Health systems strengthening was front and center in discussions held in New York on the sidelines of the 72nd United Nations General Assembly. MSH hosted three events spotlighting how strong health systems are critical to resiliency and stability in fragile environments, at the core for global health security and essential for achieving universal health coverage. Here are some highlights from the week. See more on Twitter @MSHHealthImpact, @MSHACTS and @FCIatMSH.
Resilient and Stable: Building Strong Health Systems to Protect Women, Adolescents, and Children | September 18, 2017
How Countries Can Move toward Building Sustainable Community Health Programs
Universal health coverage (UHC) is increasingly recognized as the best way to achieve the Sustainable Development Goal targets on health. But with 400 million people lacking access to essential health services and a projected shortage of 18 million health workers, it will take unprecedented effort and funding. Community health workers (CHWs) could be an important part of the solution—but without effective investments and sound planning, we will fall short of achieving UHC.
This article was originally published on Devex on November 18, 2016
As finance advisers in global health, we are regularly in conversations with health ministers in low- and middle-income countries who have been charged with the commendable but daunting task of achieving universal health coverage for their citizens.
There are no magic bullets in life. For fixing a healthcare system, though, there is one approach that comes close: results-based financing. Management Sciences for Health (MSH) pioneered results-based financing in Haiti in 1999, and has been adapting and improving it ever since in sub-Saharan Africa, Latin America, and South-East Asia, including in fragile states.
Many child deaths in developing countries are preventable: Children die from treatable conditions, such as pneumonia, diarrhea, and malaria, because families in rural, hard-to-reach, or conflict-ridden areas can’t access or afford the treatments. The Sustainable Development Goals (SDGs), launched in September 2015, set ambitious targets of ending preventable child deaths by 2030 and reducing mortality among children under age five to at least 25 per 1,000 live births.
Four-year-old Amina is why I work on malaria. I met her in Basse District, The Gambia, last year when I was visiting the team distributing lifesaving malaria treatment to children under five. Words can’t describe the feeling of seeing this young Gambian girl, who had been severely ill with malaria, now beaming with joy, literally running to me for her fourth treatment.
Cross-posted with permission from Devex.com.
The World Health Organization’s first global report on diabetes released this month highlights the disease’s “alarming surge” with rates that have quadrupled in fewer than three decades. The report reminds us that essential diabetes medicines and health technologies, including lifesaving insulin, are available in only one in three of the world’s poorest countries.
Tuberculosis (TB) has surpassed HIV and AIDS as the number one infectious killer worldwide, and in many countries, TB remains a major cause of death, sickness, and poverty. Major challenges to TB care and control include increases in drug-resistant TB (DR-TB) and reductions in donor funding.
It is crucial, therefore, that governments develop sustainable TB care and control delivery and financing mechanisms in the context of universal health coverage (UHC) programs.
The Global Maternal and Newborn Health Conference held last week in Mexico City was an action-packed three days of presentations and conversations about state-of-the-art strategies to improve maternal and newborn health. Throughout it all, the following key themes stood out as critical for the post-2015 development agenda, particularly in the context of pursuing universal health coverage (UHC).
After two years of negotiations, 193 Member States of the United Nations reached agreement last month on the new sustainable development agenda that will be formerly adopted later this week at the 70th United Nations General Assembly (UNGA) in New York City.
The Member States agreed to 17 sustainable development goals (SDGs) with a total of 169 targets. The SDGs will replace the Millennium Development Goals (MDGs) that expire this year and will influence development priorities and funding for the next 15 years.
About the New Development Agenda
The strengthening of health systems in low and middle income countries is central to the global effort to promote economic and social development through universal health coverage, reduce mortality, and improve health and sustainability of health care over the next 15 to 25 years.
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 originally appeared on the MSH at the Third Global Symposium on Health Systems Research conference blog.
On September 30 – October 3, 2014, nearly 3,000 researchers, program managers, and policy makers convened in Cape Town, South Africa for the Third Health Systems Research Symposium (HSR2014) to review evidence and research focused on improving people-centered health systems and service delivery. A key component to strengthening health systems and improving health outcomes is through health care financing mechanisms.
Cross-posted with permission from WBUR's CommonHealth Blog.
A study released last week found that insurance is saving lives in Massachusetts. Expanded coverage will mean 3,000 fewer deaths over the next 10 years. We have state-of-the-art health facilities and are among the healthiest of Americans. Despite the fiasco of our failed enrollment website, the state maintains near-universal health coverage, and inspired the Affordable Care Act.
Please join Management Sciences for Health (MSH) at the 67th World Health Assembly (WHA), May 18-23, 2014, in Geneva, Switzerland. The WHA is the supreme decision-making body of the World Health Organization (WHO), and is attended by delegations from all WHO Member States.
This year, six MSH representatives will attend as part of the 60-plus-person Global Health Council (GHC) delegation.
MSH will co-host three side events focusing on the role of universal health coverage (May 20), chronic diseases (May 20), and governance for health (May 21) in the post-2015 framework.
In the absence of effective treatment and access to quality health services, diarrhea, malaria, and pneumonia remain the leading causes of child mortality in sub-Saharan Africa and cause nearly 44 percent of deaths worldwide in children under five years old. To improve access to life-saving treatment among children, many African countries have begun implementing and scaling-up integrated community case management (iCCM), a strategy that focuses on the delivery of timely and low-cost interventions at the community level by community health workers.
Management Sciences for Health (MSH) invites you to attend the following presentations by MSH staff at the Integrated Community Case Management (iCCM) Evidence Review Symposium in Accra, Ghana, hosted by UNICEF and partners March 3-5, 2014. All times are listed in GMT. For those who are unable to attend in person, presentations will be made available online during or after the Symposium.
Costs, Cost Effectiveness and Financing
Session 2: Tuesday, March 4 (11:00-12:30) – Committee Hall 1 Session 4: Tuesday, March 4 (15:15-16:45) – Main Hall
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.
Management Sciences for Health (MSH) has been awarded the contract for “Technical Assistance in Service Delivery and Management Capacity Building for the Salud Mesoamérica 2015 Initiative Countries,” a $9.3 million, 18-month award by the Inter-American Development Bank. The goal of the Salud Mesoamérica 2015 Initiative (“salud” is Spanish for health) is to reduce health equity gaps in eight countries in the Mesoamérica region.
By Anita Katharina Wagner & Dennis Ross-Degnan
We were delighted to collaborate with our colleagues at Management Sciences for Health (MSH) and the Rockefeller Foundation, along with the Pan American Health Organization (PAHO) and the US Agency on International Development (USAID), on developing and implementing a first international dialogue dedicated to an important global issue: medicines as part of universal health coverage (UHC).
Here are the top 10 lessons we took away from the meeting:
Universal health coverage (UHC) is the ultimate accomplishment in health systems strengthening: UHC is achieved when a health system is strong enough to deliver high-quality products and services in a reliable, comprehensive and affordable way to its entire population. For the leaders who govern health systems, UHC is an ambitious and worthy goal. And as MSH President and CEO Jonathan Quick explains, success starts with their vision.
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.
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 todayIntegration moves aheadPoor and rural communities in low- and middle-income countries are leaving behind the “one clinic, one service” approach.
For most of my life, women in Uganda---as in most countries---were treated as inferior to men. Girls were less likely to be educated than their brothers, and had little control over the direction of their lives. Many girls grew up being told how to act, eat, and talk; many women were regarded as little more than domestic caregivers. However, in 1986 the ruling government radically changed the dynamics of Ugandan women in global development and their participation in decision-making at all levels of government.
In Myanmar, 50 years of military dictatorship left behind a seriously underdeveloped health system, serving barely one in twenty of the country’s 60 million people. You might expect that the first minister of health under civilian rule would be despondent. But on my recent trip I found the opposite: Dr.
Last month, I joined over 1,800 participants from more than 100 countries in Beijing at the Second Global Symposium on Health Systems Research. We've made some concrete steps forward since we last met in Montreux, Switzerland, two years ago, among them the launch of a new research society Health Systems Global. Central topics of this year's discussions included: “Inclusion and Innovation towards Universal Health Coverage” (UHC), the symposium theme, and monitoring and evaluation.Here are my top 10 takeaways from the symposium:1.
Eugénie, a widow in Rwanda, farms to provide for her children. In January 2012, she had surgery to remove a tumor, a procedure that would have devastated her family economically if she did not have insurance.
Each year, as many as 64,000 people die from tuberculosis (TB) in Indonesia. Although the Ministry of Health’s (MOH) National TB Program (NTP) has made great progress over the last few years, the country is still one of twenty-two high TB-burden countries in the world. Indonesia is also one of the twenty-seven countries considered to have a high burden of multi-drug resistant TB (MDR-TB).
Crossposted on Maternal Health Taskforce's mhtfblog as part of the Maternal Health Commodities Blog Series.Despite a decade of significant progress reducing maternal mortality rates, very few countries are on target to meet Millennium Development Goal #5a of reducing the maternal mortality ratio by three-quarters by 2015.What is most alarming is that a large proportion of maternal deaths could have been avoided if women had access to adequate health services, where the necessary quality medicines and supplies were available and skilled health providers were present.
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.
Co-authored by Gina Lagomarsino, managing director for Results for Development InstituteCross-posted on UHC Forward.We welcome the United States Supreme Court decision to uphold President Obama’s sweeping health care overhaul.
Over 100 conference delegates came together at the United Nations Conference on Sustainable Development last week in Rio de Janeiro, Brazil, to strategize smart solutions to global development and poverty reduction while promoting environmental concerns such as clean energy, sustainability, and equitable use of resources. Popularly known as “Rio+20” --- for occurring twenty years after the 1992 Earth Summit --- the three days of high-level meetings attended by heads of state and government and high level representatives resulted in “The Future We Want,” a 53
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.
Last week I had the privilege of attending the International Conference on Family Planning in Dakar, Senegal, where over 2,200 family planning and global health advocates, funders, and supporters gathered to voice support for family planning.This week I am in Addis Ababa, Ethiopia, attending the International Conference on HIV and STIs in Africa (ICASA).
My recent field visit has given me a great perspective on one of MSH’s major activities - the costing of health services. MSH has extensive costing experience in East Asia & Pacific, Latin America & the Caribbean, Southern Africa, and West Africa.MSH developed and has helped manage multiple applications of the CORE Plus (Cost and Revenue Analysis Tool Plus). CORE Plus is a tool that helps managers and planners estimate the costs of individual services and packages of services in primary health care facilities as well as total costs for the facilities.
At the First Global Symposium on Health Systems Research in Montreux, Switzerland in November, Dr. Yogesh Rajkotia, of USAID Rwanda, moderated a panel discussion noting that Performance-Based Financing (PBF) is an effective health systems strengthening strategy. The presentations were made on behalf of the Rwandan Ministry of Health with the guidance of Dr. Agnes Binagwaho, Permanent Secretary.
Part three of the blog series: Spotlight on Global Health Initiative Plus Countries
Health Financing is Helping Rebuild Rwanda’s Health Sector It's been over 15 years since the Rwandan genocide; few would know of the tremendous successes in health that the country has experienced. Rwanda has made good progress towards meeting the Millennium Development Goals since they were identified. These impressive achievements are due to an increase in essential health interventions and the implementation of new health financing mechanisms.
Originally appeared in Global Health Magazine. Over the last several decades, millions of dollars have been invested in capacity building interventions, and the chorus of capacity building enthusiasts continues to grow. Yet, both in description and practice, capacity building remains somewhat fuzzy.