US Global Health Policy

U.S. Global Health Policy

 {Photo credit: MSH/Filmona Hailemichael}Dr. Florence Guillaume, Minister of Health of Haiti.Photo credit: MSH/Filmona Hailemichael

On June 7, Management Sciences for Health (MSH) and partners hosted Dr. Florence Guillaume, the Minister of Health of Haiti, and panelists for a Capitol Hill luncheon on community health workers in fragile states. The day before, MSH hosted Guillaume in Cambridge, MA, for a town-hall style event on improving maternal and child health. Revisit the two events through a "Storify" story of photos, text, and tweets.

{Photo credit: kjetil_r via Flickr}Photo credit: kjetil_r via Flickr

In a landmark 6-2 decision, the US Supreme Court ruled unconstitutional a 2003 law requiring organizations that receive US government funding for global health work on HIV & AIDS to have a policy explicitly opposing prostitution. The plaintiffs in the USAID v. AOSI case included the Global Health Council (GHC), Pathfinder, the Alliance for Open Society International (AOSI), and InterAction.

In a letter to GHC members, Jonathan D. Quick, MD, MPH, chairman of the GHC board of directors and MSH president and CEO, said:

Did you notice that our website looks and feels really different?

We've redesigned and rebuilt our site from the ground up: showcasing our unique technical expertise and staff, values, global footprint, and mission to save lives and improve health among the poorest and most vulnerable around the world. 

We also have integrated our Global Health Impact blog into the website to continue cutting-edge discussions on global health.  

And we've made the new MSH.org easier to use.     

Learn more about the new MSH.org

Watch the short video -- and see some of the new features firsthand:

In a couple of days, thousands of decision-makers, leaders, advocates, health professionals, media, and more will gather to focus on our most valuable investment: women and girls.

We are honored to be a Gold Sponsor and Advisory Group member of Women Deliver 2013. Over 30 staff members representing 10 countries will participate in the conference by speaking, moderating, leading, and learning together with the 5,000 attendees in Kuala Lumpur.

For over 40 years, MSH has worked shoulder-to-shoulder in partnership with over 150 countries---currently in over 65---saving lives and improving the health of women, girls, men, and boys. Our programs empower women; sensitize men; and integrate maternal, newborn, and child health, family planning and reproductive health, and HIV & AIDS services to improve access to quality care and, ultimately, save lives.

[A woman talks with Belkis Giorgis (right)] {Photo credit: Dominic Chavez, 2011}A woman talks with Belkis Giorgis (right)Photo credit: Dominic Chavez, 2011

Makasi after two months of tuberculosis treatment. {Photo credit: A. Massimba/MSH.}Photo credit: A. Massimba/MSH.

With less than 1000 days until the Millennium Development Goals expire, the process for setting post-2015 goals continues to ramp up.  We take this opportunity to reflect on the current state of community health systems in low- and middle-income countries and consider how the post-2015 agenda could reshape them—perhaps dramatically.

Community health systems today

Integration moves ahead

Poor and rural communities in low- and middle-income countries are leaving behind the “one clinic, one service” approach. So-called vertical programs, which organized resources according to single health conditions, created a patchwork of health services at the community level. You could get HIV care from one provider, but would have to go down the hall, down the street, or often much farther to get maternal health care or malaria care.

World Malaria Day 2013 {Photo credit: UNHCR/S. Hoibak.}Photo credit: UNHCR/S. Hoibak.

To me, malaria is a very personal disease.

I first came face to face with malaria during the war of my time: Vietnam. I was plucked out of residency after my first year, with only an internship under my belt, and sent as a Navy Medical Officer to war. Medical school and residency prepared me well for much of the trauma I encountered medically, but I was totally unprepared for the large-scale emotional trauma, and for the tropical diseases I had encountered only in books.

I was overwhelmed by the young children with malaria, some of whom literally died in my arms while treating them.  Yet, I also witnessed bona fide miracles: children at death’s door, comatose and unresponsive, who responded dramatically to treatments, and ultimately went home to their families.

To address malaria, I focused on promoting prevention (long-lasting insecticidal nets [LLINS] for families and intermittent preventive treatment [IPT] for pregnant women), early detection, and early treatment in the community—what is now called community case management.

That was 40 years ago.

Over on the Humanosphere blog, global health blogger Tom Murphy reported recently on changes at the Global Health Council (GHC), a membership-based coalition of global health practitioners, researchers and organizations.

After closing its doors last April, the GHC has reemerged with a more sustainable approach---and a new name: Global Health Coalition.

Management Sciences for Health (MSH) has provided support throughout the transition, and Dr. Jonathan Quick, President and CEO of MSH, is serving as interim board chair of the new GHC. Numerous other organizations are involved in the revival, including the Seattle-based Washington Global Health Alliance and the DC-based Global Impact, which is serving as the interim Secretariat.

Jane Briggs of the USAID-funded SIAPS program at MSH gives examples from Rwanda and Kenya during the Improving Access to Essential Maternal Health Medicines session on the first day of the conference. {Photo credit: C. Lander / MSH.}Photo credit: C. Lander / MSH.

Cross-posted from the SIAPS website.

“Respectful maternal care was said to be more than just a means to an end, and can be framed as several issues: human rights, quality of care, equity and public health,” Jocalyn Clark, senior editor of PLoS Medicine, noted about the final day of the 2013 Global Maternal Health Conference (GMHC).

The conference brought together scientists, researchers, practitioners, and policymakers to share knowledge, ideas, innovations, research, programs and policies on maternal health quality and access, among several other topics. Participants also worked on building progress towards reducing and eliminating preventable maternal mortality and morbidity.

Quality of maternal care was a consistent theme throughout the conference.

Attendees of the Global Maternal Health Conference 2013. {Photo credit: MSH.}Photo credit: MSH.

Management Sciences for Health (MSH) staff presenting at the Global Maternal Health Conference in Arusha, Tanzania, January 15-17, 2013. (Photo credits: C. Lander & J. Briggs / MSH)

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