• Donna Bjerregaard

    Initiatives Inc. | Senior Technical Advisor

    The global shortage of health workers has created cracks in the bridge to health services for Africa’s communities. Many countries and donors are looking toward community health workers (CHWs), who have a vested interest in the health of their communities, to fill the gaps.  Although CHWs have played a role in prevention and care for over 50 years, we have not had a way to evaluate whether the programs are meeting communities’ needs. We also don’t know the level of support CHWs receive to help them provide quality services. 

    A community health worker in Dhaka, Bangladesh, follows up on a child with fever

     

    A community health worker in Dhaka, Bangladesh, follows up on a child with fever.

    It was this thinking that led Initiatives Inc. and the USAID-funded HCI Project to develop the Community Health Worker Assessment and Improvement Matrix (CHW AIM). Through a literature review and repeated testing, 15 components of a well-functioning program emerged, ranging from recruitment and training to community involvement and country ownership. 

    We designed the process to be used by program managers, CHWs, donors, and stakeholders. Led by a facilitator, the group engages in discussions about where they stand on each programmatic component on a scale from 0 (non-functional) to 3 (highly functional or best practice). In many cases, this is the first time ideas are shared from so many different perspectives. This can lead to awareness and sometimes confrontation, but the process also creates understanding and builds team spirit and commitment to improve. The group builds an action plan for the changes needed based on the assessment. Sue England of World Vision Australia observed, “The tools make it clear to all participants that we are assuming a lot and that’s why many programs fail.”

  • Alice Christensen

    Jhpiego | Technical Development Officer, MCHIP

    National Condom Day in the United States is February 14th. We at the MCHIP Program are celebrating the occasion by sharing eight fast facts about this simple invention that continues to save lives around the world! Answer the questions below to determine if you are a condom expert or a condom novice – and in the process, learn more about this reversible birth control method, which can be used by all couples, including breastfeeding women, without the assistance of a health care provider.

    Female condom
    Female condom. © 2006 David Alexander, Courtesy of Photoshare

    1. What role do condoms have as a family planning option?

    Condoms are the only family planning item on the market that has the dual purpose of protecting against sexually transmitted infections (STIs) and offering protection from pregnancy.

    2. Who buys more condoms, men or women?

    Women worldwide purchase 40-70% of all condoms (with men purchasing 30-60%).[i]

  • K4Health Highlights

    Rebecca Shore

    JHU∙CCP | Communications Specialist

    With social media being a relatively new channel in the world of global health and development as a tool to share information, to advocate, as a marketing mechanism, or as a public health intervention tool, measurement is always a struggle when the path has not been set ahead of you. Many in the field of global health and development have trouble knowing where to start when measuring their project or organization’s social media presence.

  • K4Health Highlights

    Farhan Bandeali

    JHU∙CCP | Intern

    Perspective of a student intern in Bangladesh.

    Bangladesh is a land of stark differences. Deep divides between socio-economic classes and, more importantly, even deeper divides in access to quality healthcare exist between rural and urban areas. Additionally, an inequity which might be less obvious but possibly of crucial importance, is the difference in performance between Frontline Health Workers (FHWs) in rural versus peri-urban and urban areas.

    Populations are less densely populated in rural areas and even the lowest level government FHWs tend to be much better compensated on average than the populations they serve. Which is why, it is not uncommon to find FHWs who live quite far from the areas they serve in the interest of better schools for their children or more amenities such as electricity to enjoy.

  • K4Health Highlights

    Sarah V. Harlan

    JHU∙CCP | Program Officer

    This past October, K4Health/JHU·CCP launched the Improving Contraceptive Method Mix (ICMM) Project in two provinces of Indonesia:  East Java and West Nusatenggara (NTB). The main goal of ICMM is to improve maternal health in Indonesia by conducting evidence-based advocacy and knowledge management (KM) activities that support the availability of a broader range of contraceptive methods for women and couples. It is being implemented by K4Health/JHU·CCP – working with the Cipta Cara Padu Foundation (Cipta), the Center for Health Research at the University of Indonesia (CHR-UI), and the Indonesian Ministry of Health – and it is funded jointly through USAID and AusAID.

    So why focus on FP in Indonesia? If you have scanned Indonesia’s FP data recently, you may be pleasantly surprised. Comparing FP indicators between the 1970s and today, it is obvious that the country has made real progress. The total fertility rate (TFR) – more than 4 children per woman in the 1970s – is now estimated at 2.6. The contraceptive prevalence rate (CPR) is over 62%, and the use of modern contraceptive methods is 58%.[1]

  • Allison Bland

    JHU∙CCP | Communications Specialist

    In an effort to find out more about the program managers, policy makers, and service providers who use K4Health's POPLINE database, I recently spoke with Tendai Gunda, a nutrition expert who works on programs in Zimbabwe. POPLINE provides access to scientific articles, reports, books, and unpublished documents, and clients like Gunda continually look to the database for the family planning and reproductive health knowledge they need. Read on for Tendai Gunda’s story or share your own story. This blog is cross-posted from the CCP website.

    When a program manager identifies a global development or health need, she then faces a new challenge: how to find the knowledge that will help lead to an effective program. This is why Tendai Gunda, a nutrition expert who primarily works in Zimbabwe, continues to turn to POPLINE for the information she needs to build, implement and evaluate programs. POPLINE is also seen as a resource for sharing and synthesizing new knowledge for policymakers, health care providers, researchers and teachers.

    Tendai Gunda

    Tendai Gunda, a nutrition expert in Zimbabwe.

    POPLINE is a bibliographic database that was established nearly 40 years ago as a comprehensive collection of population, family planning and related reproductive health and development literature. In 2001, POPLINE developed its own searchable website and, in the same year, became part of the Information and Knowledge for Optimal Health (INFO) project, now the Knowledge for Health (K4Health) Project. POPLINE complements K4Health’s central mission of sharing public health knowledge at the global, regional and country levels. For POPLINE, this means building a database of journal articles along with published and unpublished scientific, technical and programmatic publications. Interventions covered in this “gray literature” tend to be more up-to-date and represent a more diverse geographic spread and languages other than English. By including these resources, POPLINE ensures researchers gain faster access to unbiased programmatic information. Gunda found herself using POPLINE’s broad catalog as both a student and program manager. “When I was in school I introduced [POPLINE] to several people,” she noted.

  • Allison Bland

    JHU∙CCP | Communications Specialist

    This blog was originally posted on Impatient Optimists on January 8, 2013. Authors Holly Blanchard, Senior Reproductive Health Family Planning Advisor, and Elizabeth Sasser, Senior Program Coordinator, work with Jhpiego in the Maternal and Child Health Integrated Program (MCHIP)For both mothers and infants, there are many benefits to preventing another pregnancy for at least two years after a previous birth. In this blog, they talk about the opportunity to introduce modern family planning methods immediately after delivery, such as the postpartum intrauterine contraceptive device (PPIUCD). 

    This year, 222 million women worldwide will have an unmet need for modern contraception. And as more women are encouraged to deliver in facilities, there is greater opportunity for immediate postpartum  intrauterine contraceptive device (IUCD) services. 

    Abdela Abdosh, a midwife working in Ethiopia, can offer a testament of what this service can mean in a woman’s life. He tells the story of 30-year old Shumba Berisso, a mother who arrived at an MCHIP-supported facility in Ethiopia in labor with her eighth baby. After the delivery, she turned her head away from her newborn and sobbed silently, saying she had no means to care for the baby.

    “If only I could have prevented this pregnancy,” Shumba lamented, adding that her other seven children had never set foot in a classroom, instead spending their days toiling on neighboring farms.

  • K4Health Highlights

    Stephen Goldstein

    JHU∙CCP | Senior Consultant

    Six months after the London Family Planning Summit there are signs of hope that 2013 will be a positive year toward providing an estimated 120 million more women in the world’s poorest countries with access to contraceptives by 2020 so that they can plan the number of children to have or space their births.

    A health worker counsels a woman on reproductive health and family planning in the Visayas region of central Philippines

    A health worker counsels a woman on reproductive health and family planning in the Visayas region of central Philippines. Voluntary family planning programs are allowing women and couples to plan the number of children they want to have.

    © 2000 Liz Gilbert, Courtesy of Photoshare

    As of January 8, 2013 financial commitments by donors and the private sector at the London Summit reached a total of US$2.625 billion. My colleague Allison Bland wrote in an earlier K4Health blog: “Family Planning 2020 (FP2020) will continue to frame our discussions as governments, civil society, and technical institutions move toward the 2020 target.”

    Also in January, after more than a decade of opposition, Philippines President, Benigno "Noynoy" Aquino, III, signed into law the Responsible Parenthood and Reproductive Health Act of 2012. The new law guarantees universal access to contraceptive methods, sexual education, and maternal care. A guiding principle states: “The provision of ethical and medically safe, legal, accessible, affordable, non-abortifacient, effective and quality reproductive health care services and supplies is essential in the promotion of people’s right to health, especially those of women, the poor, and the marginalized, and shall be incorporated as a component of basic health care.”

    Congratulations to the people of the Philippines for taking a huge move that will undoubtedly reduce the unmet need for family planning and eventually help to lower the total fertility rate for the country, which was estimated at 3.2 children per woman in 2012.

  • K4Health Highlights

    Vanessa Mitchell

    JHU∙CCP | Technical Advisor

    Throughout the Global Maternal Health Conference in Arusha, Tanzania, presentations on mHealth and broader eHealth were numerous. As a person working on an eHealth initiative and concerned with knowledge management, I have to wonder how we’re ever going to coordinate and integrate all of this work not just within countries but globally. Or are the needs and lessons for eHealth too context specific?

    It is important that we continue to explore new avenues for partnering and forums for sharing important lessons with each other. As part of those partnerships, ministries and government need to be in the driver’s seat for sustainability. The Bangladesh Knowledge Management Initiative (BKMI) understands this well and is working hand in hand with the Ministry of Health and Family Welfare to implement their eHealth initiative.

  • Vanessa Mitchell

    JHU∙CCP | Technical Advisor

    At the Global Maternal Health Conference in Arusha, Tanzania, one of the plenary sessions called Science for Activism: How Evidence can Create a Movement for Maternal Health focused on the need for maternal health research to be published and shared, and for research to be translated into new policies.

    With regards to publishing, some journals are still charging a hefty subscription fee. This is hurting development progress. Until we have free and open access to publications for all, we are withholding information from people, especially in lower income countries. This is about creating equal opportunity for all people to have the same access to knowledge for learning and decision-making. Can publishers consider other options other than charging fees to sustain themselves? At a minimum could they give free access to residents of low-income countries? The new Global Health Science and Practice Journal may be a good model for how to provide open access health information to all.

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