12 Stories: Strong Health Systems Save Lives

12 Stories: Strong Health Systems Save Lives

{Photo: Gwenn Dubourthournieu}Photo: Gwenn Dubourthournieu

For the fourth year in a row, Management Sciences for Health (MSH) invited staff to submit stories about how health systems save lives and improve the health of the poorest and most vulnerable worldwide. MSH staff from 34 projects submitted over 50 stories from 2015. These 12 stories, selected by MSH staff judges, demonstrate how good storytelling and effective partnerships can save more lives.

In this special edition of our Global Health Impact Newsletter (subscribe), meet health workers, community leaders, pharmacy managers, beneficiaries working together toward healthier communities. Stories and authors appear alphabetically by country:

Bangladesh: Zakia Sultana and Francis Hajong

[With support from the Challenge TB project, funded by US Agency for International Development (USAID) and led by MSH in Bangladesh, intensified active tuberculosis (TB) case finding among high-risk groups, such as children, people living with HIV, diabetics, etc., is saving lives, such as 22-month-old Anika (pictured with her mother).] {Photo credit: Francis Hajong/MSH}With support from the Challenge TB project, funded by US Agency for International Development (USAID) and led by MSH in Bangladesh, intensified active tuberculosis (TB) case finding among high-risk groups, such as children, people living with HIV, diabetics, etc., is saving lives, such as 22-month-old Anika (pictured with her mother).Photo credit: Francis Hajong/MSH

Anika’s Story: Intensified Case Finding of Pediatric TB in Bangladesh

Côte d'Ivoire: Beata Imans

[Thanks to timely support from the Supply Chain Management System (SCMS) to the Divo regional hospital immediately after a fire destroyed the pharmacy, antiretroviral distribution has continued without interruption to the Loh-Djiboua region of Côte d'Ivoire. Funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR), administered by USAID and led by the Partnership for Supply Chain Management (PFSCM) -- a nonprofit organization established by MSH and John Snow, Inc. –- SCMS supplies lifesaving medicines to HIV and AIDS programs around the world.] {Photo credit: Beata Imans/PFSCM}Thanks to timely support from the Supply Chain Management System (SCMS) to the Divo regional hospital immediately after a fire destroyed the pharmacy, antiretroviral distribution has continued without interruption to the Loh-Djiboua region of Côte d'Ivoire. Funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR), administered by USAID and led by the Partnership for Supply Chain Management (PFSCM) -- a nonprofit organization established by MSH and John Snow, Inc. –- SCMS supplies lifesaving medicines to HIV and AIDS programs around the world.Photo credit: Beata Imans/PFSCM

Ensuring HIV and AIDS Patients Receive Uninterrupted Treatment After Fire Destroys a Regional Pharmacy in Côte d'Ivoire

Democratic Republic of the Congo: Isa Iyungamo and Landry-Serges Malaba

[Respiratory distress could have cost Baby Mushombe (pictured) his life -- as it does many infants in Democratic Republic of the Congo -- were it not for a team of midwives and assistants who had mastered Helping Babies Breathe, a resuscitation technique developed for environments with limited resources.] {Photo credit: MSH}Respiratory distress could have cost Baby Mushombe (pictured) his life -- as it does many infants in Democratic Republic of the Congo -- were it not for a team of midwives and assistants who had mastered Helping Babies Breathe, a resuscitation technique developed for environments with limited resources.Photo credit: MSH

The Golden Minute: Saving Newborns in Democratic Republic of the Congo

Ethiopia: Berhan Teklehaimanot and Ali Galgalo

[Aster Gemede (pictured) lost her husband to tuberculosis (TB) meningitis early in 2012. Struck with grief, she did not notice her own deteriorating health in the months after his death. When Gemede got to the point where she was unable to look after her two children, she was forced to walk eight hours from her home in rural Borena zone, Oromia, Ethiopia, to the nearest health facility.] {Photo credit: HEAL TB Ethiopia/MSH}Aster Gemede (pictured) lost her husband to tuberculosis (TB) meningitis early in 2012. Struck with grief, she did not notice her own deteriorating health in the months after his death. When Gemede got to the point where she was unable to look after her two children, she was forced to walk eight hours from her home in rural Borena zone, Oromia, Ethiopia, to the nearest health facility.Photo credit: HEAL TB Ethiopia/MSH

A Mother’s Wish Fulfilled: Rolling Out TB Contact Investigation in Rural Oromia, Ethiopia

Ethiopia: Tsion Issayas

[“We have come a long way,” Dagnachew Hailemariam, head pharmacist of Bishoftu General Hospital in Ethiopia, says. Through the systems and guidelines put in place with the help of the hospital’s Drug and Therapeutic Committee, supported by USAID-funded, MSH-led Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS), the hospital has decreased the expiry rate from 20 percent in 2009 to 4.5 percent in 2015 -- significantly cutting medication costs and increasing patient satisfaction from 55 percent to 90 percent in the same period.] {Photo credit: MSH}“We have come a long way,” Dagnachew Hailemariam, head pharmacist of Bishoftu General Hospital in Ethiopia, says. Through the systems and guidelines put in place with the help of the hospital’s Drug and Therapeutic Committee, supported by USAID-funded, MSH-led Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS), the hospital has decreased the expiry rate from 20 percent in 2009 to 4.5 percent in 2015 -- significantly cutting medication costs and increasing patient satisfaction from 55 percent to 90 percent in the same period.Photo credit: MSH

Improving Service Delivery and Accountability through Drug and Therapeutics Committees: The Case of Bishoftu General Hospital

Madagascar: Samy Rakotoniaina

[The USAID Mikolo project, led by MSH, is helping avert missed opportunities for providing family planning by supporting local NGOs to train community health volunteers, such as Vololona Harivelo (pictured), in the use of pregnancy tests.  Health workers in Madagascar -- the first country to scale-up pregnancy test use by community health volunteers -- say the use of pregnancy tests has the potential to quickly increase modern contraceptive prevalence rates and use of antenatal care services.] {Photo credit: MSH}The USAID Mikolo project, led by MSH, is helping avert missed opportunities for providing family planning by supporting local NGOs to train community health volunteers, such as Vololona Harivelo (pictured), in the use of pregnancy tests. Health workers in Madagascar -- the first country to scale-up pregnancy test use by community health volunteers -- say the use of pregnancy tests has the potential to quickly increase modern contraceptive prevalence rates and use of antenatal care services.Photo credit: MSH

Pregnancy Tests Help Boost Family Planning in Madagascar

Namibia: Evans Sagwa

[Through SIAPS, MSH has helped the Namibian Ministry of Health and Social Services establish a quality management system for training pharmacist assistants (PA), such as Martin Mandumbwa (pictured).] {Photo credit: SIAPS Namibia}Through SIAPS, MSH has helped the Namibian Ministry of Health and Social Services establish a quality management system for training pharmacist assistants (PA), such as Martin Mandumbwa (pictured).Photo credit: SIAPS Namibia

Namibia: Pharmacy Assistants Trained to Deliver Quality HIV and AIDS Pharmaceutical Services

Nigiera: Adeola Ayo, Emmanuel Nwala, and Philomena Orji

[Nse Usoro Odo (pictured right) is living proof of the health and economic benefits of community-based health insurance schemes in Akwa Ibom State, Nigeria.] {Photo credit: MSH}Nse Usoro Odo (pictured right) is living proof of the health and economic benefits of community-based health insurance schemes in Akwa Ibom State, Nigeria.Photo credit: MSH

Community-Based Health Insurance: a Lifesaver in Nigeria

Peru: Eliana López

[“Thanks to USAID there was a tremendous change in my community... more united, cleaner, women participate in the assemblies, men respect us, and the children are no longer sick like they were before,” said Graciela Quío (pictured), president of the Monte de los Olivos Community Development Committee.] {Photo credit: MSH}“Thanks to USAID there was a tremendous change in my community... more united, cleaner, women participate in the assemblies, men respect us, and the children are no longer sick like they were before,” said Graciela Quío (pictured), president of the Monte de los Olivos Community Development Committee.Photo credit: MSH

Who Says Only Men Can Lead? Promoting Health and Gender Equality in Peru

South Africa: Gail Mkele and Susan Putter

[Two MSH-led projects, SIAPS and SCMS, collaborated to support local leaders’ efforts to improve pharmaceutical leadership, governance, and supply chain processes at a provincial pharmacy depot in South Africa.] {Figure: SIAPS South Africa}Two MSH-led projects, SIAPS and SCMS, collaborated to support local leaders’ efforts to improve pharmaceutical leadership, governance, and supply chain processes at a provincial pharmacy depot in South Africa.Figure: SIAPS South Africa

KwaZulu-Natal, South Africa: Innovating Solutions for Pharmaceutical Leadership, Governance, and Supply Chain Efficiency

Uganda: Tadeo Atuhura

[When Rose Chebet (pictured right) was five months pregnant with twins, she visited a hospital in Eastern Uganda for a routine antenatal visit. She was devastated to learn that she was HIV positive and she feared her twins would not survive.] {Photo credit: Tadeo Atuhura/MSH}When Rose Chebet (pictured right) was five months pregnant with twins, she visited a hospital in Eastern Uganda for a routine antenatal visit. She was devastated to learn that she was HIV positive and she feared her twins would not survive.Photo credit: Tadeo Atuhura/MSH

Option B+: Hope for HIV-Infected Pregnant Women, HIV-Free Newborns in Uganda

 

[Through TRACK TB-supported monthly clinical reviews, medicine deliveries, quarterly home visits, and mentorships conducted by a district hospital, Flora Mugisa (seated) completed her multidrug-resistant tuberculosis (MDR-TB) treatment after nearly two years. USAID's TRACK-TB, led by MSH, supports 6 of 15 MDR-TB treatment facilities in Uganda and provides treatment services to over two-thirds of all MDR-TB patients in the country.] {Photo credit: Tadeo Atuhura/MSH}Through TRACK TB-supported monthly clinical reviews, medicine deliveries, quarterly home visits, and mentorships conducted by a district hospital, Flora Mugisa (seated) completed her multidrug-resistant tuberculosis (MDR-TB) treatment after nearly two years. USAID's TRACK-TB, led by MSH, supports 6 of 15 MDR-TB treatment facilities in Uganda and provides treatment services to over two-thirds of all MDR-TB patients in the country.Photo credit: Tadeo Atuhura/MSH

TRACK TB Home Visits in Uganda Help Strengthen Adherence to TB Treatment

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Comments

Paul U
All of those links are great stories. They are a great read.

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