{Nurse Gabriella Oroma welcomes patients at Ngetta Health Centre in Uganda, where drug-resistant TB is treated. Photo credit: Sarah Lagot/MSH}Nurse Gabriella Oroma welcomes patients at Ngetta Health Centre in Uganda, where drug-resistant TB is treated. Photo credit: Sarah Lagot/MSH
By Dr. Ersin Topcuoglu
 
This op-ed was originally published in The Hill.
 
 {Photo credit: Igor Dashevskiy}Deputy Minister of Health, Dr Roman Illyk, presents during the National Health Technology Assessment Forum in Kyiv, Ukraine.Photo credit: Igor Dashevskiy

A health technology assessment (HTA) is an evidence-based instrument to identify which medicines, medical devices, and treatment regimens are optimal for the state to support. It significantly reduces opportunities for corruption and helps countries move toward self-reliance in the health sector. A National Health Technology Assessment Forum took place in Kyiv, Ukraine, on February 28, 2019, to further advance HTA as an important priority-setting tool for Ukraine’s health system. Photo credit: Igor Dashevskiy

Afghanistan

{Hospital pharmacy in Antananarivo, Madagascar. Photo Credit: Warren Zelman}Hospital pharmacy in Antananarivo, Madagascar. Photo Credit: Warren Zelman

This op-ed was originally published by Devex

Multidrug-resistant germs are spreading. A number of antibiotics and other antimicrobials already don’t work as they should, and as many as 700,000 people die each year because of it.

If we don’t act to contain antimicrobial resistance, it may kill up to 10 million more people yearly by 2050 and cumulatively cost patients and health systems across the globe up to $100 trillion. This crisis may start to seem insurmountable, like a vague scientific problem with no apparent solution. Many of us have contributed to it, and each of us will need to collaborate — as nations, organizations, and individuals — to solve it.

“Without tackling wasteful, inefficient, and irrational use of antimicrobials, we cannot contain AMR.” — Mohan Joshi, a principal technical adviser for Management Sciences for Health 

 {Photo credit: Mary Dauda/MSH}After nearly losing her business, Adekeye Dorcas now mentors HIV positive pregnant mothers in her community and trains apprentices in the art of nylon production.Photo credit: Mary Dauda/MSH

A trader skilled in the art of nylon production, Adekeye Dorcas once generated enough income to provide for her family. During a routine visit to the health center in Kwara state, she tested positive for HIV and was immediately offered counseling services and antiretroviral therapy (ART). The growing demands on her time to travel on open clinic days for ART and the cost of transportation began to threaten her family’s financial stability. She knew that adherence to her treatment was key to allowing her to live positively and ensuring that her husband remained HIV negative.

Photos by: Samy Rakotoniaina/MSH

In Malawi, over 80% of people live in rural areas. For many (10%), the nearest health center is more than 8 kilometers (5 miles) away, making it difficult to access health care regularly. The USAID-funded Organized Network of Services for Everyone’s (ONSE) Health Activity, led by Management Sciences for Health, works to improve quality and access to care in rural communities.

“Before we had a village clinic, we were struggling. For every little sickness, we had to rush to the hospital, especially with our small children.” – Assan Symon, Mitawa village health committee chairperson

Stanley Liyaya, a heath surveillance assistant (HSA), is one of 3,500 community health workers trained to manage childhood illnesses in rural communities. HSAs have improved access to care and treatment of childhood illness to help Malawi reduce the under-five child mortality rate by 73% between 1990 and 2015, achieving Millennium Development Goal 4. Malawi’s vision is that by 2021, all young children will be treated for common illnesses promptly in their own communities.

Fom left: Mariame Sene, Hawa Kone Coulibaly, Hammouda Bellamine, Alcha Diarra, and Justine Dembele. Photo Credit: MSH

"Work to lose your job. If you don't have that in mind, you shouldn't be working in development," says Hammouda Bellamine, Senior Technical Advisor for Capacity Building for the USAID-funded KJK (Keneya Jemu Kan) Project in Mali.

Hammouda and his team are modeling important leadership skills and building capacity for social marketing and behavior change communication activities among local NGOs and public and private organizations. This interview has been edited for length and clarity.

Hi Hammouda. Could you start by describing your role and responsibilities on the KJK Project?

Our project has three components. One is social behavior change communication (SBCC), one is social marketing (SM), and one is institutional capacity building. The role of our team is to work with selected partners within the private and public sectors and with NGOs in Mali to improve their capacity to manage SBCC and SM activities.

We approach the work from a performance improvement perspective. We look at both the skills needed and the elements that have an impact on both organizational and individual performance.

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