Health Systems
- Health System Strengthening Through Professional Midwives in Bangladesh: Best Practices, Challenges, and Successes
The authors detail the establishment of the profession of globally standard midwives deployed into the national health care system in Bangladesh that improved the quality and availability of sexual, reproductive, maternal, newborn, and adolescent health services.
- Supporting the Manufacturing of Medical Supplies in Africa: Collaboration Between Africa CDC, Partners, and Member States
Inadequate supply of PPE, vaccines, and diagnostics during the COVID-19 pandemic in Africa created an opportunity to promote local manufacturing. Authors describe Africa CDC's contributions and highlight strategies for strengthening the pandemic response.
- Exploring the Adaptations of the Free Maternity Policy Implementation by Health Workers and County Officials in Kenya
To achieve the objectives of the free maternity policy in Kenya and overcome implementation challenges, health care workers and county officials—as policy implementers—covertly and unofficially developed local arrangements and adaptive strategies.
- Impact of the COVID-19 Pandemic on Medical Product Procurement, Prices, and Supply Chain in Zimbabwe: Lessons for Supply Chain Resiliency
The authors document how the COVID-19 pandemic disrupted medical product supply chain and procurement in Zimbabwe, impacting medicine access and prices. Policies and interventions are needed to ensure ongoing supply chain resilience.
- Measuring National Immunization System Performance: A Systematic Assessment of Available Resources
This review of monitoring and evaluation resources identified multiple performance indicators that can inform country-specific approaches to evaluating immunization systems.
- Strengthening Kampala’s Urban Referral System for Maternal and Newborn Care Through Establishment of an Emergency Call and Dispatch Center
An emergency call and ambulance dispatch center facilitated maternal and newborn transport, and a smartphone application helped deploy and track ambulances to improve coordination and efficiency in emergency case referral and transport.
- A Financing Strategy to Expand Surgical Health Care
The authors propose a strategy to guide the financing of surgical health care services as part of national health care policies in LMICs.
- Improving Program Outcomes Through Responsive Feedback: A Case Study of a Leadership Development Academy in Nigeria
The National Primary Health Care Development Agency in Nigeria used a responsive feedback mechanism to successfully establish a leadership development academy for building core leadership, management, and basic functional skills among its staff.
- A Successful National and Multipartner Approach to Increase Immunization Coverage: The Democratic Republic of Congo Mashako Plan 2018–2020
An innovative rapid revitalization strategy strengthened routine immunization systems in the Democratic Republic of the Congo through the engagement of subnational governments and could be applied to other low- and middle-income countries.
- Establishing the Ethiopian Obstetric Surveillance System for Monitoring Maternal Outcomes in Eastern Ethiopia: A Pilot Study
The authors’ pilot of the Ethiopian Obstetric Surveillance System demonstrates the feasibility of establishing similar systems to monitor maternal outcomes in other low-resource settings.