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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 Workers

  • Open Access
    TraumaLink: A Community-Based First-Responder System for Traffic Injury Victims in Bangladesh
    Jon Moussally, Arup Chandra Saha and Susan Madden
    Global Health: Science and Practice August 2022, 10(4):e2100537; https://doi.org/10.9745/GHSP-D-21-00537

    A community-based network of trained volunteer layperson first responders in Bangladesh provided rapid and reliable on-scene trauma care to traffic injury victims, free of charge.

  • Open Access
    Costs and Cost-Effectiveness of mCME Version 2.0: An SMS-Based Continuing Medical Education Program for HIV Clinicians in Vietnam
    Lora L. Sabin, Aldina Mesic, Bao Ngoc Le, Nafisa Halim, Chi Thi Hue Cao, Rachael Bonawitz, Ha Viet Nguyen, Anna Larson, Tam Thi Thanh Nguyen, Anh Ngoc Le and Christopher J. Gill
    Global Health: Science and Practice August 2022, 10(4):e2200008; https://doi.org/10.9745/GHSP-D-22-00008

    This cost analysis found that a mobile phone-based continuing medical education (mCME) intervention, involving daily text messages with links to relevant materials, for HIV clinicians in northern Vietnam was relatively low-cost and cost-effective, particularly for future nationwide models. Such mobile approaches to CME are worthy of attention in resource-constrained settings.

  • Open Access
    Examining Roles, Support, and Experiences of Community Health Workers During the COVID-19 Pandemic in Bangladesh: A Mixed Methods Study
    Shongkour Roy, Sarah Kennedy, Sharif Hossain, Charlotte E. Warren and Pooja Sripad
    Global Health: Science and Practice August 2022, 10(4):e2100761; https://doi.org/10.9745/GHSP-D-21-00761

    Government-employed community health workers in Bangladesh are essential actors in the COVID-19 response in communities. Ensuring the workers’ equitable access to supportive mechanisms for their work, including training, infection prevention supplies, and supportive supervision, is critical for successfully preventing and managing COVID-19 in Bangladesh.

  • Open Access
    Improving Community Health Worker Compensation: A Case Study From India Using Quantitative Projection Modeling and Incentive Design Principles
    Mokshada Jain, Yael Caplan, Banadakoppa Manjappa Ramesh, Hannah Kemp, Bettina Hammer, Shajy Isac, James Blanchard, Vasanthakumar Namasivayam and Sema K. Sgaier
    Global Health: Science and Practice June 2022, 10(3):e2100413; https://doi.org/10.9745/GHSP-D-21-00413

    We quantitatively assess the design and performance of the accredited social health activist (ASHA) incentive structure and suggest recommendations that could potentially drive ASHA effectiveness and support the achievement of health outcomes.

  • Open Access
    Community Health Workers in Pandemics: Evidence and Investment Implications
    Madeleine Ballard, Ari Johnson, Iris Mwanza, Hope Ngwira, Jennifer Schechter, Margaret Odera, Dickson Nansima Mbewe, Roseline Moenga, Prossy Muyingo, Ramatulai Jalloh, John Wabwire, Angela Gichaga, Nandini Choudhury, Duncan Maru, Pauline Keronyai, Carey Westgate, Sabitri Sapkota, Helen Elizabeth Olsen, Kyle Muther, Stephanie Rapp, Mallika Raghavan, Kim Lipman-White, Matthew French, Harriet Napier and Lyudmila Nepomnyashchiy
    Global Health: Science and Practice April 2022, 10(2):e2100648; https://doi.org/10.9745/GHSP-D-21-00648

    Community health workers have long played a critical role in preventing, detecting, and responding to pandemics across the globe. To expand, improve, and institutionalize these services, changes in the approach to bi/multilateral aid and private philanthropic investments in low- and middle-income countries are required.

  • Open Access
    HIV Care Continuum Services for People Who Inject Drugs in Kazakhstan During COVID-19: A Qualitative Study of Service Provider Perspectives
    Tara McCrimmon, Anne Sundelson, Meruyert Darisheva, Louisa Gilbert, Timothy Hunt, Assel Terlikbayeva, Sholpan Primbetova and Nabila El-Bassel
    Global Health: Science and Practice April 2022, 10(2):e2100619; https://doi.org/10.9745/GHSP-D-21-00619

    Needle and syringe programs (NSPs) in Kazakhstan have been crucial in providing care for people who inject drugs (PWID) during the COVID-19 pandemic. Additional supports and investments are needed to ensure that NSPs can continue to reach these marginalized populations while traditional medical systems are under strain.

  • Open Access
    Three Pivots for Improving Health Care Provider Performance
    Julia Bluestone, Erica Troncoso, Laura Fitzgerald, Lauretta Nagbe, Gladys Tetteh, Augustino Hellar and Edwin Ernest
    Global Health: Science and Practice February 2022, 10(1):e2100625; https://doi.org/10.9745/GHSP-D-21-00625

    We share recommendations on 3 important pivots away from longstanding approaches to continued professional development and in-service training programs that have demonstrated a measurable benefit across a diversity of health-related applications and projects.

  • Open Access
    Let’s Make Life Easier for Health Workers, Not More Complicated
    Stephen Hodgins
    Global Health: Science and Practice February 2022, 10(1):e2200020; https://doi.org/10.9745/GHSP-D-22-00020
  • Open Access
    Motivation and Performance of Community Health Workers: Nothing New Under the Sun, and Yet…
    Eric Sarriot, Tom Davis, Melanie Morrow, Telesphore Kabore and Henry Perry
    Global Health: Science and Practice December 2021, 9(4):716-724; https://doi.org/10.9745/GHSP-D-21-00627

    We know that both financial and nonfinancial incentives matter if we want community health workers (CHWs) who are motivated and performing. What are the practical implications for CHWs themselves and for effective management of viable CHW programs?

  • Open Access
    Beyond Institutionalization: Planning for Sustained Investments in Training, Supervision, and Support of Community Health Worker Programs in Bangladesh
    Shongkour Roy, Shivani Pandya, Md. Irfan Hossain, Timothy Abuya, Charlotte E. Warren, Paloma Mitra, Ubaidur Rob, Sharif Hossain and Smisha Agarwal
    Global Health: Science and Practice December 2021, 9(4):765-776; https://doi.org/10.9745/GHSP-D-21-00156

    Institutionalizing community health workers (CHWs) is insufficient for improving program quality. Governments must plan for sustained investments for salaries and benefits, as well as systems enabling adaptive management of the CHW cadres. Greater coordination is needed at the global level to pool and align donor investments to support the ecosystem underlying CHW programs.

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