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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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Primary Health Care

  • Open Access
    Service Delivery Redesign for Noncommunicable Disease Management: Assessment of Needs and Solutions Through a Co-Creation Process in Argentina
    Agustina Mazzoni, Javier Roberti, Marina Guglielmino, Ana María Nadal, Yanina Mazzaresi, Andrea Falaschi, Patricia J. García, Laura Espinoza-Pajuelo, Jesús Medina-Ranilla, Hannah H. Leslie, Juan Manuel Gómez Portillo, María Gabriela Masier and Ezequiel García-Elorrio
    Global Health: Science and Practice December 2024, 12(6):e2400208; https://doi.org/10.9745/GHSP-D-24-00208

    Our research highlights the potential for Argentina’s primary care system to initiate transformative, system-level changes to improve health outcomes. We propose an innovative methodological assessment and co-design for improving primary care.

  • Open Access
    National Politics’ Role in Developing Primary Health Care Policy for Maternal Health in Papua New Guinea: A Qualitative Document Analysis
    Regina Poima Seki, Judith Daire and Delia Hendrie
    Global Health: Science and Practice October 2024, 12(5):e2200005; https://doi.org/10.9745/GHSP-D-22-00005

    This article examines the factors and mechanisms that influenced the development of the free primary health care policy for maternal health in Papua New Guinea.

  • Open Access
    How Can Community Data Be Leveraged to Advance Primary Health Care? A Scoping Review of Community-Based Health Information Systems
    Shivani Pandya, Lena Kan, Emily Parr, Claire Twose, Alain B. Labrique and Smisha Agarwal
    Global Health: Science and Practice April 2024, 12(2):e2300429; https://doi.org/10.9745/GHSP-D-23-00429

    Community-based health information systems (CBISs) play a critical role in generating and using community data to better understand community health needs; however, CBIS data are not effectively being integrated into routine national/subnational health information systems, limiting the scope of its use.

  • Open Access
    Collaboration in a Partnership for Primary Health Care: A Case Study From Papua New Guinea
    Georgina Dove, Angela Kelly-Hanku, Jethro Usurup, Annmaree O’Keeffe, Geoff Scahill and Adam Craig
    Global Health: Science and Practice February 2024, 12(1):e2300040; https://doi.org/10.9745/GHSP-D-23-00040

    Four key factors that influence collaboration in a public-private partnership (PPP) are relationships, time, governance, and the impact of change. Incorporating these factors into PPP design and implementation in similar settings can increase coordinated action and improvements in primary health care.

  • Open Access
    Improving Program Outcomes Through Responsive Feedback: A Case Study of a Leadership Development Academy in Nigeria
    Teslim Aminu, Onajite Otokpen, Ijeoma Mmirikwe, Oluwasegun Adetunde, Ibidun Ajuwon, Adesina Adelakun, Abdulateef Salisu, Faisal Shuaib, Uchenna Igbokwe and Muyi Aina
    Global Health: Science and Practice December 2023, 11(Supplement 2):e2200121; https://doi.org/10.9745/GHSP-D-22-00121

    The National Primary Health Care Development Agency in Nigeria used a responsive feedback mechanism to successfully establish a leadership development academy for building core leadership, management, and basic functional skills among its staff.

  • Open Access
    Calculating the Costs of Implementing Integrated Packages of Community Health Services: Methods, Experiences, and Results From 6 sub-Saharan African Countries
    David Collins, Ulla Griffiths, Sarah Birse, Yohana Dukhan, Fadima Yaya Bocoum, Alfred Driwale, Humphries Nsona, Jerome Pfaffmann-Zambruni, Hannah Sarah F. Dini and Colin Gilmartin
    Global Health: Science and Practice October 2023, 11(5):e2200472; https://doi.org/10.9745/GHSP-D-22-00472

    Authors of this article calculated the costs of implementing community health programs and compared the results across 6 sub-Saharan African countries, providing evidence for helping governments plan for sufficient resources for their effective implementation.

  • Open Access
    Improving Primary Care Quality Through Supportive Supervision and Mentoring: Lessons From the African Health Initiative in Ethiopia, Ghana, and Mozambique
    African Health Initiative Partnership Collaborative for Supportive Supervision and Mentoring
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100667; https://doi.org/10.9745/GHSP-D-21-00667

    Systematic approaches to positioning technical support, enhancing systems, and promoting sustainment are crucial to strengthening supportive supervision and mentoring in primary health care systems. The African Health Initiative projects in Ethiopia, Ghana, and Mozambique have lessons to share from such experiences that stakeholders can apply to similar efforts in other countries.

  • Open Access
    Calculating the Cost and Financing Needs of the Basic Package of Health Services in Afghanistan: Methods, Experiences, and Results
    Khwaja Mir Ahad Saeed, Salma Osmani and David Collins
    Global Health: Science and Practice August 2022, 10(4):e2100658; https://doi.org/10.9745/GHSP-D-21-00658

    We present a methodology for calculating the funds necessary to provide primary health care services and apply it to the Basic Package of Health Services in Afghanistan.

  • Open Access
    Pathways to Care for Patients With Type 2 Diabetes and HIV/AIDS Comorbidities in Soweto, South Africa: An Ethnographic Study
    Edna N. Bosire, Shane A. Norris, Jane Goudge and Emily Mendenhall
    Global Health: Science and Practice March 2021, 9(1):15-30; https://doi.org/10.9745/GHSP-D-20-00104

    Patients with type 2 diabetes are referred to tertiary hospitals in Soweto although their care could be managed at primary health care clinics. Primary health care needs to be strengthened by addressing health systemic challenges to provide integrated care for comorbid type 2 diabetes and HIV/AIDS.

  • Open Access
    Learnings From a Pilot Study to Strengthen Primary Health Care Services: The Community-Clinic-Centered Health Service Model in Barishal District, Bangladesh
    Md. Eklas Uddin, Joby George, Shamim Jahan, Zubair Shams, Nazmul Haque and Henry B. Perry
    Global Health: Science and Practice March 2021, 9(Supplement 1):S179-S189; https://doi.org/10.9745/GHSP-D-20-00466

    The community-clinic-centered health service model piloted in Bangladesh strengthened community and local government engagement, harmonized the work of different community health worker cadres, and improved client satisfaction. The approach has the potential to strengthen the delivery of close-to-community primary health care services and accelerate progress toward achieving universal health coverage.

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