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 {Photo credit:  Diana Sharone Tumuhairwe} MDR-TB patients receiving continuous health education at Lira hospital.Photo credit: Diana Sharone Tumuhairwe

Although the incidence of tuberculosis (TB) in Uganda is declining, multidrug resistant TB (MDR-TB), a strain of TB that cannot be treated with the two most powerful first-line medicines, is a growing concern. This is especially true in Uganda’s Lira district, a commercial hub in the Northern region.

 {Photo credit: MSH}Dr. Ihsanullah Shahir (third from left), Director General of Human Resources within Afghanistan’s Ministry of Public Health, used the Leadership Development Program (LDP) to develop local solutions with local leaders.Photo credit: MSH

Dr. Ihsanullah Shahir, Director General of Human Resources within Afghanistan’s Ministry of Public Health, began work as a young doctor in mountainous Bamyan province during what he calls “an emergency situation during the war.” In 2004, Shahir became the Provincial Health Director in Bamyan Province. I had limited knowledge, but I got help from colleagues. We established everything from zero. Shahir and his colleagues worked to ensure coverage of the Basic Package of Health Services.

{Photo credit: MSH staff/Afghanistan}Photo credit: MSH staff/Afghanistan

Dr. Mohammad Khakerah Rashidi is Country Representative of Management Sciences for Health (MSH) Afghanistan and Project Director of USAID's Challenge TB in Afghanistan. Rashidi also serves as First Vice Chair of the Country Coordinating Mechanism (CCM) Afghanistan (Global Fund) and is a Senior Lecturer at Zawul Institute of Higher Education. Earlier in his career, Rashidi says he was the “only medical doctor for more than a million people.” He spoke to MSH about its TB work in Afghanistan in the context of a fragile state.

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