Health Systems Strengthening

Health Systems Strengthening (HSS)

{Photo Credit: Warren Zelman}Photo Credit: Warren Zelman

MSH will host and support events in five countries this week to honor World TB Day.

Observed March 24, World TB Day raises awareness and mobilizes support for efforts around the world working to end tuberculosis (TB). The World Health Organization (WHO) has designated this year’s theme as “Unite to End TB: Leave No One Behind,” and many of the day’s activities will focus on addressing stigma, discrimination, and marginalization.

MSH has been a leader in strengthening health systems to fight against TB since 1999 and is working with partners in 22 countries to prevent the spread of the disease and improve the lives of those affected by it.

In Afghanistan, the Challenge TB project — funded by USAID  — will lead 20 awareness events in five cities and will deliver messaging about TB in schools and health facilities. The project will also lead conferences in three provinces, focusing on successful interventions like Urban Directly Observed Treatment and the TB Information System.

The Challenge TB project will also lead World TB Day activities in 11 districts in Bangladesh, ranging from orientations and discussions with workers, to programs at schools, to rallies, to a “sputum collection camp” at an outreach center.

{Women in Malawi are increasingly engaging in sustainable ways to grow household income and end poverty, such as village savings and loans groups. (Photo Credit: Feed the Children / Amos Gumulira)}Women in Malawi are increasingly engaging in sustainable ways to grow household income and end poverty, such as village savings and loans groups. (Photo Credit: Feed the Children / Amos Gumulira)

Follow the conversation at the Commission on the Status of Women:

As we prepare to join the Commission on the Status of Women (CSW) next week, where the focus will be on women’s economic empowerment in the changing world of work, I am reminded of my visit to Malawi last month.

{Photo Credit: Rebecca Weaver/MSH}Photo Credit: Rebecca Weaver/MSH

This is the last in a series of four stories about how strong health systems improve the health of women and children. It was originally published on Global Health Now's website.

The Democratic Republic of the Congo has a chance to save millions of children with an inexpensive grassroots community effort.

In the Democratic Republic of the Congo (DRC), a country beleaguered by years of civil war, official corruption and mismanagement, and civil apathy, the path to building a strong health system is challenging. One initiative, focused on building up community-level care, has shown success—but without more support from the Congolese government, it might not continue.

 The USAID-funded Integrated Health Project (IHP) aims to increase the availability of health services for the most vulnerable people in the country, which has one of the world’s highest rates of child mortality (the top killers include malaria, diarrhea, and pneumonia). IHP has focused on interventions ranging from simple—handwashing, breastfeeding—to more complex, such as tuberculosis care, financial management, medication distribution, etc.

{Photo Credit: Francies Hajong/MSH}Photo Credit: Francies Hajong/MSH

This is the third in a series of four stories about how strong health systems improve the health of women and children. 

Every day, approximately 830 women die from preventable causes related to pregnancy and childbirth, and 99 percent of them live in developing countries, according to the World Health Organization. Many of these women – and their babies – could be saved with medicines. However, access to these medicines is often limited in the countries where they are most needed. Sheena Patel, a technical advisor for the MSH-led, USAID-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) project, talks about the program's work in helping to improve access to essential medicines. This story was originally published on the SIAPS website February 23. 

MSH: The health of women and children is critical to the overall health and prosperity of a country—and the world. Can you talk a bit about why?

MSH representatives at the launch meeting of the Quality of Care Network (L-R): Zipporah Kpamor, MSH Nigeria Country Representative; Erik Schouten, Country Lead, MSH Malawi; Grace Mlava, Technical Clinical Director, ONSE Health in Malawi; Rudi Thetard, Project Director of ONSE Health in Malawi; Catharine Taylor, Vice President of the Health Programs Group, and Antoine Ndiaye, Country Lead, Cote D’Ivoire.

This is the second in a series of four stories about how strong health systems improve the health of women and children.

Nine countries, with support from the World Health Organization (WHO), the United Nations International Children’s Fund (UNICEF), and other partners, launched the Network for Improving Quality of Care for Maternal, Newborn and Child Health last week.

The new Network aims to improve the quality of care that mothers and babies receive in health facilities while supporting countries in achieving their targets agreed under the Sustainable Development Goals to end preventable maternal and newborn deaths. 

Despite remarkable progress in improving access to health services proven to reduce maternal and newborn deaths, every year worldwide, 303,000 women die during pregnancy and childbirth, 2.7 million babies die during the first 28 days of life, and 2.6 million babies are stillborn. Most of these deaths could be prevented with quality care during pregnancy and childbirth.

However, the provision of care is uneven within and between countries, and often fails to respect the rights and dignity of those who seek it.

{Photo by: Michael Paydos/MSH}Photo by: Michael Paydos/MSH

This article was originally published on LillyPad, a blog run by the global health care company Eli Lilly, on February 16.

Antimicrobial resistance (AMR) is a global health crisis. In his AMR review, renowned economist Jim O’Neill estimates a loss of US$100 trillion in global productivity by the year 2050 if swift, comprehensive action to fight AMR is not taken. The publication acknowledges multi-drug resistant tuberculosis (MDR-TB) as a “cornerstone of the global AMR challenge.”

Nurses at health clinic Virgen del Lourdes in Lima, Peru (Photo Credit: Leslie Alsheimer)

This is the first in a series of four stories about how strong health systems improve the health of women and children.

Last year, we shared with you stories of the people we work alongside all over the world. We introduced you to Aster Amanuel Desalegn, a 70 year-old woman from Ethiopia who relies on her town's public hospital for her diabetes medication. You met Linvell Nkhoma, a midwife manager in Malawi who lives on the hospital premises so she can be on call 24 hours per day. And you heard from Animata Bassama, a representative from a community in Mali that worked with MSH to open a center providing a safe space for gender-based violence survivors to seek medical and psychosocial care.

 {Photo Credit: Warren Zelman}A hospital in Mwene Ditu, DRCPhoto Credit: Warren Zelman

Before the civil war in the late 1990s, the Democratic Republic of Congo (DRC) had a large network of clinics and health facilities. But decades of conflict weakened a fragile health system and robbed this resource-rich country of its potential to become one of sub-Saharan Africa’s wealthiest nations. By 2010, 70 to 80 percent of Congolese people had little or no access to healthcare, and the country suffered from a lack of basic security, communication systems, power, clean water, and transportation. Exacerbated by a dearth of health providers, essential medicines and nutritious foods, the country’s maternal, infant, and child mortality rates rose to some of the highest in the world.

I’m in the U.S. this week to share my experiences working side-by-side with the Congolese government and partners on the Integrated Health Project (IHP), funded by USAID and implemented by Management Sciences for Health (MSH) and its partners, International Rescue Committee and Overseas Strategic Consulting, Inc. . The aim of IHP was to rebuild and strengthen the health system and improve health across 78 health zones in the country. In five years, IHP improved health services for more than 13 million people – 17 percent of the Congolese population.

Photo Credit: Tsion Issayas/MSH

This post was originally published on the SIAPS website on January 30, 2017. The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program is funded by USAID and implemented by MSH. This project works to assure the availability of quality pharmaceutical products and effective pharmaceutical services.

Over the past two decades, Ethiopia has improved its delivery of primary health care services and begun to make great progress toward meeting the Millennium Development Goals, particularly with regard to maternal, newborn, and child health and the prevention and control of HIV and tuberculosis. Yet pharmaceutical services—a patient's last point of care and one of the country's single largest health care expenses—remain inadequate. While some medicines in stock expire, other needed medicines are frequently unavailable, and patients are dissatisfied with the poor quality of service they receive.

Photo Credit: Mark Tuschman

For the fifth year in a row as part of MSH's annual storytelling contest, we invited staff to submit stories on how health systems are saving lives and improving the health of people around the world. MSH staff submitted dozens of stories from 16 projects in 12 countries.

In these 12 winning stories, meet health workers, community leaders, pharmacy managers, and patients working together toward healthier communities. These stories demonstrate the power of effective partnerships to help save lives.

Ethiopia: Changing Systems to Change Lives: Aster's Story

By Tsion Issayas

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