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Global Health, Science and Practice

Eva Burke, Marie Léa Dakouo, Laura Glish, Pierre Moon, Paul D Blumenthal
BACKGROUND: Mali has one of the highest maternal mortality ratios in the world coupled with one of the lowest modern contraceptive use rates. Nearly a quarter of the country's 750,000 annual births occur within 24 months of a previous birth, increasing the risks for mothers and babies. Nearly 70% of postpartum women have an unmet need for family planning. In 2016, Population Services International Mali (PSI-Mali) introduced a dedicated postpartum intrauterine device (PPIUD) inserter to replace the technique of using forceps for PPIUD insertion, with the aim of helping to address this substantial family planning gap...
September 19, 2018: Global Health, Science and Practice
Moazzam Ali, Madeline Farron, Thandassery Ramachandran Dilip, Rachel Folz
BACKGROUND: Access to family planning services and appropriate contraceptive methods is crucial for ensuring good health outcomes for women and adolescent girls. The World Health Organization worked with the U.S. Agency for International Development to develop the Service Availability and Readiness Assessment (SARA) survey to measure health facility capacity to provide end users with appropriate, high-quality health care. In this study, we looked at the service availability and readiness of health facilities to provide contraception in 10 African countries: Benin, Burkina Faso, the Democratic Republic of the Congo, Djibouti, Mauritania, Niger, Sierra Leone, Tanzania, Togo, and Uganda...
September 13, 2018: Global Health, Science and Practice
Jessica Bliss, Natasha Lelijveld, André Briend, Marko Kerac, Mark Manary, Marie McGrath, Zita Weise Prinzo, Susan Shepherd, Noël Marie Zagre, Sophie Woodhead, Saul Guerrero, Amy Mayberry
BACKGROUND: A stubborn persistence of child severe acute malnutrition (SAM) and continued gaps in program coverage have made identifying methods for expanding detection, diagnosis, and treatment of SAM an urgent public health need. There is growing consensus that making mid-upper arm circumference (MUAC) use more widely accessible among caregivers and community health workers (CHWs) is an important next step in further decentralizing SAM care and increasing program coverage, including the ability of CHWs to treat uncomplicated SAM in community settings...
September 5, 2018: Global Health, Science and Practice
Stembile Mugore, Mercy Mwanja, Vumilia Mmari, Alphonce Kalula
BACKGROUND: Tanzania and Uganda have high total fertility and maternal mortality rates, and low contraceptive prevalence rates. High-quality preservice family planning education for nurses and midwives can improve the quality of sexual and reproductive health care, thereby improving health outcomes. DESCRIPTION OF INTERVENTION: In 2015, we worked with relevant stakeholders in Tanzania and Uganda through a series of surveys, assessments, and workshops to adapt modules of the Training Resource Package for Family Planning (TRP), an evidence-based global resource, to improve the quality of preservice family planning education for nurses and midwives...
August 30, 2018: Global Health, Science and Practice
Sinead Delany-Moretlwe, Karen F Kelley, Shamagonam James, Fiona Scorgie, Hasina Subedar, Nonhlanhla R Dlamini, Yogan Pillay, Nicolette Naidoo, Admire Chikandiwa, Helen Rees
BACKGROUND: In April 2014, a national school-based human papillomavirus (HPV) vaccination program was rolled out in South Africa, targeting Grade 4 girls aged ≥9 years. A bivalent HPV vaccine with a 2-dose (6 months apart) schedule was used. At the request of the National Department of Health (NDoH), we conducted an external assessment of the first-dose phase of the vaccination program to evaluate program coverage and vaccine safety and identify factors that influenced implementation...
August 24, 2018: Global Health, Science and Practice
Mark A Barone, Zuhura Mbuguni, Japhet Ominde Achola, Annette Almeida, Carmela Cordero, Joseph Kanama, Adriana Marquina, Projestine Muganyizi, Jamilla Mwanga, Daniel Ouma, Caitlin Shannon, Leopold Tibyehabwa
BACKGROUND: Tubal occlusion by minilaparotomy is a safe, highly effective, and permanent way to limit childbearing. We aimed to establish whether the safety of the procedure provided by trained clinical officers (COs) was not inferior to the safety when provided by trained assistant medical officers (AMOs), as measured by major adverse event (AE) rates. METHODS: In this randomized, controlled, open-label noninferiority trial, we enrolled participants at 7 health facilities in Arusha region, Tanzania, as well as during outreach activities conducted in Arusha and neighboring regions...
August 16, 2018: Global Health, Science and Practice
Mary Ellen Stanton, Barbara E Kwast, Theresa Shaver, Betsy McCallon, Marge Koblinsky
No abstract text is available yet for this article.
August 8, 2018: Global Health, Science and Practice
Rebecca Koladycz, Gwendolyn Fernandez, Kate Gray, Heidi Marriott
The Net Promoter Score (NPS) metric, commonly used by Fortune 500 companies to measure the customer experience, is calculated using a 0-to-10 scale to answer 1 question: "How likely is it that you would recommend [company X] to a friend or colleague?" Despite the value of this methodology as a predictor of growth and indicator of customer satisfaction in for-profit industries, uptake of the NPS has been slower in the social sector due to concerns about its applicability and acceptability in noncommercial settings, particularly among low-literacy populations...
August 2, 2018: Global Health, Science and Practice
Yoonjoung Choi, Madeleine Short Fabic
OBJECTIVES: Equality is a central component of the Sustainable Development Goals (SDGs). We took one SDG indicator and benchmark-percent of family planning demand met with modern contraceptives, with a benchmark of at least 75% in all countries-as a case study to illuminate recommendations for monitoring equality. Specifically, we assessed levels, patterns, and trends in disparity by key background characteristics and identified disparity measures that are programmatically relevant and easy to interpret...
June 27, 2018: Global Health, Science and Practice
Khadidiatou Ndiaye, Erin Portillo, Dieneba Ouedraogo, Allison Mobley, Stella Babalola
Pregnancy among women of advanced maternal age (those 35 years or older) or among women of high parity (those having had 5 or more births) is linked to maternal and infant mortality. Yet little is known about the drivers of these pregnancies as they are often neglected in existing family planning and reproductive health programs. To better understand the context in which advanced maternal age and high parity pregnancies occur and the acceptability of discussing associated pregnancy risks, the Health Communication Capacity Collaborative (HC3) conducted formative qualitative research between January and March 2015 on the perception and determinants of such pregnancies in rural and urban areas of Niger and Togo...
June 27, 2018: Global Health, Science and Practice
Kristin J Marks, Corey L Luthringer, Laird J Ruth, Laura A Rowe, Noor A Khan, Luz María De-Regil, Ximena López, Helena Pachón
OBJECTIVE: Analyze the content of documents used to guide mandatory fortification programs for cereal grains. METHODS: Legislation, standards, and monitoring documents, which are used to mandate, provide specifications for, and confirm fortification, respectively, were collected from countries with mandatory wheat flour (n=80), maize flour (n=11), and/or rice (n=6) fortification as of January 31, 2015, yielding 97 possible country-grain combinations (e.g., Philippines-wheat flour, Philippines-rice) for the analysis...
June 27, 2018: Global Health, Science and Practice
Shohinee Sarma, Bennett Nemser, Heather Cole-Lewis, Nadi Kaonga, Joel Negin, Patricia Namakula, Seth Ohemeng-Dapaah, Andrew S Kanter
BACKGROUND: The Millennium Villages Project facilitated technology-based health interventions in rural under-resourced areas of sub-Saharan Africa. Our study examined whether data entry using SMS compared with paper forms by community health workers (CHWs) led to higher proportion of timely follow-up visits for malnutrition screening in under-5 children in Ghana, Rwanda, Senegal, and Uganda. METHODS: Children under 5 years were screened for malnutrition every 90 days by CHWs using mid-upper arm circumference (MUAC) readings...
June 27, 2018: Global Health, Science and Practice
Laura Subramanian, Callie Simon, Elkan E Daniel
BACKGROUND: Evidence on effective behavior change programming for sexual and reproductive health among married youth aged 15-24 in developing countries is lacking. To address this gap, we examined monitoring, evaluation, and special study data from the Promoting Change in Reproductive Behavior of Adolescents (PRACHAR) Project, which was implemented between 2001 and 2012 in Bihar, India, over 3 phases using 2 different implementation models (NGO- and government-led). METHODS: We conducted a synthesis of evidence from multiple PRACHAR studies to identify key findings on intervention effectiveness, scalability, and sustained effects on behaviors...
June 27, 2018: Global Health, Science and Practice
Yacouba Ouedraogo, Gahan Furlane, Timothee Fruhauf, Ousmane Badolo, Moumouni Bonkoungou, Tsigue Pleah, Jean Lankoande, Isabelle Bicaba, Eva S Bazant
BACKGROUND: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso were limited to temporary screening campaigns. PROGRAM DESCRIPTION: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities...
June 27, 2018: Global Health, Science and Practice
Irene Koek, Marianne Monclair, Erin Anastasi, Petra Ten Hoope-Bender, Elizabeth Higgs, Rafael Obregon
No abstract text is available yet for this article.
June 27, 2018: Global Health, Science and Practice
Alexandra C Vrazo, David Sullivan, Benjamin Ryan Phelps
No abstract text is available yet for this article.
June 27, 2018: Global Health, Science and Practice
(no author information available yet)
No abstract text is available yet for this article.
June 27, 2018: Global Health, Science and Practice
Shannon L Silkensen, Mark Schiffman, Vikrant Sahasrabuddhe, John S Flanigan
No abstract text is available yet for this article.
June 27, 2018: Global Health, Science and Practice
Ruwaida M Salem, Steve Hodgins
No abstract text is available yet for this article.
June 27, 2018: Global Health, Science and Practice
James D Shelton
No abstract text is available yet for this article.
June 27, 2018: Global Health, Science and Practice
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