MSH Applauds Remarks by Secretary of State Hillary Clinton on Global Health as Strong Pillar of US Leadership; Calls on Administration to Continue and Expand a Health Systems Approach to HIV/AIDS and other Health Priorities, Including NCDs

Management Sciences for Health (MSH),  welcomed remarks delivered last week by Secretary of State Hillary Rodham Clinton that cited global health as a strong pillar of US leadership and called for the creation of an "AIDS-free generation." "In order to create an 'AIDS-Free Generation,' the key is to support a robust health systems approach to all global health problems, " said Scott Kellerman, MD, MPH, Global Technical Lead, HIV, at MSH. Secretary Clinton said "PEPFAR is one of the strong platforms which supports one-stop clinics offering an array of health services while driving down costs, driving up impact, and saving lives… For examples, PEPFAR has helped build on the WHO's efforts to treat and prevent tuberculosis, which is the leading cause of death among people with AIDS. PEPFAR has also helped build new facilities for malaria, immunization and much more." She also said " the US is working with ministries of health and local organizations to strengthen their health systems so they can take on an even broader range of health problems

Through powerful treatment largely provided by US tax dollars, HIV patients are now living longer, unfortunately long enough to develop chronic non-communicable diseases such as cancer, diabetes, lung disease or heart disease. A health systems approach that utilizes integrated health service delivery, innovative financing, and trained heath workers at all levels (from community to district to hospital), will be the only approach that will save the most lives both from HIV/AIDS and from cancers and other diseases," said Dr. Kellerman.

Additionally, Clinton announced an initiative to scale up combination prevention that includes scaling up PMTCT (prevention of mother to child transmission), male circumcision, and scaled up treatment for people living with AIDS.  Two out of three of these interventions rely on getting medicines to those in need so the strength and efficiency of the pharmaceutical supply chain—from global to household level is vital in order to continue to avoid stock-outs, MSH said.  "MSH supports innovative new approaches to ending the epidemic, such as the B+ approach to PMTCT, currently providing ARVs to all pregnant women in Malawi, as a way to  support the lives of both the mother and the child," said Dr. Kellerman.

Management Sciences for Health (MSH) is a non-profit global health organization working to strengthen health systems in over 100 countries. In over 35 countries MSH builds the capacity of public and private sector organizations to implement HIV prevention, care and treatment interventions. Our work addresses all elements of the health system: service delivery; leadership and governance; medical products, vaccines and technologies; health financing; health information and human resources. MSH supports universal access for all, but especially for the world's poorest and most vulnerable people. Our projects are scalable, integrated, decentralized from the health facility to the home and result in sustainable public health impact.

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