwaja, Saleema Gulzar, Rozina Somani, Tazeen Saeed Ali, Yasmeen H Somani, Shireen Shehzad Bhamani, Ryan D Krone, Rene M Paulson, Atta Muhammad and Rachel Jewkes
    Global Health: Science and Practice March 2017, 5(1):115-137; https://doi.org/10.9745/GHSP-D-16-00215

    Peer violence was remarkably high at baseline. Among urban public school students, 94% of 6th-grade boys and 85% of girls reported being victimized by peers in the last 4 weeks. And 85% of boys and 66% of girls reported perpetrating such violence. Boys scored worse on a number of mental health measures. A cluster RCT is underway to evaluate a well-established school-based intervention using sports and games to reduce peer violence.

  • Open Access
    CDC's Male Circumcision Recommendations Represent a Key Public Health Measure
    Brian J Morris, John N Krieger and Jeffrey D Klausner
    Global Health: Science and Practice March 2017, 5(1):15-27; https://doi.org/10.9745/GHSP-D-16-00390

    Frisch and Earp, opponents of male circumcision, have criticized draft recommendations from the CDC that advocate counseling men and parents of newborn boys in the United States about the benefits and risks of male circumcision. We provide a rebuttal to Frisch and Earp's criticisms and contend that the recommendations are entirely appropriate and merit consideration for policy development.

  • Open Access
    Possible Reasons for Limited Effectiveness of a Skills and Drills Intervention to Improve Emergency Obstetric and Newborn Care
    Helen A Allott, Helen Smith, Terry Kana, Mselenge Mdegela, Sarah Bar-Zeev and Charles Ameh
    Global Health: Science and Practice March 2017, 5(1):175-176; https://doi.org/10.9745/GHSP-D-17-00055
  • Open Access
    Excellent Family Planning Progress in Nigeria Reported by PMA2020
    Global Health: Science and Practice March 2017, 5(1):28-32; https://doi.org/10.9745/GHSP-D-17-00094
    • Modern method contraceptive prevalence among married women in Nigeria has jumped to 16.0% in 2016 compared with <10% in 2013.

    • Notable increases were observed in the South as well as in some Northern states that had strong programming.

    • Most of the increase was in the uptake of highly effective implants and injectables.

    • But substantial unmet need for family planning remains, especially among the poorest quintile.

    • Implants and IUDs are not offered in many facilities and stock-outs are common, suggesting further progress is achievable with improved program effort.

  • Open Access
    Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People
    Eva Burke, Judy Gold, Lalaina Razafinirinasoa and Anna Mackay
    Global Health: Science and Practice March 2017, 5(1):33-43; https://doi.org/10.9745/GHSP-D-16-00321

    Program accomplishments during the first 18 months:

    • More than 58,000 free vouchers distributed to young people, of which 74% were redeemed.

    • 79% chose long-acting reversible contraceptives (LARCs) and 51% received STI counseling.

    Client profile data snapshot:

    • 69% had never previously used contraception and 96% were 20 or younger.

  • Open Access
    Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia
    Karen Weidert, Amanuel Gessessew, Suzanne Bell, Hagos Godefay and Ndola Prata
    Global Health: Science and Practice March 2017, 5(1):44-56; https://doi.org/10.9745/GHSP-D-16-00344

    Volunteer community health workers (CHWs) administered injectable contraceptives to women in the community for a small fee while providing counseling and referrals for other methods. Over nearly 3 years, more than 600 CHWs provided an estimated 15,410 injections. The model has the potential to improve sustainability of community-based distribution programs by incorporating social marketing principles to partially recover commodity costs and compensate CHWs.

  • Open Access
    A Non–Gas-Based Cryotherapy System for the Treatment of Cervical Intraepithelial Neoplasia: A Mixed-Methods Approach for Initial Development and Testing
    Miriam Cremer, Proma Paul, Katie Bergman, Michael Haas, Mauricio Maza, Albert Zevallos, Miguel Ossandon, Jillian D Garai and Jennifer L Winkler
    Global Health: Science and Practice March 2017, 5(1):57-64; https://doi.org/10.9745/GHSP-D-16-00270

    A non–gas-based treatment device for early cervical cancer treatment, adapted for use in low-resource settings to improve ease of use, portability, and durability, performed similarly to a standard gas-based cryotherapy device in small-scale testing. A large randomized clinical trial is currently underway for further assessment.

  • Open Access
    “New Users” Are Confusing Our Counting: Reaching Consensus on How to Measure “Additional Users” of Family Planning
    Aisha Dasgupta, Michelle Weinberger, Ben Bellows and Win Brown
    Global Health: Science and Practice March 2017, 5(1):6-14; https://doi.org/10.9745/GHSP-D-16-00328

    FP2020's overarching goal is framed around the new metric of “additional users.” This measure inherently captures population-level change but has been conflated with other ambiguous metrics, such as “new users.” Therefore, we propose a standard set of terms to provide more consistent measurement. Although commonly used service-level metrics cannot be directly compared to the population-level metric of additional users, we describe 2 modeling approaches that can allow service-level data to inform estimates of additional users.

  • Open Access
    Comparing Women's Contraceptive Preferences With Their Choices in 5 Urban Family Planning Clinics in Ghana
    Sarah D Rominski, Emmanuel SK Morhe, Ernest Maya, Abukar Manu and Vanessa K Dalton
    Global Health: Science and Practice March 2017, 5(1):65-74; https://doi.org/10.9745/GHSP-D-16-00281

    Women's method choice largely matched their stated desired duration of effectiveness but not their desires to avoid certain side effects. While most women reported they were counseled about side effects, many fewer reported being specifically counseled about common menstrual side effects with their chosen method, including side effects the women said would cause them to stop using the method.

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  • Cross-Cutting Topics
    • Behavior Change Communication (9)
    • Digital Health (29)
    • Health Systems (54)
    • Health Workers (34)
    • Service Integration (6)
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    • Family Planning and Reproductive Health (154)
    • HIV/AIDS (31)
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    • Malaria (13)
    • Maternal, Newborn, and Child Health (92)
    • Nutrition (12)
    • Postabortion Care (16)
    • TB and Other Communicable Diseases (23)
US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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