Search results
The clock is ticking: the rate and timeliness of antiretroviral therapy initiation from the time of treatment eligibility in Kenya
Understanding the determinants of timely antiretroviral therapy (ART) initiation is useful for HIV programs intent on developing models of care that reduce delays in treatment initiation while maintaining a high quality of care. We analyzed patient- and facility-level determinants of time to ART initiation among patients who initiated ART in Kenya.
2014 Dissemination Report
This report details findings from the 2014 evaluation period of the Gavi Full Country Evaluations (FCE) project in Bangladesh, Mozambique, Uganda, and Zambia. The FCE are three-year prospective studies that aim to understand and quantify the barriers to and drivers of immunization program performance, with emphasis on the contribution of Gavi, the Vaccine Alliance.
Human Papillomavirus Vaccine: Lessons Learned from the 2014 Gavi Full Country Evaluations
This brief presents lessons learned from human papillomavirus (HPV) vaccine demonstration in Mozambique and preparation for HPV national introduction in Uganda during the 2014 period of the Gavi Full Country Evaluations (FCE).
Bangladesh: Findings from the 2014 Gavi Full Country Evaluations
This brief presents findings for Bangladesh from the 2014 Gavi Full Country Evaluations (FCE) Annual Dissemination Report. It reflects content from the 2014 Annual Dissemination Report.
Mozambique: Findings from the 2014 Gavi Full Country Evaluations
This brief presents findings for Mozambique from the 2014 Gavi Full Country Evaluations (FCE) Annual Dissemination Report. It reflects content from the 2014 Annual Dissemination Report.
Uganda: Findings from the 2014 Gavi Full Country Evaluations
This brief presents findings for Uganda from the 2014 Gavi Full Country Evaluations (FCE) Annual Dissemination Report. It reflects content from the 2014 Annual Dissemination Report.
Zambia: Findings from the 2014 Gavi Full Country Evaluations
This brief presents findings for Zambia from the 2014 Gavi Full Country Evaluations (FCE) Annual Dissemination Report. It reflects content from the 2014 Annual Dissemination Report.
Benchmarking health system performance across states in Nigeria: a systematic analysis of levels and trends in key maternal and child health interventions and outcomes, 2000–2013
Nigeria has made notable gains in improving childhood survival but the country still accounts for a large portion of the world’s overall disease burden, particularly among women and children. To date, no systematic analyses have comprehensively assessed trends for health outcomes and interventions across states in Nigeria.
Salud Mesoamérica 2015 Initiative: design, implementation, and baseline findings
Health has improved markedly in Mesoamerica, the region consisting of southern Mexico and Central America, over the past decade. Despite this progress, there remain substantial inequalities in health outcomes, access, and quality of medical care between and within countries. Poor, indigenous, and rural populations have considerably worse health indicators than national or regional averages. In an effort to address these health inequalities, the Salud Mesoamérica 2015 Initiative (SM2015), a results-based financing initiative, was established.
Assessing Impact, Improving Health: Progress in Child Health Across Districts in Zambia
Assessing Impact, Improving Health: Progress in Child Health Across Districts in Zambia is the culmination of the Malaria Control Policy Assessment (MCPA) project in Zambia, which has sought to quantify the impact of malaria control and other child health interventions on reductions in under-5 mortality across districts in Zambia.
Nets, spray, or both? The effectiveness of insecticide-treated nets and indoor residual spraying in reducing malaria morbidity and child mortality in sub-Saharan Africa
These findings suggest that greater reductions in malaria morbidity and health gains for children may be achieved with ITNs and IRS combined beyond the protection offered by IRS or ITNs alone.
Effectiveness of diabetes and hypertension management by rural primary health-care workers (Behvarz workers) in Iran: a nationally representative observational study
Noncommunicable diseases and related risk factors are the leading causes of disease burden in Iran and other middle-income countries. High blood pressure caused 80,000 deaths in Iran in 2005, and hyperglycemia caused 34,000 deaths in that year.
Assessment of population-level effect of Avahan, an HIV-prevention initiative in India
Avahan, a program aimed at preventing HIV in India, averted an estimated 100,178 HIV infections between 2003 and 2008, according to researchers at IHME, the Public Health Foundation of India, the Ministry of Health and Family Welfare of India, and the University of Hong Kong.
Net benefits: a multicountry analysis of observational data examining associations between insecticide-treated mosquito nets and health outcomes
Children who live in households that own at least one insecticide-treated mosquito net (ITN), also known as bed nets, are less likely to be infected with malaria and less likely to die from the disease, according to new study.
Robust metrics for assessing the performance of different verbal autopsy cause assignment methods in validation studies
Choosing the best method for verbal autopsy (VA) requires the appropriate metrics to assess a given method’s performance, and researchers from IHME and the University of Queensland undertook a study to determine these metrics.
Assessing quality of medical death certification: concordance between gold standard diagnoses and underlying cause of death in selected Mexican hospitals
The vital registration system in Mexico relies on information collected from death certificates to generate official mortality figures. A study by researchers at IHME and the National Institute of Public Health in Mexico set out to test the validity of this system.
Random forests for verbal autopsy analysis: multisite validation study using clinical diagnostic gold standards
An innovative method of computer-coded verbal autopsy, the Random Forest (RF) Method from machine learning, was found to outperform physician-certified verbal autopsy (PCVA) in almost all settings, according to a study by researchers from IHME and the Bill & Melinda Gates Foundation as part of the Population Health Metrics Research Consortium (PHMRC).
Performance of InterVA for assigning causes of death to verbal autopsies: multisite validation study using clinical diagnostic gold standards
InterVA, an automated and widely available tool for assigning cause of death using verbal autopsies (VAs), does not perform as well as other methods, such as physician-certified verbal autopsy (PCVA) and the Simplified Symptom Pattern (SSP) method, according to a study published by researchers at IHME and the University of Queensland, as part of the Population Health Metrics Research Consortium (PHMRC).
Direct estimation of cause-specific mortality fractions from verbal autopsies: multisite validation study using clinical diagnostic gold standards
The King and Lu (KL) method for directly estimating the fraction of all deaths in a population due to a given cause has been used to interpret verbal autopsies (VAs) in areas with incomplete vital registration systems.
Performance of physician-certified verbal autopsies: multisite validation study using clinical diagnostic gold standards
Physician certification is the most widely used method for interpreting verbal autopsy (VA), yet physicians correctly determine cause of death less than half of the time, according to new research by IHME and the University of Queensland as part of the Population Health Metrics Research Consortium (PHMRC).
Management of diabetes and associated cardiovascular risk factors in seven countries: a comparison of data from national health examination surveys
A substantial proportion of individuals with diabetes remain undiagnosed and untreated, in both developed and developing countries, according to a study by IHME researchers and collaborators.