Giovanna Cowley
Biographic Data
| ID | 9074309 |
|---|---|
| NAME | Giovanna Cowley |
| GIVEN NAMES | Giovanna |
| FAMILY NAME | Cowley |
| SIGNATURE | COWLEY G |
| AFFILIATIONS | Centre National de la Recherche Appliquée au Developpement Rural |
| ORCID | 0000-0002-4228-5425 |
| VERIFIED | Yes |
| TOTAL WORKS | 6 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 6 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2021 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Evaluation of a diabetes decentralization program in rural Madagascar using the RE-AIM framework
Diabetes is a significant cause of disabilities and deaths in Africa. In Madagascar, diabetes causes an estimated 5,000 deaths yearly. There are many barriers to diabetes care in Madagascar, and a key barrier is health systems readiness to provide care, especially in rural areas. To mitigate this, the non-governmental organization (NGO) Pivot and the Ministry of Public Health (MoPH) jointly implemented a diabetes decentralization program in Ifana…
Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar
Despite widespread adoption of community health (CH) systems, there are evidence gaps to support global best practice in remote settings where access to health care is limited and community health workers (CHWs) may be the only available providers. The nongovernmental health organization Pivot partnered with the Ministry of Public Health (MoPH) to pilot a new enhanced community health (ECH) model in rural Madagascar, where one CHW provided care a…
Impact of health system strengthening on delivery strategies to improve child immunisation coverage and inequalities in rural Madagascar
BACKGROUND: To reach global immunisation goals, national programmes need to balance routine immunisation at health facilities with vaccination campaigns and other outreach activities (eg, vaccination weeks), which boost coverage at particular times and help reduce geographical inequalities. However, where routine immunisation is weak, an over-reliance on vaccination campaigns may lead to heterogeneous coverage. Here, we assessed the impact of a h…
Geographic barriers to care persist at the community healthcare level
Geographic distance is a critical barrier to healthcare access, particularly for rural communities with poor transportation infrastructure who rely on non-motorized transportation. There is broad consensus on the importance of community health workers (CHWs) to reduce the effects of geographic isolation on healthcare access. Due to a lack of fine-scale spatial data and individual patient records, little is known about the precise effects of CHWs …
Integrating Health Systems and Science to Respond to Covid-19 in a Model District of Rural Madagascar
There are many outstanding questions about how to control the global COVID-19 pandemic. The information void has been especially stark in the World Health Organization Africa Region, which has low per capita reported cases, low testing rates, low access to therapeutic drugs, and has the longest wait for vaccines. As with all disease, the central challenge in responding to COVID-19 is that it requires integrating complex health systems that incorp…
Geographic barriers to establishing a successful hospital referral system in rural Madagascar
BACKGROUND: The provision of emergency and hospital care has become an integral part of the global vision for universal health coverage. To strengthen secondary care systems, we need to accurately understand the time necessary for populations to reach a hospital. The goal of this study was to develop methods that accurately estimate referral and prehospital time for rural districts in low and middle-income countries. We used these estimates to as…
No prominent works on this page.
Integrating Health Systems and Science to Respond to Covid-19 in a Model District of Rural Madagascar
There are many outstanding questions about how to control the global COVID-19 pandemic. The information void has been especially stark in the World Health Organization Africa Region, which has low per capita reported cases, low testing rates, low access to therapeutic drugs, and has the longest wait for vaccines. As with all disease, the central challenge in responding to COVID-19 is that it requires integrating complex health systems that incorp…
Geographic barriers to establishing a successful hospital referral system in rural Madagascar
BACKGROUND: The provision of emergency and hospital care has become an integral part of the global vision for universal health coverage. To strengthen secondary care systems, we need to accurately understand the time necessary for populations to reach a hospital. The goal of this study was to develop methods that accurately estimate referral and prehospital time for rural districts in low and middle-income countries. We used these estimates to as…
Impact of health system strengthening on delivery strategies to improve child immunisation coverage and inequalities in rural Madagascar
BACKGROUND: To reach global immunisation goals, national programmes need to balance routine immunisation at health facilities with vaccination campaigns and other outreach activities (eg, vaccination weeks), which boost coverage at particular times and help reduce geographical inequalities. However, where routine immunisation is weak, an over-reliance on vaccination campaigns may lead to heterogeneous coverage. Here, we assessed the impact of a h…
Geographic barriers to care persist at the community healthcare level
Geographic distance is a critical barrier to healthcare access, particularly for rural communities with poor transportation infrastructure who rely on non-motorized transportation. There is broad consensus on the importance of community health workers (CHWs) to reduce the effects of geographic isolation on healthcare access. Due to a lack of fine-scale spatial data and individual patient records, little is known about the precise effects of CHWs …
Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar
Despite widespread adoption of community health (CH) systems, there are evidence gaps to support global best practice in remote settings where access to health care is limited and community health workers (CHWs) may be the only available providers. The nongovernmental health organization Pivot partnered with the Ministry of Public Health (MoPH) to pilot a new enhanced community health (ECH) model in rural Madagascar, where one CHW provided care a…
Evaluation of a diabetes decentralization program in rural Madagascar using the RE-AIM framework
Diabetes is a significant cause of disabilities and deaths in Africa. In Madagascar, diabetes causes an estimated 5,000 deaths yearly. There are many barriers to diabetes care in Madagascar, and a key barrier is health systems readiness to provide care, especially in rural areas. To mitigate this, the non-governmental organization (NGO) Pivot and the Ministry of Public Health (MoPH) jointly implemented a diabetes decentralization program in Ifana…
Global Maternal and Child Health (5 works) · Public health (5 works) · Environmental health (4 works) · Health care (4 works) · Medicine (4 works) · Economic growth (3 works) · Nursing (3 works) · Population (3 works) · Rural area (3 works) · Business (2 works)