The phrase "Networks of Care" seems familiar but remains poorly defined. A health system that exemplifies effective Networks Care (NOC) purposefully and effectively interconnects service delivery touch points within a catchment area to fill critical gaps create continuity in patient care. To more fully elaborate the concept Care, we conducted multi-method scoping study included literature review, stakeholder interviews, descriptive case studies from five low- middle-income countries. Our...

Objective: We investigated the relational aspects of “Networks Care” (NOC) approach to better define their role and highlight importance. These distinguish NOC from other health system strengthening approaches that aim enhance quality MNH care. NOCs include functional aspects, as defined in WHO for framework, offer a promising strategy enhancing maternal newborn (MNH) by care coordination at an operational level. Methods: conducted cross-disciplinary (healthcare, business, military,...

<h3>Key Messages</h3> Networks of Care (NOCs) can improve quality care, continuity and maternal newborn outcomes. They focus on relational elements that are key to health system functioning context specific. NOCs creating intentional connections between people services strengthening the functional aspects systems while incorporating emphasizing core aspects. also be used strengthen referral systems, thus promoting care. With momentum interest gathering around NOC approach, it could an...

To eliminate new pediatric HIV infections, interventions that facilitate adherence, including those minimize stigma, enhance social support, and mitigate the influence of poverty, will likely be required in addition to combination antiretroviral therapy (ART). We examined relationship between partner testing infant outcome a prevention parent-to-child transmission program, which included family-centered case management approach supportive environment for disclosure testing.We analyzed...

In Nigeria, two maternal and neonatal health Networks of Care (NOC) focus on extending the reach quality routine emergency services tailored to different contexts. This paper uses four domains NOC framework—Agreements Enabling Environment, Operational Standards, Quality, Efficiency Responsibility, Learning Adaptation—to describe NOC, highlighting how each developed address specific local needs. Northern were established in collaboration among Clinton Health Access Initiative government...

The non-governmental organization Comprehensive Community Based Rehabilitation in Tanzania (CCBRT) developed a multi-facility maternal and neonatal Network of Care (NOC) among 22 government hospitals catchment facilities operating across Dar es Salaam. While facility delivery rates were above 90% the Salaam region, quality services was substandard, leading to an excess preventable morbidity mortality. In partnership with regional health authorities CCBRT plan improve service at childbirth by...

Laboratory-based CD4 monitoring of HIV patients presents challenges in resource limited settings (RLS) including frequent machine breakdown, poor engineering support and cold chain specimen transport logistics. This study assessed the performance two tests designed for use RLS; Dynal assay Alere PIMA test (PIMA). Accuracy using venous blood was a centralised laboratory by comparison to BD FACSCount (BD FACS). had mean bias −50.35 cells/µl (r2 = 0.973, p<0.0001, n 101) −22.43 0.964, 139)...

At an overcrowded government multi-specialty hospital serving the most densely populated area of Metro Manila, inward referrals women in a moribund state and high volumes low-risk maternity cases added to significant overcrowding quality challenges wards, resulting rates maternal neonatal death near-miss. This case study public-private Network Care, Quirino Recognized Partners (QRP), describes series pragmatic steps taken build maintain network, particularly: building trust through...

On the global health agenda, Universal Health Coverage has been displaced by COVID-19 pandemic while disparities in outcomes have exposed stark gaps quality, access, equity, and financial risk protection. These highlight importance of core goals need for innovative approaches to working toward them. The newly codified concept "Networks Care" offers a promising option implementation. articles this special issue present Networks Care lexicon framework demonstrate development leadership,...

This case study utilizes the four domains of effective Networks Care (NOC) as a lens to describe suite interventions biosocial approach maternal and neonatal health services in rural Nepal: The Network Safety model, created by non-governmental organization One Heart Worldwide (OHW) collaboration with government system Nepal. provides essential guidance areas financing, governance, sustainability, reflection user preference, scalability. OHW addresses reproductive needs women living remote...

Despite more than 10,000 patients on antiretroviral therapy (ART), there remains a dearth of operational research in Papua New Guinea related to HIV service delivery. This study examined the effectiveness locally developed model delivery called PAPUA (Patient and Provider Unified Approach) Highlands Guinea. The emphasizes coordinated patient provider support along with decentralized services rural districts Highlands.We conducted chart review among HIV-infected adults ART at clinics Eastern...

Setting: Tuberculosis (TB) is the leading cause of death among people living with human immunodeficiency virus (PLHIV) in Papua New Guinea. Despite a policy for isoniazid preventive therapy (IPT) PLHIV, implementation has been slow. Objective: We prospectively evaluated standardized guided screening process, including TB diagnostic support, to increase IPT initiation adult PLHIV on antiretro-viral treatment. Design: The process included paper-based tool that prompted review patient history...

A disproportionate burden of maternal deaths occurs in low- and middle-income countries (LMICs), obstetric hemorrhage (OH) is a leading cause excess mortality. In Zambia, most are directly caused by OH. The Non-Pneumatic Anti-Shock Garment (NASG) first aid tool that uses compression to the abdomen lower body stop reverse hypovolemic shock secondary We describe process experiences introducing NASG into Zambia public health system encourage development national policies, clinical guidelines,...

Low retention in care for adolescents living with HIV (ALHIV) has been a key driver of suboptimal viral load suppression rates Uganda. The objective this study was to develop psychosocial risk assessment tool and evaluate its ability predict the attrition ALHIV between ages 15 19 years.

Objective: To develop and validate a screening tool to improve testing efficiency increase case finding of children living with HIV. Design: Cross-sectional study. Methods: Between November 2020 September 2021, 18 months 14 years presenting at outpatient departments in 30 health facilities Zambia were administered 14-question pediatric HIV then tested for Data analyzed using randomly extracted ‘validation’ dataset multivariable logistic regression determine the highest performing optimal...

The Non-Pneumatic Anti-Shock Garment (NASG) is a first aid tool that can halt and reverse hypovolemic shock secondary to obstetric hemorrhage. World Health Organization recommended the NASG for use as temporizing measure in 2012, but uptake of recommendation has been slow, partially because operational experience limited. study process evaluation introduction public sector health facility network rural Zimbabwe utilizing an adapted RE-AIM, categorizing observations into domains of: reach,...

Durable solutions for daunting problems in global health can be elusive. The literature tends to present aggregated data and highlight clinical outcomes but fails describe the systems that buttress interventions. common idiom about “missing forest trees” is apropos: by focusing on individual examples, we may miss bigger picture. How implementation of policies innovations plays out front lines service delivery often goes uncommunicated. Networks Care scoping study takes a different approach,...