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Global Health: Science and Practice

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Maternal, Newborn, and Child Health

  • Open Access
    Saving Mothers, Giving Life: Don’t Neglect the Health Systems Element
    Krishna Hort and Louise Simpson
    Global Health: Science and Practice December 2019, 7(4):606-609; https://doi.org/10.9745/GHSP-D-19-00178
  • Open Access
    Authors’ Response to “Saving Mothers, Giving Life: Don’t Neglect the Health Systems Element”
    Florina Serbanescu, Claudia Morrissey Conlon, Frank Kaharuza and Masuka Musumali
    Global Health: Science and Practice December 2019, 7(4):610-611; https://doi.org/10.9745/GHSP-D-19-00313
  • Open Access
    Effects of a Peer-Led Intervention on HIV Care Continuum Outcomes Among Contacts of Children, Adolescents, and Young Adults Living With HIV in Zimbabwe
    Talent Tapera, Nicola Willis, Kudakwashe Madzeke, Tanyaradzwa Napei, Mather Mawodzeke, Stanley Chamoko, Abigail Mutsinze, Teddy Zvirawa, Beatrice Dupwa, Aveneni Mangombe, Anesu Chimwaza, Talent M. Makoni, Winnie Mandewo, Mbazi Senkoro, Philip Owiti, Jaya Prasad Tripathy and Ajay M.V. Kumar
    Global Health: Science and Practice December 2019, 7(4):575-584; https://doi.org/10.9745/GHSP-D-19-00210

    An intervention focused on children, adolescents, and young adults living with HIV using a cadre of dedicated peers—community adolescent treatment supporters—led to improvements along the HIV care cascade among their household contacts and sexual partners.

  • Open Access
    Healthy Timing and Spacing of Pregnancy: Reducing Mortality Among Women and Their Children
    Ellen Starbird and Kathryn Crawford
    Global Health: Science and Practice August 2019, 7(Supplement 2):S211-S214; https://doi.org/10.9745/GHSP-D-19-00262

    Accessible, affordable, and high-quality postabortion care (PAC) can prevent maternal death and disability and provides an important opportunity to prevent future unintended pregnancies. This supplement offers learnings on PAC provision from the community of partners around the world, including service delivery and community engagement models, approaches to support facility-based providers, best practices in pre- and post-procedure counseling, and approaches to institutionalize PAC in public- and private-sector health systems.

  • Open Access
    Cell Phone Counseling Improves Retention of Mothers With HIV Infection in Care and Infant HIV Testing in Kisumu, Kenya: A Randomized Controlled Study
    Avina Sarna, Lopamudra Ray Saraswati, Jerry Okal, James Matheka, Danmark Owuor, Roopal J. Singh, Nancy Reynolds and Sam Kalibala
    Global Health: Science and Practice June 2019, 7(2):171-188; https://doi.org/10.9745/GHSP-D-18-00241

    Tailored, one-on-one counseling delivered via cell phone was very effective in retaining mothers with HIV in care and in promoting infant HIV testing and antenatal and postnatal care attendance. The highest risk of loss to follow-up among women with HIV accessing PMTCT services was prior to delivery and then after infant HIV testing at 6 weeks. Challenges include continued limited access to cell phones, difficulty with reaching participants on the phone, and poor adherence to antiretroviral therapy for a substantial percentage of the population.

  • Open Access
    Alternative Ready-To-Use Therapeutic Food Yields Less Recovery Than the Standard for Treating Acute Malnutrition in Children From Ghana
    Kristin Kohlmann, Meghan Callaghan-Gillespie, Julia M. Gauglitz, Matilda Steiner-Asiedu, Kwesi Saalia, Carly Edwards and Mark J. Manary
    Global Health: Science and Practice June 2019, 7(2):203-214; https://doi.org/10.9745/GHSP-D-19-00004

    In Ghana, an alternative ready-to-use food (RUTF) formulation that met all specifications was not as good as standard RUTF in affecting recovery from acute malnutrition among children aged 6 to 59 months.

  • Open Access
    Saving Mothers, Giving Life: It Takes a System to Save a Mother (Republication)
    Claudia Morrissey Conlon, Florina Serbanescu, Lawrence Marum, Jessica Healey, Jonathan LaBrecque, Reeti Hobson, Marta Levitt, Adeodata Kekitiinwa, Brenda Picho, Fatma Soud, Lauren Spigel, Mona Steffen, Jorge Velasco, Robert Cohen and William Weiss on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(1):20-40; https://doi.org/10.9745/GHSP-D-19-00092

    A multi-partner effort in Uganda and Zambia employed a districtwide health systems strengthening approach, with supply- and demand-side interventions, to address timely use of appropriate, quality maternity care. Between 2012 and 2016, maternal mortality declined by approximately 40% in both partnership-supported facilities and districts in each country. This experience has useful lessons for other low-resource settings.

  • Open Access
    Saving Mothers, Giving Life: A Systems Approach to Reducing Maternal and Perinatal Deaths in Uganda and Zambia
    Lois Quam, Angeli Achrekar and Robert Clay
    Global Health: Science and Practice March 2019, 7(Supplement 1):S1-S5; https://doi.org/10.9745/GHSP-D-19-00037

    The 5-year public-private partnership boldly addressed maternal mortality in Uganda and Zambia using a systems approach at the district level to avoid delays in women seeking, reaching, and receiving timely, quality services. This supplement provides details on the Saving Mothers, Giving Life partnership and approach, including the model, impact, costs, and sustainability.

  • Open Access
    The Costs and Cost-Effectiveness of a District-Strengthening Strategy to Mitigate the 3 Delays to Quality Maternal Health Care: Results From Uganda and Zambia
    Benjamin Johns, Peter Hangoma, Lynn Atuyambe, Sophie Faye, Mark Tumwine, Collen Zulu, Marta Levitt, Tannia Tembo, Jessica Healey, Rui Li, Christine Mugasha, Florina Serbanescu and Claudia Morrissey Conlon on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(Supplement 1):S104-S122; https://doi.org/10.9745/GHSP-D-18-00429

    A comprehensive district-strengthening approach to address maternal and newborn health was estimated to cost US$177 per life-year gained in Uganda and $206 per life-year gained in Zambia. The approach represents a very cost-effective health investment compared to GDP per capita.

  • Open Access
    Saving Lives Together: A Qualitative Evaluation of the Saving Mothers, Giving Life Public-Private Partnership
    Anne Palaia, Lauren Spigel, Marc Cunningham, Ann Yang, Taylor Hooks and Susan Ross on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(Supplement 1):S123-S138; https://doi.org/10.9745/GHSP-D-18-00264

    Overall, the Saving Mothers, Giving Life partnership was praised as a successful model for interagency coordination. Key strengths included diversity in partner expertise, high-quality monitoring and evaluation, strong leadership, and country ownership. Uncertainty about partner roles and responsibilities, perceived power inequities between partners, bureaucratic processes, and limited Ministry of Health representation in the governance structure were some challenges that, if addressed by similar public-private partnerships under development, may improve long-term partnership success.

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  • Cross-Cutting Topics
    • Adolescents and Youth (24)
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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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