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Global Health: Science and Practice
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Global Health: Science and Practice

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Maternal, Newborn, and Child Health

  • Open Access
    Social Distancing in the Era of COVID-19: A Call for Maintaining Social Support for the Maternal Population
    Alaa Alhomaizi, Dalal Alhomaizi, Sandra Willis and Helen Verdeli
    Global Health: Science and Practice June 2021, 9(2):229-237; https://doi.org/10.9745/GHSP-D-20-00398

    In the era of COVID-19, pregnant and postpartum women, an already vulnerable group, are facing unforeseen and compounding stressful events with reduced social protections. We argue that to prevent harmful consequences that may surpass the effects of the crisis itself for pregnant women and their families, it is imperative to prioritize maintaining formal and informal sources of social support for mothers in proposed infection control policies.

  • Open Access
    Initiation of Breastfeeding in Low- and Middle-Income Countries: A Time-to-Event Analysis
    Lindsay Mallick, Wenjuan Wang, Shiza Farid and Thomas Pullum
    Global Health: Science and Practice June 2021, 9(2):308-317; https://doi.org/10.9745/GHSP-D-20-00361

    This article uses country-specific data to provide information for stakeholders about delays in breastfeeding, especially for babies born via cesarean delivery, and provide evidence to support skin-to-skin contact to promote early breastfeeding.

  • Open Access
    Institutionalizing a Regional Model for Improving Quality of Newborn Care at Birth Across Hospitals in Eastern Uganda: A 4-Year Story
    Peter Waiswa, Phillip Wanduru, Monica Okuga, Darius Kajjo, Doris Kwesiga, James Kalungi, Harriet Nambuya, Jude Mulowooza, Abner Tagoola and Stefan Peterson
    Global Health: Science and Practice June 2021, 9(2):365-378; https://doi.org/10.9745/GHSP-D-20-00156

    A locally developed, low-cost package of interventions implemented in a regional network of hospitals resulted in significant reductions in mortality for mothers and newborns as well as the institutionalization of the quality improvement initiative. This work demonstrates that it is possible to achieve the World Health Organization/United Nations Children's Fund Quality of Care targets in hospitals.

  • Open Access
    From Passive Surveillance to Response: Suriname's Efforts to Implement Maternal Death Surveillance and Response
    Lachmi R. Kodan, Kim J. C. Verschueren, Geertje Boerstra, Inder Gajadien, Robert S. Mohamed, Lily D. Olmtak, Satish R. Mohan and Kitty W. M. Bloemenkamp
    Global Health: Science and Practice June 2021, 9(2):379-389; https://doi.org/10.9745/GHSP-D-20-00594

    To implement Maternal Death Surveillance and Response successfully in Suriname, recommendations to reduce maternal death should be acted upon. Delineating the roles and responsibilities for action, establishing accountability mechanisms, and influencing stakeholders in a position to act are critical to ensure a response to recommendations to avert maternal mortality.

  • Open Access
    Improving Services for HIV-Exposed Infants in Zambia and Cameroon Using a Quality Improvement Collaborative Approach
    Gillian Dougherty, Tihnje Abena, Jean Pierre Abesselo, Jeane Ngala Banda, Tjek Paul Biyaga, Rodrigo Boccanera, Mary Adetinuke Boyd, Mesmey Ebogo, Leoda Hamomba, Suzanne Jed, Zeh Florence Kakanou, Prisca Kasonde, Siphiwe Chilungu Kasonka, Rachael Lungwebungu, Caitlin Madevu-Matson, Magdalene Mange Mayer, Mukuka Mwamba, Milembe Panya, Paul Sakanda, Fatima Tsiouris, Lauren Walker and Miriam Rabkin
    Global Health: Science and Practice June 2021, 9(2):399-411; https://doi.org/10.9745/GHSP-D-20-00550

    To bridge the gap between what is known and what is done, quality improvement collaboratives (QICs) enable health programs to rapidly address quality challenges at scale. Two QICs in Cameroon and Zambia improved coverage of early infant HIV testing and initiating antiretroviral therapy in HIV-exposed infants. The QIC approach empowers health care workers to design solutions tailored for their specific settings.

  • Open Access
    Economic Evaluation of Provision of Postpartum Intrauterine Device Services in Bangladesh and Tanzania
    Gillian Eva, Judy Gold, Anita Makins, Suzanna Bright, Katherine Dean, Emily-Anne Tunnacliffe, Parveen Fatima, Afroja Yesmin, Projestine Muganyizi, Grasiana F. Kimario and Kim Dalziel
    Global Health: Science and Practice March 2021, 9(1):107-122; https://doi.org/10.9745/GHSP-D-20-00447

    Provision of a postpartum intrauterine device (PPIUD) within 48 hours of delivery was highly cost-effective compared with standard practice in 2 lower middle-income countries. Policy makers should consider expansion of postpartum family planning counseling and introduction of immediate PPIUD services as an added tool to address the unmet need for contraception.

  • Open Access
    Implementing a Social Accountability Approach for Maternal, Neonatal, and Child Health Service Performances in Ethiopia: A Pre-Post Study Design
    Mesele D. Argaw, Binyam Fekadu Desta, Elias Mamo, Melkamu G. Abebe, Deirdre Rogers, Anteneh Demelash, Aklilu A. Ayele, Zinabu Reda, Amare S. Tareke, Alemu M. Erfo, Wegayehu W. Wonjalo, Temesgen A. Bele, Assefa Ayede and Lidya G. Abebe
    Global Health: Science and Practice March 2021, 9(1):123-135; https://doi.org/10.9745/GHSP-D-20-00114

    Implementing a community scorecard approach may help increase utilization of maternal, neonatal, and child health services in primary health care facilities. The results of our study show the importance of engaging both the community and health workers to measure and continuously improve health care processes and improve the health system performance.

  • Open Access
    Human Resources for Health-Related Challenges to Ensuring Quality Newborn Care in Low- and Middle-Income Countries: A Scoping Review
    Nancy Bolan, Karen D. Cowgill, Karen Walker, Lily Kak, Theresa Shaver, Sarah Moxon and Ornella Lincetto
    Global Health: Science and Practice March 2021, 9(1):160-176; https://doi.org/10.9745/GHSP-D-20-00362

    We mapped evidence from low- and middle-income countries of the human resources for health-related challenges to providing quality facility-based newborn care into tangible thematic areas. The mapping provides valuable insight that informed new World Health Organization strategies to systematically address the challenges identified and to strengthen human resources for health for newborn care globally and nationally.

  • Open Access
    Inpatient Point-of-Care HIV Early Infant Diagnosis in Mozambique to Improve Case Identification and Linkage to Antiretroviral Therapy
    Mércia Matsinhe, Timothy Bollinger, Nilza Lee, Osvaldo Loquiha, Bindiya Meggi, Nédio Mabunda, Chishamiso Mudenyanga, Dadirayi Mutsaka, Marcelina Florêncio, Aurora Mucaringua, Eugénia Macassa, Amir Seni, Ilesh Jani and W. Chris Buck
    Global Health: Science and Practice March 2021, 9(1):31-39; https://doi.org/10.9745/GHSP-D-20-00611

    Introduction of point-of-care early infant diagnosis on the inpatient wards of 2 of the largest pediatric referral hospitals in Mozambique increased HIV testing volume and pediatric HIV case identification with improved linkage to antiretroviral therapy.

  • Open Access
    Levels, Trends, and Inequalities in Using Institutional Delivery Services in Low- and Middle-Income Countries: A Stratified Analysis by Facility Type
    Md. Mehedi Hasan, Ricardo J. Soares Magalhaes, Yaqoot Fatima, Saifuddin Ahmed and Abdullah A. Mamun
    Global Health: Science and Practice March 2021, 9(1):78-88; https://doi.org/10.9745/GHSP-D-20-00533

    Despite improvements in the use of institutional delivery services around the world, progress has not been uniform across low- and middle-income countries. Persistent and growing inequalities in the utilization of institutional delivery services warrant the attention of policy makers for further investments and policy reviews.

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  • Cross-Cutting Topics
    • Adolescents and Youth (40)
    • Behavior Change Communication (42)
    • Digital Health (55)
    • Gender (45)
    • Health Systems (174)
    • Health Workers (119)
    • Primary Health Care (21)
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    • Surgery (13)
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    • COVID-19 (46)
    • Family Planning and Reproductive Health (259)
    • HIV/AIDS (78)
    • Immunization/Vaccines (48)
    • Infectious Diseases (138)
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    • Maternal, Newborn, and Child Health (212)
    • Mental Health (15)
    • Noncommunicable Diseases (26)
    • Nutrition (45)
    • Postabortion Care (18)
    • Supply Chain (15)
    • Tuberculosis (26)
    • Water, Sanitation, and Hygiene (5)
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