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Keely Jordan

Bio: Keely Jordan is an academic researcher from New York University. The author has contributed to research in topics: Public health & Global health. The author has an hindex of 5, co-authored 7 publications receiving 913 citations. Previous affiliations of Keely Jordan include University of California, Berkeley.

Papers
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Journal ArticleDOI
TL;DR: Equity in effective coverage should be used as the new metric to monitor progress towards universal health coverage, and the wealthiest women were on average four times more likely to report good quality care than the poorest.

111 citations

Journal ArticleDOI
TL;DR: There are major inadequacies in the organisational and administrative profile of these primary maternal care facilities that militate against the provision of quality chronic care, which translates to a large treatment gap for women with perinatal depression.
Abstract: Even though integrating mental health into maternal and child health (MCH) is widely accepted as a means of closing the treatment gap for maternal mental health conditions in low- and middle-income countries (LMIC), there are not many studies on the quality of the currently available mental health care for mothers in these countries. This study assessed the existing organization of service for maternal mental health, the actual care delivered for perinatal depression, as well as the quality of the care received by affected women presenting to primary care clinics in Ibadan, Nigeria. The Assessment of Chronic Illness Care (ACIC) tool was administered to the staff in 23 primary maternal care clinics and key informant interviews were conducted with 20 facility managers to explore organizational and administrative features relevant to the delivery of maternal mental health care in the facilities. Detection rate of perinatal depression by maternal care providers was assessed by determining the proportion of depressed antenatal women identified by the providers. The women were then followed up from the antenatal period up until 6 months after childbirth to track their experience with care received. All the facilities had ACIC domain scores indicating poor capacity to offer quality chronic care. Emerging themes from the interviews included severe manpower shortage and absence of administrative and clinical support for manpower training and care provision. Only 31 of the 218 depressed women had been identified by the maternal care providers as having a psychological problem throughout the follow-up period. In spite of the objective evidence of inadequate care, most of the perinatal women rated the service provided in the facilities as being of good quality (96%) and reported being satisfied with the care received (98%). There are major inadequacies in the organisational and administrative profile of these primary maternal care facilities that militate against the provision of quality chronic care. These inadequacies translate to a large treatment gap for women with perinatal depression. Lack of awareness by service users of what constitutes good quality care, indicative of low service expectation, may hamper user-driven demand for quality improvement.

15 citations

Journal ArticleDOI
TL;DR: In this paper, a systematic review was conducted to examine the evidence on the quality of health systems in humanitarian settings, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol.
Abstract: There is a growing concern that the quality of health systems in humanitarian crises and the care they provide has received little attention To help better understand current practice and research on health system quality, this paper aimed to examine the evidence on the quality of health systems in humanitarian settings This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol The context of interest was populations affected by humanitarian crisis in low- and middle- income countries (LMICs) We included studies where the intervention of interest, health services for populations affected by crisis, was provided by the formal health system Our outcome of interest was the quality of the health system We included primary research studies, from a combination of information sources, published in English between January 2000 and January 2019 using quantitative and qualitative methods We used the High Quality Health Systems Framework to analyze the included studies by quality domain and sub-domain We identified 2285 articles through our search, of which 163 were eligible for full-text review, and 55 articles were eligible for inclusion in our systematic review Poor diagnosis, inadequate patient referrals, and inappropriate treatment of illness were commonly cited barriers to quality care There was a strong focus placed on the foundations of a health system with emphasis on the workforce and tools, but a limited focus on the health impacts of health systems The review also suggests some barriers to high quality health systems that are specific to humanitarian settings such as language barriers for refugees in their host country, discontinued care for migrant populations with chronic conditions, and fears around provider safety The review highlights a large gap in the measurement of quality both at the point of care and at the health system level There is a need for further work particularly on health system measurement strategies, accountability mechanisms, and patient-centered approaches in humanitarian settings

15 citations

Journal ArticleDOI
TL;DR: A new way of classifying DAH is proposed based on considering the functions that it will need to serve in order to address these post-2015 challenges, and this new classification is applied to the current health aid spending of one donor, Sweden, as a case study.
Abstract: The international development community is transitioning from the era of the Millennium Development Goals (MDGs), ending in 2015, to the era of the Sustainable Development Goals (SDGs), which have a 2030 target. Global development assistance for health (DAH) increased substantially in the MDGs era, from US $10.8 billion in 2001 to $28.1 billion by 2012 (in 2010 US dollars), and it played a crucial role in tackling global challenges such as HIV/AIDS and malaria. In this paper, we describe the likely health challenges of the SDGs era and the types of international assistance that will be required to help tackle these challenges. We propose a new way of classifying DAH based on considering the functions that it will need to serve in order to address these post-2015 challenges. We apply this new classification to the current health aid spending of one donor, Sweden, as a case study. Based on our findings, we suggest ways in which Sweden's DAH could be reoriented towards meeting the health challenges of the next two decades. (Less)

13 citations


Cited by
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Journal Article
TL;DR: Thaler and Sunstein this paper described a general explanation of and advocacy for libertarian paternalism, a term coined by the authors in earlier publications, as a general approach to how leaders, systems, organizations, and governments can nudge people to do the things the nudgers want and need done for the betterment of the nudgees, or of society.
Abstract: NUDGE: IMPROVING DECISIONS ABOUT HEALTH, WEALTH, AND HAPPINESS by Richard H. Thaler and Cass R. Sunstein Penguin Books, 2009, 312 pp, ISBN 978-0-14-311526-7This book is best described formally as a general explanation of and advocacy for libertarian paternalism, a term coined by the authors in earlier publications. Informally, it is about how leaders, systems, organizations, and governments can nudge people to do the things the nudgers want and need done for the betterment of the nudgees, or of society. It is paternalism in the sense that "it is legitimate for choice architects to try to influence people's behavior in order to make their lives longer, healthier, and better", (p. 5) It is libertarian in that "people should be free to do what they like - and to opt out of undesirable arrangements if they want to do so", (p. 5) The built-in possibility of opting out or making a different choice preserves freedom of choice even though people's behavior has been influenced by the nature of the presentation of the information or by the structure of the decisionmaking system. I had never heard of libertarian paternalism before reading this book, and I now find it fascinating.Written for a general audience, this book contains mostly social and behavioral science theory and models, but there is considerable discussion of structure and process that has roots in mathematical and quantitative modeling. One of the main applications of this social system is economic choice in investing, selecting and purchasing products and services, systems of taxes, banking (mortgages, borrowing, savings), and retirement systems. Other quantitative social choice systems discussed include environmental effects, health care plans, gambling, and organ donations. Softer issues that are also subject to a nudge-based approach are marriage, education, eating, drinking, smoking, influence, spread of information, and politics. There is something in this book for everyone.The basis for this libertarian paternalism concept is in the social theory called "science of choice", the study of the design and implementation of influence systems on various kinds of people. The terms Econs and Humans, are used to refer to people with either considerable or little rational decision-making talent, respectively. The various libertarian paternalism concepts and systems presented are tested and compared in light of these two types of people. Two foundational issues that this book has in common with another book, Network of Echoes: Imitation, Innovation and Invisible Leaders, that was also reviewed for this issue of the Journal are that 1 ) there are two modes of thinking (or components of the brain) - an automatic (intuitive) process and a reflective (rational) process and 2) the need for conformity and the desire for imitation are powerful forces in human behavior. …

3,435 citations

Journal ArticleDOI
26 Aug 2019
TL;DR: In this paper, the authors introduce six SDG Transformations as modular building-blocks of SDG achievement: education, gender and inequality; health, well-being and demography; energy decarbonization and sustainable industry; sustainable food, land, water and oceans; sustainable cities and communities; and digital revolution for sustainable development.
Abstract: The Sustainable Development Goals (SDGs) and the Paris Agreement on Climate Change call for deep transformations in every country that will require complementary actions by governments, civil society, science and business. Yet stakeholders lack a shared understanding of how the 17 SDGs can be operationalized. Drawing on earlier work by The World in 2050 initiative, we introduce six SDG Transformations as modular building-blocks of SDG achievement: (1) education, gender and inequality; (2) health, well-being and demography; (3) energy decarbonization and sustainable industry; (4) sustainable food, land, water and oceans; (5) sustainable cities and communities; and (6) digital revolution for sustainable development. Each Transformation identifies priority investments and regulatory challenges, calling for actions by well-defined parts of government working with business and civil society. Transformations may therefore be operationalized within the structures of government while respecting the strong interdependencies across the 17 SDGs. We also outline an action agenda for science to provide the knowledge required for designing, implementing and monitoring the SDG Transformations. The Sustainable Development Goals require profound national and societal changes. This Perspective introduces six Transformations as building blocks for achieving the SDGs and an agenda for science to provide the requisite knowledge.

801 citations

Journal ArticleDOI
TL;DR: The case for placing children, aged 0–18 years, at the centre of the SDGs is presented: at the heart of the concept of sustainability and the authors' shared human endeavour.

471 citations

Journal ArticleDOI
TL;DR: The excess mortality for conditions targeted in the Sustainable Development Goals that are amenable to health care and the portion of this excess mortality due to poor-quality care in 137 LMICs, in which excess mortality refers to deaths that could have been averted in settings with strong health systems are estimated.

450 citations