USAID

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.

 {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).

Celia Tusiime Kakande. {Photo: Tadeo Atuhura/MSH.}Photo: Tadeo Atuhura/MSH.

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. This International Women’s Day we, in Uganda, are celebrating this transformation with a theme of “connecting girls, inspiring futures,” and wishing women around the world similar progress and success.

Women Lead: Government

Women in Uganda now hold more leadership positions than ever before—35 percent of the seats in Parliament are now occupied by women, and our Speaker of Parliament and Minister of Health are women. The introduction of universal primary education has allowed more girls to begin their schooling, and affirmative action at the university level has provided more women the opportunity to realize their dreams for fulfilling professional careers.

Celia Tusiime Kakande. {Photo: Tadeo Atuhura/MSH.}Photo: Tadeo Atuhura/MSH.

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. This International Women’s Day we, in Uganda, are celebrating this transformation with a theme of “connecting girls, inspiring futures,” and wishing women around the world similar progress and success.

Women Lead: Government

Women in Uganda now hold more leadership positions than ever before—35 percent of the seats in Parliament are now occupied by women, and our Speaker of Parliament and Minister of Health are women. The introduction of universal primary education has allowed more girls to begin their schooling, and affirmative action at the university level has provided more women the opportunity to realize their dreams for fulfilling professional careers.

Integrating the Leadership Development Program into Guyana's national nursing school training (watch video): Guyana HIV/AIDS Reduction and Prevention, phase two (GHARP II), a PEPFAR-funded and USAID-supported project.

Developing Strong Health Leaders Saves Lives, the newest edition of MSH's Global Health Impact e-newsletter (subscribe), features:

Mary Ngari, Permanent Secretary of Kenya’s Ministry of Medical Services, addresses conference attendees on the first day. {Photo credit: MSH.}Photo credit: MSH.

In my 35 years working in international health, I've attended hundreds of conferences. Conferences are opportunities to exchange ideas and form connections. They’re often fascinating. But once in a while a conference itself can be a pivotal moment. A great example was last year’s International AIDS Conference, the first held in the United States after President Obama finally lifted the longstanding travel ban against foreigners living with HIV.

And recently, people around MSH, and throughout the Kenya health community, have been talking about Kenya’s First National Conference on Health Leadership, Management and Governance. The conference, held in early February, demonstrated the long-term vision of the Kenyans who are running the health system. These leaders understand the value of training health systems managers to improve the quality of service delivery.

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.

The Improving Performance of Nurses (IPN) project in Upper Egypt celebrated the first Arabic publication of Management Sciences for Health's (MSH)'s “Managers Who Lead” handbook with an event last November. A delegation of prominent leaders from Egypt’s health sector---including representatives from the Ministry of Health and Population (MOHP), Egyptian universities and non-governmental organizations (NGOs), MSH, and USAID---attended the event in Cairo.

At the event, there was a feeling of hope for the future of the health sector in Egypt, and that this handbook is a small but important part of that future. Dr. Emad Ezat, director of health and nurses sector at MOHP, praised the book for helping to strengthen the performance of health organizations and improving health services. Dr. Abdo Al Swasy, IPN program manager, spoke of the work that had gone into the handbook and its importance. Dr. Gihan Fathy, IPN field manager, highlighted some of the tangible effects from the use of this book in the field, including building nurse leaders able to make decisions independently for positive changes in the health community.

{Photo credit: MSH/South Africa.}Photo credit: MSH/South Africa.

Cross-posted from SHARE: Southern Africa HIV/AIDS Regional Exchange. (SHARE is an initiative of the USAID Southern Africa Regional HIV/AIDS Program with support from the Knowledge for Health project and the Southern Africa HIV and AIDS Information Dissemination Service.)

Conference attendees were still full of energy on the final day of Kenya’s First National Conference on Health Leadership, Management and Governance. {Photo credit: MSH.}Photo credit: MSH.

After a very busy week scurrying around behind the scenes at Kenya’s First National Conference on Health Leadership, Management and Governance, the staff of the USAID-funded Leadership, Management and Sustainability project in Kenya (LMS/Kenya) gathered on Friday morning before the start of the fourth and final day. Generally, the last day of a conference is filled with summaries and closing-day formalities. But this time, Project Director Karen Caldwell informed us that we still had one essential task ahead. Our challenge was to assist the more than 250 participants to articulate, with a common voice, a clear and actionable “Way Forward” based on all of the rich and complex discussions of the many sessions, skills-building workshops, and networking meetings that had occurred during the past week. This is critical as Kenya is transitioning to a new health sector governance structure that will give responsibility for service delivery to the county-level authorities; for many conference attendees it was their first opportunity to discuss how they can shape and support this process.

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