Although the baby-friendly community initiative (BFCI) has been proposed as a community-level approach to improve infant feeding practices, there is little data on its variation in effectiveness by HIV status. This study was to determine the effectiveness of BFCI in changing knowledge and attitudes towards exclusive breastfeeding (EBF) and increasing the rates among HIV negative and HIV positive women in rural Kenya. The study found that BFCI interventions can complement facility-based interventions to improve exclusive and continued breastfeeding knowledge, attitudes, and behaviours among HIV negative and positive women
Digital Health Information Systems (HIS) have potential to improve the finances of health-care organisations in lower income countries through better tracking of patients and procedures, more timely billing, greater professional accountability and more informed decisions. However, little is known about how HIS influence these processes in such settings or how contextual and social factors mediate their implementation and impacts. This study investigated whether, and through what mechanisms, the implementation of a modular HIS influenced revenue capture from patient billing in a large referral hospital in Malawi, drawing on the perspectives of complex socio-technical systems, health system strengthening and ICT for good-governance.
Knowledge translation (KT) is a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to yield beneficial outcomes for society. Effective KT requires researchers to play an active role in promoting evidence uptake. This paper presents a systematised review of evidence on low- and middle-income country (LMIC) researchers’ KT capacity, practice and interventions for enhancing their KT practice (support) with the aim of identifying gaps and informing future research and interventions.
This paper discusses our experiences and lessons from the Strengthening Capacity for Evidence Use in Health Policy (SECURE Health) project implemented in Kenya and Malawi to strengthen capacity for evidence use within the ministries of health (MoHs). The intervention implemented simultaneous activities to build technical skills at the individual level, strengthen institutional policies and structures that enable evidence use, and cultivate a supportive political environment for enabling increased demand and use of evidence in health policy-making in Kenya and Malawi.
Nutritional interventions to prevent stunting of infants and young children are most often applied in rural areas in low- and middle-income countries (LMIC). Few interventions are focused on urban slums. The objective of this systematic review was to assess the impact of nutritional interventions to reduce stunting in infants and children under five years old in urban slums from LMIC and the effect of nutritional interventions on other nutritional (wasting and underweight) and non‐nutritional outcomes (socioeconomic, health and developmental) in addition to stunting.
Despite growing interest in evidence among parliamentarians and some emerging literature on evidence use in decision making in parliaments, there is still a notable gap in knowledge on the ecosystem of evidence in parliaments. This paper seeks to contribute to filling this gap by discussing the contribution of a loose regional network, the Network of African Parliamentary Committees on Health (NEAPACOH), to the evidence ecosystem in African parliaments.
Worldwide, more than one-third of women have experienced either sexual or physical violence, often perpetrated by an intimate partner, while about 7% have been sexually assaulted by a non-partner. Such violence is not only a crime, but also a public health concern since it is associated with ill-health including depression, low birthweight babies, and infection from HIV.
Increasingly, decision-makers are recognising the value of evidence in formulating sound and sustainable policies. More researchers have also become concerned with ensuring that their evidence reaches policymakers. It is emerging that researchers and policymakers do not speak to each other as much as they should.
In recent years, the demographic dividend has garnered enormous traction in policy circles as African policy-makers, especially in ministries of finance and development planning, see it as central to achieving their economic growth targets. The demographic dividend is the economic benefit arising from a change in a society’s age structure, from a structure dominated by child dependents to one with a greater proportion of working-age adults. It is estimated that a quarter to a third of the phenomenal socioe-conomic development experienced by East Asian countries like Malaysia, South Korea, and Thailand between 1970 and 2000 can be attributed to this […]
Enhancing accountability in health systems is increasingly emphasised as crucial for improving the nature and quality of health service delivery worldwide and particularly in developing countries. Accountability mechanisms include, among others, health facilities committees, suggestion boxes, facility and patient charters. However, there is a dearth of information regarding the nature of and factors that influence the performance of accountability mechanisms, especially in developing countries.
The aim of this study was to assess effectiveness of guidelines for referral for elective surgical assessment using systematic review with descriptive synthesis. The article concludes that guidelines for elective surgical referral can improve appropriateness of care by improving pre-referral investigation and treatment, but there is no strong evidence in favour of other beneficial effects.
Participant non-response in an HIV serosurvey can affect estimates of HIV prevalence. Nonresponse can arise from a participant’s refusal to provide a blood sample or the failure to trace a sampled individual.