Policy & Systems

Featured

Rural Guatemala. Photo by Rob Tinworth, used with permission.

Food Producing Communities as Food Deserts

The view from Xejuyu’ is breathtaking: green fields of fresh berries, feathery carrot tops, and blossoming broccoli line the mountainsides. The majority of the residents Read More

4551782343_97b24fe1d5_o

Pediatric Critical Care in Botswana

Botswana is a small, landlocked country in Southern Africa that is widely considered a development success story. Although the country is hailed for its impressive Read More

vista

Sebastiana’s eyes: a reflection on providing care

After a long and warm clinic day seeing kids in one of the Mayan communities we work, I asked Yoli, our auxiliary nurse in charge Read More

Latest

Food Producing Communities as Food Deserts

Rural Guatemala. Photo by Rob Tinworth, used with permission.

The view from Xejuyu’ is breathtaking: green fields of fresh berries, feathery carrot tops, and blossoming broccoli line the mountainsides. The majority of the residents Read More


In Koulikoro, Malian Women with Fistula Find Compassion and Solidarity

As I listened to the obstetric health histories of the women who came to the Koulikoro referral health center in Mali last month, I got a brief introduction to how obstetric fistula has affected their lives.Each one had come to the facility hoping to undergo a successful repair surgery to heal her fistula (a childbirth injury that can occur during obstructed or prolonged labor). And their accounts revealed some unmistakable parallels:Sali is 27 years old and developed obstetric fistula during her second pregnancy. After laboring for three days, she received an emergency cesarean to remove her stillborn child. She’s lived with a fistula for nine years and has lingering incontinence after receiving two previous fistula repair operations. Of two total pregnancies, she has only one living child.Their stories reflect a health system that offers inadequate access to high-quality perinatal care


Digital Health and the New World

Imagine a scenario where information—really important and meaningful information that could help millions of people—is stored in a way that makes it seemingly impossible to access. Even users within the same organization can’t share it with one another, not because it’s confidential, but because of the way their software is built.Even today, examples of this exist everywhere, and not only in resource-poor environments.I was a digital health novice before working with the informatics team here at IntraHealth International. In fact, I knew nothing of the technical concept of interoperability—the ability of one electronic system to integrate with another. I was familiar with the idea of isolated (or “siloed”) databases, but didn’t really understand their implications.mHero provides a foundation for government personnel to stay in touch with frontline health workers in real time. The team introduced me to mHero, a two-way, mobile phone-based communication system that uses basic text messaging to connect ministries of health and health workers.


Sci-Hub and medical practice: an ethical dilemma in Peru

Sci-Hub is a pirate repository of scientific papers launched in 2011, and currently hosts more than 46 million articles. Thousands of people use this repository every day to access information, reaching more than 200 000 daily downloads of scientific articles that they would otherwise have to buy.1


From Zero Doctors to Three: A Transformation at Bukwo General Hospital

Imagine a woman enduring a two-hour motorcycle ride on a bumpy road as she suffers with obstructed labor.Imagine that when she arrives at the hospital, which serves over 4,000 clients, it does not have a single doctor on staff.In fact, imagine that she and the 74,000 other people living in her area have access to just one doctor among them.This is not fiction. Until recently, it was a true reflection of Bukwo District in eastern Uganda.Bukwo District, owing to its mountainous terrain, is listed among the hard-to-each districts of Uganda. Until August 2015, the region’s doctor-to-patient ratio (1:74,101) was far worse than the already worrisome national ratio of 1:24,725.A referral often felt like a death sentence. Consequently health services were at a record low.


Setting the global health agenda: The influence of advocates and ideas on political priority…

Publication date: October 2016 Source:Social Science & Medicine, Volume 166 Author(s): Stephanie L.


Professional identity in nursing: UK students’ explanations for poor standards of care

Publication date: Available online 18 August 2016 Source:Social Science & Medicine Author(s): Michael Traynor, Niels Buus Research concludes that professional socialisation in nursing is deeply problematic because new recruits start out identifying with the profession’s ideals but lose this idealism as they enter and continue to work in the profession.


A feasibility study on using smartphones to conduct short-version verbal autopsies in rural…

Currently there are two main sources of mortality data with cause of death assignments in China.


Looking good but doing harm? Perceptions of short-term medical missions in Nicaragua

.


Prescribing indicators at primary health care centers within the WHO African region: a…

Rational medicine use is essential to optimize quality of healthcare delivery and resource utilization.


Stopping Viruses that Don’t Respect Borders

CDC’s Global Immunization Plan In the first seven months of 2016 alone, 13 states reported outbreaks of measles, a highly infectious disease that killed 400 to 500 Americans a year and hospitalized nearly 50,000 more as recent as the 1950s. With the advent of the measles vaccine, routine immunizations, and the federal Children’s Health Insurance Program, measles is no longer endemic (it was declared eliminated in the U.S. in 2000). But regular measles outbreaks, caused by travel to places with outbreaks (such as England, France, India, Philippines) and pockets of communities with unvaccinated people, as well as other viruses newly imported into the U.S., underscore the importance of improving global immunization.


Improving Care Transitions Management: Examining the Role of Accountable Care Organization…

Objective Examine the extent to which physician organization participation in an accountable care organization (ACO) and electronic health record (EHR) functionality are associated with greater adoption of care transition management (CTM) processes.


Interventions to improve child-parent-medical provider communication: A systematic review

Publication date: October 2016 Source:Social Science & Medicine, Volume 166 Author(s): Gergana Damianova Kodjebacheva, Tina Sabo, Janet Xiong Rationale Research related to effective communication between children/parents and medical providers is limited.


Pediatric Critical Care in Botswana

4551782343_97b24fe1d5_o

Botswana is a small, landlocked country in Southern Africa that is widely considered a development success story. Although the country is hailed for its impressive Read More


Older Posts »