From a field notebook to a desk
The journal began with a frustration familiar to anyone who has delivered health under constraint: the gap between what equipment promises and what it does. A refrigerator rated for the tropics that quietly failed at the depot. A rapid test that worked in the briefing room and degraded by the time it reached the clinic. The evidence to choose well existed, but it was scattered, vendor-tinted and rarely written for the field.
What started as a private notebook of field observations grew into a conviction that this gap deserved a dedicated, independent review desk. The journal was founded to close it — to read the published evidence carefully, test it against field reality, and write the result plainly for the people who carry the load.