Health Systems
- A Comprehensive Approach to Medical Oxygen Ecosystem Building: An Implementation Case Study in Kenya, Rwanda, and Ethiopia
A social enterprise model was successfully implemented in Kenya, Rwanda, and Ethiopia that centers the production and distribution of medical oxygen at referral hospitals and equips them to act as supply hubs that help meet regional demand for affordable supply.
- Comprehensive Vaccine-Preventable Disease Surveillance in the Western Pacific Region: A Literature Review on Integration of Surveillance Functions, 2000–2021
A literature review supports integrating vaccine-preventable diseases (VPDs) into broader communicable disease surveillance systems in Western Pacific Region countries while ensuring that the minimal World Health Organization–recommended standards for VPD surveillance are met.
- Designing for Impact and Institutionalization: Applying Systems Thinking to Sustainable Postpartum Family Planning Approaches for First-Time Mothers in Bangladesh
Public health practitioners often design interventions prioritizing potential impact over sustainability. To assess the potential for impact and institutionalization, we applied systems thinking to postpartum family planning approaches for first-time mothers in Bangladesh.
- Improving the Quality of Health Care in Special Neonatal Care Units of India: A Before and After Intervention Study
In low- and middle-income countries, facility-based neonatal care practices can be improved using a collaborative cross-learning quality improvement approach incorporating remote mentoring, coaching, and supportive supervision.
- A Tale of 2 Countries: Implementation of the Cold Chain Equipment Optimization Platform in Guinea and Kenya
Case studies of Gavi Cold Chain Equipment Optimization Platform investments in Guinea and Kenya illustrate how countries prioritize and implement large funding and support mechanisms and offer lessons applicable to other countries embarking on similar interventions.
- Digital Health Technologies Applied by the Pharmaceutical Industry to Improve Access to Noncommunicable Disease Care in Low- and Middle-Income Countries
Digital health technologies applied by the pharmaceutical industry offer opportunities to improve access to care for patients with noncommunicable diseases in low- and middle-income countries.
- Early Reflections on Mphatlalatsane, a Maternal and Neonatal Quality Improvement Initiative Implemented During COVID-19 in South Africa
A quality improvement initiative for maternal and neonatal health care demonstrates that a responsive intervention design and implementation approach mitigates threats to clinical services during COVID-19.
- Financial Implications of Tariffs for Medical Oxygen on Rwandan Public Hospitals’ Finance Management During the Coronavirus Epidemic
This study shows how variations in patient consumption of medical oxygen can be used to determine tariffs more accurately and highlights the need for a transition from the time-based tariff structure to a case-based or volume-based tariff to incentivize sustainable production of medical oxygen services at hospitals in Rwanda.
- Health Policy and Systems Research Capacities in Ethiopia and Ghana: Findings From a Self-Assessment
Government investment in strengthening health policy and systems research capacities is needed to enhance the generation of evidence for effective policy making. Researchers’ engagement in the policy-making process helps shape policy-relevant research and support policy-relevant decisions.
- Embedding Research on Implementation of Primary Health Care Systems Strengthening: A Commentary on Collaborative Experiences in Ethiopia, Ghana, and Mozambique
The African Health Initiative prioritized embedded implementation research using a multidisciplinary partnership model that empowered decision makers and embedded research and capacity building at multiple levels of health systems.