Ethiopia

{Photo credit: Rui Pires.}Photo credit: Rui Pires.

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

 {Photo credit: Anteneh Tesfaye Lemma/MSH.}Producing a TV spot on social health insurance in Ethiopia.Photo credit: Anteneh Tesfaye Lemma/MSH.

It was sudden and unexpected. It was also funny: the ball exploded and deflated right under Teferi's foot. But everybody started to worry when the director screamed: “We can’t shoot the next scene without the football! Somebody get me a new one!”

I looked at the young boy actor. Tears were about to wash his gloomy face as the ball changed into a useless piece of flat plastic right before his cloudy eyes. "This is bad!" I said to myself. "The kid might not be willing to act anymore; we might be forced to start the production all over again!"

We were shooting one of the scenes for a TV public service announcement. Producing the TV spot is one of the major activities for the Health for All Campaign–the campaign supporting the popularization of Ethiopia’s New Health Insurance Scheme.

It was ironic: the TV spot promotes preparing for unforeseen emergencies. Yet, once the ball became useless, we realized that we were not ready for an emergency ourselves.

 {Photo credit: Genaye Eshetu/MSH.}Teberih Tsegay, Almaz Haile, Jember Alemayehu, and Yeshi Derebew, of Korem Town, Ethiopia.Photo credit: Genaye Eshetu/MSH.

Knowledge is power, so the saying goes.

No one understands that more than Teberih Tsegay, Almaz Haile, Jember Alemayehu, and Yeshi Derebew, of Korem Town, Ethiopia, who have used their knowledge to save the lives of babies in their community. "Some years back there was no one to teach us, so we gave birth to HIV-positive children. But now we can teach others so no child will be born with the virus," said Jember.

Seeing the toll HIV had taken on their communities—but empowered with knowledge and skills to stop its further spread—the four women began working with the Korem Health Center as Mother Mentors in 2010. They teach HIV-positive pregnant women and their husbands about the steps necessary to keep their babies safe from the virus.

Remarkably, since they began their work three years ago, only one child has been born HIV-positive in Korem Town.

{Photo credit: Warren Zelman. DRC}Photo credit: Warren Zelman. DRC

MSH's current newsletter (November/December 2013) features stories about the people on the frontlines improving health and saving lives: health workers.

A Note from Dr. Jonathan D. Quick

My MSH colleagues Mary O'Neil and Jonathan Jay blog about what we can learn from the Third Global Forum on Human Resources for Health, held this November in Recife, Brazil:

Recife Top Ten: Together Toward Health for All

{Photo credit: MSH}Photo credit: MSH

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.

In April 2001, the Heads of State and Government of the African Union signed the Abuja Declaration after undertaking a critical review of the rapid spread of HIV and AIDS on the continent. The Declaration cited practical strategies to deal with the menace. It also urged governments of member states to increase funding for health to at least 15% of the national budget. 

The Nigerian government and the African Union (AU) will co-host the Abuja +12 Special Summit of the AU Heads of government from July 15 to July 19 to review the 2001 Abuja declaration. The Summit intends to focus on the unfinished work of the health-related Millennium Development Goals. It will serve as an avenue to review the progress made on the implementation of the Abuja Declaration on HIV/AIDS, Tuberculosis and Other Communicable Diseases. It will also propose a framework for post-2015 development agenda for Africa. 

World TB Day celebration in Ghana (2012). {Photo credit: MSH.}Photo credit: MSH.

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. TB CARE I is also identifying and publicly rewarding high-performing health workers.

The Bangladesh SIAPS TB team will participate in a national rally on March 24 with all TB partners and stakeholders within the NTP network, as well as in a press conference, workshop, and scientific session.

A children's band plays music during the Health for All Campaign launch event in Addis Ababa on March 14. {Photo credit: Beth Brundage Murphy for MSH.}Photo credit: Beth Brundage Murphy for MSH.

The Health for All campaign was officially launched in Ethiopia at an event on March 14 in Addis Ababa. Over 100 participants, including partners, government representatives, and contributing artists, attended the colorful ceremony at Harmony Hotel. A children’s band entertained the guests with music, and a community theatre group, Music Mayday, portrayed the importance of health insurance for all.

Hiwot Emishaw, the coordinator of the Health for All campaign, opened the ceremony. “One of the key goals of the global UHC movement is to increase social protection for health coverage by 50 percent, and decrease out of pocket expenditures,” she said.

W/o Roman Tesfay, director general of the Ethiopian Health Insurance Agency (EHIA), gave a detailed presentation on the new initiatives of community-based health insurance and social health insurance in Ethiopia, and called upon stakeholders to support the initiative.

 {Photo Credit: Abel Helebo/MSH.}Silenat with her three-year-old child, her husband Yirga, and Tadele, a TB focal person at the Keraniyo Health Center.Photo Credit: Abel Helebo/MSH.

Silenat Yihune, a 40-year-old woman, mother, and housewife, lives in a remote region of Huletejuenesie District, Ethiopia, which is approximately 20 kilometers from the closest health facility. For nine months Silenat suffered from a cough, chest pain, fever, and weight loss, but was unable to receive treatment. As is common among Ethiopian families, Silenat was economically dependent upon her husband. He refused to pay for her travel to the distant health facility. Several months later, Silenat’s husband, Yirga, started to show similar symptoms and visited the Keraniyo Health Center, where he was diagnosed with tuberculosis (TB).

Keraniyo Health Center is one of the health facilities in Huletejunesie district supported by the PEPFAR-funded, USAID project, Help Ethiopia Address Low TB Performance (HEAL TB), led by Management Sciences for Health (MSH).

Private sector companies, like McDonald's and General Electric, have successfully been using internal universities or academies for decades. So how can programming for health service managers be better, more cost effective and more sustainable? Embed programming within special “Leadership Academies” based in ministries of health.

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