Health Systems
- Nutrition Capacity Building to Meet National Priorities: Lessons Learned in Developing and Implementing Malawi's First Dietetics Program
We describe the lessons learned in building nutrition capacity through the development and implementation of the first dietetics training program in Malawi.
- Results-Based Financing for Health: A Case Study of Knowledge and Perceptions Among Stakeholders in a Donor-Funded Program in Zambia
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.
- How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria
During the COVID-19 pandemic, home delivery of antiretrovirals for HIV treatment proved to be a feasible approach for ensuring treatment continuation amid facility closures and travel restrictions. Antiretroviral home delivery is a model warranting further consideration as an additional option for decentralized drug delivery for HIV treatment.
- Integrating Human-Centered Design to Advance Global Health: Lessons From 3 Programs
Lessons from 3 global health programs indicate that human-centered design (HCD) holds great potential for developing more tailored, impactful, and sustainable products and services to improve health and well-being. However, to take advantage of the full benefits of HCD, global health practitioners need to intentionally design and implement programs differently from typical health programs that do not incorporate design.
- Multisectoral Policies and Programming: High-Income Countries Can and Should Be Learning From the Philippines and Other Low- and Middle-Income Countries
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.
- A Quality Improvement Intervention to Inform Scale-Up of Integrated HIV-TB Services: Lessons Learned From KwaZulu-Natal, South Africa
Despite being standard of care, gaps in HIV-TB service delivery are present. Quality Improvement methods are effective in uncovering health systems weaknesses that impede efficient delivery of integrated HIV-TB services.
- Mapping the Antimicrobial Supply Chain in Bangladesh: A Scoping-Review-Based Ecological Assessment Approach
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.
- Care Around Birth Approach: A Training, Mentoring, and Quality Improvement Model to Optimize Intrapartum and Immediate Postpartum Quality of Care in India
The Care Around Birth approach provides an integrated implementation framework to improve the quality, equity, and dignity of care during the intrapartum and immediate postpartum periods, thereby addressing key drivers of maternal and newborn mortality.
- Prioritizing Health-Sector Interventions for Noncommunicable Diseases and Injuries in Low- and Lower-Middle Income Countries: National NCDI Poverty Commissions
Noncommunicable Disease and Injury (NCDI) Poverty Commissions in 16 low- and middle-income countries provided evidence-based recommendations on a local, expanded set of priority NCDIs and health-sector interventions needed in national initiatives to attain universal health coverage. These commissions provide a collective platform for policy, research, and advocacy efforts to improve coverage of cost-effective and equitable health-sector interventions for populations living in extreme poverty.
- Issue Analysis: A Use-Driven Approach to Data Governance Can Promote the Quality of Routine Health Data in India
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.