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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
    Optimizing the Health Management Information System in Uttar Pradesh, India: Implementation Insights and Key Learnings
    Ankita Meghani, Anand B. Tripathi, Huzaifa Bilal, Shivam Gupta, Ravi Prakash, Vasanthakumar Namasivayam, James Blanchard, Shajy Isac, Pankaj Kumar and B.M. Ramesh
    Global Health: Science and Practice August 2022, 10(4):e2100632; https://doi.org/10.9745/GHSP-D-21-00632

    The Uttar Pradesh Health Management Information System has allowed managers across all levels of the state’s health system to access routinely collected data through a comprehensive online portal, contributing to a culture of information use.

  • Open Access
    Sustainability of Funding for HIV Treatment Services: A Cross-Sectional Survey of Patients' Willingness to Pay for Treatment Services in Nigeria
    Olawale Durosinmi-Etti, Bruce Fried, Karine Dubé, Sean Sylvia, Sandra Greene, Akudo Ikpeazu and Emmanuel Kelechi Nwala
    Global Health: Science and Practice April 2022, 10(2):e2100550; https://doi.org/10.9745/GHSP-D-21-00550

    Many Nigerian patients are willing to pay for HIV treatment, but several socioeconomic factors play significant roles in willingness and capacity to pay for treatment and the maximum amounts patients are willing to pay.

  • Open Access
    Strategies to Promote Health System Strengthening and Global Health Security at the Subnational Level in a World Changed by COVID-19
    Martin Alilio, Neetu Hariharan, Elizabeth Lugten, Kama Garrison, Rhea Bright, Wilberforce Owembabazi, Uwem Inyang, Saad El-Din Hassan and Kelly Saldana
    Global Health: Science and Practice April 2022, 10(2):e2100478; https://doi.org/10.9745/GHSP-D-21-00478

    Structural weaknesses in national health systems have led to huge variations in responses to COVID-19. This calls for a unified approach to health security and essential health services as public health threats and the expectation for health care systems to provide improved access and services at affordable cost increases.

  • Open Access
    Key Factors Influencing Use of Immunization Cost Evidence in Country Planning and Budgeting Processes: Experiences From Indonesia, Tanzania, and Vietnam
    Annette Ozaltin, Kelsey Vaughan, Kassimu Tani, Fatuma Manzi, Vu Quynh Mai, Hoang Van Minh, Soewarta Kosen, Lora Shimp, Logan Brenzel and Laura Boonstoppel
    Global Health: Science and Practice February 2022, 10(1):e2100264; https://doi.org/10.9745/GHSP-D-21-00264

    The evidence to policy and practice facilitated process represents a journey that countries and their development partners can embark on to increase the likelihood that health policy makers will use cost evidence for policy making and planning.

  • 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.

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