Results 1 to 10 of about 698,481 (205)

The Systems Analysis and Improvement Approach: specifying core components of an implementation strategy to optimize care cascades in public health [PDF]

Implementation Science Communications, 2023
Background Healthcare systems in low-resource settings need simple, low-cost interventions to improve services and address gaps in care. Though routine data provide opportunities to guide these efforts, frontline providers are rarely engaged in analyzing
Sarah Gimbel, Kristjana Ásbjörnsdóttir, Kristin Banek, Madeline Borges, Jonny Crocker, Joana Coutinho, Vasco Cumbe, Aneth Dinis, McKenna Eastment, Douglas Gaitho, Barrot H. Lambdin, Stephen Pope, Onei Uetela, Carmen Hazim, R. Scott McClelland, Ana Olga Mocumbi, Alberto Muanido, Ruth Nduati, Irene N. Njuguna, Bradley H. Wagenaar, Anjuli Wagner, George Wanje, Kenneth Sherr   +22 more
doaj   +2 more sources

The cost of implementing the Systems Analysis and Improvement Approach for a cluster randomized trial integrating HIV testing into family planning services in Mombasa County, Kenya [PDF]

BMC Health Services Research, 2022
Background Although HIV testing in family planning (FP) clinics is a promising approach for engaging women in HIV treatment and prevention services, HIV testing rates are low in FP clinics in Kenya.
Dorothy Thomas, George Wanje, McKenna C. Eastment, R. Scott McClelland, Emily Mwaringa, Shem Patta, Walter Jaoko, John Kinuthia, Aisha Abubakar, Kenneth Sherr, Ruanne V. Barnabas   +10 more
doaj   +2 more sources

Systems analysis and improvement approach to improve naloxone distribution within syringe service programs: study protocol of a randomized controlled trial [PDF]

Implementation Science, 2023
Background More than half a million Americans died of an opioid-related overdose between 1999 and 2020, the majority occurring between 2015 and 2020. The opioid overdose mortality epidemic disproportionately impacts Black, Indigenous, and people of color
Christopher F. Akiba, Sheila V. Patel, Lynn D. Wenger, Antonio Morgan-Lopez, Gary A. Zarkin, Stephen Orme, Peter J. Davidson, Alex H. Kral, Barrot H. Lambdin   +8 more
doaj   +2 more sources

Optimizing naloxone distribution to prevent opioid overdose fatalities: results from piloting the Systems Analysis and Improvement Approach within syringe service programs [PDF]

BMC Health Services Research, 2023
Background Opioid overdose fatalities are preventable with timely administration of naloxone, an opioid antagonist, during an opioid overdose event. Syringe service programs have pioneered naloxone distribution for potential bystanders of opioid overdose.
Sheila V. Patel, Lynn D. Wenger, Alex H. Kral, Kenneth Sherr, Anjuli D. Wagner, Peter J. Davidson, Barrot H. Lambdin   +6 more
doaj   +2 more sources

Systems Analysis and Improvement Approach to optimize the pediatric and adolescent HIV Cascade (SAIA-PEDS): a pilot study [PDF]

Implementation Science Communications, 2022
Introduction Children and adolescents lag behind adults in achieving UNAIDS 95-95-95 targets for HIV testing, treatment, and viral suppression. The Systems Analysis and Improvement Approach (SAIA) is a multi-component implementation strategy previously ...
Anjuli D. Wagner, Orvalho Augusto, Irene N. Njuguna, Douglas Gaitho, Nancy Mburu, Geoffrey Oluoch, Naziat Carimo, Peter Mwaura, Peter Cherutich, Laura Oyiengo, Sarah Gimbel, Grace C. John-Stewart, Ruth Nduati, Kenneth Sherr   +13 more
doaj   +2 more sources

Systems analysis and improvement approach to optimize outpatient mental health treatment cascades in Mozambique (SAIA-MH): study protocol for a cluster randomized trial [PDF]

Implementation Science, 2022
Background Significant investments are being made to close the mental health (MH) treatment gap, which often exceeds 90% in many low- and middle-income countries (LMICs).
Vasco F. J. Cumbe, Alberto Gabriel Muanido, Morgan Turner, Isaias Ramiro, Kenneth Sherr, Bryan J. Weiner, Brian P. Flaherty, Monisha Sharma, Flávia Faduque, Ernesto Rodrigo Xerinda, Bradley H. Wagenaar   +10 more
doaj   +2 more sources

Systems analysis and improvement approach to optimize the hypertension diagnosis and case cascade for PLHIV individuals (SAIA-HTN): a hybrid type III cluster randomized trial [PDF]

Implementation Science, 2020
Background Across sub-Saharan Africa, evidence-based clinical guidelines to screen and manage hypertension exist; however, country level application is low due to lack of service readiness, uneven health worker motivation, weak accountability of health ...
Sarah Gimbel, Ana Olga Mocumbi, Kristjana Ásbjörnsdóttir, Joana Coutinho, Leonel Andela, Bonifacio Cebola, Heidi Craine, Jonny Crocker, Leecreesha Hicks, Sarah Holte, Rodrigues Hossieke, Edgar Itai, Carol Levin, Nelia Manaca, Filipe Murgorgo, Miguel Nhumba, James Pfeiffer, Isaias Ramiro, Keshet Ronen, Nona Sotoodehnia, Onei Uetela, Anjuli Wagner, Bryan J. Weiner, Kenneth Sherr   +23 more
doaj   +2 more sources

Qualitative evaluation of the Systems Analysis and Improvement Approach as a strategy to increase HIV testing in family planning clinics using the Consolidated Framework for Implementation Research and the Implementation Outcomes Framework [PDF]

Implementation Science Communications, 2022
Background Significant gaps remain in HIV testing and counseling (HTC) in family planning (FP) clinics. To address these gaps, our group tested an implementation strategy called the Systems Analysis and Improvement Approach (SAIA), an evidenced-based ...
McKenna C. Eastment, Jessica E. Long, George Wanje, Barbra A. Richardson, Emily Mwaringa, Kenneth Sherr, Ruanne V. Barnabas, Kishorchandra Mandaliya, Walter Jaoko, R. Scott McClelland   +9 more
doaj   +2 more sources

Scaling-up the Systems Analysis and Improvement Approach for prevention of mother-to-child HIV transmission in Mozambique (SAIA-SCALE): a stepped-wedge cluster randomized trial [PDF]

Implementation Science, 2019
Background The introduction of option B+—rapid initiation of lifelong antiretroviral therapy regardless of disease status for HIV-infected pregnant and breastfeeding women—can dramatically reduce HIV transmission during pregnancy, birth, and ...
Kenneth Sherr, Kristjana Ásbjörnsdóttir, Jonny Crocker, Joana Coutinho, Maria de Fatima Cuembelo, Esperança Tavede, Nélia Manaca, Keshet Ronen, Felipe Murgorgo, Ruanne Barnabas, Grace John-Stewart, Sarah Holte, Bryan J. Weiner, James Pfeiffer, Sarah Gimbel   +14 more
doaj   +2 more sources

Study protocol for the: HIV enhanced access testing in emergency department program using a systems analysis and improvement approach (HEATED-SAIA) cluster randomized trial [PDF]

Implementation Science Communications
Background In Kenya, incident and undiagnosed HIV infections are concentrated among populations who are inadequately reached by existing HIV services. These difficult-to-reach populations include men, adolescents and young adults, people who engage in ...
Adam R. Aluisio, Gideon Loevinsohn, Elwyn Chondo, Arthur Nderitu, Mercy Bruba, Ahmed Adam, Janette Baird, Omar Galárraga, Marta Wilson-Barthes, Malabika Sarker, Kishorchandra Mandaliya, John Kinuthia, Rose Bosire, Benjamin Wachira, Zachary Gross, Peter Cherutich, George Wanje, R. Scott McClelland, McKenna C. Eastment   +18 more
doaj   +2 more sources