Abstract:
BACKGROUND:The World Health Organization recommends that antiretroviral therapy be started as soon as possible, irrespective of stage of HIV infection. This 'test and treat' approach highlights the need to ensure that men are involved in prevention of mother-to-child HIV transmission (PMTCT). This article presents findings from a rapid appraisal of strategies to increase male partner involvement in PMTCT services in Uganda, Democratic Republic of Congo, Malawi, and Côte d'Ivoire in the context of scale-up of Option B+ protocol. DESIGN:Data were collected through qualitative rapid appraisal using focus groups and individual interviews during field visits to the four countries. Interviews were conducted in the capital city with Ministry of Health staff and implementing partners (IPs) and at district level with district management teams, facility-based health workers and community health cadres in each country. RESULTS:Common strategies were adopted across the countries to effect social change and engender greater participation of men in maternal, child and women's health, and PMTCT services. Community-based strategies included engagement of community leaders through dialogue and social mobilization, involving community health workers and the creation and strengthening of male peer cadres. Facility-based strategies included provision of incentives such as shorter waiting time, facilitating access for men by altering clinic hours, and creation of family support groups. CONCLUSIONS:The approaches implemented at both community and facility levels were tailored to the local context, taking into account cultural norms and geographic regional variations. Although intentions behind such strategies aim to have positive impacts on families, unintended negative consequences do occur, and these need to be addressed and strategies adapted.A consistent definition of 'male involvement' in PMTCT services and a framework of indicators would be helpful to capture the impact of strategies on cultural and behavioral shifts. National policies around male involvement would be beneficial to streamline approaches across IPs and ensure wide-scale implementation, to achieve significant improvements in family health outcomes.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Besada D,Rohde S,Goga A,Raphaely N,Daviaud E,Ramokolo V,Magasana V,Noveve N,Doherty Tdoi
10.3402/gha.v9.33507subject
Has Abstractpub_date
2016-11-07 00:00:00pages
33507eissn
1654-9716issn
1654-9880pii
33507journal_volume
9pub_type
杂志文章abstract:BACKGROUND:Worldwide, there is an increased reliance on casual staff in the health sector. Recent policy attention in South Africa has focused on the interrelated challenges of agency nursing and moonlighting in the health sector. OBJECTIVE:This paper examines the potential health system consequences of agency nursing...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26683
更新日期:2015-05-11 00:00:00
abstract:BACKGROUND:A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs). DESIGN:A cross-sectiona...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24919
更新日期:2014-08-04 00:00:00
abstract::The objective of this study is to critically assess the possible roles of information and communications technology (ICT) in supporting global health goals. This is done by considering privilege and connectibility. In short, ICT can contribute by providing health information via four different kinds of access, each wi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1321904
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Social and environmental changes have accompanied the ongoing rapid urbanisation in a number of countries during recent decades. Understanding of its role in the health-risk transition is important for health policy development at national and local level. Thailand is one country facing many of the health ch...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.1914
更新日期:2009-04-30 00:00:00
abstract::Background: Myanmar is a country undergoing rapid transitions in health. Its national strategic policy for young people's health is being revised but there is a paucity of population data to inform local priorities and needs. Objective: In this paper we describe a comprehensive profile of adolescent health in Myanmar ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1844976
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Mortality has been declining in Bangladesh since the mid- twentieth century, while fertility has been declining since the late 1970s, and the country is now passing through the third stage of demographic transition. This type of demographic transition has produced a huge youthful population with a growing nu...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.4618
更新日期:2010-09-27 00:00:00
abstract:BACKGROUND:The obesity epidemic has been growing steadily across the whole world, and so far not a single country has been able to reverse it. The cause of obesity is stated by the World Health Organization as an energy imbalance between calories consumed and calories expended. However, growing evidence suggests that t...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1289650
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Peer violence is common globally, but a little researched topic in low-and middle-income countries. This study presents the evaluation of a two-year randomized controlled trial of a structured play-based life-skills intervention implemented in schools in Hyderabad, Pakistan. OBJECTIVE:To determine the impac...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1836604
更新日期:2020-12-31 00:00:00
abstract::Ghana is classified as being in the malaria control phase, according to the global malaria elimination program. With many years of policy development and control interventions, malaria specific mortality among children less than 5 years old has declined from 14.4% in 2000 to 0.6% in 2012. However, the same level of su...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1381471
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Having a child with a disability is a heavy burden for mothers, especially in developing countries, where there is little available financial or other government support. Having a child with a disability is also linked to mental health problems and poor quality of life. Communities rich in social capital and...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.18886
更新日期:2013-02-11 00:00:00
abstract:OBJECTIVE:The aim of this study was to learn about the progress of the prevention and control of major non-communicable diseases (NCDs) in China from 1990 to 2009 and to determine what prevention and control gaps remain based on the opinions of a group of panellists. DESIGN:Sixty-four panellists, who are members of th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.20004
更新日期:2013-02-12 00:00:00
abstract::Community-based research on child survival in sub-Saharan Africa has focussed on the increased provision of curative health services by a formalised cadre of lay community health workers (CHWs), but we have identified a particular configuration, that deserves closer scrutiny. We identified a two-tiered CHW system, wit...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27214
更新日期:2015-03-12 00:00:00
abstract:BACKGROUND:Job satisfaction among health workers is an important indicator in assessing the performance and efficiency of health services. OBJECTIVE:This study measured job satisfaction and determined associated factors among health workers in 38 commune health stations in an urban district and a rural district of Han...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.18619
更新日期:2013-01-30 00:00:00
abstract::Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce.Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1754016
更新日期:2020-12-31 00:00:00
abstract::Background: Stability of measures in quantitative social science research is crucial to understand. There is very little evidence on the stability of violence against women and girls measures in the global South. Objective: To assess the test-retest stability of violence against women and girls measures, amongst young...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1671663
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Strengthening surgical services in resource-constrained settings is contingent on using high-quality data to inform decision making at clinical, facility, and policy levels. However, the evidence is sparse on gaps in paper-based medical record quality for surgical and obstetric patients in low-resource setti...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1765526
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Health systems, particularly in low- and middle-income countries, are commonly plagued by poor access, poor performance, inefficient use and inequitable distribution of resources. To improve health system efficiency, equity and effectiveness, the World Development Report of 1993 proposed a first wave of heal...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.1080/16549716.2018.1462579
更新日期:2018-01-01 00:00:00
abstract:INTRODUCTION:More than 95% of the population in Burkina Faso uses some form of solid biomass fuel. When these fuels are burned in traditional, inefficient stoves, pollutant levels within and outside the home can be very high. This can have important consequences for both health and climate change. Thus, the push to swi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2088
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Two decades after the launch of the Safe Motherhood campaign, India still accounts for at least a quarter of maternal death globally. Gujarat is one of the most economically developed states of India, but progress in the social sector has not been commensurate with economic growth. The purpose of this study ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19652
更新日期:2013-03-06 00:00:00
abstract:BACKGROUND:Amidst diverging discourses describing chronic non-communicable disease (NCD) and healthcare access, the hermeneutical tradition within sociology, particularly as exemplified in the work of Jurgen Habermas, provides a starting point for exploring and interpreting the experiences of chronic illness and health...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25317
更新日期:2014-09-24 00:00:00
abstract::This thesis is part of the studies of gender bias in health which together with the paradigm of evidence-based medicine shares the empirical assumption that there are inaccuracies in medical practice, in addition to a lack of rigour and transparency. It worked with the distinction between the concepts of sex and gende...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v7.25484
更新日期:2014-12-09 00:00:00
abstract:BACKGROUND:While there is accumulated evidence showing the rapid rise of the burden caused by non-communicable diseases (NCDs) in Vietnam, information on the extent to which households in the country suffer financial catastrophe or impoverishment caused by the diseases is still largely lacking. This paper aims to exami...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v5i0.18892
更新日期:2012-12-20 00:00:00
abstract:BACKGROUND:Human immunodeficiency virus (HIV) is a significant contributor to Malawi's burden of disease. Despite a number of studies describing socio-economic differences in HIV prevalence, there is a paucity of evidence on socio-economic inequity in HIV testing in Malawi. OBJECTIVE:To assess horizontal inequity (HI)...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31730
更新日期:2016-10-26 00:00:00
abstract:BACKGROUND:The term HbA1c (glycated haemoglobin) is commonly used in relation to diabetes mellitus. The measure gives an indication of the average blood sugar levels over a period of weeks or months prior to testing. For most low- and middle-income countries HbA1c measurement in community surveillance is prohibitively ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31691
更新日期:2016-08-09 00:00:00
abstract::The burden of noncommunicable diseases (NCDs) continues to rise across the globe, and the risk of dying prematurely from an NCD in a low- and middle-income country (LMIC) is almost double that in a high-income country. Confronting this crisis requires a critical mass of scientists who are well versed in regional healt...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1846904
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Madagascar today has one of the highest life expectancies in sub-Saharan Africa, despite being among the poorest countries in the continent. There are relatively few detailed accounts of the epidemiological transition in this country due to the lack of a comprehensive death registration system at the nationa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23237
更新日期:2014-05-15 00:00:00
abstract:BACKGROUND:Blindness from glaucoma is associated with socio-economic deprivation, presumed to reflect poor access to care and poor adherence to treatment. OBJECTIVES:To determine why people with glaucoma are presenting late for treatment and to understand access to glaucoma care. Additionally, we sought to identify wh...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31886
更新日期:2016-12-06 00:00:00
abstract::Background: Globally, opportunities to validate government reports through external audits are rare, notably in India. A cross-sectional maternal health study in Uttar Pradesh, India's most populous state, compares government administrative data and externally collected data on maternal health service indicators. Obje...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1619155
更新日期:2019-01-01 00:00:00
abstract::Bangladesh has historically been cholera endemic, with seasonal cholera outbreaks occurring each year. In collaboration with the government of Bangladesh, the Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) initiated operational research to test strategies to re...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1574544
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1424614
更新日期:2018-01-01 00:00:00