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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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Family Planning and Reproductive Health

  • Open Access
    Using a Rapid Knowledge Translation Approach for Better Sexual and Reproductive Health and Rights in Bangladesh, Burundi, Indonesia, and Jordan
    Kimberley Meijers, Anke van der Kwaak, Ibrahim Aqel, Robert Borst, Françoise Jenniskens, Aryanti Radyowijati, Arnob Chakrabarty, Eric Nzeyimana, Ely Sawitri and Noor Tromp
    Global Health: Science and Practice April 2022, 10(2):e2100461; https://doi.org/10.9745/GHSP-D-21-00461

    There is a growing need for approaches to support rapid knowledge translation processes that can create changes in policy and practice and that can apply to different country contexts. The collaborative rapid improvement model for knowledge translation in sexual and reproductive health and rights (SRHR) implemented in 4 countries improved SRHR practice and policies.

  • Open Access
    Let's Talk About Sex: Improving Measurement of Contraceptive Use in Cross-Sectional Surveys by Accounting for Sexual Activity Recency
    Suzanne O. Bell, Elizabeth Larson, Shannon N. Wood and Performance Monitoring for Action Principal Investigators Group
    Global Health: Science and Practice April 2022, 10(2):e2100597; https://doi.org/10.9745/GHSP-D-21-00597

    Findings suggest that the contraceptive use of unmarried women and those who were not recently sexually active are less likely to be captured in standard measures of current contraceptive use. Incorporating information from questions about contraceptive use at last sex may better capture coital-dependent method use and provide a more accurate assessment of who is protected against an unintended pregnancy at next sex.

  • Open Access
    Improving Maternal and Reproductive Health in Kigoma, Tanzania: A 13-Year Initiative
    Neena Prasad, Nguke Mwakatundu, Sunday Dominico, Prudence Masako, Wilfred Mongo, Yisambi Mwanshemele, Godson Maro, Leonard Subi, Paul Chaote, Neema Rusibamayila, Alicia Ruiz, Karen Schmidt, Mkambu Godfrey Kasanga, Samantha Lobis and Florina Serbanescu
    Global Health: Science and Practice April 2022, 10(2):e2100484; https://doi.org/10.9745/GHSP-D-21-00484

    The 13-year Program to Reduce Maternal Deaths in Tanzania employed multifaceted maternal, newborn, and reproductive health interventions that contributed to increasing the availability and utilization of high-quality obstetric and family planning services and reducing maternal and perinatal mortality in Kigoma.

  • Open Access
    A New Contraceptive Diaphragm in Niamey, Niger: A Mixed Methods Study on Acceptability, Use, and Programmatic Considerations
    Ashley Jackson, Alexandra Angel, Abdoul-Razak Mahamadou Bagourmé, Moumouni Boubacar, Aminata Maazou, Harou Issoufa and Paul Bouanchaud
    Global Health: Science and Practice February 2022, 10(1):e2100532; https://doi.org/10.9745/GHSP-D-21-00532

    Through a pilot introduction in Niamey, Niger, we found that expanding method options to include the Caya diaphragm, a new self-care contraceptive product without side effects for most users, may address some of the challenges that contribute to very low contraceptive use.

  • Open Access
    What Distinguishes Women Who Choose to Self-Inject? A Prospective Cohort Study of Subcutaneous Depot Medroxyprogesterone Acetate Users in Ghana
    Dela Nai, Elizabeth Tobey, Kamil Fuseini, Patrick Kuma-Aboagye and Aparna Jain
    Global Health: Science and Practice February 2022, 10(1):e2100534; https://doi.org/10.9745/GHSP-D-21-00534

    Family planning projects and programs seeking to introduce, scale up, or market subcutaneous depot medroxyprogesterone acetate self-injection should first focus efforts on new family planning users, those never married, and those with at least a high school education level.

  • Open Access
    Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions
    Saori Ohkubo, Lisa Mwaikambo, Ruwaida M. Salem, Lekan Ajijola, Paul Nyachae and Mukesh Kumar Sharma
    Global Health: Science and Practice February 2022, 10(1):e2100624; https://doi.org/10.9745/GHSP-D-21-00624

    The Most Significant Change technique used in monitoring and evaluation has facilitated learning about the project scale-up and adaptive management of evidence-based family planning interventions across diverse project stakeholders in 11 countries in Asia and sub-Saharan Africa.

  • Open Access
    What Do We Demand? Responding to the Call for Precision and Definitional Agreement in Family Planning’s “Demand” and “Need” Jargon
    Madeleine Short Fabic
    Global Health: Science and Practice February 2022, 10(1):e2200030; https://doi.org/10.9745/GHSP-D-22-00030

    This commentary offers a response to the call to improve family planning language that describes “need” and “demand” and proposes a set of recommendations to add precision, improve measurement, and foster shared understanding in family planning.

  • Open Access
    Language and Measurement of Contraceptive Need and Making These Indicators More Meaningful for Measuring Fertility Intentions of Women and Girls
    Ilene S. Speizer, Jason Bremner and Shiza Farid FP2020 Performance, Monitoring, and Evidence Working Group
    Global Health: Science and Practice February 2022, 10(1):e2100450; https://doi.org/10.9745/GHSP-D-21-00450

    We examine current “need”-based family planning measures that are based on women’s fertility desires and contraceptive use, identify challenges with language and use of need-based measures, and recommend ways to improve language and measurement.

  • Open Access
    Introducing Long-Acting Contraceptive Removal Indicators in a Pilot Study in Mozambique: Dynamics of Discontinuation and Implications for Quality of Care
    Ana Jacinto, Adalgisa Viola Ronda, Connie Lee, Fariyal F. Fikree and Eric Ramirez-Ferrero
    Global Health: Science and Practice February 2022, 10(1):e2100252; https://doi.org/10.9745/GHSP-D-21-00252

    Tracking information about long-acting reversible contraceptive removals in the national health management information system is feasible and useful for improving the quality of family planning services in Mozambique.

  • Open Access
    Evaluation of 2 Intervention Models to Integrate Family Planning Into Worker Health and Livelihood Programs in Egypt: A Difference-in-Differences Analysis
    Nahla Abdel Tawab, Elizabeth Tobey, Maryam Essam, Sara Chace Dwyer and Aparna Jain
    Global Health: Science and Practice December 2021, 9(4):804-817; https://doi.org/10.9745/GHSP-D-21-00124

    Integrating family planning and reproductive health messages into worker health programs and livelihood programs may offer a unique approach for raising young people's awareness of family planning and reproductive health.

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