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Asha George

Biographic Data

ID3583056
NAMEAsha George
GIVEN NAMESAsha
FAMILY NAMEGeorge
SIGNATUREGEORGE A
AFFILIATIONSUniversity of the Western Cape
ORCID0000-0002-5968-1424
VERIFIEDYes
TOTAL WORKS69
TOTAL CITATIONS126
AUTHOR COUNT69
EDITOR COUNT0
FIRST PUBLICATION YEAR2003
LATEST PUBLICATION YEAR2026
H-INDEX7
  • Navigating context, power and politics

    Open Access•Ulla Walmisley, Olagoke Akintola et al.•ARTICLE•Global Public Health•2026

    Gender is an intersectional determinant of health that remains insufficiently integrated in programmes and policies. Sustained processes of dialogue and collaboration, including participatory approaches such as co-design, are needed to effect gender integration. However, the contexts and power dynamics through which co-design may support gender integration are not well understood. This qualitative case study examined a co-design partnership that …

  • Participatory design partnerships for gender and health in low- and middle-income countries

    Open Access•Ulla Walmisley, Gabriella Oliver et al.•ARTICLE•Global Health Action•2026

    Gender inequality remains an intersectional determinant of health insufficiently addressed in programmes and policies. Progress requires systematic integration of gender perspectives but is constrained by the embeddedness of gender inequality across sectors, socioecological levels, and stakeholders. Participatory design approaches hold promise, but the role of participatory design partnerships in advancing gender equality remains underexplored. T…

  • Assessing progress in gender-transformative sexual and reproductive health interventions

    Open Access•T K Sundari Ravindran, Tk Sundari Ravindran et al.•ARTICLE•Global Health Action•2026

    BACKGROUND: Discriminatory gender norms and unequal power relations shape sexual and reproductive health (SRH) outcomes in sub-Saharan Africa. Yet, approaches to assessing progress in gender-transformative interventions remain underdeveloped. OBJECTIVE: This paper compares measures and approaches to gender-transformative SRH interventions in the published evidence with practitioners' perspectives in sub-Saharan Africa. METHODS: The study draws on…

  • Unwrapping the Global Financing Facility

    Open Access•Mary V Kinney, Doris Kwesiga et al.•ARTICLE•Global Health Action•2025

    The Global Financing Facility (GFF), launched in 2015, aims to catalyse funding for reproductive, maternal, newborn, child, and adolescent health, and nutrition. Few independent assessments have evaluated its processes and impact. We conducted a multi-layered policy analysis of GFF documents - the Investment Cases (ICs) and the GFF-linked World Bank Project Appraisal Documents (PADs) - examining the content of GFF documents for 28 countries, comp…

  • Who is at the table and who has the power? Case study analysis of decision-making processes for the Global Financing Facility in Tanzania

    Open Access•Donat Shamba, J Baraka et al.•ARTICLE•Global Health Action•2025

    BACKGROUND: In 2015, Tanzania joined the Global Financing Facility (GFF), a global health initiative for Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition (RMNCAH-N). Despite its resource mobilization goals, little is known about power dynamics in GFF policy processes. This paper presents the first power analysis of Tanzania's GFF engagement. OBJECTIVE: To examine policy processes in developing GFF documents during its f…

  • Behind the billions

    Open Access•Asha George, Mary V Kinney et al.•ARTICLE•Global Health Action•2025

  • Sailing global health initiative ships into stormy seas

    Open Access•Andes Chivangue, Mary V Kinney et al.•ARTICLE•Global Health Action•2025

    BACKGROUND: Mozambique joined the Global Financing Facility (GFF), a financing mechanism to accelerate progress for women, children, and adolescents' health, with a history of donor dependence, distrust in public finances, and social inequities. Few independent studies have assessed the GFF. OBJECTIVES: To understand how a global mechanism, such as the GFF, was introduced and utilized in Mozambique. METHODS: This qualitative study explored the ai…

  • Any better? A follow-up content analysis of adolescent sexual and reproductive health inclusion in Global Financing Facility country planning documents

    Open Access•Ulla Walmisley, Mary Kinney et al.•ARTICLE•Global Health Action•2024

    BACKGROUND: The Global Financing Facility (GFF) supports national reproductive, maternal, newborn, child, adolescent health, and nutrition needs. Previous analysis examined how adolescent sexual and reproductive health was represented in GFF national planning documents for 11 GFF partner countries. OBJECTIVES: This paper furthers that analysis for 16 GFF partner countries as part of a Special Series. METHODS: Content analysis was conducted on pub…

  • Form and functioning

    Open Access•Joël Arthur Kiendrébéogo, Orokia Sory et al.•ARTICLE•Global Health Action•2024

    BACKGROUND: Burkina Faso joined the Global Financing Facility for Women, Children and Adolescents (GFF) in 2017 to address persistent gaps in funding for reproductive, maternal, newborn, child, and adolescent health and nutrition (RMNCAH-N). Few empirical papers deal with how global funding mechanisms, and specifically GFF, support resource mobilisation for health nationally. OBJECTIVE: This study describes the policy processes of developing the …

  • How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six fra…

    Open Access•Joël Arthur Kiendrébéogo, Orokia Sory et al.•ARTICLE•Global Health Action•2024

    BACKGROUND: Community health is key for improving Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition (RMNCAH-N). However, how community health supports integrated RMNCAH-N service delivery in francophone West Africa is under-researched. OBJECTIVE: We examined how six francophone West African countries (Burkina Faso, Côte d'Ivoire, Guinea, Mali, Niger, and Senegal) support community health through the Global Financing Faci…

  • Policy analysis of the Global Financing Facility in Uganda

    Open Access•Phillip Wanduru, Doris Kwesiga et al.•ARTICLE•Global Health Action•2024

    BACKGROUND: In 2015, Uganda joined the Global Financing Facility (GFF), a Global Health Initiative for Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH). Similar initiatives have been found to be powerful entities influencing national policy and priorities in Uganda, but few independent studies have assessed the GFF. OBJECTIVE: To understand the policy process and contextual factors in Uganda that influenced the content of th…

  • A community-based ambulance model

    Open Access•Liam Brady, Lucy Gilson et al.•ARTICLE•Health Policy and Planning•2024

    The role of the emergency medical service (EMS) is changing globally as ambulance crews respond to a shifting burden of disease, as well as societal stressors such as violence and inequality. New ways of thinking about how to provide emergency care are required to shift EMS from a role primarily focused on clinical care and transporting patients to hospital. In this paper, we present the experience of the Philippi Project (PP), an innovative comm…

  • Designing HIV prevention interventions that are acceptable to young adults in sub-Saharan Africa

    Open Access•Oluwaseyi Dolapo Somefun, MaryJane Ijeoma Nweje et al.•ARTICLE•Children and Youth Services Review•2024

    Understanding what young adults and other key stakeholders find acceptable for HIV prevention interventions and reasons explaining acceptability or lack thereof is crucial for intervention developers and implementers in sub-Saharan Africa (SSA). Higher acceptability of health and social interventions can improve intervention uptake and effectiveness. This paper aims to aggregate and synthesise the evidence on the acceptability of HIV prevention i…

  • A shared agenda for gender and Covid-19 research

    Open Access•Asha George, Cláudia Abreu Lopes et al.•ARTICLE•BMJ Global Health•2023

    While the acute and collective crisis from the pandemic is over, an estimated 2.5 million people died from COVID-19 in 2022, tens of millions suffer from long COVID and national economies still reel from multiple deprivations exacerbated by the pandemic. Sex and gender biases deeply mark these evolving experiences of COVID-19, impacting the quality of science and effectiveness of the responses deployed. To galvanise change by strengthening eviden…

  • How gender is socially constructed in policy making processes

    Open Access•Tanya Jacobs, Asha George•ARTICLE•International Journal for Equity…•2023

    The constellation of actors' gender narratives reveals overlapping and contested framings of gender and what is required to advance gender equality. Understanding actor narratives in policy processes contributes to bridging the disconnect between policy commitments and reality in advancing the gender equality agenda

  • Exploring the sustainability of perinatal audit in four district hospitals in the Western Cape, South Africa

    Open Access•Mary V Kinney, Anne‐Marie Bergh et al.•ARTICLE•BMJ Global Health•2022

    INTRODUCTION: Maternal and perinatal death surveillance and response (MPDSR) is an intervention process that uses a continuous cycle of identification, notification and review of deaths to determine avoidable causes followed by actions to improve health services and prevent future deaths. This study set out to understand how and why a perinatal audit programme, a form of MPDSR, has sustained practice in South Africa from the perspectives of those…

  • Adolescent health in the Sustainable Development Goal era

    Open Access•Asha George, Tanya Jacobs et al.•ARTICLE•BMJ Global Health•2021

    Adolescents are an increasing proportion of low and middle-income country populations. Their coming of age is foundational for health behaviour, as well as social and productive citizenship. We mapped intervention areas for adolescent sexual and reproductive health, including HIV, mental health and violence prevention to sectors responsible for them using a framework that highlights settings, roles and alignment. Out of 11 intervention areas, hea…

  • Unmasking power as foundational to research on sexual and reproductive health and rights

    Open Access•Marta Schaaf, Anuj Kapilashrami et al.•ARTICLE•BMJ Global Health•2021

    Relations of power are intrinsic to the social \ndeterminants of sexual and reproductive \nhealth (SRH); they influence the content, \nquality and outcomes of SRH care; and they \nshape the negotiation and realisation of \nsexual and reproductive health and rights \n(SRHR) more broadly. Power dynamics \npervade how SRHR is understood, studied \nand acted on, in ways that are distinct from \nother health issues.1 For example, the deeply \nheld per…

  • A tale of ‘politics and stars aligning’

    Open Access•Neha Singh, Kerry Scott et al.•ARTICLE•BMJ Global Health•2021

    INTRODUCTION: India has become a lighthouse for large-scale digital innovation in the health sector, particularly for front-line health workers (FLHWs). However, among scaled digital health solutions, ensuring sustainability remains elusive. This study explores the factors underpinning scale-up of digital health solutions for FLHWs in India, and the potential implications of these factors for sustainability. METHODS: We assessed five FLHW digital…

  • Avoiding the Road to Nowhere

    Open Access•Amnesty LeFevre, Sara Chamberlain et al.•ARTICLE•Global Policy•2021

    Digital health solutions offer tremendous potential to enhance the reach and quality of health services and population‐level outcomes in low‐ and middle‐income countries (LMICs). While the number of programs reaching scale increases yearly, the long‐term sustainability for most remains uncertain. In this article, as researchers and implementors, we draw on experiences of designing, implementing and evaluating digital health solutions at scale in …

  • Democratic South Africa at 25 – a conceptual framework and narrative review of the social and structural determinants of adolescent health

    Open Access•Tanya Jacobs, Asha George•ARTICLE•Globalization and Health•2021

    Twenty-five years into South Africa’s constitutional democracy provides an opportunity to take stock of the social and structural determinants of adolescent health. Those born in democratic South Africa, commonly known as the ‘Born Frees’, are perceived to be able to realise equal rights and opportunities, yet many factors constrain their lives. In bringing together approaches to understanding context in health policy and systems research and the…

  • Maternal and perinatal death surveillance and response in low- and middle-income countries

    Open Access•Mary V Kinney, David Roger Walugembe et al.•ARTICLE•Health Policy and Planning•2021

    Maternal and perinatal death surveillance and response (MPDSR), or any form of maternal and/or perinatal death review or audit, aims to improve health services and pre-empt future maternal and perinatal deaths. With expansion of MPDSR across low- and middle-income countries (LMIC), we conducted a scoping review to identify and describe implementation factors and their interactions. The review adapted an implementation framework with four domains …

  • Policy foundations for transformation

    Open Access•Tanya Jacobs, Asha George et al.•ARTICLE•Health Policy and Planning•2021

    The Sustainable Development Goals (SDGs) and the United Nations Global Strategy (2016–30) emphasize that all women, children and adolescents ‘survive, thrive and transform’. A key element of this global policy framework is that gender equality is a stand-alone goal as well as a cross-cutting priority. Gender inequality and intersecting social and structural determinants shape health systems, including the content of policy documents, with implica…

  • A scoping review of the determinants of foetal alcohol spectrum disorder in South Africa

    Open Access•Michelle De Jong, Asha George et al.•ARTICLE•Health Policy and Planning•2021

    Foetal alcohol spectrum disorder (FASD) affects babies born to mothers who consume alcohol while pregnant. South Africa has the highest prevalence of FASD in the world. We review the social determinants underpinning FASD in South Africa and add critical insight from an intersectional feminist perspective. We undertook a scoping review, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines.…

  • A future for the world's children? A WHO–Unicef–Lancet Commission

    Open Access•Helen Clark, Awa Marie Coll-Seck et al.•ARTICLE•The Lancet•2020

    Despite dramatic improvements in survival, nutrition, and education over recent decades, today's children face an uncertain future. Climate change, ecological degradation, migrating populations, conflict, pervasive inequalities, and predatory commercial practices threaten the health and future of children in every country. In 2015, the world's countries agreed on the Sustainable Development Goals (SDGs), yet nearly 5 years later, few countries ha…

Next
  • Going beyond the surface

    Éric Richard, Esther Richards et al.•ARTICLE•Social Science & Medicine•2013•Cited by: 34•References: 39

  • Within Salvation

    Asha George•ARTICLE•Journal of Social History•2011•Cited by: 15•References: 10

    For almost two decades between the close of the Second World War and Nigerian independence in 1960, the British colonial state which faced a crisis of legitimacy in Lagos upheld city ordinances that made itinerant trading by young children in Lagos a punishable status offense. Although anti-trading regulations were gender-neutral in their language, girls were disproportionately sanctioned for engaging in street trading and related activities. In …

  • Unfree markets

    Open Access•Asha George, Aditi Iyer•ARTICLE•Social Science & Medicine•2013•Cited by: 13•References: 23

    The dynamics of informal health markets in marginalised regions are relevant to policy discourse in India, but are poorly understood. We 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 dis…

  • Navigating multiple options and social relationships in plural health systems

    Open Access•Kerry Scott, Shannon A Mcmahon et al.•ARTICLE•Health Policy and Planning•2014•Cited by: 10•References: 22

    BACKGROUND: Sierra Leone has emerged from civil war but remains in the lowest tier of the human development index. While significant health reforms, such as the removal of user fees, aim to increase access to services, little is known about how families navigate a plural health system in seeking health care for sick children. This research aims to build on recent care-seeking literature that emphasizes a shift from static supply-and-demand paradi…

  • What role can health policy and systems research play in supporting responses to Covid-19 that strengthen socially just health systems

    Open Access•Lucy Gilson, Bruno Marchal et al.•ARTICLE•Health Policy and Planning•2020•Cited by: 8•References: 8

    To say that we live in turbulent times is a massive understatement. COVID-19 ruthlessly exposes the fault lines of health services and systems, and the responses put in place to prevent its spread or mitigate its effects may affect people more than the actual infection. The outbreak in Wuhan quickly grew to a pandemic that has affected countries and regions all over the world in many, and as of yet, little understood ways. This is a global infect…

  • Epistemic communities in global health and the development of child survival policy

    Open Access•Sarah L Dalglish, Asha George et al.•ARTICLE•Health Policy and Planning•2015•Cited by: 8•References: 33

    Nearly all African countries have recently implemented some form of integrated community case management of childhood illness (iCCM), a strategy aimed at reducing child mortality by providing curative care for common yet fatal childhood illnesses. This case study describes the evolution of iCCM at the global level using the theory of epistemic communities first outlined by Haas, which explains how international policy coordination on technical is…

  • Motivating health workers up to a limit

    Open Access•Aruni Bhatnagar, Aarushi Bhatnagar et al.•ARTICLE•Health Policy and Planning•2016•Cited by: 7•References: 25

    BACKGROUND: In 2012, the Nigerian government launched performance-based financing (PBF) in three districts providing financial incentives to health workers based on the quantity and quality of service provision. They were given autonomy to use funds for operational costs and performance bonuses. This study aims to understand changes in perceived motivation among health workers with the introduction of PBF in Wamba district, Nigeria. METHODS: The …

  • Community case management in Nicaragua

    Open Access•Asha George, Elaine P Menotti et al.•ARTICLE•Health Policy and Planning•2011•Cited by: 7•References: 21

    Community case management (CCM) as applied to child survival is a strategy that enables trained community health workers or volunteers to assess, classify, treat and refer sick children who reside beyond the reach of fixed health facilities. The Nicaraguan Ministry of Health (MOH) and Save the Children trained and supported brigadistas (community health volunteers) in CCM to improve equitable access to treatment for pneumonia, diarrhoea and dysen…

  • Gender dynamics affecting maternal health and health care access and use in Uganda

    Open Access•Rosemary Morgan, Moses Tetui et al.•ARTICLE•Health Policy and Planning•2017•Cited by: 5•References: 21

    Despite its reduction over the last decade, the maternal mortality rate in Uganda remains high, due to in part a lack of access to maternal health care. In an effort to increase access to care, a quasi-experimental trial using vouchers was implemented in Eastern Uganda between 2009 and 2011. Findings from the trial reported a dramatic increase in pregnant women's access to institutional delivery. Sustainability of such interventions, however, is …

  • Persistence of High Maternal Mortality in Koppal District, Karnataka, India

    Asha George•ARTICLE•Reproductive Health Matters•2007•Cited by: 5

    Rural women with obstetric complications access many health providers in Koppal, the poorest district in the state of Karnataka, south India. Yet they die. Based on insights derived from case studies of women seeking emergency obstetric care and participant-observation of government health services, this article highlights service delivery constraints that underlie the persistence of high levels of maternal mortality in Koppal. Weak information s…

  • Using Accountability to Improve Reproductive Health Care

    Asha George•ARTICLE•Reproductive Health Matters•2003•Cited by: 5•References: 16

    Accountability is best understood as a referee of the dynamics in two-way relationships, often between unequal partners. The literature on accountability distinguishes between political, fiscal, administrative, legal and constitutional accountability. This paper focuses on accountability mechanisms in health care and how they mediate between service providers and communities and between different kinds of health personnel at the primary health ca…

  • The crowded space of local accountability for maternal, newborn and child health

    Open Access•Fidele Kanyimbu Mukinda, Van Belle et al.•ARTICLE•Health Policy and Planning•2020•Cited by: 2•References: 18

    Global and national accountability for maternal, newborn and child health (MNCH) is increasingly invoked as central to addressing preventable mortality and morbidity. Strategies of accountability for MNCH include policy and budget tracking, maternal and perinatal death surveillance, performance targets and various forms of social accountability. However, little is known about how the growing number of accountability strategies for MNCH is receive…

  • Relaunch of the official community health worker programme in Mozambique

    Open Access•Baltazar Chilundo, Baltazar GM Chilundo et al.•ARTICLE•Health Policy and Planning•2015•Cited by: 2•References: 22

    Background: In Mozambique, integrated community case management (iCCM) of diarrhoea, malaria and pneumonia is embedded in the national community health worker (CHW) programme, mainstreaming it into government policy and service delivery. Since its inception in 1978, the CHW programme has functioned unevenly, was suspended in 1989, but relaunched in 2010. To assess the long-term success of iCCM in Mozambique, this article addresses whether the cur…

  • Can volunteer community health workers manage multiple roles? An interrupted time-series analysis of combined HIV and maternal and child health promotion in Iringa, Tanzania

    Open Access•Katharine D Shelley, Gasto Frumence et al.•ARTICLE•Health Policy and Planning•2018•Cited by: 1•References: 23

    Community health workers (CHWs) play a critical role in health promotion, but their workload is often oriented around a single disease. Renewed interest in expansion of multipurpose CHWs to cover an integrated package of services must contend with the debate over how effectively CHWs can perform an increased range of tasks. In this study, we examine whether an existing cadre of HIV-focused paid volunteer CHWs in Iringa, Tanzania, can take on new …

  • Analysis of dropout across the continuum of maternal health care in Tanzania

    Open Access•Diwakar Mohan, Amnesty LeFevre et al.•ARTICLE•Health Policy and Planning•2017•Cited by: 1•References: 35

    The 'continuum of care' is proposed as a key framework for the delivery of maternal, neonatal and child health services. This study examined the extent of dropout as well as factors associated with retention across the MNCH continuum from antenatal care (ANC), through skilled birth attendance (SBA), to postnatal care (PNC).We analyzed data from 1931 women who delivered in the preceding 2-14 months, from a two-stage cluster sampling household surv…

  • The importance of gender analysis in research for health systems strengthening

    Open Access•Sally Theobald, Rosemary Morgan et al.•ARTICLE•Health Policy and Planning•2017•Cited by: 1•References: 10

  • ICCM policy analysis

    Open Access•Asha George, Daniela C Rodríguez et al.•ARTICLE•Health Policy and Planning•2015•Cited by: 1•References: 40

    Pneumonia, diarrhoea and malaria remain leading causes of death for children under 5 years of age and access to effective and appropriate treatment for sick children is extremely low where it is needed most. Integrated community case management (iCCM) enables community health workers to provide basic lifesaving treatment for sick children living in remote communities for these diseases. While many governments in sub-Saharan Africa recently change…

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

    David Musoke, Elizabeth Ekirapa-Kiracho et al.•ARTICLE•Reproductive Health Matters•2015•Cited by: 1•References: 41

    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 co…

  • Engendering International Health

    L Doyal, Gita Sen et al.•ARTICLE•Contemporary Sociology A Journal…•2003

    Engendering International Health presents the work of leading researchers on gender equity in international health. Growing economic inequalities reinforce social injustices, stall health gains, and deny good health to many. In particular, deep-seated gender biases in health research and policy institutions combine with a lack of well-articulated and accessible evidence to downgrade the importance of gender perspectives in health. The book?s cent…

  • Using Accountability to Improve Reproductive Health Care

    Asha George•ARTICLE•Reproductive Health Matters•2003•Cited by: 5•References: 16

    Accountability is best understood as a referee of the dynamics in two-way relationships, often between unequal partners. The literature on accountability distinguishes between political, fiscal, administrative, legal and constitutional accountability. This paper focuses on accountability mechanisms in health care and how they mediate between service providers and communities and between different kinds of health personnel at the primary health ca…

  • Persistence of High Maternal Mortality in Koppal District, Karnataka, India

    Asha George•ARTICLE•Reproductive Health Matters•2007•Cited by: 5

    Rural women with obstetric complications access many health providers in Koppal, the poorest district in the state of Karnataka, south India. Yet they die. Based on insights derived from case studies of women seeking emergency obstetric care and participant-observation of government health services, this article highlights service delivery constraints that underlie the persistence of high levels of maternal mortality in Koppal. Weak information s…

  • Nurses, community health workers, and home carers

    Open Access•Asha George•ARTICLE•Global Public Health•2008

    This review examines the experiences of nurses, community health workers, and home carers in health systems from a gender analysis. With respect to nursing, current discussions around delegation take place over layers of historical struggle that mark the evolution of nursing as a profession. Female community health workers also struggle to be recognized as skilled workers, in addition to defending at a personal level the legitimacy of their work,…

  • Community case management in Nicaragua

    Open Access•Asha George, Elaine P Menotti et al.•ARTICLE•Health Policy and Planning•2011•Cited by: 7•References: 21

    Community case management (CCM) as applied to child survival is a strategy that enables trained community health workers or volunteers to assess, classify, treat and refer sick children who reside beyond the reach of fixed health facilities. The Nicaraguan Ministry of Health (MOH) and Save the Children trained and supported brigadistas (community health volunteers) in CCM to improve equitable access to treatment for pneumonia, diarrhoea and dysen…

  • Within Salvation

    Asha George•ARTICLE•Journal of Social History•2011•Cited by: 15•References: 10

    For almost two decades between the close of the Second World War and Nigerian independence in 1960, the British colonial state which faced a crisis of legitimacy in Lagos upheld city ordinances that made itinerant trading by young children in Lagos a punishable status offense. Although anti-trading regulations were gender-neutral in their language, girls were disproportionately sanctioned for engaging in street trading and related activities. In …

  • Spoiled breast milk and bad water; local understandings of diarrhea causes and prevention in rural Sierra Leone

    Open Access•Shannon A Mcmahon, Asha George et al.•ARTICLE•BMC Public Health•2013

    Categorizing behaviors as beneficial, harmful, non-existent or benign enables tailored programmatic recommendations. For example, respondents recognized the value of clean water and we correspondingly recommend interventions that reinforce consumption of and access to clean water. Second, respondents report denying "contaminated" breast milk to breastfeeding children. This is a harmful practice that merits attention. Third, the role of open defec…

  • Healthcare seeking for diarrhoea, malaria and pneumonia among children in four poor rural districts in Sierra Leone in the context of free health care

    Open Access•Theresa Diaz, Asha George et al.•ARTICLE•BMC Public Health•2013

    We found high healthcare seeking rates soon after the FHCI; however, many children do not receive recommended treatment, and some are given traditional treatment instead of seeking outside care. Facility care needs to be improved and the CCM program should target those few children still not accessing care

  • Understanding careseeking for child illness in sub-Saharan Africa

    Open Access•Christopher J Colvin, Helen J Smith et al.•ARTICLE•Social Science & Medicine•2013

  • Going beyond the surface

    Éric Richard, Esther Richards et al.•ARTICLE•Social Science & Medicine•2013•Cited by: 34•References: 39

  • Unfree markets

    Open Access•Asha George, Aditi Iyer•ARTICLE•Social Science & Medicine•2013•Cited by: 13•References: 23

    The dynamics of informal health markets in marginalised regions are relevant to policy discourse in India, but are poorly understood. We 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 dis…

  • Community case management of childhood illness in sub–Saharan Africa – findings from a cross–sectional survey on policy and implementation

    Open Access•Kumanan Rasanathan, Maria Muniz et al.•ARTICLE•Journal of Global Health•2014

    BACKGROUND: Community case management (CCM) involves training, supporting, and supplying community health workers (CHWs) to assess, classify and manage sick children with limited access to care at health facilities, in their communities. This paper aims to provide an overview of the status in 2013 of CCM policy and implementation in sub-Saharan African countries. METHODS: We undertook a cross-sectional, descriptive, quantitative survey amongst te…

  • Navigating multiple options and social relationships in plural health systems

    Open Access•Kerry Scott, Shannon A Mcmahon et al.•ARTICLE•Health Policy and Planning•2014•Cited by: 10•References: 22

    BACKGROUND: Sierra Leone has emerged from civil war but remains in the lowest tier of the human development index. While significant health reforms, such as the removal of user fees, aim to increase access to services, little is known about how families navigate a plural health system in seeking health care for sick children. This research aims to build on recent care-seeking literature that emphasizes a shift from static supply-and-demand paradi…

  • Equally able, but unequally accepted

    Open Access•Isabelle Feldhaus, Marissa Silverman et al.•ARTICLE•International Journal for Equity…•2015

    Male and female CHWs in this study have largely similar knowledge and health promotion outputs, but challenges in acceptance of CHW counseling for reproductive health and home visits by unaccompanied CHWs varied by gender. Programs that pair male and female CHWs may potentially overcome gender issues in CHW acceptance, especially if they change gender norms rather than solely accommodate gender preferences

  • Program synergies and social relations

    Open Access•Selena J An, Asha George et al.•ARTICLE•BMC Public Health•2015

    While providers and pregnant women view program synergies from integrating HIV services into antenatal care positively, lack of supportive provider-patient relationships, lack of trust resulting from harsh treatment or breaches in confidentiality, and stigma still inhibit women's care seeking. As countries continue rollout of Option B+, social relations between patients and providers must be understood and addressed to ensure that integrated deli…

  • Anchoring contextual analysis in health policy and systems research

    Open Access•Asha George, Kerry Scott et al.•ARTICLE•Social Science & Medicine•2015

  • Relaunch of the official community health worker programme in Mozambique

    Open Access•Baltazar Chilundo, Baltazar GM Chilundo et al.•ARTICLE•Health Policy and Planning•2015•Cited by: 2•References: 22

    Background: In Mozambique, integrated community case management (iCCM) of diarrhoea, malaria and pneumonia is embedded in the national community health worker (CHW) programme, mainstreaming it into government policy and service delivery. Since its inception in 1978, the CHW programme has functioned unevenly, was suspended in 1989, but relaunched in 2010. To assess the long-term success of iCCM in Mozambique, this article addresses whether the cur…

  • ICCM policy analysis

    Open Access•Asha George, Daniela C Rodríguez et al.•ARTICLE•Health Policy and Planning•2015•Cited by: 1•References: 40

    Pneumonia, diarrhoea and malaria remain leading causes of death for children under 5 years of age and access to effective and appropriate treatment for sick children is extremely low where it is needed most. Integrated community case management (iCCM) enables community health workers to provide basic lifesaving treatment for sick children living in remote communities for these diseases. While many governments in sub-Saharan Africa recently change…

  • Epistemic communities in global health and the development of child survival policy

    Open Access•Sarah L Dalglish, Asha George et al.•ARTICLE•Health Policy and Planning•2015•Cited by: 8•References: 33

    Nearly all African countries have recently implemented some form of integrated community case management of childhood illness (iCCM), a strategy aimed at reducing child mortality by providing curative care for common yet fatal childhood illnesses. This case study describes the evolution of iCCM at the global level using the theory of epistemic communities first outlined by Haas, which explains how international policy coordination on technical is…

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

    David Musoke, Elizabeth Ekirapa-Kiracho et al.•ARTICLE•Reproductive Health Matters•2015•Cited by: 1•References: 41

    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 co…

  • Best resources on… intersectionality with an emphasis on low- and middle-income countries

    Open Access•Elizabeth Larson, Elizabeth A Larson et al.•ARTICLE•Health Policy and Planning•2016

    Intersectionality has emerged as an important framework for understanding and responding to health inequities by making visible the fluid and interconnected structures of power that create them. It promotes an understanding of the dynamic nature of the privileges and disadvantages that permeate health systems and affect health. It considers the interaction of different social stratifiers (e.g. ‘race’/ethnicity, indigeneity, gender, class, sexuali…

  • How to do (or not to do)… gender analysis in health systems research

    Open Access•Rosemary Morgan, Asha George et al.•ARTICLE•Health Policy and Planning•2016

    Gender—the socially constructed roles, behaviours, activities and attributes that a given society considers appropriate for males, females and other genders—affects how people live, work and relate to each other at all levels, including in relation to the health system. Health systems research (HSR) aims to inform more strategic, effective and equitable health systems interventions, programs and policies; and the inclusion of gender analysis into…

  • Supporting youth and community capacity through photovoice

    Open Access•David Musoke, Rawlance Ndejjo et al.•ARTICLE•Global Public Health•2016

    This paper reflects on the experiences of using photovoice to examine maternal health in Wakiso district, Uganda. The project involved 10 youth aged 18-29 years old, who were diverse in education, occupation, and marital status and identified by community leaders with researchers. By taking photos and sharing images and experiences in monthly meetings over five months, youth reported becoming more knowledgeable. They realised that they had common…

  • Fair publication of qualitative research in health systems

    Open Access•Ken Daniels, Karen Daniels et al.•ARTICLE•International Journal for Equity…•2016

    10.1186/s12939-016-0368-y

  • Sparking, supporting and steering change

    Open Access•Asha George, Asha S George et al.•ARTICLE•Health Policy and Planning•2016•References: 19

    Existing accountability efforts in Nigeria primarily serve as retrospective policing. To enable accountability to guide change prospectively and preemptively, we drew from a literature review to develop a framework that highlights mutually reinforcing dimensions of accountability in health systems along three counterbalancing axes. The axis of power sparks change by wielding 'sticks' that curb the potential abuse of power, but also by offering 'c…

Medicine (46 works) · Global Maternal and Child Health (39 works) · Political science (35 works) · Economic growth (34 works) · Sociology (31 works) · Economics (29 works) · Health care (27 works) · Nursing (27 works) · Business (26 works) · Environmental health (25 works)

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