This is the last in a series of four blog posts about the impact of leadership, management, and governance in strengthening health systems. See the full series on our blog.
Hurricane Matthew weakened Haiti’s already vulnerable health system when it struck last month, adding to the many challenges that the country’s government already faces in providing quality health services to its population.
Now, more than ever, Haiti needs strong leadership, management, and governance in the health sector to strengthen the system and ensure that its people have access to the care they need.
Following our recent announcement of MSH’s involvement in Hurricane Matthew recovery efforts in Haiti, the Devex global development media platform interviewed MSH Chief Operating Officer Paul Auxila for an article about the rising threat of cholera in Haiti.
Mr. Auxila told Devex that cholera “needs to be a priority and approached differently than the international community did last time,” referring to the 2010 Haiti earthquake response.
Multisector perspectives on achieving resilience in global health
Recent events, such as the Haiti and Nepal earthquakes and West Africa Ebola outbreak, have demonstrated, now more than ever, that a resilient health system is vital to ensuring stability and well-being in society. With this in mind, Management Sciences for Health (MSH) and the USAID-funded, MSH-led, Leadership, Management, and Governance project in Haiti (LMG/Haiti), partnered with Johnson & Johnson to host a high-level panel event during the 68th session of the World Health Assembly (WHA) in Geneva, Switzerland.
MSH's May 2015 newsletter highlights the global health impact of pharmaceutical management: Ensuring access to affordable, quality medicines saves lives (subscribe).
by Jonathan D. Quick, MD, MPH
Health care is largely dependent upon essential medicines for preventing infection, reducing pain, and treating illness. The development of effective medicines, however, is only the beginning.
Quality care means getting the right medicine, in the right dose, at an affordable price, for all the people who need it.
For five years, the USAID-funded, MSH-led Leadership, Management and Sustainability project in Haiti (LMS/Haiti) worked with the Ministry of Health and Population (MSPP) and local NGOs to ensure a steady supply of family planning commodities to nearly 300 facilities throughout the country amid bone-rattling roads, surging rivers, and rocky footpaths.
Said Dr. Georges Dubuche, General Director of the MSPP, at the project’s closing ceremony April 14: It is with real pride and great emotion that I salute LMS/Haiti.
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.
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:
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.
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. 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.
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.
International Women’s Day, March 8, signifies more than a single day can encompass. At MSH, International Women’s Day is a day for celebrating women health leaders who inspire change and an opportunity to recommit ourselves to another year of action toward gender equity.
We celebrate International Women’s Day with Drs. Suraya Dalil and Florence Guillaume, Ministers of Health from Afghanistan and Haiti.
This special January 2014 edition of the Global Health Impact Newsletter (subscribe) features 12 stories from 2013 highlighting how MSH is saving lives by strengthening health systems at all levels--from the household to the community to the health facility to national authorities. The stories were selected through an internal storytelling contest (available in print soon).
We are also pleased to share a post from President and CEO Jonathan D. Quick outlining our vision for 2014.
A Note from Dr. Jonathan D. Quick
Vision 2014: UHC and the Opportunity for a Healthy Life
SCMS and MSH at the forefront of efforts to remove supply chain barriers to the scale up of HIV/AIDS treatment programs For many of us in the developed world, it is easy to overlook the critical role that well-functioning supply chains play in effective healthcare. When supply chains are operating as they should, we take for granted that the medicines we need will be in stock and available.
On July 4, 2013, 26-year-old Elina Jean-Baptiste of Cazale, Haiti began experiencing painful contractions as she prepared to deliver her child. Realizing she was going into labor, Elina walked to the Cazale health center and with the help of trained nurses and a doctor, delivered a healthy baby girl named Dadeline. “The labor and delivery were very painful, but as soon as I arrived at Cazale, I knew I was in good hands,” she said.
Today, as we celebrate International Youth Day and the theme of “Youth Migration: Moving Development Forward,” we are reminded of difficult situations millions of young people experience every day—and of the power young people have to create change in their lives when they connect with their peers.
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.
[View the story "From Capitol Hill to Cambridge: Learning from Haiti and Other Fragile States on Importance of Community Health..." on Storify]
In recent years, Haiti has endured some of the greatest misfortunes in its history, including hurricanes, floods, the devastating 2010 earthquake, and the cholera epidemic that followed. These natural disasters and public health crises have added to the harm already caused by the country’s widespread poverty, social and political unrest, and under-resourced health system.
Each year over 10 million men, women, and children in developing countries die as a result of our collective failure to deliver available safe, affordable, and proven prevention and treatment. A recent analysis of innovations in products and practices for global health, from the Hepatitis B vaccine to use of skilled birth attendants, revealed virtually none of these life-saving interventions reaches much more than half their target population—even after as many as 28 years of availability.
Nearly 50 countries, including Afghanistan, Democratic Republic of the Congo, Haiti, Liberia and South Sudan, are considered a fragile or conflict-affected state -- a state that is in conflict, recovering from conflict or crisis, or a state that has collapsed or has a strong and repressive government.
It was 11 o’clock one February morning when the Santé pour le Développement et la Stabilité d’Haiti (SDSH) project technical team arrived on site at St. Joseph Health Center.The center’s activities were well underway. Dozens of people sat on benches or stood in line, waiting for their turn. One person comes to care for her child who has had a high fever. Another comes for contraception. Another just gave birth to a healthy infant.St.
Yvonise is a good-natured 40-year-old woman with an easy smile. She is mother to four children: two boys and two girls. Her youngest, a little girl, is six years old.
Today, Yvonise sits patiently at the pharmacy of Hôpital Immaculée Conception de Port-de-Paix (HIC Port-de-Paix) in Haiti, waiting for Miss Sevrine, her caregiver, to provide her with a month’s supply of life-saving medicine.
Thirty years ago, we learned of a disease that began with a few cases and quickly transformed into an epidemic the world had not seen before. We were not exactly sure what it was, how it was spread, or how to care for people who had it. HIV & AIDS has had a dramatic impact on the world – and especially on people in low and middle income countries.
As Haitians continue to struggle against many obstacles in improving and developing their country, cholera and sanitation remain challenges to many development efforts.Since the cholera epidemic started in October, there have been a total of 252,640 confirmed cases. MSH integrated its response, where appropriate, with the national response that was coordinated by the Ministry of Health.
I recently visited Haiti and had the opportunity to meet with some local Haitian non-governmental organizations supported by MSH’s Santé pour le Développement et la Stabilité d’Haíïti (SDSH) project, as well as the central Ministry of Health, and departmental Ministry of Health offices. I was searching for information in an effort to learn more about how Performance-Based Financing (PBF) has affected service delivery in Haiti.
Dr. Florence Guillaume, Deputy Chief of Party for MSH's Santé pour le Développement et la Stabilité d'Haíïti (SDSH) Project reflects on the year since the Haiti earthquake last January 12 in this video.SDSH is a USAID-funded health project in Haiti supporting decentralization, strengthening public-sector capacity in service delivery, and supporting local nongovernmental organization service delivery.
Prior to January 12, 2010, Management Sciences for Health’s Leadership, Management and Sustainability Program was working with Haiti’s Ministry of Public Health and Population to build capacity in several areas: family planning and reproductive health; commodity management and security; coordinating HIV & AIDS awareness and community mobilization activities; and leadership development.
Haiti, One Year On: Realizing Country Ownership in a Fragile StateTuesday, January 11, 2011, 3:00-5:00 p.m., B-340, Rayburn House Office Building, Capitol HillThis Washington DC event will be webcast live. You can tune in and join the discussion, below, starting at 3:00 p.m. Dr.
January 12, 2011 marks the one year anniversary of the earthquake that devastated Port-au-Prince, Haiti. I have the good fortune of visiting MSH’s USAID-funded SDSH (Santé pour le Développement et la Stabilité d’Haíïti) project team in Port-au-Prince this week, and I traveled out into the city to see the devastation the earthquake caused.It has been a catastrophic year for Haitians. The Haitians themselves say this, a people who are used to dealing with poverty, combined with yearly hurricanes, and near constant political instability.
Danielle Brown is the Program Coordinator of the Leadership, Management and Sustainability (LMS) project in Haiti. She worked with our teams in Haiti from October 24 – November 14. It’s two days after Tropical Storm Tomas hit Haiti and our caravan of Leadership, Management and Sustainability (LMS) Project/Haiti Landcruisers filled with MSH employees hits its first challenge on the seven-hour stretch of road from Port-au-Prince to the North West region of the country---a wide river to cross.
With Hurricane Tomas approaching and the cholera outbreak not yet contained, the Santé pour le Développement et la Stabilité d’Haíïti (SDSH) project, led by MSH and funded by USAID, is working to simultaneously provide health facilities with necessary supplies for the cholera response and also work with local and international partners to prepare for the storm.Over 100 more deaths from cholera have been reported in the past week, raising the total to 442 deaths and 6,742 hospitalizations. Potential flooding caused by Tomas could exacerbate the outbreak.
In late October 2010, the USAID Supply Chain Management System project (SCMS) distributed close to 50,000 lbs of essential products including oral rehydration salts, antibiotics, lab supplies, water treatment and ringer lactate to support Haiti's response to the cholera epidemic. The commodities came from existing stock in the SCMS warehouse as well as products available on the local market. SCMS also provided international procurements of 60,000 IV solution units and 20,000 IV sets.Antoine Fadoul is the Supply Chain Management System Country Director in Haiti.
(Read Part I)On Wednesday we met with a group of some 15 community health agents from the surrounding villages. Our discussions revealed the ironies of Haiti. In a country where almost everyone has a relative who lives in the United States or Canada, and where remittances from overseas far surpass the total amount of international assistance coming into the country, the only source of drinking water in their villages, they told us, was the river. There were no latrines.
Reeling from ShockEstama Murat, Director of the Drouin Methodist School, cautiously hopes to reopen: “This obviously will not come easy," he says, "because we have many children still sick and other pupils have fled the village.”Drouin is in Grande Saline, where the cholera virus was first discovered in the Artibonite department last week. The population of 17,000 is still in shock. Many of them left for the chief town of Gonaives, Mr.
On Tuesday and Wednesday, Dr. Serge Conille, the HIV/AIDS technical Advisor of the USAID-funded SDSH project led by Management Sciences for Health, and designated lead of the project's emergency cholera task force, and I visited project-supported health facilities in the epicenter of the epidemic in the lower Artibonite Department (Province).We drove into the cholera zone over a dirt track through a flat plain of fields, green, but neglected. The road ran parallel to what appeared to be a wide canal, the dikes on either side uneven and crumbling.
Fragile states such as Afghanistan, the Democratic Republic of Congo, Haiti, Liberia, and Southern Sudan have among the worst health statistics – especially for women and children. For political, economic, security and other reasons they can be extremely challenging work environments.
The Santé pour le Développement et la Stabilité d’Haíïti (SDSH) project Chief of Party, Agma Prins, and Dr. Serge Conille are in the Artibonite department to support the MSH response to the cholera outbreak. They continue to coordinate with the Ministry of Health and other international and local partners. MSH is working with Pure Water for the World to educate communities about hygiene and provide access to clean water through bio-sand filters.Additionally, MSH Sr. Technical Advisor, Dr.
The Management Sciences for Health Haiti staff continues to work tirelessly alongside local partners to mitigate the cholera outbreak. A sample of today’s work is outlined below.MSH in the Affected RegionsMSH partner, Hospital Claire Heureuse, is dispatching a “battalion” of community health workers throughout the rural areas where many people are dying before reaching health facilities. The community health workers are stocked with megaphones, soap bars, water purification tablets, and oral rehydration sachets.
Yesterday the Direction of Civil Protection and Disaster in Haiti confirmed a cholera outbreak in two departments (districts) of the country resulting in 1,498 cases managed in health facilities and 135 cholera related deaths.The USAID-funded, MSH-led Santé pour le Développement et la Stabilité d’Haíïti (SDSH) project is working closely with Haiti’s Ministry of Health and other local and international partners to coordinate a community-level response to the cholera outbreak.SDSH is mobilizing its established network of over 4,000 community-base
Pick up any American newspaper these days, and all of the stories coming out of Haiti are negative: earthquake relief work is going slow, displaced people are still living in tented camps, men and women are still struggling to find work. And while these facts can’t be disputed, there are many other stories that are being left untold. Working in Haiti earlier this month, I encountered six women who are on the front lines of the battle against Haiti’s HIV & AIDS epidemic, who shared their stories with me.In the bustling, dense Delmas section of Port au Prince, these w
Originally posted on Global Health TV's website. Watch Video Coverage of Dispelling Myths About HaitiThe Global Health Council and its partners held a press conference at the International AIDS Conference in Vienna, to bring the attention of the media back to Haiti six months after it was devastated by earthquake.Experts such as Dr. Paul Farmer, Dr. Jonathan Quick from Management Sciences for Health, Jeff Sturchio from the Global Health Council, and Dr.
As we have heard, Haiti is the poorest country in Western Hemisphere and has some of the worst health statistics. Many things did not work well before the earthquake and the recovery effort has not progressed as many had hoped.There is a perception among some, though, that nothing was working before the January 12th earthquake and that nothing has happened since.Certainly in the health sector, and specifically in AIDS, this perception is simply wrong.
Just over five months ago, Haiti suffered a devastating earthquake that displaced more than 700,000 people. Addressing the health needs of such a large population in a post-disaster situation is a complex challenge, one Management Sciences for Health (MSH) is supporting through its many programs including our Leadership, Management and Sustainability Program (LMS).
In fragile states, constraints on governments often prevent them from simultaneously building their stewardship role and immediately expanding service delivery. National and local governments must ultimately lead the process and work together with NGOs and the private sector to successfully strengthen their own health systems.