Supply Chain Management System Project

2006–2008

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SCMS (the Supply Chain Management System) supplies lifesaving medicines to HIV & AIDS programs around the world and is led by the Partnership for Supply Chain Management (a nonprofit organization established by MSH and JSI). The 17 SCMS international partners are hands-on and actively work to strengthen supply chains, enabling the scale-up of HIV & AIDS treatment in developing countries. SCMS is funded by the President's Emergency Plan for AIDS Relief to help deliver an uninterrupted supply of high-quality, affordable products including: antiretroviral drugs; drugs to treat opportunistic infections such as tuberculosis; and drugs and supplies for palliative and home-based care, HIV rapid test kits, and laboratory equipment. The project focuses on improving forecasting (to determine what drugs are really needed), aggregating demand and negotiating lower prices, and bringing the delivery mechanism closer to the point of use through regional warehouses. SCMS can work anywhere in the world, but is initially focused on the 15 Emergency Plan focus countries.

MEASURE Evaluation

2008–2013

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The MEASURE Evaluation project, which began in 1998, is USAID’s flagship Monitoring and Evaluation project and was established based on the premise that generating demand for and improving the use of data in policy formulation, program planning, monitoring and evaluation improves health systems which in turn affects health outcomes. The project is now in Phase III and is led by the University of North Carolina. In addition to MSH, the partners include Futures Group, JSI, Macro International , and Tulane University. MSH provides capacity building in the area of organization and leadership development to enhance sustainability using MSH’s virtual and other tools and also offers direct support to country M&E teams.

Strengthening Pharmaceutical Systems (SPS) Program

2007–2012

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Strengthening Pharmaceutical Systems is a follow-on to the Rational Pharmaceutical Management (RPM) Plus Program. MSH is pleased to announce that the US Agency for International Development has awarded us the Strengthening Pharmaceutical Systems (SPS) Leader with Associates Cooperative Agreement. SPS will focus on four key results:

• Improve governance in the pharmaceutical sector
• Strengthen pharmaceutical management systems to support public health services
• Contain the emergence and spread of antimicrobial resistance
• Expand access to and improved use of essential medicines

The five-year, $147.5 million cooperative agreement is led by Dr. Douglas Keene as Program Director, Dr. Sameh Saleeb and Dr. Francis Aboagye-Nyame as Deputy Directors. To help meet goals relating to the key result areas, the SPS Program is building on the successes of RPM Plus while expanding the range of technical areas to include financing, pharmacovigilance, pharmaceutical care, integration of new health technologies, and increased use of the private sector, among others. MSH will accomplish this enhanced program of activities by collaborating with a number of new partner organizations. The SPS core partner team includes:

• BroadReach Healthcare
• Ecumenical Pharmaceutical Network
• The Lewin Group
• LMI Government Consulting
• University of Washington Department of Global Health
• WHO Collaborating Center in Pharmaceutical Policy: Harvard University/Boston University

In addition to the core team, MSH is joined by a select group of organizations that will serve as specialized resources for SPS. These organizations include:

• African Medical and Research Foundation
• American Society of Health-System Pharmacists
• Euro Health Group
• Infectious Disease Institute at Makerere University
• Joint Commission International
• London School of Hygiene and Tropical Medicine

As we work toward the overall goal of SPS, the SPS team is striving to advance the science and "art" of strengthening pharmaceutical management systems. The SPS Program provides a great opportunity for MSH and USAID to continue supporting developing countries in their quest to increase access to essential medicines and facilitate the scale up of vital treatment programs.

International Network for Rational Use of Drugs Initiative on Adherence to Antiretrovirals (INRUD-IAA)

2006–2011

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The International Network for Rational Use of Drugs (INRUD) was established in 1989 to design, test, and disseminate effective strategies to improve the way drugs are prescribed, dispensed, and used, with a particular emphasis on resource poor countries.

Launched in September 2006, the INRUD-IAA initiative is funded by the Swedish International Development Cooperation Agency. The objectives of the five-year initiative are to—

• Develop and validate a set of indicators that can be used to monitor adherence to ART
• Investigate adherence rates and determinants for these rates for ART programs and individuals in two target countries
• Pilot interventions to improve adherence in individual patients and in programs in two countries
• Establish the process needed for national AIDS control programs to scale-up successful interventions as part of national policy in the two countries
• Work with the other three countries in the region to develop national adherence policies and implement interventions to improve adherence

Extending Service Delivery (ESD) for Reproductive Health and Family Planning

2005–2011

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This project builds upon extensive work in reproductive health and family planning (RH/FP) services carried out under Advance Africa (MSH) and the CATALYST (Pathfinder International) projects. The USAID Office of Population and Reproductive Health will support a core agenda focused on increased utilization of quality RH/FP services at the community level among underserved and at-risk groups, especially youth, families in the poorest economic quintiles, postpartum and postabortion clients, and people at-risk for or infected with HIV.

For ESD, MSH has staff based in Guinea, Kenya, and Burundi. In 2010, MSH has worked in or supported Angola, Burundi, Ethiopia, Guatemala, Guinea, Jordan, Kenya, Nigeria, and Yemen.

Video

• Healthy Timing and Spacing of Pregnancy Training Tool (English)
• Healthy Timing and Spacing of Pregnancy Training Tool (French)
• Healthy Mothers, Healthy Babies, Healthy Families

Legacy Documents

• View the ESD legacy documents, a series of technical briefs showcasing ESD's approaches and models for delivering family planning and reproductive health services in 18 countries.

Tuberculosis Control Assistance Program (TB CAP)

2005–2011

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The Tuberculosis Control Assistance Program (TBCAP) aims to decrease morbidity and mortality by increasing case detection and treatment success of pulmonary TB patients in USAID priority countries. TBCAP is USAID’s five year centrally funded project focusing on implementing WHO’s Stop TB strategy. MSH is one of eight partners, including KNCV Tuberculosis Foundation, WHO, The International Union Against Tuberculosis, Centers for Disease Control and Prevention, Family Health International, American Thoracic Society, and the Japanese Anti-Tuberculosis Association. TBCAP recently introduced the Management and Organizational Sustainability Tool (MOST) process it has adapted to the TB context. A meeting sponsored by TBCAP for personnel from National Tuberculosis Programs in Mozambique, Namibia, Uganda, Zambia, and Pakistan gave managers hands-on experience using MOST and allowed TBCAP to validate the instrument as adapted for TB. Within TBCAP, MSH makes a unique contribution for addressing constraints such as poor management and lack of sustainable leadership, weak laboratory services and failure of drug supplies, inconsistent drug quality and inadequate drug policies, lacking information systems, weak monitoring and evaluation, and overwhelmed health systems. Through core-funded activities, MSH contributes to TBCAP by aiding in the development and implementation of the International Standards for Tuberculosis Care TB control, guidelines for TB control in prisons, and institutional capacity building. MSH also provides workshops and training for lab consultants, human resource development strengthening, and multidrug resistant tuberculosis (MDR-TB) management. MSH is making important contributions as coordinating partner for Malawi, Ghana, and Souther Sudan for expanding quality DOTS and is currently collaborating in Cambodia, Ethiopia, Indonesia, Kenya, Mexico, Nigeria, Mozambique, Namibia, Pakistan. MSH provides technical assistance in Domincan Republic and Peru.

HIV & AIDS Care and Support Program (HCSP)

2007–2010

In order to stem Ethiopia's AIDS epidemic and treat those infected, MSH is implementing the HIV & AIDS Care and Support Program (HCSP). HCSP is strengthening the health system and rapidly scaling up diagnostic and treatment services for HIV & AIDS and tuberculosis in five targeted regions with three interrelated strategic models:

• A results-oriented strategic framework as a basis for HIV prevention—access to treatment, care, and support services at facility and community levels, and strengthened health systems and referral networks for antiretroviral treatment.
• The family-focused approach puts the family in the center of all activities, supported by community- and faith-based organizations, coordinated by community health workers, and linked with facility-based services, which are supported by a network of public and private institutions.
• Performance-based contracting will engage a large number of public and private institutions at all levels throughout the country in the rapid scale-up of services. Through this contracting plan, 25% of the project’s resources are committed directly to Ethiopian public and private organizations.

Leadership, Management and Sustainability (LMS) Program

2005–2010

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The Leadership, Management and Sustainability (LMS) Program develops managers and leaders who achieve results in the areas of reproductive health, HIV & AIDS, infectious disease, and maternal and child health. LMS works with health organizations in the public and private sectors to create sustainable programs and systems through improved leadership and management. By strengthening management systems and increasing system-wide leadership, LMS improves the performance of health care organizations at all levels, develops human resources, and builds the capacity to anticipate and respond effectively to changing external environments.

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