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Advancing Implementation Research and Delivery Science

Implementation research and delivery science (IRDS) is a process to both understand “what’ works and “how” to get what works to the populations that need it to improve health outcomes. The process has been called by many names (e.g. - implementation research, implementation science), is closely related to other approaches (e.g. - operations research), and is an integral component of health systems research. The term IRDS has recently been coined to capture both the research and delivery...

Photo of Mothers and babies at Kabaoni health center in Ifakara Tanzania, Photoshare

Respectful Maternal Care

The global community is pushing for facility-based deliveries by skilled birth attendants. However, some women who give birth in facilities are subjected to disrespect and abuse. Learn more about TRAction's efforts to advance respectful maternal care by: measuring the prevalence of disrespect and...

Maasai mothers attend a mother/child clinic in rural Tanzania

Equitable Healthcare Access

Equity in health service delivery ensures the provision of quality health care to all people irrespective of their social class, ethnicity, gender, or geographical area.  TRAction is funding the development of descriptive case studies that explore the implementation and/or scale-up of targeting interventions to improve equity in access and utilization of maternal, newborn, and child health (MNCH) services in low-income settings where quality health services are available, but access is...

Community health worker in Togo, Photoshare

Recognition of Maternal and Newborn Complications

Although under-five child mortality has decreased significantly around the world, the rate of neonatal mortality remains high, especially in low and middle income countries. Reductions in maternal and newborn mortality require use of quality and respectful skilled care, mostly at the facility level, but women and families often delay accessing care for a variety of reasons. TRAction intends to support research in this area to identify, describe, and disseminate promising community-oriented...

Photo of Tanzanian mother and child, Photoshare

Performance Based Incentives for Quality of Care

Performance Based Incentives (PBI) programs in developing countries have focused on expanding access and coverage of services and addressing issues of equity. Because PBI is a relatively new area of work that stresses increased utilization of services, there has been less attention paid to assessing and incentivizing quality of care or in understanding the unintended consequences of these programs on quality of other services. The goal of this TRAction-supported PBI research is to anticipate...

Task Sharing Research Methodology Workshop, TRAction

Task Sharing for Cesarean Sections

Human resource shortages in health services are widely acknowledged as a challenge to health service delivery in low income countries. A more rational distribution of tasks and responsibilities among available cadres of health workers, or task sharing, is as a promising strategy for improving access to health services within health systems. TRAction research in this area explores implementation of task sharing for Caesarean section policy using a case study and landscape analysis approach in...

Mother and children with improved cookstove

Household Air Pollution

Household air pollution (HAP) poses a substantial threat to the health of the world’s poor. Over half of the world’s population still cooks with solid-fuel – including wood, dung, coal or agricultural residues – on poorly functioning traditional stoves or open fires. As a result, an estimated 1 billion people, mostly women and children, are exposed to high household air pollution levels that harm their health and livelihoods. Improved cookstoves, which burn fuel more cleanly and efficiently...

Cambodian household water, TRAction

Water, Sanitation, and Hygiene

Today, around 780 million people do not have access to clean drinking water, and 2.5 billion people live without access to improved sanitation. This lack of basic services results in many health problems around the world, such as diarrhea. In many parts of the world, supposedly improved sources of drinking water have poor water quality and are unreliable. Water, sanitation, and hygiene (WASH) is also important for good nutrition. Gastrointestinal infections caused by poor WASH conditions may...

Mosquito net vendor, TRAction

Malaria

TRAction's malaria research is focusing on new strategies for using long-lasting insecticide treated bednets (LLINs), indoor residual spraying of insecticides (IRS), and insecticide-treated wall liners (ITWLs) to prevent malaria transmission.

Tuberculosis

In Bangladesh, TRAction is working to address key challenges that threaten to hinder the country’s progress in its fight against Tuberculosis. Rapidly growing urban areas and slums face under-diagnosis and low levels of treatment of sputum positive cases. Rising rates of childhood TB reflect the inattention to its diagnosis and management. All these problems are compounded by poorly resourced government health facilities with little investment in infection control.

Additionally, TB...

Photo of Tanzanian child recieving malaria treatment, Photoshare

Integrated Community Case Management

Integrated Community Case Management (iCCM) is a community care strategy which seeks to extend case management of childhood illness beyond health facilities, increasing access of children and families to lifesaving treatments. Many countries have yet to implement or scale-up iCCM programs due to uncertainty about the structures and strategies needed to ensure iCCM success. In order to reduce such uncertainty and support the roll-out of iCCM more broadly, TRAction is supporting three...

Community-Level Management of Unclassified Fever

TRAction is currently funding research studies in Democratic Republic of Congo (DRC) and Ethiopia that explore the safety of a systematic versus conditional 3-day follow up visit by a community health worker (CHW)  for children with uncomplicated fever. The International Rescue Committee (IRC) in collaboration with Johns Hopkins University Bloomberg School of Public Health (JHSPH) will implement one study in the Tanganyika District of Katanga Province in the Democratic...

Behavior Change Communication & mHealth

Globally, the explosion of mobile phone technology presents great potential for information dissemination and behavior change. In Bangladesh, a rapidly evolving landscape of technology & social media is poised to bring about societal change at unprecedented rates, in the context of a society with persistent & strong traditional values. Proliferation of mobile technology has also increased accessibility of geographically isolated populations. TRAction seeks to exploit these...
Traditional birth attendant in Guatemala, © 2002 Virginia Lamprecht, Courtesy of Photoshare

Referral and Surveillance Systems

Improving health systems to strengthen maternal, neo-natal and child health and nutrition (MNCHN) is a current priority for the Guatemalan government. To do this, the health system must systematically identify complications related to these priority areas and build strong networks from community-level providers up to hospitals. Without clear communications between these levels of health care providers, there is a risk that once a problem is identified, referrals to proper facilities will not...

Health volunteers carrying plates of sorghum

Global Nutrition Efforts

Accounting for over 1/3 of child mortality, malnutrition is a major contributor to the global burden of disease.  Chronic undernutrition is the major cause of wasting and stunting among children in developing countries.  Micronutrient deficiencies such as Vitamin A, iodine deficiency, and anemia all have serious and wide range effects on health, cognitive abilities and mortality.
In Ghana, Vitamin A deficiency still affects 72% of the under 5 population and rates of iodine...

Community Based Treatment

Ensuring access to treatment and healthcare services is an essential component to a healthcare system. However, populations in remote and underserved areas are often left without the same level of health services and care as populations in urban areas. Resource and time constraints to reaching urban facilities often leave rural population at a disadvantage and contribute to morbidity and mortality in emergency situations. Offering community-based treatment opportunities in communities...

News

December 02, 2016

Landmark Beach Hotel and Conference Centre, Dar es Salaam, Tanzania 30 November - 1 December 2016

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November 27, 2016

The  International Day for the Elimination of Violence Against Women kicked off the 1st International...

Events

18
January 18, 2017
  WEBINARGenerating Evidence and Impact through Implementation...
06
April 06, 2017
TRAction will be participating in the conference and hosting a joint...