6867 research outputs found
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Voces para la Educación: Voces desde la experiencia del apoyo comunitario al sistema educativo
Growing the Abriendo Oportunidades® Ecosystem: Spotlight on Escuela de Oportunidades
Developed in partnership with the Office of the Vice President in 2021, Escuela de Oportunidades is a national internship program that intentionally invests in young female Indigenous professionals to increase their visibility in governance structures. Through a combination of mentorship, training, and practical experience, Escuela de Oportunidades has successfully facilitated the entry of Indigenous Guatemalan women into government institutions, enhancing gender and ethnic inclusivity in public service. This brief is part of the Abriendo Oportunidades® Legacy Series, celebrating and highlighting 20 years of impactful program implementation
Adapting the WHO ANC digital module for the NAMAI study: Formative research to inform implementation science interventions for enhanced quality service delivery following the WHO SMART guidelines approach
The Ministries of Health in Zambia and Rwanda have adapted and validated their national antenatal care (ANC) guidelines in line with WHO 2016 recommendations. Both countries conducted implementation research, composed of five implementation strategies to support the adapted ANC package service delivery. One implementation strategy deploys a digital module, a point of service digital tool that encompasses clinical decision support and person-centric record management to support health workers in implementing the adapted ANC packages. The formative phase of the study, included countries’ adaptation of the WHO digital ANC module to their contexts in three steps: (i) the reference module was tailored to create Rwanda and Zambia ANC digital modules and training materials; (ii) health workers were trained to use the module and provide feedback; (iii) country research teams conducted qualitative assessments to understand the health worker experience using the adapted ANC module. ANC health workers at selected facilities completed a three-day training on the use of the module. Qualitative methods were used to understand health worker’s perspectives on the module’s use for service provision and feedback for its refinement. The three major themes emerged: i) experiences using digital interventions in the health profession; ii) strengths and challenges related to the use of digital interventions; iii) considerations for improving the use of digital interventions within health systems. Rwanda and Zambia ANC modules were modified to improve their use for ANC services delivery. Initial testing led to the identification and fixing of bugs in the system. The module was updated to include dashboards to support facility-based monitoring of ANC indicators. Training materials were also improved based on feedback from interviews of health workers. The iterative process in developing country-adapted digital ANC modules is key to their deployments for routine use and a key proof of concept for the WHO SMART guideline approach
Reshaping the narrative around sexual and reproductive health and rights research in refugee settings: Case studies from Baobab
The Baobab Research Programme Consortium (Baobab) is an Africa-based, African-led consortium, spearheaded by the Population Council, Inc., in partnership with the Population Council–Kenya and the African Population and Health Research Centre (APHRC). The consortium is reshaping the narrative around sexual and reproductive health and rights (SRHR) research in refugee settings. For the first time, Baobab is bringing rigorous, large-scale, globally-recognized SRHR surveys into these contexts, addressing longstanding barriers for refugee populations. These case studies highlight the successful impact that the programme has had on those living in humanitarian settings as well as the research field
Intention to use contraception: Promises and pitfalls of family planning\u27s emerging demand indicator
The “intention to use” (ITU) contraception indicator has gained recent prominence as a proposed high-level success metric for family planning (FP) programs and as a step toward identifying measures that better capture what women want. Although ITU offers advantages over traditional indicators like contraceptive prevalence and unmet need, its elevation as a key programmatic measure requires critical examination. In this commentary, we outline advantages of ITU to measure FP demand and offer critiques and considerations for reliance on ITU as a demand metric for measuring programmatic success. We argue that while ITU may be a step toward more person-centered measurement, it is not inherently person-centered. Rather than positioning ITU as an innovative person-centered breakthrough, we argue it should be considered a transitional measure—a bridge toward more comprehensive indicators that capture the complexities of contraceptive decision-making. We recognize the current lack of viable alternatives for programs seeking a singular person-centered measure; when used, ITU should be complemented by additional topline indicators that capture access, agency, and preferences. With declining research funding and data infrastructure disruptions, it is important that ITU complement, not replace, efforts to develop the next generation of FP measurement that meaningfully reflects people\u27s contraceptive realities
The Realities of Unstoppable Humans—Nawiri Project Dissemination Podcast Series
Podcast series about the Nawiri Project, a collaborative research effort led by Population Council Kenya to assess the impact of Young Feminist Organizations (YFOs) in Kenya and Mexico. This series dives deep into the heart of feminist organizing, documenting voices from Mombasa, Nairobi, Bungoma, Kiambu, and Bomet, where young feminist leaders are challenging patriarchy, reclaiming power, and sparking joy in their resistance
Reducing barriers to care seeking for fistula repair in Uganda
A mixed-methods quasi-experimental study design was applied to evaluate the evidence-informed intervention implemented by EngenderHealth. Researchers used quantitative and qualitative tools such as facility assessments (medical record reviews, inventories, service statistics, others), provider interviews, exit interviews with women at fistula repair camps, focus group discussions (FGDs), and interviews with a range of key informants, senior health management, and community-based referral agents in intervention and comparison sites. In addition, data from a section of the women’s exit interviews were aggregated with cross-country data from Nigeria to develop, test, and validate a ‘fistula care barrier index’ for women at fistula repair centers/camps
Community-based approaches for strengthening quality, access and utilization of maternal and newborn health services in Kenya—Stakeholders workshop report
Disruptive data: Optimizing national survey results to help young people thrive
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Purpose: Social and structural determinants of health (SSDoH) impact equity among young people 10-24 years old in the US, influencing their ability to thrive. Connectedness and support from school, family, and peers are established as important SSDoH for young people.[1] It is important to understand connectedness at a sub-state level since national and state averages may mask heterogeneity – information that is necessary for targeted action. This study examines the utility of large data sources to... Methods: We conducted an inventory of national databases to analyze the varied relationships between connectedness and health among different sub-populations and geographies. A review of literature to identify major SSDoH for young people preceded the inventorying. Following this, we mapped data sources to identify national data on youth connectedness. We then explored the opportunity to analyze and map national data on connectedness at state and sub-state levels, providing a case study to demonstrate... Results: Nationally representative surveys include indicators on SSDoH. However, there is variation in the indicators measured, availability of data on young people, and access to sub-state level data. Maps of census data reveal state and sub-state variability in the proportion of 16- to 24-year-olds who are disconnected.[1] For example, in Massachusetts, county level youth disconnection ranges from 3.3% to 13.9%. In Mississippi, county levels of youth disconnection vary more widely, from 5.1% to... Conclusions: Nationally representative surveys provide a vital resource on SSDoH, however levels of data disaggregation vary substantially by survey. Understanding local and layered SSDoH (e.g., multiple measures of connectedness) could support tailored action with and for sub-populations of youth. Meaningfully involving young people in research, and collecting data directly from them, should be central to these efforts