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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
    Surgical System Efficiency and Operative Productivity in Public and Private Health Facilities in Ethiopia: A Cross-Sectional Evaluation
    Manuel Kassaye Sibhatu, Edlawit Mesfin Getachew, Dawit Yifru Bete, Senedu Bekele Gebreegziabher, Tsegaye Hailu Kumsa, Mulatu Birru Shagre, Kassa Haile Merga, Desalegn Bekele Taye, Hassen Mohammed Bashir, Mikiyas Teferri Yicheneku, Wuletaw Chanie Zewude, Akililu Alemu Ashuro, Tigistu Adamu Ashengo and Berhane Redae Meshesha
    Global Health: Science and Practice February 2024, 12(1):e2200277; https://doi.org/10.9745/GHSP-D-22-00277

    The surgical system in Ethiopia in both public and private health facilities was inefficient, requiring immediate action to improve timely access to safe surgical care.

  • Open Access
    Bangladesh: 50 Years of Advances in Health and Challenges Ahead
    Henry B. Perry and Ahmed Mushtaque Raza Chowdhury
    Global Health: Science and Practice February 2024, 12(1):e2300419; https://doi.org/10.9745/GHSP-D-23-00419

    Bangladesh has inspired the rest of the world with its remarkable health achievements over the past half-century. A considerably stronger government investment in health care is now needed to achieve universal health coverage and “Health for All” in Bangladesh.

  • Open Access
    Transforming Supply Logistics for Health Commodity Security in Africa
    Ebenezer Kwabena Tetteh
    Global Health: Science and Practice February 2024, 12(1):e2300218; https://doi.org/10.9745/GHSP-D-23-00218

    Current efforts to ensure health commodity security in Africa must be extended to include transforming existing public and private logistics infrastructure for inventory management into a state of prudent multiplicity while also considering efforts to improve product selection, demand quantification, procurement, and service delivery.

  • Open Access
    Barriers and Facilitators to Implementing the National Patient Safety Implementation Framework in Public Health Facilities in Tamil Nadu: A Qualitative Study
    Yuvaraj Krishnamoorthy, Padmavathi Subbiah, Sathish Rajaa, Murali Krishnan, Krishna Kanth, Gerald Samuel and Isha Sinha
    Global Health: Science and Practice December 2023, 11(6):e2200564; https://doi.org/10.9745/GHSP-D-22-00564

    The study findings identified numerous implementation challenges that will make it difficult to fully implement the National Patient Safety Implementation Framework in public health facilities in Tamil Nadu by 2025.

  • Open Access
    Improving Program Outcomes Through Responsive Feedback: A Case Study of a Leadership Development Academy in Nigeria
    Teslim Aminu, Onajite Otokpen, Ijeoma Mmirikwe, Oluwasegun Adetunde, Ibidun Ajuwon, Adesina Adelakun, Abdulateef Salisu, Faisal Shuaib, Uchenna Igbokwe and Muyi Aina
    Global Health: Science and Practice December 2023, 11(Supplement 2):e2200121; https://doi.org/10.9745/GHSP-D-22-00121

    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.

  • Open Access
    Supporting the Manufacturing of Medical Supplies in Africa: Collaboration Between Africa CDC, Partners, and Member States
    Abdulaziz Mohammed, Hanna Idris-Dantata, Tochi Okwor, Paul Tanui, Elijah Paintsil, Patrick Chanda Kabwe, Yewande Alimi, Raji Tajudeen, Wessam Mankoula, Olayinka Stephen Ilesanmi, Muhammad Shakir Balogun, Chikwe Ihekweazu, Emilio Hornsey and Onyema Ogbuagu
    Global Health: Science and Practice October 2023, 11(5):e2300121; https://doi.org/10.9745/GHSP-D-23-00121

    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.

  • Open Access
    Impact of the COVID-19 Pandemic on Medical Product Procurement, Prices, and Supply Chain in Zimbabwe: Lessons for Supply Chain Resiliency
    Tatenda T. Yemeke, Farouk A. Umaru, Rashida A. Ferrand and Sachiko Ozawa
    Global Health: Science and Practice October 2023, 11(5):e2200424; https://doi.org/10.9745/GHSP-D-22-00424

    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.

  • Open Access
    Health System Strengthening Through Professional Midwives in Bangladesh: Best Practices, Challenges, and Successes
    Farida Begum, Rowsan Ara, Amirul Islam, Stephanie Marriott, Anna Williams and Rondi Anderson
    Global Health: Science and Practice October 2023, 11(5):e2300081; https://doi.org/10.9745/GHSP-D-23-00081

    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.

  • Open Access
    Exploring the Adaptations of the Free Maternity Policy Implementation by Health Workers and County Officials in Kenya
    Boniface Oyugi, Sally Kendall, Stephen Peckham, Stacey Orangi and Edwine Barasa
    Global Health: Science and Practice October 2023, 11(5):e2300083; https://doi.org/10.9745/GHSP-D-23-00083

    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.

  • Open Access
    Measuring National Immunization System Performance: A Systematic Assessment of Available Resources
    Cyra Patel, Nicole Rendell, Ginny M. Sargent, Akeem Ali, Christopher Morgan, Rebecca Fields and Meru Sheel
    Global Health: Science and Practice June 2023, 11(3):e220055; https://doi.org/10.9745/GHSP-D-22-00555

    This review of monitoring and evaluation resources identified multiple performance indicators that can inform country-specific approaches to evaluating immunization systems.

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  • Cross-Cutting Topics
    • Adolescents and Youth (40)
    • Behavior Change Communication (42)
    • Digital Health (55)
    • Gender (45)
    • Health Systems (174)
    • Health Workers (119)
    • Primary Health Care (21)
    • Service Integration (22)
    • Surgery (13)
    • Universal Health Coverage (13)
  • Health Topics
    • COVID-19 (46)
    • Family Planning and Reproductive Health (259)
    • HIV/AIDS (78)
    • Immunization/Vaccines (48)
    • Infectious Diseases (138)
    • Malaria (23)
    • Maternal, Newborn, and Child Health (212)
    • Mental Health (15)
    • Noncommunicable Diseases (26)
    • Nutrition (45)
    • Postabortion Care (18)
    • Supply Chain (15)
    • Tuberculosis (26)
    • Water, Sanitation, and Hygiene (5)
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