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Global Health: Science and Practice

Dedicated to what works in global health programs

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Health Systems

  • Cross-Cutting Topics /
  • Health Systems
  • Open Access
    Using the Unmanned Aerial Vehicle Delivery Decision Tool to Consider Transporting Medical Supplies via Drone
    Margaret Eichleay, Emily Evens, Kayla Stankevitz and Caleb Parker
    Global Health: Science and Practice December 2019, 7(4):500-506; https://doi.org/10.9745/GHSP-D-19-00119

    We developed an unmanned aerial vehicle (UAV) Delivery Decision Tool to help health system decision makers identify their transport challenges and explore the potential utility and impact of UAVs on the broader health system.

  • Open Access
    Are Procured Quantities of Implants Adequate and Appropriate? Modeling Procurement, Inventory, and Consumption of Contraceptive Implants During Rapid Uptake
    Laila Akhlaghi, Alexis Heaton and Yasmin Chandani
    Global Health: Science and Practice June 2019, 7(2):240-257; https://doi.org/10.9745/GHSP-D-19-00017

    Recent rapid increases in implant procurement have not resulted in system overstocks to date. We found no standard factor for relating inventory quantities to consumption rates. Rather, that relationship requires specific understanding of the country supply chain, inventory control parameters, and current and future demand.

  • Open Access
    Associations Between Practices and Behaviors at the Health Facility Level and Supply Chain Management for Antiretrovirals: Evidence from Cameroon, Namibia, and Swaziland
    Diana Bowser, Laura Krech, David Mabirizi, Angela Y. Chang, David Kapaon and Thomas Bossert
    Global Health: Science and Practice June 2019, 7(2):300-316; https://doi.org/10.9745/GHSP-D-19-00063

    Using antiretrovirals (ARVs) as tracer products, we identified the following key practices that may affect supply chain management at the facility level: order verification, actions taken when stock is received, changes in prescription and dispensing due to ARV stock-out, actions to ensure patient adherence, and communication with other affiliated facilities and higher-level supply chain management. We propose a set of indicators to measure these practices.

  • Open Access
    Implementing an Integrated Pharmaceutical Management Information System for Antiretrovirals and Other Medicines: Lessons From Namibia
    David Mabirizi, Bayobuya Phulu, Wuletaw Churfo, Samson Mwinga, Greatjoy Mazibuko, Evans Sagwa, Lazarus Indongo and Tamara Hafner
    Global Health: Science and Practice December 2018, 6(4):723-735; https://doi.org/10.9745/GHSP-D-18-00157

    Integrating patient and commodity data into one system while maintaining specialized functionality has allowed managers to monitor and mitigate stock-out risks more effectively, as well as provide earlier warning for HIV drug resistance.

  • Open Access
    Implementation Research to Strengthen Health Care Financing Reforms Toward Universal Health Coverage in Indonesia: A Mixed-Methods Approach to Real-World Monitoring
    Rena Eichler, Susan Gigli and Lisa LeRoy
    Global Health: Science and Practice December 2018, 6(4):747-753; https://doi.org/10.9745/GHSP-D-18-00328

    Implementation research enabled stakeholders to formulate questions, assess implications of research results that informed changes in regulations and payment at the primary care level, and strengthen monitoring capacity. While the national health insurance system had some impact on performance of primary care facilities, individual providers remained unsatisfied because payment was largely based on factors outside of their control such as tenure and position, rather than their contributions to improved performance.

  • Open Access
    Local Sourcing and Supplier Development in Global Health: Analysis of the Supply Chain Management System's Local Procurement in 4 Countries
    Prashant Yadav, Sarah Alphs, Clinton D'Souza, Gordon Comstock and Iain Barton
    Global Health: Science and Practice October 2018, 6(3):574-583; https://doi.org/10.9745/GHSP-D-18-00083

    Local suppliers reported that after doing business with PEPFAR's global procurement and distribution project for essential HIV/AIDS medicines and supplies, they achieved revenue and asset growth, improved their quality standards, acquired new contracts with other businesses, and hired more employees.

  • Open Access
    At Last! Universal Health Coverage That Prioritizes Health Impact: The Latest Edition of Disease Control Priorities (DCP3)
    James D. Shelton
    Global Health: Science and Practice June 2018, 6(2):232-236; https://doi.org/10.9745/GHSP-D-18-00193

    Sadly, we face a vast sea of health problems in global health. Universal health coverage programming should prioritize interventions with the most health impact, but instead largely succumbs to emphasizing less impactful clinical curative services. In contrast, DCP3 provides an evidence-based template that prioritizes impact. Yet even the most basic and realistic DCP3 package comes at a formidable price.

  • Open Access
    Universal Health Coverage in Francophone Sub-Saharan Africa: Assessment of Global Health Experts' Confidence in Policy Options
    Elisabeth Paul, Fabienne Fecher, Remo Meloni and Wim van Lerberghe
    Global Health: Science and Practice June 2018, 6(2):260-271; https://doi.org/10.9745/GHSP-D-18-00001

    Even within the fairly homogenous context of francophone Africa, among 18 options presented to experts on how to proceed toward universal health coverage (UHC), consensus was reached on only 1 with respect to effectiveness and another with respect to feasibility. The complexity and challenges of UHC as well as the weak evidence base likely contribute to this uncertainty.

  • Open Access
    A New World Health Era
    Ariel Pablos-Méndez and Mario C Raviglione
    Global Health: Science and Practice March 2018, 6(1):8-16; https://doi.org/10.9745/GHSP-D-17-00297

    Unprecedented economic progress and demands for social protection have engendered an economic transition in health in many low- and middle-income countries, characterized by major increases in domestic health spending and growing national autonomy. At the global level, development assistance is refocusing on fragile states, the poorest communities, and cooperation on global public goods like health security, technical norms, and innovation. Intergovernmental organizations like WHO need the wherewithal and support to provide leadership and to properly advance this new world health era.

  • Open Access
    More Than Bar Codes: Integrating Global Standards-Based Bar Code Technology Into National Health Information Systems in Ethiopia and Pakistan to Increase End-to-End Supply Chain Visibility
    Liuichi Hara, Ramy Guirguis, Keith Hummel and Monica Villanueva
    Global Health: Science and Practice December 2017, 5(4):678-685; https://doi.org/10.9745/GHSP-D-16-00350

    Bar codes can help track and trace health products in the supply chain. But to do so efficiently, they should be based on global standards rather than a proprietary system, and the captured data should be integrated into national health information systems to achieve end-to-end data visibility.

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  • Cross-Cutting Topics
    • Behavior Change Communication (9)
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    • Health Workers (34)
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    • Family Planning and Reproductive Health (151)
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    • 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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