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Global Health: Science and Practice

Dedicated to what works in global health programs

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Universal Health Coverage

  • 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
    Using Health Systems and Policy Research to Achieve Universal Health Coverage in Ghana
    John Koku Awoonor-Williams, Stephen Apanga, Ayaga A. Bawah, James F. Phillips and Patrick S. Kachur
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100763; https://doi.org/10.9745/GHSP-D-21-00763

    Health system implementation research, combined with knowledge management processes, directly contributed to Community-based Health Planning and Services geographic coverage expansion. Research was less deliberately employed for guiding financial access expansion through the National Health Insurance Scheme.

  • Open Access
    Strength in Diversity: Integrating Community in Primary Health Care to Advance Universal Health Coverage
    Charlotte E. Warren, Ben Bellows, Rachel Marcus, Jordan Downey, Sarah Kennedy and Nazo Kureshy
    Global Health: Science and Practice March 2021, 9(Supplement 1):S1-S5; https://doi.org/10.9745/GHSP-D-21-00125

    The supplement highlights a systems approach that recognizes the communities' roles and their interactions with other health system actors to accelerate outcomes and reflect the diversity of the community health ecosystem. Several cross-cutting priorities emerge from the articles, namely coverage, community health financing, policy change, institutionalization, resilience, accountability, community engagement, and whole-of-society efforts.

  • Open Access
    Costing Analysis of a Pilot Community Health Worker Program in Rural Nepal
    Prajwol Nepal, Ryan Schwarz, David Citrin, Aradhana Thapa, Bibhav Acharya, Yubraj Acharya, Anu Aryal, Aaron Baum, Ved Bhandari, Laxman Bhatt, Dipak Bhattarai, Nandini Choudhury, Binod Dangal, Meghnath Dhimal, Santosh Kumar Dhungana, Bikash Gauchan, Scott Halliday, SP Kalaunee, Lal Bahadur Kunwar, Duncan Maru, Isha Nirola, Rashmi Paudel, Anant Raut, Hari Jung Rayamazi, Sabitri Sapkota, Dan Schwarz, Poshan Thapa, Pratistha Thapa, Aparna Tiwari, Roshani Tuitui, Eric Walter and Sheela Maru
    Global Health: Science and Practice June 2020, 8(2):239-255; https://doi.org/10.9745/GHSP-D-19-00393

    Data from a retrospective costing analysis offers insights and practical considerations for policy makers and locally elected officials for designing and implementing a new community health work cadre as a mechanism to achieve SDG targets in Nepal.

  • Open Access
    National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage
    Alexander W. Peters, Lina Roa, Emile Rwamasirabo, Emmanuel Ameh, Mpoki M. Ulisubisya, Lubna Samad, Emmanuel M. Makasa and John G. Meara
    Global Health: Science and Practice March 2020, 8(1):1-9; https://doi.org/10.9745/GHSP-D-19-00314

    Developing a national surgical, obstetric, and anesthesia plan is an important first step for countries to strengthen their surgical systems and improve surgical care. Barriers to successful implementation of these plans include data collection, scalability, and financing, yet surgical system strengthening efforts are gaining momentum in achieving universal access to emergency and essential surgical care.

  • Open Access
    Strengthening and Institutionalizing the Leadership and Management Role of Frontline Nurses to Advance Universal Health Coverage in Zambia
    Allison Annette Foster, Marjorie Kabinga Makukula, Carolyn Moore, Nellisiwe Luyando Chizuni, Fastone Goma, Alan Myles and David Nelson
    Global Health: Science and Practice December 2018, 6(4):736-746; https://doi.org/10.9745/GHSP-D-18-00067

    Through a 12-month blended learning program, nurses and nurse-midwives leading low-resource health facilities at the community level improved their capacity to engage community members, increased their ability to lead frontline teams, strengthened their skills and confidence in technology use, and optimized investments in the community health system to achieve high-quality services.

  • Open Access
    Implementation Research to Strengthen Health Care Financing Reforms Toward Universal Health Coverage in Indonesia: A Mixed-Methods Approach to Real-World Monitoring
    Rena Eichler, Susan Gigli and Lisa LeRoy
    Global Health: Science and Practice December 2018, 6(4):747-753; https://doi.org/10.9745/GHSP-D-18-00328

    Implementation research enabled stakeholders to formulate questions, assess implications of research results that informed changes in regulations and payment at the primary care level, and strengthen monitoring capacity. While the national health insurance system had some impact on performance of primary care facilities, individual providers remained unsatisfied because payment was largely based on factors outside of their control such as tenure and position, rather than their contributions to improved performance.

  • Open Access
    The Role of Digital Strategies in Financing Health Care for Universal Health Coverage in Low- and Middle-Income Countries
    Bruno Meessen
    Global Health: Science and Practice October 2018, 6(Supplement 1):S29-S40; https://doi.org/10.9745/GHSP-D-18-00271

    The development and adoption of effective digital health financing solutions that fit well in both coherent digital health information architectures and the universal health coverage agenda will require strong partnerships between entrepreneurs, developers, implementers, policy makers, and funders.

  • Open Access
    At Last! Universal Health Coverage That Prioritizes Health Impact: The Latest Edition of Disease Control Priorities (DCP3)
    James D. Shelton
    Global Health: Science and Practice June 2018, 6(2):232-236; https://doi.org/10.9745/GHSP-D-18-00193

    Sadly, we face a vast sea of health problems in global health. Universal health coverage programming should prioritize interventions with the most health impact, but instead largely succumbs to emphasizing less impactful clinical curative services. In contrast, DCP3 provides an evidence-based template that prioritizes impact. Yet even the most basic and realistic DCP3 package comes at a formidable price.

  • Open Access
    Universal Health Coverage in Francophone Sub-Saharan Africa: Assessment of Global Health Experts' Confidence in Policy Options
    Elisabeth Paul, Fabienne Fecher, Remo Meloni and Wim van Lerberghe
    Global Health: Science and Practice June 2018, 6(2):260-271; https://doi.org/10.9745/GHSP-D-18-00001

    Even within the fairly homogenous context of francophone Africa, among 18 options presented to experts on how to proceed toward universal health coverage (UHC), consensus was reached on only 1 with respect to effectiveness and another with respect to feasibility. The complexity and challenges of UHC as well as the weak evidence base likely contribute to this uncertainty.

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  • Cross-Cutting Topics
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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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