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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 Systems

  • Open Access
    Health System Redesign to Shift to Hospital Delivery for Maternal and Newborn Survival: Feasibility Assessment in Kakamega County, Kenya
    Kojo Nimako, Anna Gage, Caroline Benski, Sanam Roder-DeWan, Khatra Ali, Charles Kandie, Aisha Mohamed, Hellen Odeny, Micky Oloo, John Tolo Boston Otieno, Maximilla Wanzala, Rachel Okumu and Margaret E. Kruk
    Global Health: Science and Practice December 2021, 9(4):1000-1010; https://doi.org/10.9745/GHSP-D-20-00684

    Service delivery redesign is needed to accelerate progress toward improved health outcomes. Kakamega County, Kenya, demonstrates that there is a strong base of health system assets that would serve as a starting point to successfully implement maternal and newborn health service delivery redesign.

  • Open Access
    A Call to Action: Reinvigorating Interest and Investments in Health Infrastructure
    Lindsay M. Mallick and Joshua Amo-Adjei
    Global Health: Science and Practice December 2021, 9(4):711-715; https://doi.org/10.9745/GHSP-D-21-00674

    Infrastructure investments can contribute substantially to alleviating burdens of morbidity and mortality while also providing a positive return on investment in the long term.

  • Open Access
    COVID-19 Partners Platform—Accelerating Response by Coordinating Plans, Needs, and Contributions During Public Health Emergencies: COVID-19 Vaccines Use Case
    Angela K. Shen, M. Anne Yu, Ann Lindstrand, Sanjiv M. Baxi, Océane Jousset, Katherine O'Brien and Lucy Boulanger
    Global Health: Science and Practice December 2021, 9(4):725-732; https://doi.org/10.9745/GHSP-D-21-00460

    The World Health Organization COVID-19 Partners Platform represents the first step towards a new model of health crisis information sharing across stakeholders and could evolve into an engagement mechanism of choice for future cross-border public health emergencies.

  • Open Access
    Health Sector Resource Mapping in Malawi: Sharing the Collection and Use of Budget Data for Evidence-Based Decision Making
    Ian Yoon, Pakwanja Twea, Stephanie Heung, Sakshi Mohan, Nikhil Mandalia, Saadiya Razzaq, Leslie Berman, Eoghan Brady, Andrews Gunda and Gerald Manthalu
    Global Health: Science and Practice December 2021, 9(4):793-803; https://doi.org/10.9745/GHSP-D-21-00232

    By tracking budgets for health through its annual resource mapping exercise, the Government of Malawi generated evidence for planning and budgeting, quantifying resource needs, mobilizing funds to fill financial gaps, and coordinating investments across stakeholders with different priorities toward common goals. The exercise was adapted to conduct COVID-19 resource mapping to inform planning and coordination of the national pandemic response.

  • Open Access
    Can We Use Routine Data for Strategic Decision Making? A Time Trend Comparison Between Survey and Routine Data in Mali
    Talata Sawadogo-Lewis, Youssouf Keita, Emily Wilson, Souleymane Sawadogo, Ibrahim Téréra, Hamadoun Sangho and Melinda Munos
    Global Health: Science and Practice December 2021, 9(4):869-880; https://doi.org/10.9745/GHSP-D-21-00281

    Routine data, which is available more regularly than the "gold standard" survey data, can be used to inform programmatic decisions in Mali at the national level. However, caution must be used if using data at a subnational level.

  • Open Access
    From Insecurity to Health Service Delivery: Pathways and System Response Strategies in the Eastern Democratic Republic of the Congo
    Chiara Altare, Vito Castelgrande, Maphie Tosha, Espoir Bwenge Malembaka and Paul Spiegel
    Global Health: Science and Practice December 2021, 9(4):915-927; https://doi.org/10.9745/GHSP-D-21-00107

    We identify the mediating factors through which insecurity affects both health service quality and delivery and investigate the strategies adopted to sustain service provision in the provinces of North and South Kivu, Democratic Republic of the Congo.

  • Open Access
    Results-Based Financing for Health: A Case Study of Knowledge and Perceptions Among Stakeholders in a Donor-Funded Program in Zambia
    Rachel Bergman, Birger C. Forsberg and Jesper Sundewall
    Global Health: Science and Practice December 2021, 9(4):936-947; https://doi.org/10.9745/GHSP-D-20-00463

    The lack of a fully developed results-based financing model before implementation of a program in the health sector begins can lead to difficulty in communicating about the program to different actors involved and delay components of implementation.

  • Open Access
    Multisectoral Policies and Programming: High-Income Countries Can and Should Be Learning From the Philippines and Other Low- and Middle-Income Countries
    Madeleine Short Fabic
    Global Health: Science and Practice September 2021, 9(3):428-430; https://doi.org/10.9745/GHSP-D-21-00541

    The global health field will miss key learning opportunities if it continues to make a false distinction between research of relevance to lowand middle-income countries and research of relevance to high-income countries.

  • Open Access
    Mapping the Antimicrobial Supply Chain in Bangladesh: A Scoping-Review-Based Ecological Assessment Approach
    E.S.F. Orubu, M.A. Samad, M.T. Rahman, M.H. Zaman and V.J. Wirtz
    Global Health: Science and Practice September 2021, 9(3):532-547; https://doi.org/10.9745/GHSP-D-20-00502

    A standardized method for evaluating antimicrobial supply chains in the context of access and use could be a useful tool in assessing national capacity to implement programs that address antimicrobial resistance. We present both a novel ecological approach comprising mapping and the use of indicators that can be used to characterize national antimicrobial supply chains as well as benchmark countries and, for the first time, a country-level assessment of Bangladesh.

  • Open Access
    Issue Analysis: A Use-Driven Approach to Data Governance Can Promote the Quality of Routine Health Data in India
    Nidhi Khurana
    Global Health: Science and Practice June 2021, 9(2):238-245; https://doi.org/10.9745/GHSP-D-20-00347

    India lacks a functional public policy framework to guide health data use and sharing practices, which stymies data quality. Embedding data governance in health data systems can promote quality and make service delivery more efficient. Much of the discourse on health information systems has focused on technology while the concern of using data for health system management and improving quality of care remains largely unaddressed.

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    • Postabortion Care (16)
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