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Male Circumcision Consortium research briefs

he Male Circumcision Consortium (MCC) conducted research from 2008 to 2013 to inform the scale-up of voluntary medical male circumcision (VMMC) services in Kenya. This series of briefs presents the results of nine studies and their implications for Kenya’s VMMC program. The evidence generated by these studies may also be useful to other countries that are scaling up VMMC services. [adapted from resource]

The PTA End-of-Project Report: Advancing the Science of HIV Prevention

This report summarizes five years of PTA-supported accomplishments in HIV prevention research, the integration of HIV prevention and reproductive health technologies, and technical leadership and support for HIV prevention research, field activities, and product quality and compliance. [from introduction]

Systems thinking for health systems strengthening

Systems thinking provides a deliberate and comprehensive suite of tools and approaches to map, measure and understand
these dynamics. In this Report, we propose “Ten Steps to Systems Thinking” for real-world guidance in applying such
an approach in the health system. [from summary]

Meeting The Need For Modern Contraception: Effective Solutions to a Pressing Global Challenge

Voluntary family planning is one of the most efficacious and cost-effective means of improving individual health,
gender equity, family well-being, and national development. Increasing contraceptive use and reducing unmet
need for family planning are central to improving maternal health (UN Millennium Development Goal 5).

Contraceptive Implants: Providing Better Choice to Meet Growing Family Planning Demand

Contraceptive implants are extremely effective, long acting, and suitable for nearly all women—to delay, space, or limit pregnancies—and they are increasingly popular. Now, markedly reduced prices and innovative service delivery models using dedicated non-physician service providers offer a historic opportunity to help satisfy women’s growing need for family planning. [from abstract]

Reducing Unmet Need by Supporting Women With Met Need

High contraceptive discontinuation in the past has contributed tens of millions of cases of unmet need, and discontinuation among current users will contribute even more cases in the future. Enabling past users with unmet need to resume use and encouraging current users to continue use of the same or another method could be an effective strategy to reduce future unmet need. [from abstract]

Universal Health Coverage in Emerging Economies: Findings on Health Care Utilization by Older Adults in China, Ghana, India, Mexico, the Russian Federation, and South Africa

The achievement of universal health coverage (UHC) in emerging economies is a high priority within the global community. This timely study uses standardized national population data collected from adults aged 50 and older in China, Ghana, India, Mexico, the Russian Federation, and South Africa. The objective is to describe health care utilization and measure association between inpatient and outpatient service use and patient characteristics in these six low- and middle-income countries. [from abstract]

Factors Affecting the Performance of Community Health Workers in India: a Multi-Stakeholder Perspective

Community health workers (CHWs) form a vital link between the community and the health department in several countries. In India, since 2005 this role is largely being played by Accredited Social Health Activists (ASHAs), who are village-level female workers. Though ASHAs primarily work for the health department, in a model being tested in Rajasthan they support two government departments. Focusing on the ASHA in this new role as a link worker between two departments, this paper examines factors associated with her work performance from a multi-stakeholder perspective. [from abstract]

Assessing the Impact of mHealth Interventions in Low- and Middle-Income Countries – What Has Been Shown to Work?

Jeffrey Sachs, the Director of the Earth Institute, has suggested that ‘Mobile phones and wireless internet end isolation, and will therefore prove to be the most transformative technology of economic development of our time’. The mHealth community believes that this extends to healthcare. This review aims to summarise and assess the evidence of impacts that mobile technologies have had on improving health in countries categorised by the World Bank as low- and middle-income (LMICs), through mHealth (mobile health) interventions. [from abstract]

Picking Up the Bill - Improving Health-Care Utilisation in the Democratic Republic of Congo Through User Fee Subsidisation: A Before and After Study

Our research brings mixed findings on the effectiveness of user fee subsidisation as a strategy to increase the utilisation of services. Future work should focus on feasibility issues associated with the removal or reduction of user fees and how to sustain its effects on utilisation in the longer term. [from abstract]

A Study of Human Resource Policies and Practices for Primary Health Care System in Delhi

A comprehensive health care services requires effective human resource (HR) management policy to ensure organizational success. Government is primarily concerned with the size of the workforce rather than the contemporary HR practices. This resulted into lack of attention to HR management in health sector. [from abstract]

Investing in Health Systems for Universal Health Coverage in Africa

This study focused on the 47 Member States of the World Health Organization (WHO) African Region. The specific objectives were to prepare a synthesis on the situation of health systems’ components, to analyse the correlation between the interventions related to the health Millennium Development Goals (MDGs) and some health systems’ components and to provide overview of four major thrusts for progress towards universal health coverage (UHC). [from abstract]

Mobile health: Connecting Managers, Service Providers and Clients in Bombali District, Sierra Leone

The general objective of the study was to assess the effect of integrating mobile communication strategies, as part of existing health service packages, on maternal and newborn health (MNH) service utilization in one health district, Bombali, in Sierra Leone. [from executive summary]

Strengthening the Pharmaceutical Sector in Afghanistan: A Study Tour of the Afghan National Medicines Services Organization to Turkey

Staff from the Afghan government’s General Director of Pharmaceutical Affairs undertook a five-day study tour to engage with peers in Turkey. They they learned how to design and create relevant strategies, services and partnerships, with a focus on the private sector. Many ways forward emerged that can realistically support a financially sustainable national supply of key pharmaceuticals—many manufactured in Afghanistan. [adapted from resource]

Transforming Gender Norms, Roles, and Power Dynamics for Better Health: Gender-integrated Programs Reference Document

This review presents evidence showing how gender-integrated programming influences health outcomes
in low- and middle-income countries: in particular, reproductive, maternal, neonatal, child, and adolescent
health (RMNCH+A); HIV prevention and AIDS response; gender-based violence (GBV); tuberculosis
(TB); and universal health coverage (UHC).

Please find the link to the Transforming Gender Norms, Roles, and Power Dynamics for Better Health: Evidence from a Systematic Review of Gender-integrated Health Programs in Low- and Middle-Income Countries:

Transforming Gender Norms, Roles, and Power Dynamics for Better Health: Evidence from a Systematic Review of Gender-integrated Health Programs in Low- and Middle-Income Countries

This review presents evidence showing how gender-integrated programming influences health outcomes in low- and middle-income countries: in particular, reproductive, maternal, neonatal, child, and adolescent health; HIV prevention and AIDS response; gender-based violence; tuberculosis; and universal health coverage.[from abstract]

Please find the link to the Transforming Gender Norms, Roles, and Power Dynamics for Better Health: Gender-integrated Programs Reference Document: http://www.hrhresourcecenter.org/node/6086

Emerging Opportunities: Monitoring and Evaluation in a Tech-Enabled World

Various trends are impacting on the field of monitoring and evaluation in the area of international development. Resources have become ever more scarce while expectations for what development assistance should achieve are growing. The search for more efficient systems to measure impact is on.

The Impact of Family Planning Programs on Unmet Need and Demand for Contraception

This article aims to shed additional light on this issue by analyzing data drawn from recent Demographic and Health Surveys conducted in 63 developing countries. The first section reviews general levels and trends in unmet need, demand, and use over the course of the fertility transition. The second section presents different types of evidence of program effects, including results from a controlled experiment and from country case studies. The evidence indicates a program impact on both unmet need and demand.

Voluntary Family Planning Programs that Respect, Protect and Fulfill Human Rights: A Conceptual Framework

This paper presents a practical approach for realizing human rights as part of voluntary, high-quality family planning programming. The framework provides a pathway for voluntary family planning programs to respect, protect, and fulfill human rights as they set out to improve health and achieve ambitious family planning goals. This comprehensive framework brings together human rights laws and principles with FP quality of care frameworks to assist policymakers, program managers, donors, and civil society with program design, implementation, and monitoring and evaluation.

International Human Rights Bodies on Unwanted Pregnancy and Abortion - Part 2

This publication, which contains four different parts and was updated in June 2014, presents human rights agreements, treaties and policies that address maternal mortality, unwanted pregnancy and abortion as they relate to global reproductive rights work. Part 2: Statements from regional treaties, human rights commissions, Special Rapporteurs, and other intergovernmental bodies.

International Human Rights Bodies on Unwanted Pregnancy and Abortion - Part 1

This publication, which contains four different parts and was updated in June 2014, presents human rights agreements, treaties and policies that address maternal mortality, unwanted pregnancy and abortion as they relate to global reproductive rights work. Part 1: Statements under UN human rights treaties and from treaty monitoring committees, Special Rapporteurs, regional human rights courts and commissions.

International Human Rights Bodies on Unwanted Pregnancy and Abortion - Part 3

This publication, which contains four different parts and was updated in June 2014, presents human rights agreements, treaties and policies that address maternal mortality, unwanted pregnancy and abortion as they relate to global reproductive rights work. Part 3: Country-Specific Treaty Monitoring Committee Concluding Observations, Universal Periodic Review Working Group recommendations, and recommendations by Special Rapporteurs, commissions, and courtsCountries A-L.

Improving Health Care: The Results and Legacy of the USAID Health Care Improvement Project

This report is not just a summary of a USAID-funded project: It is an extensively-documented milestone for global efforts to improve health in lower- and middle-income countries (LMICs). Increasingly, the central strategy for global health efforts to save lives focuses on selected, high impact interventions. Organizations have
supported these interventions chiefly by providing the required resources, such as training, drugs, and technical
assistance. But in order to implement any kind of service, the health system uses standardized processes for both
clinical and non-clinical activities.

Market Research Needs Assessment: Understanding Health Care Improvement Information Needs of Key Stakeholders in the Uganda Health System

In an effort to support country-wide learning in improvement initiatives, the USAID ASSIST Project conducted an information needs assessment with government and non-governmental organization (NGO) staff working at the national and district levels of the Ugandan health system from March 2014 to June 2014.

Making Health Care about People: Applying People-centered Care Principles to Family Planning Improvement Work in West Africa

The World Health Organization (WHO) has developed a new strategy on people-centered health care that places a strong focus on the re-orienting the health system as a whole, including the importance of engaging community and patient groups. ASSIST principles of people-centeredness are complementary to the WHO strategy, particularly with respect to coordination and continuity of care, information, and the micro-level interactions between a client and the health care service delivery team that promote or hinder people-centeredness.

District Health Management Information System (DHMIS) Standard Operating Procedures: Provincial Level

These Standard Operating Procedures aim to clarify the responsibilities and procedures for effective management of aggregated routine health services. These SOPs for provinces present basic and practical steps to be followed by
provincial health information management personnel, programme/line managers and clinic supervisors at provincial level to ensure that data is appropriately handled and used to improve service delivery at local level, prior
to submission to next level of the health system, within the specified time frames.

District Health Management Information System (DHMIS) Standard Operating Procedures: National Level

These Standard Operating Procedures aim to clarify the responsibilities and procedures for effective management of aggregated routine health services. These SOPs for the National DoH present basic and practical steps to be
followed by national health information management personnel, programme/line managers and clinic supervisors at national level to ensure that data is appropriately handled and used to improve service delivery at local level, prior
to submission to next level of the health system, within the specified time frames.

How Much Will Health Coverage Cost? Future Health Spending Scenarios in Brazil, Chile, and Mexico

As Latin American countries seek to expand the coverage and benefits provided by their health systems under a global drive for universal health coverage (UHC), decisions taken today – whether by government or individuals – will have an impact tomorrow on public spending requirements. To understand the implications of these decisions and define needed policy reforms, this paper calculates long-term projections for public spending on health in three countries, analyzing different scenarios related to population, risk factors, labor market participation, and technological growth.

United States Government. Global Health Principles Monitoring and Evaluation Resource Guide

This guide provides clear monitoring and evaluation definitions, global indicators, and country-level indicators for a variety of U.S. agencies, to enabled them to collaborate more closely on shared objectives in global health. Interagency teams worked together, with MEASURE/Evaluation, to explore existing monitoring approaches, review the evidence, and develop meaningful and specific indicators. [from resource]

Effective Coverage: A Metric for Monitoring Universal Health Coverage

A major challenge in monitoring universal health coverage (UHC) is identifying an indicator that can adequately capture the multiple components underlying the UHC initiative. Effective coverage, which unites individual and intervention characteristics into a single metric, offers a direct and flexible means to measure health system performance at different levels. We view effective coverage as a relevant and actionable metric for tracking progress towards achieving UHC.