Health Systems
- No Matter When or Where: Addressing the Need for Continuous Family Planning Services During Shocks and Stressors
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.
- Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa
Integrating PrEP for pregnant and breastfeeding women into antenatal and postnatal clinic services requires supportive PrEP prescription and HIV testing policies, improved availability of trained nurses and counselors, together with simplified access to PrEP and related information, both in clinics and communities.
- The Impact of Health Information System Interventions on Maternal and Child Health Service Utilizations in Ethiopia: A Quasi-Experimental Study
Implementing health information system interventions to improve data quality improved the use of data for evidence-based decision-making at different health system levels and increased maternal and child health service utilization.
- Early Effects of Information Revolution Interventions on Health Information System Performance in Ethiopia
Ethiopia’s shift to a digital health information system under the Information Revolution has laid a strong foundation for improved data quality. To fully realize the potential of this transformation, ongoing commitment to addressing key challenges in system integration and capacity-building is vital.
- Emergency Obstetric Care Access Dynamics in Kampala City, Uganda: Analysis of Women’s Self-Reported Care-Seeking Pathways
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.
- Delays in Cardiovascular Emergency Responses in Africa: Health System Failures or Cultural Challenges?
Delays in receiving care for debilitating cardiovascular emergencies, such as myocardial infarction and stroke, are multifaceted and include personal, systemic, and health facility-related factors, which must all be addressed to successfully improve cardiovascular emergency outcomes.
- Early Lessons From Working With Local Partners to Expand Private-Sector Health Care Networks in Burundi and Mali
Expanding private health care delivery networks is possible through partnerships with local organizations. This article explores how expanded networks differ from traditional social franchise networks and discusses how they can support and steward private health care facilities in contexts like Burundi and Mali.
- Maturity Assessment of the Health Information System Using Stages of Continuous Improvement Methodology: Results From Serbia
A structural and well-defined approach to the comprehensive assessment of the fragmented health information system points to items that could be improved in future governance efforts.
- Budget Process and Execution: A Case Study on the Underperformance of the Peruvian Health System, 2000–2021
Four interconnected influences have caused the Peruvian health system to underperform. To break the influence of these cycles, the Ministry of Health needs to argue in economic terms to prioritize health.
- Lessons Learned From Telephone-Based Data Collection for Health and Demographic Surveillance Systems During the COVID-19 Pandemic in Indonesia
We document valuable experiences and challenges when collecting data for a routine longitudinal survey using telephones instead of in-person interviews during the pandemic.