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Research

Evaluation

Effective health action begins with the evaluation of what works. GHA works at the local and global level to evaluate the impact of programs large and small.

For us, evaluation also goes well beyond the immediate utilization of services and health impacts to encompass the long-term, social and multigenerational effects of interventions on multiple dimensions of well-being.

Health and Development Interventions in Rural Bangladesh

Administering an Health Intervention in Matlab

This project explores the long-term, multigenerational effects of randomized interventions in mother and child immunization, disease outreach and family planning introduced in the rural Matlab area of Bangladesh.

Between 1977 and 1989, the International Centre for Diarrheal Disease Research, Bangladesh (ICDDR,B) introduced a block-randomized Maternal and Child Health/Family Planning (MCH/FP) program that produced well-documented improvements in disease mortality and family size over the initial experimental period.

This study and the Matlab field site represent one of the few opportunities in the world to fully understand the social and economic benefits of targeted investments in health and family planning in poor countries and the potential long-term and sustainable impacts of today's widely publicized global disease control efforts.

Social Connection and Well-Being in Agincourt, South Africa

Skydale Adolescent Health Clinic

Social connections are important determinants of health, education, nutrition and other dimensions of well-being—particularly in youth and old age. The most common measure of social connection in population and public health research is co-residence, which has critical limitations.

Failure to attend to the full range of social relationships limits our ability to understand the social context of health and well-being. Non-household relationships are particularly important under conditions of extreme social or epidemiologic transition, as in the post-Apartheid South African context of high rates of unemployment, labor mobility and HIV/AIDS.

To redress this failure, we are using existing ethnographic data and longitudinal demographic data from rural South Africa to develop new measures of social connection that can be used in social surveys.

Challenges in Health and Development: From Global to Community Perspectives

Cover of Challenges in Health and Development

Sandy Johnson, scholar in residence and director of the BA program in international studies, recently came out with a new book published by Springer Publishing Company.

Challenges in Health and Development is a primer on the changing configurations of population health and economic growth in development policy.