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Publications

Filtering by Tag: Asha George

Using photovoice to examine community level barriers affecting maternal health in rural Wakiso district, Uganda

Future Health Systems

Musoke D., Ekirapa-Kiracho E., Ndejjo R. and George A. (2015) Using photovoice to examine community level barriers affecting maternal health in rural Wakiso district, Uganda, Reproductive Health Matters, 23(45):136-47, doi: 10.1016/j.rhm.2015.06.011

Uganda continues to have poor maternal health indicators including a high maternal mortality ratio. This paper explores community level barriers affecting maternal health in rural Wakiso district, Uganda. Using photovoice, a community-based participatory research approach, over a five-month period, ten young community members aged 18-29 years took photographs and analysed them, developing an understanding of the emerging issues and engaging in community dialogue on them. Photovoice's strength is in generating evidence by community members in ways that articulate their perspectives, support local action and allow direct communication with stakeholders.

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Do Interventions that Promote Awareness of Rights Increase Use of Maternity Care Services? A Systematic Review

Future Health Systems

George AS, Branchini C, Portela A (2015) Do Interventions that Promote Awareness of Rights Increase Use of Maternity Care Services? A Systematic Review. PLoS ONE 10(10): e0138116. doi:10.1371/journal.pone.0138116

Twenty years after the rights of women to go through pregnancy and childbirth safely were recognized by governments, The authors of this systematic review assessed the effects of interventions that promote awareness of these rights to increase use of maternity care services. Using inclusion and exclusion criteria defined in a peer-reviewed protocol, the authors searched published and grey literature from one database of studies on maternal health, two search engines, an internet search and contact with experts.

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What Lessons for Sustainability of Maternal Health Interventions Can Be Drawn from Rural Water And Sanitation Projects? Perspectives from Eastern Uganda

Future Health Systems

Sustainability of health interventions is a global concern, as program benefits are lost as soon as programs lose donor funding. An assessment of the Uganda Rural Water and Sanitation (RUWASA) project revealed that program gains can be sustained decades later. The authors of this journal article analysed RUWASA implementation to draw sustainability lessons for maternal and child health interventions in Uganda and found that community engagement, contributions, use of structures and ownership of RUWASA was critical for the sustainability of the intervention.

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mHealth and Gender: Making the Connection

Future Health Systems

The use of mHealth interventions within health systems research is increasing, with few taking into account the connections between gender and mHealth.

This policy brief attempts to fill this gap by exploring key connections between mHealth and gender that need to be taken into account when conducting or implementing mHealth research and interventions. 

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People-centred science: strengthening the practice of health policy and systems research

Future Health Systems

Health policy and systems research (HPSR) is a transdisciplinary field of global importance, with its own emerging standards for creating, evaluating, and utilizing knowledge, and distinguished by a particular orientation towards influencing policy and wider action to strengthen health systems. In this commentary, we argue that the ability of the HPSR field to influence real world change hinges on its becoming more people-centred. We see people-centredness as recognizing the field of enquiry as one of social construction, requiring those conducting HPSR to locate their own position in the system, and conduct and publish research in a manner that foregrounds human agency attributes and values, and is acutely attentive to policy context. 

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Unfree markets: Socially embedded informal health providers in northern Karnataka, India

Future Health Systems

The dynamics of informal health markets in marginalised regions are relevant to policy discourse in India, but are poorly understood. The authors examine how informal health markets operate from the viewpoint of informal providers (those without any government-recognised medical degrees, otherwise known as RMPs) by drawing upon data from a household survey in 2002, a provider census in 2004 and ongoing field observations from a research site in Koppal district, Karnataka, India.
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Understanding informal markets: The roles and perspectives of RMPs in West Bengal and Karnataka, India

Future Health Systems

Dr Asha George of JHSPH presents work on the role of informal health care providers in India at the Health System Reform in Asia conference held in December 2011 in Hong Kong. She compares West Bengal and Karnataka -- two states with very different health profiles -- providing both qualitative and quantitative insights into how and why the poor use poorly trained rural medical practitioners as their first port of call when accessing health services.
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