Global Health: Science and Practice最新文献

{"title":"Health Care Service Readiness and Quality of Care for Sexual Violence in Garissa, Kwale, Narok, and West Pokot Counties, Kenya: A Mixed-Methods Study.","authors":"Julius Njogu, Lydiah Ndung'u, Harmon Momanyi, Monicah Nthumbi, Alberta Wambua, Halima Zaid, Charlotte Pahe, Francis Gwama, Alison Malmqvist, Claire W Rothschild","doi":"10.9745/GHSP-D-24-00344","DOIUrl":"10.9745/GHSP-D-24-00344","url":null,"abstract":"<p><strong>Background: </strong>The health care system is a critical entry point for sexual violence response including care and linkages to auxiliary services. However, detailed data on quality and readiness of facility-based sexual violence care in African settings is sparse, hindering measurement and improvements.</p><p><strong>Methods: </strong>We report results from the first wave of longitudinal mixed-methods study conducted between July and September 2022 to assess readiness and quality of sexual violence services in 4 counties in Kenya supported by the <i>Accelerate</i> program. Health facility assessments were conducted within all (N=123) program-supported facilities in the 4 counties, including provider interviews; visual inspection and audit of essential infrastructure and commodities; and chart abstraction. We computed descriptive data summaries, and in-depth interviews from 40 purposively selected providers were analyzed thematically.</p><p><strong>Results: </strong>Of 123 study facilities, 54% had a provider who received GBV in-service training in the past 12 months. Most facilities (85%) routinely offered GBV care. Of facilities offering GBV care, most stocked antibiotic for sexually transmitted infections (STIs) (71%), any emergency contraception pill (ECP) option (88%), and tetanus vaccine (93%), and most provided GBV counseling (90%). However, availability of hepatitis B vaccine was low across facility tiers (14%-25%). Dispensaries/clinics documented low availability of HIV post-exposure prophylaxis (PEP) for children and adults (20% and 47%, respectively), SGBV register (20%), and post-rape care forms (27%). Of 285 abstracted charts, most were in hospitals (62%) and for survivors under 18 years (69%). Just 59% of survivors presented promptly, within 3 days, for health care services. Of survivors who were eligible for care, a considerable proportion missed psychosocial assessment (32%), PEP for HIV (22%), ECP (17%), and treatment for bacterial STIs (15%). Qualitative data revealed service delivery gaps driven by disruptions in supplies and provider capacity gaps. Many providers indicated concerns in the chain of evidence due to gaps in documentation and logistical support for health care providers when providing legal testimony in courts.</p><p><strong>Conclusions: </strong>Readiness to provide a minimum care package for sexual violence was low, with steep gradients across facility tiers. Delivery of timely and quality-assured sexual violence care requires addressing structural gaps driven by stock-out of supplies and inadequate providers' support including training. These corrective actions should be augmented by community-based interventions that link survivors to health care.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, Affordability, Benefits, and Challenges of Transitioning to Virtual Case Management for PLHIV: Experiences From Indonesia and Nepal.","authors":"Elizabeth Costenbader, Shanthi Noriega Minichiello, Matthew Zinck, Kiran Bam, Bhagawan Shrestha, Caroline Francis, Benjamin Eveslage, Rick Homan","doi":"10.9745/GHSP-D-24-00027","DOIUrl":"10.9745/GHSP-D-24-00027","url":null,"abstract":"<p><strong>Background: </strong>HIV case management supports people living with HIV to be linked to and retained in care. HIV case management becomes virtual case management (VCM) when some or all these services are provided via virtual tools or platforms including mobile phones, chat messenger apps, other mobile or web apps, and/or electronic case management systems. The COVID-19 pandemic accelerated the use and expansion of virtual services, including health services, across the globe.</p><p><strong>Program description: </strong>These case studies document how HIV programs in Indonesia and Nepal transitioned from in-person case management to VCM during the COVID-19 pandemic in 2020. As part of this transition, the program in Nepal implemented VCM in 37 districts that were providing services to 12,820 people living with HIV (PLHIV), and in Indonesia the program supported 18,244 PLHIV in 5 districts. Data on the transition from in-person support to VCM were collected on client clinical outcomes, costs of the virtual services, and case manager feedback.</p><p><strong>Results: </strong>These case studies indicate that VCM is a feasible and affordable approach to implement in low- and middle-income country contexts. Between March and September 2020, 10,995 (82.1%) and 3,801 (51.5%) PLHIV in Nepal and Indonesia, respectively, were supported by VCM. Continuity of care remained high in both countries with only 1%-2% interruptions in treatment. Viral load suppression also remained high in both countries (91%-92% in Indonesia and 94%-95% in Nepal). Viral load coverage, however, was low, but this was influenced by clinic and laboratory closures. Startup costs were low (<US$2,500), and the monthly cost per person to provide VCM was $2.34 in Nepal and $4.67 in Indonesia. Case manager feedback was focused on compensation, expanded reach of virtual services, gaps in client mobile phone ownership or digital literacy, efficiency of services, and confidentiality and privacy.</p><p><strong>Conclusion: </strong>VCM has transformative potential to expand the reach of health services and provide differentiated options, meeting clients' preferences and needs. The experiences and lessons learned from these two case studies can guide the implementation of future VCM programs in other countries.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":"14 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Progressive Development of a New Tool for Rapid Thematic Analysis of Community Perceptions and Concerns During Health Emergencies.","authors":"Giulia Earle-Richardson, Ciara Nestor, Christine E Prue","doi":"10.9745/GHSP-D-24-00281","DOIUrl":"10.9745/GHSP-D-24-00281","url":null,"abstract":"<p><strong>Background: </strong>Rapid analysis of community needs, perspectives, and concerns during global health emergencies is essential but technically challenging. In the past, emergency responders have struggled to listen to and engage affected communities because of perceptions about anticipated costs and time delays in receiving actionable results.</p><p><strong>Tool development: </strong>The U.S. Centers for Disease Control and Prevention Excel Tool for Thematic Analysis was developed over 5 years of assisting with emergency responses for Ebola, COVID-19, Sudan Ebolavirus, mpox, and the Ukraine crisis. Beginning with a simple Excel spreadsheet for coding Ebola-related community feedback, we continued to add new features as needs arose, such as preloaded epidemic and health emergency coding schemes, preprogrammed results tables, step-by-step thematic analysis instruction, YouTube training videos, and planning and communication tools for effective use of the results.</p><p><strong>Implementation: </strong>The tool is a customized Excel workbook for qualitative text coding and thematic analysis that enables the user to code and derive key themes from texts, such as interview and focus group transcripts, notes, surveys with open-ended questions, and social media comments. We review the 10 programmed worksheets for planning, cataloguing, coding, and thematically analyzing any kind of text data.</p><p><strong>Conclusion: </strong>The strategies for rapid community feedback analysis during health emergencies are a special application of qualitative analysis methodology to the health emergency setting, enabling a deep reading and transparent and defensible interpretation of the text. Skills learned while using the tool are easily transferable to analyses using licensed software or fully manual methods. The tool offers a step-by-step guide for anyone to analyze text data to answer a relevant question in or outside the context of emergencies.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research and Learning Priorities for a Surgical Obstetrics and Family Planning Project Implementing in Low- and Middle-Income Countries: Results of an Expert Consultation.","authors":"Farhad A Khan, Karen Levin, Renae Stafford, Vandana Tripathi","doi":"10.9745/GHSP-D-24-00174","DOIUrl":"10.9745/GHSP-D-24-00174","url":null,"abstract":"<p><p><b>Introduction:</b> Cesarean delivery, peripartum hysterectomy, female genital fistula treatment, and long-acting and permanent contraceptive method provision comprise an important set of surgical procedures in reproductive and maternal health. The volume of these procedures is growing in low- and middle-income countries (LMICs). Establishing research priorities in a learning agenda for surgical obstetrics and family planning represents a key step in generating and using evidence to improve health outcomes associated with these surgeries.<b>Methods:</b> Between January and February 2022, a safe surgery project addressing family planning and obstetrics used a 2-stage rating and ranking consultation process to prioritize topics in its learning agenda, focusing on LMIC needs. A list of research and learning topics spanning the project's technical areas, consisting of surgical obstetric care (cesarean delivery and peripartum hysterectomy), fistula prevention and treatment, family planning, and cross-cutting safe surgery, was curated by searching the literature, conducting project-related surveys of experts and partners, and soliciting an expert panel via virtual consultation. Through an online survey, the experts rated the 63 topics on a 5-point scale based on 4 criteria-feasibility, technical importance, level of saturation, and potential for impact-and average ratings were calculated for each criterion and topic. The expert panel then reconvened virtually to rank and refine highly rated topics.<b>Results:</b> A total of 39 people participated in the expert panel, representing multilateral, academic, and funding organizations, implementing partners, and professional associations active in LMICs. Fifteen topics were prioritized across the 4 technical areas. Prioritized topics covered themes of prevention (e.g., intrapartum/midwifery practices to prevent unnecessary cesarean delivery), care-seeking (e.g., social and behavior change strategies for fistula prevention), perioperative care (e.g., use of quality improvement tools including checklists and audits), and postoperative care (e.g., effective measurement approaches for monitoring outcomes).<b>Conclusion:</b> This agenda guides clinical and programmatic learning across the safe surgery ecosystem. Collaborative action across program initiatives and clinical and community settings may contribute to significant evidence building in these priority topics.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operationalizing Client-Centered Care: A Strategic Framework and Measurement Approach to Guide Sexual and Reproductive Health Programming.","authors":"Kathryn Church, Georgina Page, Sarindi Aryasinghe, Raman Shrestha, Inonge Wina Chinyama, Mary Morris, Kate Austen, Angela Argenziano","doi":"10.9745/GHSP-D-24-00025","DOIUrl":"https://doi.org/10.9745/GHSP-D-24-00025","url":null,"abstract":"<p><strong>Background: </strong>Promoting client-centered care (CCC) has been a long-standing goal for sexual and reproductive health (SRH) programs. MSI Reproductive Choices (MSI), a global SRH service delivery organization, set out to fully operationalize CCC delivery utilizing a new strategic framework and measurement approach.</p><p><strong>Development of the approach: </strong>The framework was developed by a global technical group at MSI, based on a literature review, country pilots in Nepal and Zambia, and practical experience in service delivery and quality improvement. It is based on a socioecological model, recognizing that SRH client experience is determined by the behavior of the provider, the managerial support given to providers, and the broader organizational culture. The accompanying composite CCC metric assesses performance across these 3 levels annually using program monitoring tools. A digital results dashboard links to a suite of guidance and tools to support CCC improvement.</p><p><strong>Lessons learned: </strong>SRH programs in 28 countries have been monitoring their progress on CCC since 2021, and a majority have made improvements in their CCC performance since then. Using the annual CCC results, global support staff and country managers have selected interventions based on local needs, including CCC training, client feedback systems, and client experience checklists. Implementation of a global staff engagement survey has been instrumental in CCC measurement, complementing preexisting client exit interview and quality audit processes. A global CCC monitoring process allows sharing of successes and positive practice, and staff have supported and championed CCC.</p><p><strong>Conclusion: </strong>Recognizing the critical influences of provider support and engagement as well as broader organizational culture has been pivotal in scaled operationalization of CCC within SRH programs. The simple framework and accompanying metric can be adapted to fit available tools and data systems in other institutions to support attainment of the highest standards of quality care and respect for client rights.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anemia Mukt Bharat Index: Methodology and State Rankings of Iron and Folic Acid Supplementation Coverage in India, 2018-2019 to 2022-2023.","authors":"Zoya Ali Rizvi, Jitendra Singh, Preetu Mishra, Abhishek Kumar, Avi Saini, Narendra Patel, Neha Agarwal, Kapil Yadav, William Joe","doi":"10.9745/GHSP-D-24-00077","DOIUrl":"10.9745/GHSP-D-24-00077","url":null,"abstract":"<p><p>In 2018, the Government of India launched the Anemia Mukt Bharat (AMB) program to accelerate reductions in the prevalence of anemia among children aged 6-59 months, children aged 5-9 years, adolescents aged 10-19 years, pregnant women, and lactating mothers through 6 programmatic interventions and 6 institutional mechanisms. We describe the process of computing the AMB index, aimed at providing timely and systematic information on iron and folic acid (IFA) supplementation coverage across these groups to aid in evaluating the effectiveness of the program. This study presents data from fiscal year 2018-2019 to 2022-2023 on IFA supplementation coverage among these 5 groups. We calculated the AMB index that provides an average for IFA supplementation coverage for target groups. Data on the target groups were acquired from the AMB dashboard, and information on IFA supplementation coverage was sourced from the health management information system. The AMB index confirmed that between 2018-2019 and 2022-2023 IFA supplementation coverage increased overall in India by 22.1 percentage points, from 35.5% to 57.6%. During this period, IFA supplementation coverage increased for all target groups including pregnant women, children aged 6-59 months, children 5-9 years, adolescents aged 10-19 years, and lactating mothers. The supply chain management and reporting of the data on the portal were among the key factors that substantially impacted the IFA supplementation coverage. The IFA supplementation coverage will significantly increase if the IFA supply chain and reporting standards improve. We discuss the policy implications and suggestions to improve the overall IFA supplementation coverage across India.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145722482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing Disruptions in HIV Service Delivery to Key Populations During Project Transition From an International to a Local Implementing Partner: A Case Study From Zambia.","authors":"Edward Adekola Oladele, Maurice Musheke, Florence Mulenga, Alick Samona, Ihoghosa Iyamu, Arlene Phiri, Ngaitila Phiri, Otto N Chabikuli","doi":"10.9745/GHSP-D-24-00186","DOIUrl":"10.9745/GHSP-D-24-00186","url":null,"abstract":"<p><p>In the management of chronic conditions like HIV, the continuity of service delivery is necessary to achieve desired outcomes, such as HIV viral load suppression, behavioral change, improved health, and client satisfaction. The transition phase-when a project closes and another starts-is a potential period of service delivery disruption. Active management of this transition period is important to prevent disruptions, especially for key populations who may be stigmatized and have limited options for accessing HIV services. We analyzed this transition period between July and December 2022 between 2 projects that provided HIV prevention services, management of sexually transmitted infections, and linkage to HIV treatment and other complementary services to key populations in Zambia. To ensure a smooth project transition, we implemented a set of interventions, including joint planning for project transition, strategic leadership, trust-building initiatives, active community and stakeholder engagement, repeated stakeholder reassurance, open communication, and transparent data sharing. After transitioning to the new project, we noted that all 3 service types of interest experienced at least a 20% increase over the levels achieved in the last month of the closing project. This increase contrasts with the assumption that all service types delivered through project structures would decline to zero persons reached within 2 months of project closing if the next project did not commence seamlessly. The decrease in service delivery was averted with the intentional transition interventions. Additionally, we recorded operational gains, such as stakeholder satisfaction, adequate assets transfer, stability in project service delivery location, and reduced personnel anxiety. We conclude that active multipartite management of the transition phase for projects is essential for ensuring uninterrupted service delivery and sustaining good outcomes for clients. Donors, health system managers, and program managers should actively require and design sound transition management plans as part of their program designs. In the aftermath of recent abrupt cuts in US Government development sector funding that allowed no planned transitions, it is important that surviving programs carefully imbibe lessons shared in this paper to protect years-and sometimes decades-of program gains.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145722538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Change, Sustaining Impact: GHSP's Mission in a Transformed Landscape.","authors":"Stephen Hodgins, Ruwaida M Salem","doi":"10.9745/GHSP-D-25-00050","DOIUrl":"https://doi.org/10.9745/GHSP-D-25-00050","url":null,"abstract":"","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uganda Public Health Fellowship Program's Contributions to Malaria Control Programs 2015-2022: Strategies, Implementation Challenges, and Opportunities.","authors":"Alex R Ario, Andrew Kwiringira, Richard Migisha, Benon Kwesiga, Lilian Bulage, Daniel Kadobera, Esther Kisaakye, Alice Asio, Maria' G Zalwango, Jane F Zalwango, Damian Rutazaana, Jimmy Opigo, Julie R Harris, Kyree Rollins, Mame Niang, Amy L Boore, Lisa J Nelson, Kassahun Belay","doi":"10.9745/GHSP-D-23-00257","DOIUrl":"https://doi.org/10.9745/GHSP-D-23-00257","url":null,"abstract":"<p><p>The Uganda Public Health Fellowship Program (UPHFP) is a 2-year, non-degree-granting field epidemiology training program. It enrolls only post-Master's degree fellows, who are integrated during their training into key Ministry of Health (MOH) programs, such as the National Malaria Control Program, and supported technically and financially by the U.S. President's Malaria Initiative (PMI) and U.S. Centers for Disease Control and Prevention. However, the nature and extent of the UPHFP contributions to the malaria control programs have not been systematically documented. We describe how the UPHFP strategies contributed to malaria control programs and share implementation challenges and opportunities to inform future programming. From 2015 to 2022, UPHFP led or supported 50 malaria projects, including 14 malaria surveillance projects, 11 malaria outbreak investigations, 7 epidemiological studies, 5 case studies, 6 malaria quality improvement projects, 3 policy briefs, and 4 training and mentorship projects. These projects have informed policy decisions and strengthened surveillance, coordination, and response to malaria outbreaks. A key challenge is single-source funding that makes the program more vulnerable to changes in donor priorities. Our documentation demonstrates the critical value of UPHFP to the country's malaria control efforts by enhancing epidemiologic workforce capacity and strengthening epidemiological surveillance.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Generalizability of Client Experience Measurement Tools in Low- and Middle-Income Countries: A Narrative Review.","authors":"Andrew Corley, Susannah Gibbs, Nirali Chakraborty, Lara Fields, Giannina Chávez Ackermann, Jasmine Coulson, Yixin Zhang, Paul Bouanchaud","doi":"10.9745/GHSP-D-23-00364","DOIUrl":"https://doi.org/10.9745/GHSP-D-23-00364","url":null,"abstract":"<p><strong>Introduction: </strong>The experiences of people who interact with a health system form a key component of overall quality of care in that system. Yet, client experience is rarely reflected in how health systems are designed and assessed. To make meaningful progress on delivering high-quality patient-centered care, health systems actors need valid measures of client experience of care. However, no cross-cutting measure of client experience of care exists at present that could facilitate measurement and benchmarking across multiple health service areas.</p><p><strong>Methods: </strong>We conducted a phased literature search using multiple scholarly databases to identify peer-reviewed articles detailing the development, validation, or adaptation of measures relating to the concept of client experience in sexual and reproductive health care, HIV, primary care, noncommunicable disease management, and health services management and marketing. Measure domains were thematically analyzed and mapped against domains of an existing client experience of care framework-effective communication, respect and dignity, and emotional support.</p><p><strong>Results: </strong>We identified 73 articles that met inclusion criteria and that recounted the development, validation, or adaptation of 61 different measures of health care quality and responsiveness. Numerous measures exhibited significant overlap with an existing conceptual framework for client experience, but few measures were used across health areas.</p><p><strong>Discussion: </strong>Content of many of the measures identified in this review mapped closely to domains that appear in an existing framework for client experience of care, including effective communication, respect and dignity, and emotional support. These findings support the notion that developing a generalizable measure of client experience of care could be technically feasible.</p>","PeriodicalId":12692,"journal":{"name":"Global Health: Science and Practice","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}