Alexander K Rowe
Dados Biográficos
| ID | 5401732 |
|---|---|
| NOME | Alexander K Rowe |
| PRENOMES | Alexander K |
| SOBRENOME | Rowe |
| ASSINATURA | ROWE A K |
| AFILIAÇÕES | Centers for Disease Control and Prevention |
| ORCID | 0000-0002-1383-4341 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAÇÕES | 21 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1959 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Design and implementation of a multi-country targeted health facility assessment to measure integrated, people-centered, quality of services
Integrated, people-centred, high-quality health services are essential to achieving universal health coverage, yet traditional health facility assessments often focus on structural inputs and are too resource-intensive to support frequent, programmatic use. The Global Fund to Fight AIDS, Tuberculosis (TB), and Malaria developed the Targeted Health Facility Assessment (tHFA) to inform country plans and monitor progress on the Global Fund Strategy …
Insights from national stakeholders and health workers on learning and performance interventions in immunisation programs
Background: Health workers play a key role in providing high-quality health services, but health worker practice improvements remain limited despite significant investments in learning and performance interventions. We conducted a situational analysis to explore factors affecting health worker performance, focusing on barriers and facilitators and integrating digital solutions. Methods: In the analysis we focussed on paid professional health work…
The effectiveness of training strategies to improve healthcare provider practices in low-income and middle-income countries
INTRODUCTION: In low/middle-income countries (LMICs), training is often used to improve healthcare provider (HCP) performance. However, important questions remain about how well training works and the best ways to design training strategies. The objective of this study is to characterise the effectiveness of training strategies to improve HCP practices in LMICs and identify attributes associated with training effectiveness. METHODS: We performed …
Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries
High-quality health systems in the Sustainable Development Goals era
and respecting all workers to deliver the best care possible. Fourth, governments and civil society should ignite demand for quality in the population to empower people to hold systems accountable and actively seek high-quality care. Additional targeted actions in areas such as health financing, management, district-level learning, and others can complement these efforts. What works in one setting might not work elsewhere, and improvement efforts…
Does shortening the training on Integrated Management of Childhood Illness guidelines reduce its effectiveness? A systematic review
Objective Implementation of the Integrated Management of Childhood Illness (IMCI) strategy with an 11-day training course for health workers improves care for ill children in outpatient settings in developing countries. The 11-day course duration is recommended by the World Health Organization, which developed IMCI. Our aim was to determine if shortening the training (to reduce cost) reduces its effectiveness. Methods We conducted a systematic re…
Impact of a Malaria-Control Project in Benin That Included the Integrated Management of Childhood Illness Strategy
Objectives. To estimate the impact of the Integrated Management of Childhood Illness (IMCI) strategy on early-childhood mortality, we evaluated a malaria-control project in Benin that implemented IMCI and promoted insecticide-treated nets (ITNs). Methods. We conducted a before-and-after intervention study that included a nonrandomized comparison group. We used the preceding birth technique to measure early-childhood mortality (risk of dying befor…
The rise and fall of supervision in a project designed to strengthen supervision of Integrated Management of Childhood Illness in Benin
OBJECTIVE: In developing countries, supervision is a widely recognized strategy for improving health worker performance; and anecdotally, maintaining regular, high-quality supervision is difficult. However, remarkably little research has explored in depth why supervision is so challenging. METHODS: In the context of a trial to improve health worker adherence to Integrated Management of Childhood Illness (IMCI) guidelines and strengthen supervisio…
A Multifaceted Intervention to Improve Health Worker Adherence to Integrated Management of Childhood Illness Guidelines in Benin
Objectives. We evaluated an intervention to support health workers after training in Integrated Management of Childhood Illness (IMCI), a strategy that can improve outcomes for children in developing countries by encouraging workers' use of evidence-based guidelines for managing the leading causes of child mortality. Methods. We conducted a randomized trial in Benin. We administered a survey in 1999 to assess health care quality before IMCI train…
Achieving child survival goals
How can we achieve and maintain high-quality performance of health workers in low-resource settings?
Management of Childhood Illness at Health Facilities in Benin
Objectives. To prepare for the implementation of Integrated Management of Childhood Illness (IMCI) in Benin, we studied the management of ill children younger than 5 years at outpatient health facilities. Methods. We observed a representative sample of consultations; after each consultation, we interviewed caregivers and reexamined children. Health workers' performance was evaluated against IMCI guidelines. To identify determinants of performance…
Community Health Worker Performance in the Management of Multiple Childhood Illnesses
Objectives. To characterize community health worker (CHW) performance using an algorithm for managing common childhood illnesses in Siaya District, Kenya, we conducted CHW evaluations in 1998, 1999, and 2001. Methods. Randomly selected CHWs were observed managing sick outpatient and inpatient children at a hospital, and their management was compared with that of an expert clinician who used the algorithm. Results. One hundred, 108, and 114 CHWs p…
The collaboration of nursing and child psychiatry in a general hospital
Community Health Worker Performance in the Management of Multiple Childhood Illnesses
Objectives. To characterize community health worker (CHW) performance using an algorithm for managing common childhood illnesses in Siaya District, Kenya, we conducted CHW evaluations in 1998, 1999, and 2001. Methods. Randomly selected CHWs were observed managing sick outpatient and inpatient children at a hospital, and their management was compared with that of an expert clinician who used the algorithm. Results. One hundred, 108, and 114 CHWs p…
Management of Childhood Illness at Health Facilities in Benin
Objectives. To prepare for the implementation of Integrated Management of Childhood Illness (IMCI) in Benin, we studied the management of ill children younger than 5 years at outpatient health facilities. Methods. We observed a representative sample of consultations; after each consultation, we interviewed caregivers and reexamined children. Health workers' performance was evaluated against IMCI guidelines. To identify determinants of performance…
The rise and fall of supervision in a project designed to strengthen supervision of Integrated Management of Childhood Illness in Benin
OBJECTIVE: In developing countries, supervision is a widely recognized strategy for improving health worker performance; and anecdotally, maintaining regular, high-quality supervision is difficult. However, remarkably little research has explored in depth why supervision is so challenging. METHODS: In the context of a trial to improve health worker adherence to Integrated Management of Childhood Illness (IMCI) guidelines and strengthen supervisio…
A Multifaceted Intervention to Improve Health Worker Adherence to Integrated Management of Childhood Illness Guidelines in Benin
Objectives. We evaluated an intervention to support health workers after training in Integrated Management of Childhood Illness (IMCI), a strategy that can improve outcomes for children in developing countries by encouraging workers' use of evidence-based guidelines for managing the leading causes of child mortality. Methods. We conducted a randomized trial in Benin. We administered a survey in 1999 to assess health care quality before IMCI train…
The collaboration of nursing and child psychiatry in a general hospital
The collaboration of nursing and child psychiatry in a general hospital
Management of Childhood Illness at Health Facilities in Benin
Objectives. To prepare for the implementation of Integrated Management of Childhood Illness (IMCI) in Benin, we studied the management of ill children younger than 5 years at outpatient health facilities. Methods. We observed a representative sample of consultations; after each consultation, we interviewed caregivers and reexamined children. Health workers' performance was evaluated against IMCI guidelines. To identify determinants of performance…
Community Health Worker Performance in the Management of Multiple Childhood Illnesses
Objectives. To characterize community health worker (CHW) performance using an algorithm for managing common childhood illnesses in Siaya District, Kenya, we conducted CHW evaluations in 1998, 1999, and 2001. Methods. Randomly selected CHWs were observed managing sick outpatient and inpatient children at a hospital, and their management was compared with that of an expert clinician who used the algorithm. Results. One hundred, 108, and 114 CHWs p…
How can we achieve and maintain high-quality performance of health workers in low-resource settings?
Achieving child survival goals
A Multifaceted Intervention to Improve Health Worker Adherence to Integrated Management of Childhood Illness Guidelines in Benin
Objectives. We evaluated an intervention to support health workers after training in Integrated Management of Childhood Illness (IMCI), a strategy that can improve outcomes for children in developing countries by encouraging workers' use of evidence-based guidelines for managing the leading causes of child mortality. Methods. We conducted a randomized trial in Benin. We administered a survey in 1999 to assess health care quality before IMCI train…
The rise and fall of supervision in a project designed to strengthen supervision of Integrated Management of Childhood Illness in Benin
OBJECTIVE: In developing countries, supervision is a widely recognized strategy for improving health worker performance; and anecdotally, maintaining regular, high-quality supervision is difficult. However, remarkably little research has explored in depth why supervision is so challenging. METHODS: In the context of a trial to improve health worker adherence to Integrated Management of Childhood Illness (IMCI) guidelines and strengthen supervisio…
Impact of a Malaria-Control Project in Benin That Included the Integrated Management of Childhood Illness Strategy
Objectives. To estimate the impact of the Integrated Management of Childhood Illness (IMCI) strategy on early-childhood mortality, we evaluated a malaria-control project in Benin that implemented IMCI and promoted insecticide-treated nets (ITNs). Methods. We conducted a before-and-after intervention study that included a nonrandomized comparison group. We used the preceding birth technique to measure early-childhood mortality (risk of dying befor…
Does shortening the training on Integrated Management of Childhood Illness guidelines reduce its effectiveness? A systematic review
Objective Implementation of the Integrated Management of Childhood Illness (IMCI) strategy with an 11-day training course for health workers improves care for ill children in outpatient settings in developing countries. The 11-day course duration is recommended by the World Health Organization, which developed IMCI. Our aim was to determine if shortening the training (to reduce cost) reduces its effectiveness. Methods We conducted a systematic re…
Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries
High-quality health systems in the Sustainable Development Goals era
and respecting all workers to deliver the best care possible. Fourth, governments and civil society should ignite demand for quality in the population to empower people to hold systems accountable and actively seek high-quality care. Additional targeted actions in areas such as health financing, management, district-level learning, and others can complement these efforts. What works in one setting might not work elsewhere, and improvement efforts…
The effectiveness of training strategies to improve healthcare provider practices in low-income and middle-income countries
INTRODUCTION: In low/middle-income countries (LMICs), training is often used to improve healthcare provider (HCP) performance. However, important questions remain about how well training works and the best ways to design training strategies. The objective of this study is to characterise the effectiveness of training strategies to improve HCP practices in LMICs and identify attributes associated with training effectiveness. METHODS: We performed …
Insights from national stakeholders and health workers on learning and performance interventions in immunisation programs
Background: Health workers play a key role in providing high-quality health services, but health worker practice improvements remain limited despite significant investments in learning and performance interventions. We conducted a situational analysis to explore factors affecting health worker performance, focusing on barriers and facilitators and integrating digital solutions. Methods: In the analysis we focussed on paid professional health work…
Design and implementation of a multi-country targeted health facility assessment to measure integrated, people-centered, quality of services
Integrated, people-centred, high-quality health services are essential to achieving universal health coverage, yet traditional health facility assessments often focus on structural inputs and are too resource-intensive to support frequent, programmatic use. The Global Fund to Fight AIDS, Tuberculosis (TB), and Malaria developed the Targeted Health Facility Assessment (tHFA) to inform country plans and monitor progress on the Global Fund Strategy …
Medicine (11 obras) · Global Maternal and Child Health (10 obras) · Nursing (9 obras) · Environmental health (8 obras) · Business (6 obras) · Family medicine (5 obras) · Health services (5 obras) · Integrated Management of Childhood Illness (5 obras) · Population (5 obras) · Health Policy Implementation Science (4 obras)