Fragile States

Fragile States (including Afghanistan, Democratic Republic of Congo, Haiti, Liberia and South Sudan)

 {Photo credit: Dominic Chavez}South Sudan.Photo credit: Dominic Chavez

In December 2013, Africa’s newest country, South Sudan, imploded with violence between government forces and a rebel opposition led by a former vice president. The violence continues today despite regional efforts at reconciliation by the Intergovernmental Authority on Development (IGAD) and other state actors. The war, however, has not stopped South Sudan’s frontline health workers in their efforts to build a public health system, including access to medicines, from the ground up.

The US Agency for International Development (USAID)-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program is working with our South Sudanese partners to build the institutional, technical, and organizational capacity of the country’s health system—despite the ongoing conflict.

Our approach to strengthening the health system is based around the concept of embedment—where full-time technical advisors work with their South Sudanese counterparts on a day-to-day basis. This approach strengthens the technical and managerial capacity of local leaders, ensuring sustainability, while, at the same time, getting the job done: building a strong health system.

When Mearege gets really sick, her husband leaves town. Bedridden and in the care of her parents, Mearege gets tested and learns she--and her daugther--are HIV-positive. Through the support of mother mentors, trained by the Ethiopia Network for HIV/AIDS Treatment, Care and Support Program (ENHAT-CS), Mearege finds solace, guidance, and healing -- and decides to have another child.

Mearege is one of many HIV-positive women in Ethiopia whose lives have been transformed, with the support of ENHAT-CS. Says Mearege:

I was able to have a healthy child because I followed up with the mentor mothers and applied their teaching...

Presented by ENHAT-CS in partnership with the National Network of Positive Women Ethiopians, this video is made possible by the generous support of the US President's Emergency Plan for AIDS Relief (PEPFAR) through the US Agency for International Development (USAID).

Watch video

 {Photo credit: Julie O'Brien/MSH}Haiti.Photo credit: Julie O'Brien/MSH

This post is part of MSH's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild. The post originally appeared on LMGforHealth.org, the blog of the US Agency for International Development (USAID)'s Leadership, Management & Governance (LMG) Project, led by Management Sciences for Health (MSH) and a consortium of partners.

 {Photo credit: Dominic Chavez}Brissault Eunise (seated) watching over her daughter Kerwencia, after receiving breast feeding classes.Photo credit: Dominic Chavez

This post is part of MSH's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild.

As January 12, 2015 marked the fifth anniversary of the Haiti earthquake, Management Sciences for Health (MSH) and its partner organizations, including the Leadership, Management & Governance Project/Haiti, brought together Haitian and US government officials and key global health stakeholders for two days of meetings and events highlighting health progresses made in Haiti since 2010.

Update, April 14, 2015:

Watch video recordings of the summit


Original post continues:

Haitian health leaders meet on Capitol Hill

{Photo credt: Katy Doyle/MSH}Photo credt: Katy Doyle/MSH

For the third consecutive year, Management Sciences for Health (MSH) sponsored an internal storytelling contest, inviting staff to submit MSH's best examples of saving lives and improving health around the world.

Today, we share the top 12 stories of 2014, as selected by a cross-section of staff, in this special edition of our Global Health Impact Newsletter.

Click on each story to learn more about the people, projects, and partners who, together with MSH, make strong health systems happen. Visit 11 of the countries where we work and meet a few of the thousands of people whose lives have been transformed.

~ Dr. Jonathan D. Quick, MSH President & CEO

MSH Executive Vice President and Chief Operating Officer, Paul Auxila.

This post is part of MSH's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild

Management Sciences for Health's Executive Vice President and Chief Operating Officer, Paul Auxila, reflects on MSH's work improving health in Haiti. Auxila has worked with MSH since 1982.

 {Photo credit: SCMS/Haiti.}SCMS staff provides technical assistance to head of pharmacy at Hôpital Bernard Mevs in Haiti.Photo credit: SCMS/Haiti.

The Supply Chain Management System (SCMS), established in 2005 under the US President’s Emergency Plan for AIDS Relief (PEPFAR) administered by the US Agency for International Development (USAID), supplies lifesaving medicines to HIV & AIDS programs around the world and is led by the Partnership for Supply Chain Management (PFSCM), a nonprofit organization established by Management Sciences for Health (MSH) and John Snow, Inc. SCMS first established a presence in Haiti in 2007. MSH manages SCMS operations in Haiti. 

This post is part of MSH's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild

 {Photo credit: Maureen Taft-Morales/Haiti}A community health worker visits a family and records health data.Photo credit: Maureen Taft-Morales/Haiti

This post is part of MSH's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild.

Management Sciences for Health (MSH) sponsored a Congressional Staff Study Tour in Port-au-Prince, Haiti, in December 2014 to help staffers get a first-hand account of health progress in Haiti. The overarching focus of the trip was how US government funded health efforts in Haiti are being leveraged for health impact and the role of the Haitian government in that process. 

This video was originally published on YouTube (2010). Shared in the spirit of "Throwback Thursday" (TBT), this post is part of a blog series called Improving Health in Haiti: Remember, Rebuild

In 2009, a high rate of HIV & AIDS and other sexually transmitted infections, combined with a lack of leadership to address the crisis in Haiti's Cite Soleil area, resulted in a large population of disaffected youth who believed that the situation was hopeless. As part of Management Sciences for Health's (MSH) "Leadership Development Program," funded by the US Agency of International Development (USAID), young participants from the Haitian NGO Maison l'Arc-en-Ciel (MAEC) learned that they can make a difference. In their rap song entitled "Apprends à faire face aux défis," (Learn to Confront Challenges) the young leaders share what they have learned (in Creole with English subtitles).

Watch video:

 Improving Health in Haiti: Santé Pour le Développment et la Stabilité d'Haïti, final report cover photo.

People of Haiti: We remember your struggle. We applaud your success. We reaffirm our commitment to work, shoulder to shoulder, to support your efforts to improve health …

This year marks the 5th anniversary of the catastrophic earthquake (January 12, 2010) that devastated Haiti’s already-fragile health system. For the next several weeks, we are featuring Improving Health in Haiti: Remember, Rebuild, a blog series of retrospective and fresh content based on MSH’s thirty-plus years of working shoulder-to-shoulder in partnership with the people of Haiti to strengthen and rebuild the country’s health system.

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