Harnessing global networks to drive country evidence-based reproductive health practices toward universal health coverage

G. N. Gichuhi, Michael Muthamia Mwiti, Paul Nyachae
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Abstract

Jhpiego provides contextual evidence-based real-life solutions that contribute to saving lives, improving health, and transforming futures for women, children, and their families living in more than 42 countries. Over its 50 years of existence and a geographic footprint of more than 150 countries, this JHU-affiliated NGO has contributed to the introduction and scale-up of multiple life-saving innovations, has been a dot connector, a trusted partner to many governments and professional and local organizations, and an innovator. In Kenya, Jhpiego has worked for more than 45 years, partnering with KOGS in multiple initiatives, and has contributed to the development and review of multiple evidence-based policies and recommendations at the global, regional, and national levels. Evidence-based practice plays a critical role in improving the quality of reproductive health care. While global recommendations are important, they require adaptation to local contexts for full implementation to be practical. Introduction of heat-stable carbetocin and the scale-up of the E-MOTIVE bundle to manage PPH, respectful care, and mental health in RH, introduction and scale-up of post-pregnancy FP, introduction and scale-up of primary and secondary cervical prevention interventions, the use of blended learning that uses multiple delivery channels, including the use of AI-powered training tools that respond to the needs of health providers, and supporting the quality of services through approved pharmacies, including e-pharmacy. 
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利用全球网络推动国家循证生殖健康实践,实现全民健康覆盖
Jhpiego 提供以实证为基础的现实解决方案,有助于拯救生命、改善健康,并改变生活在超过 42 个国家的妇女、儿童及其家庭的未来。隶属于 JHU 的这一非政府组织成立 50 多年来,足迹遍布 150 多个国家,为引进和推广多种挽救生命的创新技术做出了贡献,是一个点连接器,是许多政府、专业组织和地方组织值得信赖的合作伙伴,也是一个创新者。在肯尼亚,Jhpiego 已经工作了超过 45 年,与 KOGS 合作开展了多项活动,并在全球、地区和国家层面为多项循证政策和建议的制定和审查做出了贡献。循证实践在提高生殖保健质量方面发挥着至关重要的作用。尽管全球建议非常重要,但它们需要根据当地情况进行调整,才能切实得到全面实施。引入热稳定卡贝缩宫素并扩大 E-MOTIVE 捆绑包的规模,以管理生殖健康中的 PPH、尊重护理和心理健康;引入并扩大孕后 FP;引入并扩大一级和二级宫颈预防干预措施;使用多种交付渠道的混合式学习,包括使用人工智能驱动的培训工具,以满足医疗服务提供者的需求;以及通过经批准的药房(包括电子药房)支持服务质量。
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