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Articles 1 - 30 of 1346
Full-Text Articles in Entire DC Network
Determining The Most Significant Changes On Intergenerational Communication And Young People’S Family Planning And Reproductive Health Outcomes: Qualitative Evaluation Of The Merci Mon Héros Media Campaign In Niger And Côte D’Ivoire, Martha Silva, Sethson Kassegne, Robert-Hugues Yaovi Nagbe, Rebecca Ezouatchi, Lorimpo Babogou, Farida Moussa
Determining The Most Significant Changes On Intergenerational Communication And Young People’S Family Planning And Reproductive Health Outcomes: Qualitative Evaluation Of The Merci Mon Héros Media Campaign In Niger And Côte D’Ivoire, Martha Silva, Sethson Kassegne, Robert-Hugues Yaovi Nagbe, Rebecca Ezouatchi, Lorimpo Babogou, Farida Moussa
Reproductive Health
Merci Mon Héros (MMH) is a mixed media campaign that catalyzes young people as co-leaders to improve intergenerational communication and young people’s family planning (FP) and reproductive health (RH) outcomes. Breakthrough ACTION co-facilitated and codeveloped this youth-led campaign in francophone African countries while the Breakthrough RESEARCH project was tasked with evaluating the MMH campaign to determine the most significant changes in the communities exposed to the mixed media campaign in Niger and Côte d’Ivoire. Using the qualitative methodology of Most Significant Change, participants shared personal narratives during focus group discussions in each country. The diverse stories collected in both countries …
Expressions Of Power In Health Care Providers’ Experiences And Behavior, Breakthrough Research
Expressions Of Power In Health Care Providers’ Experiences And Behavior, Breakthrough Research
Reproductive Health
This brief describes a secondary cross-country qualitative analysis that investigated how power manifests and can be shifted to optimize provider behavior change (PBC) approaches across health areas and geographical contexts. Breakthrough RESEARCH explored how four interrelated domains of power are differentially experienced by health care providers (HCPs) based on one’s position and function within the health system in Kenya, Malawi, Madagascar, and Togo. The results are intended to help promote quality reproductive, maternal, and newborn care by offering insights for PBC programming. Key findings showed that HCPs’ power was often constrained by limited access to resources, opportunities for advancement, and …
How To Use A Theory Of Change To Monitor And Evaluate Social And Behavior Change Programs, Breakthrough Research
How To Use A Theory Of Change To Monitor And Evaluate Social And Behavior Change Programs, Breakthrough Research
Reproductive Health
Breakthrough RESEARCH has developed a guide on how to use a theory of change to monitor and evaluate social and behavior change (SBC) programs. This guide will help managers support research, monitoring, and evaluation staff and ensure they have the programmatic data required to track results, and it will ensure the program is guided by robust theory-driven evidence with results tracked over time and at the program’s end. This guide is one of a series of Compass SBC how-to guides that provide step-by-step instructions on how to perform core SBC tasks. From formative research through monitoring and evaluation, these guides …
Photobook: Getting It Right! Improving Kenya’S Human Capital By Reducing Stunting—A Household Account, Presidential Policy And Strategy Unit (Pasu), Sahihi Africa, Population Council Kenya
Photobook: Getting It Right! Improving Kenya’S Human Capital By Reducing Stunting—A Household Account, Presidential Policy And Strategy Unit (Pasu), Sahihi Africa, Population Council Kenya
Reproductive Health
No abstract provided.
Getting It Right! Improving Kenya’S Human Capital By Reducing Stunting—A Household Account, Timothy Abuya, Wangari Ng'ang'a
Getting It Right! Improving Kenya’S Human Capital By Reducing Stunting—A Household Account, Timothy Abuya, Wangari Ng'ang'a
Reproductive Health
In the last two decades, Kenya has attained middle-income status and established a diverse and private-sector-driven economy. On several socIo-economic indicators, such as education, gender equality, and democracy, Kenya scores much higher than its peers. More than two-thirds of Kenyans are under 35 years of age, thus the country’s development hinges on the quality of its youth—their levels of education and skills, their values and attitudes, and the quality of their health and productivity. While Kenya’s investments in the development of its human capital positions the country well to sustain accelerated growth, the trajectory is threatened by high rates of …
Frontline Health Achievements In Harmonizing Measurement And Generating Evidence On Community Health System Performance, Frontline Health Project
Frontline Health Achievements In Harmonizing Measurement And Generating Evidence On Community Health System Performance, Frontline Health Project
Reproductive Health
As the global health community demonstrates an increasing commitment to investing in community health workers (CHWs) to achieve universal health coverage in lower- and middle-income countries, the need to effectively measure community health system performance is paramount. Embedded in the Integrating Community Health partnership (2017–2021), with support from the Bill & Melinda Gates Foundation, the Population Council and Last Mile Health co-led the Frontline Health (FLH) project, a four-year research, policy, and advocacy initiative aimed at developing core metrics and CHW reform processes, advancing their adoption, and promoting institutionalization of robust community health policies. This brief describes the Population Council’s …
Understanding Community Health Volunteer Incentive Preferences In Kenya, Frontline Health Project, Johns Hopkins Bloomberg School Of Public Health
Understanding Community Health Volunteer Incentive Preferences In Kenya, Frontline Health Project, Johns Hopkins Bloomberg School Of Public Health
Reproductive Health
In Kenya, community health services are implemented through community health units. Community health volunteers (CHVs) who serve these units are chosen by the community and trained by community health extension workers. This brief summarizes qualitative and quantitative findings from the Frontline Health project’s discrete choice experiment study in Kenya, which aimed to understand incentive preferences of CHVs with the aim of improving motivation, performance, and retention of CHVs.
Identifying Factors That Support Community Health Worker Motivation, Job Satisfaction, And Retention In Haiti, Frontline Health Project, Johns Hopkins Bloomberg School Of Public Health
Identifying Factors That Support Community Health Worker Motivation, Job Satisfaction, And Retention In Haiti, Frontline Health Project, Johns Hopkins Bloomberg School Of Public Health
Reproductive Health
Community health workers (CHWs) play a critical role in Haiti’s health system, by connecting communities—particularly rural and hard-to-reach populations—to healthcare services. The Frontline Health project conducted a study to better understand the types of incentive structures that can best support the CHWs in Haiti and this brief summarizes those findings.
Providing Family Planning And Reproductive Health Services In Factory Settings: Lessons From Port Said, Egypt, Nesrine Salama, Maryam Essam, Nahla G. Abdel-Tawab, Elizabeth Tobey
Providing Family Planning And Reproductive Health Services In Factory Settings: Lessons From Port Said, Egypt, Nesrine Salama, Maryam Essam, Nahla G. Abdel-Tawab, Elizabeth Tobey
Reproductive Health
This policy brief provides lessons for providing family planning and reproductive health (FP/RH) services in a factory setting, based on lessons learned from an Evidence Project intervention implemented in Port Said, Egypt. The number of workers in the industrial sector in Egypt is about 2.6 million, most of them of childbearing age. Women account for more than 50% of the workforce in some sectors, like the garment sector. Given the high proportions of workers of reproductive ages in factory settings, it is crucial that those workers are reached with FP information and FP/RH services.
Sexual And Reproductive Healthcare For Migrant Women: A Mapping Of Civil Society Actors In Mexico, Silvana Larrea-Schiavon, Lucía Vázquez Quesada, Esperanza Basurto-Alcalde, Natalia Polgovsky, Isabel Vieitez Martínez, Pooja Sripad
Sexual And Reproductive Healthcare For Migrant Women: A Mapping Of Civil Society Actors In Mexico, Silvana Larrea-Schiavon, Lucía Vázquez Quesada, Esperanza Basurto-Alcalde, Natalia Polgovsky, Isabel Vieitez Martínez, Pooja Sripad
Reproductive Health
This study maps the sexual and reproductive health (SRH) services that Civil Society Organizations (CSOs) provide to women on the move in seven states along the migrant route. We also document CSOs' views on access barriers to SRH public services, and how COVID-19 affected CSOs and migrants during the first months of the pandemic in Mexico.
Exploring Barriers And Enablers Of Service Provision For Survivors Of Human Trafficking In The Bay Area: An Action Research Study, Pooja Sripad
Reproductive Health
Despite increasing recognition of public health and rights issues associated with human trafficking globally and in the United States following the Trafficking Victims Protection Act of 2000, there has been limited research on how to systematically strengthen service access for survivors of sex and labor trafficking. The experience of service providers may provide insight into how trafficking survivor responses and service networks function in California’s Bay Area. This study explores provider perspectives on existing service networks and collaboration dynamics, including the barriers to and enablers of long-term service provision and survivor follow-up. A participatory research design included qualitative interviews with …
Meeting The Family Planning And Reproductive Health Needs Of Factory Workers, Evidence Project
Meeting The Family Planning And Reproductive Health Needs Of Factory Workers, Evidence Project
Reproductive Health
Workplace health programming, when it exists, has typically focused narrowly on occupational health and safety compliance. Few studies have been conducted on programs for family planning/reproductive health (FP/RH) for factory workers. The Evidence Project contributed to improving workers’ FP/RH through two sets of activities: (1) advocacy efforts to improve FP/RH practices and global and corporate policies to improve workplace practices, and (2) two implementation science studies to assess the impact of workplace FP/RH programs on workers’ health. This brief summarizes that work.
Perceptions Of Community Pharmacists, Patent And Proprietary Medicine Vendors, And Their Clients Regarding Quality Of Family Planning Services: The Integrate Project, The Integrate Project
Perceptions Of Community Pharmacists, Patent And Proprietary Medicine Vendors, And Their Clients Regarding Quality Of Family Planning Services: The Integrate Project, The Integrate Project
Reproductive Health
The IntegratE Project is a four-year initiative (2017–21) implemented by the Population Council and partners that seeks to increase access to contraceptive methods by involving the private sector (community pharmacists [CPs] and patent and proprietary medicine vendors [PPMVs]) in family planning (FP) service delivery in Lagos and Kaduna States, Nigeria. The project aims to establish a regulatory system with the Pharmacists Council of Nigeria to ensure that CPs and PPMVs provide quality FP services, comply with FP regulations, and report service statistics to the Health Information Management System (HMIS). To achieve this, the project is implementing: a pilot three-tiered accreditation …
Integrate Project Results: Family Planning Knowledge And Quality Of Care Received From Community Pharmacists And Patent And Proprietary Medicine Vendors, The Integrate Project
Integrate Project Results: Family Planning Knowledge And Quality Of Care Received From Community Pharmacists And Patent And Proprietary Medicine Vendors, The Integrate Project
Reproductive Health
In Nigeria, Community Pharmacists (CPs) and Patent and Proprietary Medicine Vendors (PPMVs) are the first point of care for many common illnesses. Although CPs and PPMVs are not formally recognized as family planning (FP) service providers, 22% of modern contraceptive users report receiving their last method from a PPMV and 12% from a private pharmacy. PPMVs are popular for FP because of their widespread availability, consistent drug stocks, extended hours, personable interactions, and lack of separate fees for consultations. As the Federal Ministry of Health explores expanding its task sharing policy to include CPs and PPMVs, evidence is needed on …
Women's Perceptions On The Effects Of Covid-19 On Access And Use Of Private Sector Family Planning Services In Nigeria: The Integrate Project, The Integrate Project
Women's Perceptions On The Effects Of Covid-19 On Access And Use Of Private Sector Family Planning Services In Nigeria: The Integrate Project, The Integrate Project
Reproductive Health
In Nigeria, Community Pharmacists (CPs) and Patent and Proprietary Medicine Vendors (PPMVs) are the first point of care for many common illnesses. Although CPs and PPMVs are not formally recognized as family planning (FP) service providers, 22% of modern contraceptive users report receiving their last method from a PPMV and 12% from a private pharmacy. PPMVs are popular for FP because of their widespread availability, consistent drug stocks, extended hours, personable interactions, and lack of separate fees for consultations. As in many places, the COVID-19 pandemic poses unprecedented challenges to health services in Nigeria. By limiting person-to-person contact, especially during …
Operationalized Indicators: Integrating Community Health Worker And Client Views To Assess Community Health Systems, Frontline Health Project
Operationalized Indicators: Integrating Community Health Worker And Client Views To Assess Community Health Systems, Frontline Health Project
Reproductive Health
This guide is intended for policy makers, program managers, and implementers to use in meaningfully integrating community health worker (CHW) and community perspectives when assessing community health system performance and tracking improvements over time. It complements the portfolio of existing global measurement tools that inform country community health monitoring and evaluation frameworks and support localized decision-making. The guide recommends considering application and integration of a brief and full sets of indicators. The brief set includes 20 indicators (13 at CHW level and 7 at community member/client level) while the longer set includes 30 indicators (19 at CHW level, 11 at …
Using Social Listening To Inform Integrated Social And Behavior Change Programs In Burkina Faso, Nrupa Jani, Leanne Dougherty, Martha Silva
Using Social Listening To Inform Integrated Social And Behavior Change Programs In Burkina Faso, Nrupa Jani, Leanne Dougherty, Martha Silva
Reproductive Health
No abstract provided.
Health And Ideations Of Married Female Adolescents, Breakthrough Research
Health And Ideations Of Married Female Adolescents, Breakthrough Research
Reproductive Health
This brief provides rigorous evidence-based insights to implementers and researchers of social and behavior change (SBC) programs that seek to improve knowledge, attitudes, norms, and behaviors of married female adolescents. The brief focuses on married adolescents’ uptake of services and health knowledge in Kebbi, Sokoto, and Zamfara states in northwestern Nigeria using a subset of data from a household survey of married women ages 15–49 years. It is one of a series of briefs that present findings from a Breakthrough RESEARCH study that uniquely captures data on a wide range of psychosocial drivers of behavioral outcomes in the areas of …
Preferred Incentives For Improving Community Health Worker Satisfaction And Retention In Bangladesh, Frontline Health Project, Johns Hopkins Bloomberg School Of Public Health
Preferred Incentives For Improving Community Health Worker Satisfaction And Retention In Bangladesh, Frontline Health Project, Johns Hopkins Bloomberg School Of Public Health
Reproductive Health
Community health workers (CHWs) are critical actors within community health systems, providing a range of reproductive, maternal, child, and primary health information, counseling, and services. To better understand factors that influence CHWs’ work motivation and satisfaction in Bangladesh, the Frontline Health project, implemented with collaborators from Johns Hopkins Bloomberg School of Public Health, and supported by the government of Bangladesh’s Directorate General of Health Services and the Directorate General of Family Planning, conducted a discrete choice experiment (DCE) study. This brief presents key qualitative findings from the DCE study in Bangladesh and implications for program and policy stakeholders.
Exploring Community Health Worker Roles, Support, And Experiences In The Context Of The Covid-19 Pandemic In Haiti, Frontline Health Project, Zanmi Lasante
Exploring Community Health Worker Roles, Support, And Experiences In The Context Of The Covid-19 Pandemic In Haiti, Frontline Health Project, Zanmi Lasante
Reproductive Health
This brief presents results from the Frontline Health project's COVID-19 study in Haiti, highlighting the experiences (including challenges), responsibilities, and support provided to community health workers during the COVID-19 pandemic in Haiti, with implications for policy and program stakeholders.
Exploring Community Health Worker Roles, Support, And Experiences In The Context Of The Covid-19 Pandemic In Bangladesh, Frontline Health Project
Exploring Community Health Worker Roles, Support, And Experiences In The Context Of The Covid-19 Pandemic In Bangladesh, Frontline Health Project
Reproductive Health
This brief presents results from the Frontline Health project's study in Bangladesh which explores CHWs' perspectives and challenges providing support to their communities during COVID-19.
Effectiveness Of Interventions Designed To Prevent Or Respond To Female Genital Mutilation: A Review Of Evidence, Dennis Matanda, Melanie Croce-Galis, Jill Gay, Karen Hardee
Effectiveness Of Interventions Designed To Prevent Or Respond To Female Genital Mutilation: A Review Of Evidence, Dennis Matanda, Melanie Croce-Galis, Jill Gay, Karen Hardee
Reproductive Health
Girls are one-third less likely to be subjected to female genital mutilation (FGM) today than 30 years ago. However, rapid population growth in some of the world’s poorest countries, where FGM persists, threatens to roll back progress. In 2020 alone, an estimated 4.1 million girls were at risk of being subjected to FGM. Without concerted and accelerated actions to end the practice, an estimated 68 million additional girls will have been subjected to FGM by 2030. Despite intensified global research efforts to inform strategies to address FGM, there has been little synergy between evidence generation and the implementation of programs …
Issues For Consideration In The Scale-Up Of The Inclusion Of Family Planning In The National Health Insurance Benefits Package In Ghana, Kamil Fuseini, Augustine Ankomah
Issues For Consideration In The Scale-Up Of The Inclusion Of Family Planning In The National Health Insurance Benefits Package In Ghana, Kamil Fuseini, Augustine Ankomah
Reproductive Health
Ghana is working toward achieving universal health coverage (UHC). This is driven, in part, by the Sustainable Development Goals (SDGs), specifically SDG 3—Good Health and Well-Being, which seeks to ensure healthy lives and promote well-being for all at all ages. Achieving this feat will improve equity of access as people, especially the poor can access quality health services without financial hardships. Ensuring equitable access to family planning (FP) is essential to securing the well-being of women and supporting the health and development of communities. One pathway to ensuring equity is the inclusion of FP in affordable insurance. While the inclusion …
Management Of Intimate Partner Violence In Health Care Settings: A Training Manual For Health Care Providers, Division Of Reproductive And Maternal Health
Management Of Intimate Partner Violence In Health Care Settings: A Training Manual For Health Care Providers, Division Of Reproductive And Maternal Health
Reproductive Health
Intimate partner violence (IPV) is any behavior by an intimate partner that causes physical, sexual, or psychological harm. In healthcare settings where providers are well trained, caring, and sensitive, most survivors respond positively to being asked about their exposure to violence. Healthcare providers are in a unique position to identify survivors and offer appropriate management and referrals. The World Health organization developed clinical guidelines to provide evidence-based guidance to healthcare providers on the identification and appropriate response to IPV and sexual violence. Based on this guidance, the Ministry of Health developed a comprehensive training manual to empower healthcare providers with …
Inclusion Of Family Planning Within The National Health Insurance Benefits Package In Ghana: A Health Facility Assessment, Population Council, Ministry Of Health, Ghana Health Service, National Health Insurance Authority, Marie Stopes International Ghana
Inclusion Of Family Planning Within The National Health Insurance Benefits Package In Ghana: A Health Facility Assessment, Population Council, Ministry Of Health, Ghana Health Service, National Health Insurance Authority, Marie Stopes International Ghana
Reproductive Health
In Ghana, National Health Insurance Act 852 of 2012 ensures that health-care benefits include family planning (FP) services, however people continue to pay for FP services because the policy is yet to be implemented in practice. Under the leadership of the Ministry of Health, the National Health Insurance Authority in collaboration with the Ghana Health Service, Marie Stopes International-Ghana and the Population Council implemented a pilot project to remove FP service out-of-pocket costs. All modern clinical FP methods were added to national health insurance and expensed by health facilities through the national health insurance claims process. The intervention significantly increased …
Health Data Reporting Challenges In Mopti, Mali: Results And Implications From A Mixed-Methods Study, Frontline Health Project
Health Data Reporting Challenges In Mopti, Mali: Results And Implications From A Mixed-Methods Study, Frontline Health Project
Reproductive Health
This brief highlights results from the Frontline Health project's mixed-methods study in Mali, conducted in partnership with the Aga Khan Foundation. The results indicate that community health workers (CHWs) in Mali face various challenges with data reporting and use, dissatisfaction with various aspects of their compensation, and little involvement in data use for decision-making, all of which may negatively impact their work motivation and satisfaction.
Effectiveness Of Interventions Designed To Prevent Or Respond To Female Genital Mutilation: Evidence Brief, Dennis Matanda, Melanie Croce-Galis, Jill Gay, Karen Hardee
Effectiveness Of Interventions Designed To Prevent Or Respond To Female Genital Mutilation: Evidence Brief, Dennis Matanda, Melanie Croce-Galis, Jill Gay, Karen Hardee
Reproductive Health
Despite intensified efforts to conduct research globally that informs strategies to address female genital mutilation (FGM), there has been limited rigorous high-quality evidence on interventions that are effective in ending the practice. As we begin the final decade of acceleration toward zero new cases of FGM by 2030, increasing the rigor, relevance, and utility of research for programming, policy development, and resource allocation is critical. This brief highlights key findings from an evidence review that synthesized and assessed the quality and strength of existing evidence on FGM interventions from 2008 to 2020. A number of studies have collated evidence on …
Diet Diversity Among Pregnant Women And Young Children—Insights For Improving Malaria, Family Planning, And Maternal And Child Health Outcomes In Northwestern Nigeria Through Social And Behavior Change Programming, Breakthrough Research
Reproductive Health
This research brief provides rigorous, evidence-based insights to policy-makers, implementers, and researchers of social and behavior change (SBC) programs on maternal and child nutrition during the 1,000-day period between a woman’s pregnancy and her child’s second birthday. It is one of a series of briefs presenting findings from a Breakthrough RESEARCH study that uniquely captures data on a wide range of psychosocial drivers of behavioral outcomes in family planning, malaria, and maternal, newborn and child health and nutrition (MNCH+N) in the three northwestern states of Nigeria.
Chipatala Cha Pa Foni, Malawi's 'Health Center By Phone,' Improving Information Given About Pregnancy-Related Symptoms, Breakthrough Research, Villagereach
Chipatala Cha Pa Foni, Malawi's 'Health Center By Phone,' Improving Information Given About Pregnancy-Related Symptoms, Breakthrough Research, Villagereach
Reproductive Health
The Health Center by Phone, or "Chipatala cha pa Foni" (CCPF), was developed by Malawi’s Ministry of Health and VillageReach as a community-based hotline in the Balaka district of Malawi. CCPF was identified as an existing national health strategy with potential for providing Malawi’s women and their families important postpartum hemorrhage information. Because CCPF archives de-identified audio recordings of all calls, 28 telephone transcripts were qualitatively examined to assess whether women experiencing pregnancy-related complications such as postpartum bleeding call CCPF, and how hotline workers respond to them.
Exploring Community Health Worker Roles, Support, And Experiences In The Context Of The Covid-19 Pandemic In Kenya, Frontline Health Project
Exploring Community Health Worker Roles, Support, And Experiences In The Context Of The Covid-19 Pandemic In Kenya, Frontline Health Project
Reproductive Health
This brief presents quantitative results from a mixed-methods study conducted by Population Council Kenya which explores the experiences and roles of community health workers (CHWs) during COVID-19. The results indicate that CHWs are carrying out their routine work at higher levels, with increased responsibilities due to COVID-19.