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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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Nutrition

  • Open Access
    Mother-Baby Friendly Philippines: Using Citizen Reporting to Improve Compliance to the International Code of Marketing of Breastmilk Substitutes
    Kate Reinsma, Alfred Jose C. Ballesteros, Rene Andrew A. Bucu, Teddy S. Dizon, Nathan John U. Jumalon, Lorelane C. Ramirez, Czarina Anne A. Villareiz, Carleneth San Valentin and Maria Rosario S. Vergeire
    Global Health: Science and Practice February 2022, 10(1):e2100071; https://doi.org/10.9745/GHSP-D-21-00071

    Citizen reporting has the potential to improve compliance with the International Code of Marketing Breastmilk Substitutes. However, any investments made on improving citizen and reporting platforms must be matched with similar investments in streamlining government processes, transparency, and confidence-building across all stakeholders.

  • Open Access
    Mid-Upper Arm Circumference Tapes and Measurement Discrepancies: Time to Standardize Product Specifications and Reporting
    Ritu Rana, Hatty Barthorp, Marie McGrath, Marko Kerac and Mark Myatt
    Global Health: Science and Practice December 2021, 9(4):1011-1014; https://doi.org/10.9745/GHSP-D-21-00273

    Mid-upper arm circumference (MUAC) is a widely used anthropometric measure to identify children with acute malnutrition. The use of different tapes of varied materials and thicknesses to measure MUAC has led to discrepancies. This indicates the need for global standardization of MUAC tape design.

  • Open Access
    Projecting the Impact of Nutrition Policy to Improve Child Stunting: A Case Study in Guatemala Using the Lives Saved Tool
    Scott Tschida, Ana Cordon, Gabriela Asturias, Mónica Mazariegos, María F. Kroker-Lobos, Bianca Jackson, Peter Rohloff and David Flood
    Global Health: Science and Practice December 2021, 9(4):752-764; https://doi.org/10.9745/GHSP-D-20-00585

    We projected the impact of a Scaling Up Nutrition intervention policy, the Great Crusade, and found that increasing intervention coverage is unlikely to improve child stunting outcomes in Guatemala to meet Sustainable Development Goals by 2030.

  • Open Access
    Uptake of Encapsulated Ferrous Fumarate Double Fortified Salt in the Public Distribution System in India: A Value Chain Analysis
    Meena Haribhau Jadhav and Marthi Gurunath Venkatesh Mannar
    Global Health: Science and Practice December 2021, 9(4):832-845; https://doi.org/10.9745/GHSP-D-20-00448

    Initiating and sustaining large-scale encapsulated ferrous fumarate double fortified salt interventions in the public distribution system in India poses several challenges that can be minimized by strengthening double fortified salt value chains.

  • Open Access
    Accuracy of Using Mid-Upper Arm Circumference to Detect Wasting Among Children Aged 6–59 Months in Nepal
    Krishna Prasad Lamsal, Kedar Raj Parajuli, Bhim Kumari Pun, Ramesh Prasad Adhikari, Manoj Bashyal, Baburaja Dangol and Kenda Cunningham
    Global Health: Science and Practice December 2021, 9(4):881-889; https://doi.org/10.9745/GHSP-D-20-00450

    When comparing the sensitivity and specificity of mid-upper arm circumference (MUAC) versus weight-for-height z-scores (WHZ) to identify wasting in children aged 6–59 months in Nepal, our findings suggest that only using MUAC compared to WHZ to screen may exclude a large number of children who could be at risk of severe or moderate acute malnutrition.

  • Open Access
    Nutrition Capacity Building to Meet National Priorities: Lessons Learned in Developing and Implementing Malawi's First Dietetics Program
    Sanele Nkomani, Lynne M. Ausman, Elizabeth Marino-Costello, Bernadette Chimera, Alexander Kalimbira, Agnes Mwangwela, Molly Uebele-Harrigan, John Phuka and Shibani Ghosh
    Global Health: Science and Practice December 2021, 9(4):928-935; https://doi.org/10.9745/GHSP-D-20-00687

    We describe the lessons learned in building nutrition capacity through the development and implementation of the first dietetics training program in Malawi.

  • Open Access
    Animal Source Food Social and Behavior Change Communication Intervention Among Girinka Livestock Transfer Beneficiaries in Rwanda: A Cluster Randomized Evaluation
    Valerie L. Flax, Emily Ouma, Lambert Izerimana, Mary-Ann Schreiner, Alice O. Brower, Eugene Niyonzima, Carine Nyilimana, Adeline Ufitinema and Agnes Uwineza
    Global Health: Science and Practice September 2021, 9(3):640-653; https://doi.org/10.9745/GHSP-D-21-00082

    A social and behavior change communication intervention designed to promote consumption of cow’s milk among families that received a cow from a government livestock transfer program increased mothers’ knowledge and awareness of milk consumption. Although intervention exposure was associated with increased frequency of children’s cow’s milk intake, it did not lead to increased consumption or dietary diversity.

  • Open Access
    Micronutrient Powders for Infants and Young Children
    Stephen Hodgins and Rolf Klemm
    Global Health: Science and Practice June 2021, 9(2):216-219; https://doi.org/10.9745/GHSP-D-21-00263

    Providing standalone micronutrient products for household use is not an easy strategy, but under the right conditions, it can work. To be effective, micronutrient powder programs require robust commodity logistics and support of uptake and adherence.

  • Open Access
    A Mixed-Methods Study of Factors Influencing Access to and Use of Micronutrient Powders in Rwanda
    Theogene Dusingizimana, Janet L. Weber, Thiagarajah Ramilan, Per Ole Iversen and Louise Brough
    Global Health: Science and Practice June 2021, 9(2):274-285; https://doi.org/10.9745/GHSP-D-20-00422

    Gaps in complementary feeding practices hinder the use of multiple micronutrients powder (MNP) in Rutsiro district in Rwanda. Successful MNP program implementation requires uninterrupted availability and accessibility to the product, as well as greater understanding of health benefits of the MNP.

  • Open Access
    Systematic Process Framework for Conducting Implementation Science Research in Food Fortification Programs
    Emily Teachout, Laura A. Rowe, Helena Pachon, Becky L. Tsang, Lorraine F. Yeung, Jorge Rosenthal, Hilda Razzaghi, Meredith Moore, Dora Panagides, Peiman Milani and Michael J. Cannon
    Global Health: Science and Practice June 2021, 9(2):412-421; https://doi.org/10.9745/GHSP-D-20-00707

    Many challenges still exist to fully scaling up food fortification in lower resource settings. To address this need, a collective group of experts in the fields of food fortification and implementation science developed a systematic process framework to provide a tool for identifying and working through challenges.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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