Good governance in health care matters at all levels of the health system—from communities to health facilities to governments. When a community HIV & AIDS association in Zanzibar grew from 40 members to more than 1,000, it needed better governance. When women in Senegal raised concerns about lack of privacy and poor security at a district hospital, it needed better governance.
Over 2,300 delegates, many colorfully dressed, gathered in Dakar, Senegal at the jam-packed amphitheatre and two exterior tents of Le Meridien President for the start of this week’s 2nd International Family Planning Conference, sponsored by the Bill and Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health. Monica Kerrigan, of the Bill and Melinda Gates Foundation, said that one third of Africans live in francophone Africa, and yet it has been the most neglected area for family planning services.
Safoura Amadu is the 19 year-old mother of Ibrahim, who was born preterm on March 8, 2011 at 1.46 kg (3.2 pounds). Baby Ibrahim did not grow well in his first days of life. Safoura was very worried---her first child had died at birth---and she did not want to lose Ibrahim, her second child. Safoura sought help and when Ibrahim was ten days old she and the baby were admitted to the new Kangaroo Mother Care (KMC) center at the Maternité Issakha Gazoby in Niger.