Health Systems
- 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.
- 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.
- The Use of Research for Health Systems Policy Development and Implementation in Mozambique: A Descriptive Study
There are still considerable gaps in the process of using research evidence for policy making in Mozambique. We recommend key actions to take to improve the research-to-policy pipeline.
- Health System Resilience: Withstanding Shocks and Maintaining Progress
Building a resilient system capable of responding to health threats while maintaining essential health service delivery requires health systems to embed implementation research capacity to create the knowledge needed, ensure the affordability and accessibility of health care services at all levels of delivery, and provide the range of services needed to meet the population’s needs.
- “You Can’t Look at an Orange and Draw a Banana”: Using Research Evidence to Develop Relevant Health Policy in Ghana
We explored inhibitors and enablers of using health policy and systems research to inform the policy process in Ghana. The findings suggest a myriad of factors influencing evidence-based policy development, including the strength of the relationships between policy makers and research producers.
- The African Health Initiative’s Role in Advancing the Use of Embedded Implementation Research for Health Systems Strengthening
The African Health Initiative has demonstrated the feasibility of changing the traditional knowledge generation paradigm by using an embedded implementation research approach to improve health systems’ performance and strengthen capacity for knowledge generation and use.