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Facility- and community-based delivery of micronutrient powders in Uganda: Opening the black box of implementation using mixed methods

Micronutrient powders (MNP) have the potential to increase micronutrient intake, yet documentation of implementation lessons remains a gap. This paper presents the results of a pilot in Uganda comparing community- and facility-based delivery of MNP and documenting experiences of caregivers and distributors. Authors: Alexis D'Agostino, Francis Ssebiryo, Hillary Murphy, Angelica Cristello, Rose Nakiwala, Katherine Otim,…


Primary Care: the New Frontier for Reducing Readmissions

To date, efforts to reduce hospital readmissions have centered largely on hospitals. In a recently published environmental scan, we examined the literature focusing on primary care–based efforts to reduce readmissions. While rigorous studies on interventions arising from primary care are limited, we found that multi-component care transitions programs that are initiated early in the hospitalization…


Knowledge of HIV status is associated with a decrease in the severity of depressive symptoms among female sex workers in Uganda and Zambia

Knowledge of HIV-positive status may result in depressive symptoms, which may be a concern in scaling novel HIV testing interventions that move testing outside the health system and away from counselor support. Researchers used longitudinal data from two female sex worker cohorts in Uganda and Zambia. Over four-months participants had ample opportunity to HIV test…


Pakistan’s Health and Population Think Tank: a policy platform for achieving Sustainable Development Goal 3 national targets

In Pakistan, the Health and Population Think Tank was launched as an initiative to conduct programs and policy analysis, as well as give an insight into the possible future policy options on various national health issues relevant to all the provinces. This forum has also served as a platform to discuss how provincial strategies could…


State Laws Related to Billing Third Parties for Health Care Services at Public Sexually Transmitted Disease Clinics in the United States

Health departments (HDs) cite state laws as barriers to billing third parties for sexually transmitted disease (STD) services, but the association between legal/policy barriers and third-party HD billing has not been examined. This study investigates the relationship between laws that may limit HDs’ ability to bill, clinic perceptions of billing barriers, and billing practices.


Multilevel Barriers to Engagement in the HIV Care Continuum Among Residents of the State of Rhode Island Living with HIV

An estimated 1.2 million people in the United States are living with HIV. Of those living with HIV, only 40% are engaged in HIV care, 37% are prescribed antiretroviral therapy (ART), and 30% are virally suppressed. Individual-, interpersonal-, and structural-level factors that represent barriers to engagement along the HIV care continuum are important to identify…


Characterising innovations in maternal and newborn health based on a common theory of change: lessons from developing and applying a characterisation framework in Nigeria, Ethiopia and India

Government leadership is key to enhancing maternal and newborn survival. In low/middle-income countries, donor support is extensive and multiple actors add complexity. For policymakers and others interested in harmonising diverse maternal and newborn health efforts, a coherent description of project components and their intended outcomes, based on a common theory of change, can be a…


HIV-Related Medical Mistrust, HIV Testing, and HIV Risk in the National Survey on HIV in the Black Community

Black Americans are greatly affected by HIV disparities and exhibit high levels of medical mistrust, including HIV conspiracy beliefs, a form of mistrust around HIV's origin and treatment. A 2002-2003 national survey of Black Americans found that 48% believed that "HIV is a manmade virus." However, the extent to which such beliefs remain widespread is…


Applying the Principles for Digital Development: Case Study of a Smartphone App to Support Collaborative Care for Rural Patients with Posttraumatic Stress Disorder or Bipolar Disorder

Despite a proliferation of patient-facing mobile apps for mental disorders, there is little literature guiding efforts to incorporate mobile tools into clinical care delivery and integrate patient-generated data into care processes for patients with complex psychiatric disorders. The aim of this study was to seek to gain an understanding of how to incorporate patient-provider mobile…


Effect of HIV self-testing on the number of sexual partners among female sex workers in Zambia

HIV self-testing is a promising strategy to improve HIV testing coverage among diverse populations globally. Although HIV self-testing may overcome some traditional barriers to HIV testing, such as stigma or logistical challenges, there may be unintended consequences associated with the use of the test, and these unintended consequences may depend on the strategy for HIV…


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