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Global Health: Science and Practice

Dedicated to what works in global health programs

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Health Workers

  • Cross-Cutting Topics /
  • Health Workers
  • Open Access
    Time to Evolve Beyond Prototypical Community-Based Distribution (CBD) of Contraception?
    Global Health: Science and Practice December 2018, 6(4):624-625; https://doi.org/10.9745/GHSP-D-18-00462

    CBD efforts have a definite role in a variety of country programming contexts. However, contemporary efforts need to strive for an expanded method mix, strong support and motivation of CBD agents, and robust integration with existing health systems.

  • Open Access
    Strengthening and Institutionalizing the Leadership and Management Role of Frontline Nurses to Advance Universal Health Coverage in Zambia
    Allison Annette Foster, Marjorie Kabinga Makukula, Carolyn Moore, Nellisiwe Luyando Chizuni, Fastone Goma, Alan Myles and David Nelson
    Global Health: Science and Practice December 2018, 6(4):736-746; https://doi.org/10.9745/GHSP-D-18-00067

    Through a 12-month blended learning program, nurses and nurse-midwives leading low-resource health facilities at the community level improved their capacity to engage community members, increased their ability to lead frontline teams, strengthened their skills and confidence in technology use, and optimized investments in the community health system to achieve high-quality services.

  • Open Access
    Effectiveness of SMS Technology on Timely Community Health Worker Follow-Up for Childhood Malnutrition: A Retrospective Cohort Study in sub-Saharan Africa
    Shohinee Sarma, Bennett Nemser, Heather Cole-Lewis, Nadi Kaonga, Joel Negin, Patricia Namakula, Seth Ohemeng-Dapaah and Andrew S. Kanter
    Global Health: Science and Practice June 2018, 6(2):345-355; https://doi.org/10.9745/GHSP-D-16-00290

    In Ghana, Rwanda, Senegal, and Uganda, we found positive association between community health workers (CHWs) using SMS data entry with reminder alerts and timely follow-up for childhood malnutrition screening visits compared with paper forms. This association was strongest when CHWs used SMS data entry consecutively over multiple visits than when they switched between SMS and paper forms.

  • Open Access
    Human Resources for Health: The Best Learning, the Best Skill Mix, and the Most Impact
    James D Shelton
    Global Health: Science and Practice March 2018, 6(1):6-7; https://doi.org/10.9745/GHSP-D-18-00092

    Acting in a difficult environment, constructive efforts to improve medical education in Zimbabwe included revised curricula, investing in faculty and improved teaching skills, competency-based learning, and modern technology. But an ideal approach to health systems strengthening would put more emphasis on primary care and prevention, equity, and the many other vital health cadres besides physicians.

  • Open Access
    Medical Education Partnership Initiative (MEPI) in Zimbabwe: Outcomes and Challenges
    James G Hakim, Midion M Chidzonga, Margaret Z Borok, Kusum J Nathoo, Jonathan Matenga, Edward Havranek, Frances Cowan, Melanie Abas, Eva Aagaard, Susan Connors, Sanele Nkomani, Chiratidzo E Ndhlovu, Antony Matsika, Michele Barry and Thomas B Campbell
    Global Health: Science and Practice March 2018, 6(1):82-92; https://doi.org/10.9745/GHSP-D-17-00052

    The 5-year medical education and research strengthening initiative in Zimbabwe increased faculty retention and student enrollment, improved information technology infrastructure, provided mentoring for postgraduates and clinical training in specialty areas, instituted a competency-based curriculum reform process, and created new departments and centers to institutionalize health education and research implementation. A comprehensive review of the curriculum is still underway and uptake of technology-assisted teaching has been slower than expected.

  • Open Access
    Using Data to Improve Programs: Assessment of a Data Quality and Use Intervention Package for Integrated Community Case Management in Malawi
    Elizabeth Hazel, Emmanuel Chimbalanga, Tiyese Chimuna, Humphreys Nsona, Angella Mtimuni, Ernest Kaludzu, Kate Gilroy and Tanya Guenther
    Global Health: Science and Practice September 2017, 5(3):355-366; https://doi.org/10.9745/GHSP-D-17-00103

    Use of simple wall charts by community and facility health workers to collect and visualize data helped inform data-based decision making for community health education activities, tracking stock-outs, staffing decisions, and other programming issues. Since intervention scale-up, however, use of the wall chart has dropped, demonstrating need for continued investment in supportive supervision.

  • Open Access
    Large-Scale Evaluation of Quality of Care in 6 Countries of Eastern Europe and Central Asia Using Clinical Performance and Value Vignettes
    John W Peabody, Lisa DeMaria, Owen Smith, Angela Hoth, Edmond Dragoti and Jeff Luck
    Global Health: Science and Practice September 2017, 5(3):412-429; https://doi.org/10.9745/GHSP-D-17-00044

    When providers in 6 different countries were asked how they would care for the same patient, there was wide variation within and between countries. Nevertheless, 11% of the physicians scored over 80%, suggesting good quality of care is possible even with resource constraints. Use of validated clinical vignettes, which can be applied affordably at scale, could help improve quality of services in low- and middle-income countries.

  • Open Access
    A Mobile-Based Community Health Management Information System for Community Health Workers and Their Supervisors in 2 Districts of Zambia
    Godfrey Biemba, Boniface Chiluba, Kojo Yeboah-Antwi, Vichaels Silavwe, Karsten Lunze, Rodgers K Mwale, Scott Russpatrick and Davidson H Hamer
    Global Health: Science and Practice September 2017, 5(3):486-494; https://doi.org/10.9745/GHSP-D-16-00275

    Using simple-feature mobile phones, CHWs sent weekly reports on disease caseloads and commodities consumed, ordered drugs and supplies, and sent pre-referral notices to health centers. Supervisors provided feedback to CHWs on referred patient outcomes and received monthly SMS reminders to set up mentoring sessions with the CHWs. Scale-up limitations include: (1) staff shortages at health centers to supervise the CHWs, (2) need for ongoing technical support to troubleshoot challenges with mobile phones and software, and (3) recurring costs for data bundles.

  • Open Access
    The Importance of Mental Well-Being for Health Professionals During Complex Emergencies: It Is Time We Take It Seriously
    Mary Surya, Dilshad Jaff, Barbara Stilwell and Johanna Schubert
    Global Health: Science and Practice June 2017, 5(2):188-196; https://doi.org/10.9745/GHSP-D-17-00017

    We call on humanitarian aid organizations to integrate proven mental health strategies to protect the mental health of their workforce and improve staff capacity to provide care for vulnerable populations. Such strategies could include:

    • Pre-deployment training

    • Art therapy

    • Team building

    • Physical exercise

    • Mindfulness or contemplative techniques

    • Mind-body exercises

    • Narrative Exposure Therapy

    • Eye movement desensitization and reprocessing

  • Open Access
    Benefits and Limitations of Text Messages to Stimulate Higher Learning Among Community Providers: Participants' Views of an mHealth Intervention to Support Continuing Medical Education in Vietnam
    Lora L Sabin, Anna Larson Williams, Bao Ngoc Le, Augusta R Herman, Ha Viet Nguyen, Rebecca R Albanese, Wenjun Xiong, Hezekiah OA Shobiye, Nafisa Halim, Lien Thi Ngoc Tran, Marion McNabb, Hai Hoang, Ariel Falconer, Tam Thi Thanh Nguyen and Christopher J Gill
    Global Health: Science and Practice June 2017, 5(2):261-273; https://doi.org/10.9745/GHSP-D-16-00348

    The original intention was to deliver technical content through brief text messages to stimulate participants to undertake deeper learning. While participants appreciated the convenience and relevance of the text messages, their scores of higher-order knowledge did not improve. The intervention may not have been successful because the messages lacked depth and interactivity, and participants were not explicitly encouraged to seek deeper learning.

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  • Cross-Cutting Topics
    • Behavior Change Communication (9)
    • Digital Health (29)
    • Health Systems (54)
    • Health Workers (34)
    • Service Integration (6)
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    • Family Planning and Reproductive Health (154)
    • HIV/AIDS (31)
    • Immunization (13)
    • Malaria (13)
    • Maternal, Newborn, and Child Health (92)
    • Nutrition (12)
    • Postabortion Care (16)
    • TB and Other Communicable Diseases (23)
US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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