Meet Andrew Etsetowaghan, Associate Director for Technical Services with the CaTSS project in Nigeria. Fueled by a passion to help others since childhood, Andrew was determined to find a way to fulfill his dreams. He decided to pursue medicine—otherwise becoming a priest or superhero—and dedicate his career to improving health systems in his community. This interview has been edited for length and clarity.
Describe your daily work briefly.
Tuberculosis remains the world’s leading infectious disease killer. Ending TB will require a comprehensive approach and targeted action, rapid innovation and proven interventions, bold leadership, and intensive community engagement.
On this World TB Day, the global health community is calling for “Leaders for a TB-Free World” to work together, make history, and end TB once and for all.
This story was originally published by STAT News.
Ashley Arabasadi, Global Health Security Policy Adviser for Management Sciences for Health, describes the negative consequences of scaling back investments in CDC and USAID global health programs in this op-ed for STAT First Opinion.
In recent years, global health stakeholders have begun to recognize the profound potential that drug shops have to advance public health goals, such as those related to malaria diagnosis and treatment, child health, and family planning. These outlets, for reasons of convenience and cost, are the first choice of care for millions of people - and until recently, they have largely been ignored. “Drug shops and pharmacies are important sources of health care, particularly in rural areas or urban slums with few public clinics.
On this World AIDS Day, we reflect on our global successes in scaling up HIV prevention and treatment efforts and averting new infections.
The “treat all” recommendation issued by the World Health Organization in 2015 was a critical milestone in the HIV response. Also known as “test and treat,” the recommendation expands antiretroviral therapy (ART) eligibility to include all people living with HIV, regardless of CD4 count, and recommends universal lifelong treatment.
Management Sciences for Health (MSH) celebrated 10 Years of Improving the Health of Women and Children in Nigeria with 250 stakeholders and supporters at a special event in Abuja on March 31, 2016. Distinguished guests included the chairman of the Nigerian House of Representatives, director of the Federal Ministry of Health in Nigeria, high-level representatives from state governments and partner organizations, and more.
Management Sciences for Health (MSH) presented seven abstracts at the 8th International Aids Society Conference on HIV Pathogenesis, Treatment and Prevention (IAS 2015) in Vancouver, Canada, July 19-22, 2015.
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.
This week, African Strategies for Health (ASH)—a USAID-funded, MSH-led project that identifies public health best practices in sub-Saharan Africa and advocates for their adoption—has been attending the International Conference on Urban Health from May 24 through 27 in Dhaka, Bangladesh. At the conference, ASH has been sharing A Corridor of Contrasts, a report compiling photographs and stories of the people living along the West African Abidjan to Lagos transport corridor, which crosses Côte d'Ivoire, Ghana, Togo, Benin and Nigeria.
I am a woman. I am a Nigerian. I am a mother. I am a leader. And, I am a daughter. As the Nigerian country representative, I guide Management Sciences for Health (MSH)’s efforts to ensure the people of my country have access to quality health services. Indeed, I am many things. Before all else:
I am a woman of Nigeria.
The Girl Child in Nigeria
From the beginning, our girl children are at a disadvantage.
Staff contributors at Management Sciences for Health (MSH), a founding member of the UHC Day coalition, are blogging this week about universal health coverage, including sharing fresh videos, photos, and analysis, inspired by the five reasons to support health for all. Each day we also include how you can take action right away to support health for all.
Today, we highlight reason two ("Because UHC is attainable") with video and stories from Ethiopia, Kenya, and Nigeria--countries working toward UHC.
Because Universal Health Coverage (UHC) is Attainable
For more than a decade, health teams in over 40 countries have improved their performance using MSH’s Leadership Development Program (LDP) and the latest version, Leadership Development Program Plus (LDP+), which improves public health impact and scale-up. During the same period, there has been a tremendous expansion of information and communication technologies (ICTs) in health and mHealth interventions, particularly using mobile devices.
My aunt, Dr. Ameyo Adadevoh, identified and contained the first case of Ebola in Nigeria. She paid with her life because the health system was not ready to deal with Ebola. The system has since caught up, and is today a model for other countries. But the loss of such a gifted doctor and family anchor is incalculable.
"Good leadership skills, flexible policies, and constant advocacy will improve health in Africa," said Dr. Zipporah Kpamor during her talk at the Africa Health Innovation meeting in Abuja, Nigeria, on May 7, 2014.
In Nigeria, the Health for All: Campaign for Universal Health Coverage in Africa is effectively collaborating with stakeholders to support the government move toward universal health coverage (UHC). Led by MSH and funded by The Rockefeller Foundation, the Health for All Campaign co-hosted a National Stakeholders Meeting on UHC in conjunction with the National Health Insurance Scheme (NHIS), International Finance Corporation (IFC) and PharmAccess Foundation on March 9, 2014.
MSH staff are commemorating World TB Day through awareness-raising activities around the globe, including in Afghanistan, Cambodia, Ethiopia, Ghana, Indonesia, and Nigeria. Here are photos (some from 2013) with activities this year.
Afghanistan - TB CARE I
This post originally appeared on The Lancet Global Health Blog.
A strong civil society is essential for realizing the lofty goal of achieving universal health coverage (UHC). While the ongoing global discussions around UHC have largely focused on the role of government and development partners in designing and implementing risk pooling mechanisms that have the potential to improve access to essential health services, there has been little discussion on the key role that local civil society organizations (CSOs) play to ensure various communities support UHC and hold governments accountable.
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
On December 3, Management Sciences for Health participated in an event organized by Christian Connections for International Health (CCIH) on the importance of family planning for reducing maternal deaths and improving child survival. The informative Capitol Hill panel discussion (Where Do Christians Stand on Family Planning? Voices from the Global South) dispelled several misconceptions about Christian views on family planning and examined the under-reported role that many Christian organizations play in this sector. Panelists addressed two key myths.
Myth: Family planning equals abortion
This post originally appeared on USAID’s IMPACT blog. USAID is observing World AIDS Day this year by celebrating ten years of HIV and AIDS work under PEPFAR.
More than 85,000 infants in Nigeria are at risk of HIV transmission from their mothers every year. While the number of HIV-positive pregnant women who receive antiretroviral treatment (ART) is increasing, robust efforts to improve coverage are needed if national targets (PDF) for prevention of mother-to-child transmission of HIV (PMTCT) are to be met in 2015.
Strengthening health systems at all levels is the core of MSH’s response to the HIV epidemic. We build organizational capacity to implement innovative HIV, prevention, care, and treatment interventions in over 35 countries---from Côte d'Ivoire to Ethiopia to Vietnam.
Cross-posted with permission from UHC Forward. I walked into a pediatric unit of a teaching hospital in Nigeria a few years ago to review a patient. On the first bed was a lifeless child. He was brought in dead a few minutes earlier by his parents. His mother, "Bisi", wept uncontrollably. While in tears, she recounted how difficult it was for them to borrow money to get to the hospital. Although they got some money from a chief in the community, the two-year-old baby died before they got to the hospital.
In 2005, "Chima" abandoned "Sinachi" and their four children to marry another woman. Heartbroken and unemployed, Sinachi returned to her home village and became a farmer. Although she worked hard, Sinachi’s children often went hungry and did not attend school for three years because she was unable to pay the fees.
Management Sciences for Health (MSH) joined African civil society organizations (CSOs) at a side event on July 2 of the Abuja +12 meeting of African heads of governments. The groups agreed that universal health coverage should be included in the post-2015 development agenda.
The May issue of the MSH Global Health Impact newsletter (subscribe) features stories on gender equity, UHC, and family planning including:
MSH President Jono Quick blogging on making UHC work for women;
empowering women and girls in Nigeria;
involving men in gender equity interventions in Honduras,
stories on family planning, MNCH, and strong women leaders from STRIDES for Family Health project in Uganda, and much more!
Read newsletter now
Cross-posted with permission from the K4Health blog. K4Health is a USAID project, led by Johns Hopkins Bloomberg School of Public Health’s Center for Communication Programs (JHU-CCP), with partners FHI-360 and Management Sciences for Health (MSH).When Yahoo rescinded their work from home policy a couple weeks ago they revitalized the debate over the future of office work.
Sunday, March 24, 2013, is World TB Day, and MSH staff and partners are promoting global efforts to stop TB throughout the week.Here are highlights from some of our activities around the world:The Afghanistan TB CARE I team is working with the national TB program (NTP) to conduct celebration events at 290 health facilities and communities in 13 USAID-supported provinces. TB messages will be aired through local telephone companies to approximately one million people throughout the nation.
Seven-year-old Ladi Muhammed wants to become a teacher. The third of five children ranging 3 to 20 years old, Ladi and her family live in a poor Nigerian village.The likelihood of Ladi attending primary school is low.Public primary education is free in Nigeria, but Ladi’s parents can barely afford to feed their children.
Sheba Joshua became the head of her household at just 18 years of age, when she lost her parents to AIDS. She is responsible for seven siblings and her blind grandmother and earns money by running a catering business out of her home in Gombe State, Nigeria. Becoming the main caregiver for an entire family at that age would have been a daunting experience for most teenagers, but Sheba was not fazed.
Rabi gives a public awareness lecture on HIV. (Photo credit: MSH, Nigeria)Forty-year old Rabi Suleiman lives in Koko Besse area in Kebbi state, Nigeria. She is married without children. Rabi, who now lives with her third husband, recalls that her ordeal with illness and social ostracism began in 2009. Rabi’s three marriages were the result of her inability to conceive, and a continuous search for a partner with whom she could successfully bear children.
Securing funds from donors and partners can be challenging for Nigerian non-governmental organizations (NGOs), given the nation’s large pool of competing organizations. In order to earn funds, NGOs must have strong proposal writing skills, the ability to defend their proposals, and efficient operational capacity.The Global Health Awareness Research Foundation (GHARF) is a community-based organization operating in Enugu state in southeastern Nigeria.
Improving Child Health in Communities and at Home, the April/May 2012 edition of MSH's Global Health Impact newsletter (subscribe), features personal stories about child survival and child health in developing countries."Prevention, treatment and care close to the home are keys to saving children's lives," says Dr. Jonathan D.
Stigmatized, isolated, and conditioned to undertake hard labor, 14 year-old Chinaecherem Nwodo shows that one can overcome the most dire circumstances. Chinaecherem was despised and accused of witchcraft in her community, the Onu-Orie-Obuno-Akpugo village in Nkano West Local Government, Enugu State, Nigeria. Her abusive treatment by community members reflected the challenges facing some children in rural areas of Nigeria.The community blamed her for her mother’s death and father’s insanity.
Early one morning Mrs. Fred woke up and found a boy outside her house. Alarmed and curious, she asked him why he was there. Godgift, as he identified himself, told her that the continuous appearance of a snake where he lived forced him to abandon the place he called home, after numerous futile attempts to frighten it off with pepper. Highly disturbed, she arranged for him to eat in a nearby restaurant whenever he showed up by her house.The boy, Godgift Henshaw, is 13 years old. Godgift's mother took him along when she left her husband and eloped with another man.
The USAID-supported Prevention Organizational Systems AIDS Care and Treatment (ProACT) project provides HIV & AIDS services to five sites in Adamawa State, Nigeria.The greatest challenge for ProACT Adamawa has been the fragile health system, particularly in terms of human resources for health (HRH), one of the six building blocks of the health system.
Cross-posted from the UHC Forward blog. To support the efforts of countries that have committed to making substantive universal health coverage reforms, experts in many areas of financial protection must continually share in dialogue and debate.To this end, the Results for Development Institute, in partnership with the Rockefeller Foundation, is pleased to announce the launch of UHC Forward, a new website that tracks and consolidates key health coverage information from hundreds of sources into a one-stop portal with feature news, events, and publications related to the growing global uni
Abubakar Muhammed Kurfi presenting at ICASA, Dec. 7, 2011. Credit: MSH.The Program to Build Leadership and Accountability in Nigeria's Health System (PLAN-Health) -- led by Management Sciences for Health (MSH) in conjunction with eight local and international partners -- helped the Nigerian National TB and Leprosy Control Program (NTBLCP) in carry out a capacity assessment.
The future is indeed bright for public health in Nigeria, judging from what Dr. Muhammad Ali Pate, the Honorable Minister of State for Health of the Federal Republic of Nigeria, said at the Africare House in Washington, D.C. on September 21. The event, Innovative Approaches to Expanding Health Care Services, was co-sponsored by Management Sciences for Health (MSH), fhi360, the Anadach Group, and hosted by Africare.
HIV-positive women in Nigeria are the primary caregivers for their own families and other people living with HIV. This disproportionately high burden of care has detrimental effects not only on their health but also on their economic well-being.The MSH-led, USAID-funded, Prevention Organization Systems AIDS Care and Treatment (ProACT) project in Nigeria has helped establish HIV support groups whose participants are 80 percent women.
Mary Umoh, colleague and friend -- and one of the winners of an internal MSH abstract contest for staff -- traveled from Nigeria to Rome to present her poster at the 6th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention (IAS 2011).
In the village of Owa Ofie, Nigeria, Cynthia Isioma, a young girl who has survived enormous odds reclaimed her dream of secondary education.
Cynthia lost both parents at the age of two and was left in the care of her grandmother who died three years later. Cynthia’s situation grew more challenging when she was then moved to her blind grandfather’s home at the age of five.
There have been a collection of high-profile and well attended mobile health (mHealth) “summits” held around the world in the past few years, including last month’s second annual mHealth Summit in Washington, D.C. (headlined by Bill Gates and Ted Turner), but the really interesting conversations are happening on the African continent.
Blog post also appeared on Global Health Magazine. As the country with the second highest maternal mortality rate in the world, outranked only by India, Nigeria loses one in every 18 women during child-birth.
“Songs brought by foreigners do not last long at the dance.” So goes a Kenyan proverb that supports the concept that countries should own their development. The development community knows this, but we aren’t yet making it happen on a broad scale.