Advocacy: Our Impact

 {Video screenshot}MSH and partners developed the Pharmaceutical Leadership Development Program (PLDP) in South Africa in 2011.Video screenshot

Strong leadership and management are important factors in the delivery of quality health services, efficient use of resources, and achievement of positive health outcomes.

 {Photo credit: MSH}Charlotte Abroman, midwife, Kongoti Center for Rural Health, Daoukro.Photo credit: MSH

Leadership Development Program Plus (LDP+) leads to dramatic rise in antenatal care visits “I was both aware of the challenges that existed and frustrated at not being able to meet them,” said Charlotte Abroman, midwife at the Kongoti Center for Rural Health, discussing low antenatal clinic visit rates. In Côte d’Ivoire as a whole, 70 percent of pregnant women attend all four ANC visits, but in Abroman’s area of Kongoti, only 11 percent made all the visits. In the health district of Daoukro, which includes Kongoti and other towns, the rate was 24 percent.

A Management Sciences for Health-led team of global health organizations has been selected by USAID to implement the Technical Assistance and Support Contract (TASC 4)-Africa. TASC 4-Africa is one of USAID’s primary mechanisms to contribute to improvements in the health of people in sub-Saharan Africa, especially women, children, and other vulnerable populations.  TASC 4-Africa will play a key role in USAID’s central initiatives, Ending Preventable Child and Maternal Deaths (EPCMD) and Creating an AIDS-free Generation.

 {Photo credi: Warren Zelman}Democratic Republic of the Congo.Photo credi: Warren Zelman

We spoke with Management Sciences for Health (MSH)’s Beth Yeager, MHS, Principal Technical Advisor, Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program, and Chair, Maternal Health Supplies Caucus, Reproductive Health Supplies Coalition, about MSH’s global technical leadership on improving access to maternal health medicines and commodities. MSH serves as an active member of the UN Commission on Life-Saving Commodities for Women and Children (UNCoLSC) and the Reproductive Health Supplies Coalition. Beth Yeager

{Photo credit: Mark Tuschman}Photo credit: Mark Tuschman

Leadership, management, and governance skills are critical for medical, nursing, and public health professionals. The MSH-led, US Agency for International Development (USAID)-funded Leadership, Management & Governance (LMG) Project with project partner Amref Health Africa developed an action-based learning, in-service certificate course to equip midwife managers with the leadership, management, and governance skills they need to deliver quality health services.

 {Photo credit: Fanja Saholiarisoa/MSH}Community health worker, Celestine Razanabao, receiving a couple for family planning counselling in Manandriana village, Madagascar.Photo credit: Fanja Saholiarisoa/MSH

Although the remote village of Manandriana in southern Madagascar is six kilometers from the nearest health center, the local population’s health has improved in recent years because of community volunteers like 50-year-old Celestine Razanabao.  

 {Photo credit: Gwenn Dubourthoumieu}Nigeria.Photo credit: Gwenn Dubourthoumieu

Despite Nigeria’s growing economy and significant cadre of well-trained health providers, Nigerian mothers and their newborns continue to die during and directly after childbirth at an alarming rate. According to a 2013 Demographic and Health Survey, Nigeria’s maternal mortality rate is one of the highest in the world—576 deaths for every 100,000 live births—and 37 out of every 1,000 babies die as newborns.

 {Photo credit: International Rescue Committee}Donors give blood in Uvira.Photo credit: International Rescue Committee

When 20-year-old Christine* gave birth at the health center of Kabinda in Uvira in eastern Democratic Republic of Congo (DRC), she suffered from a ruptured uterus during delivery. The nurse referred her to the Uvira General Referral Hospital (GRH), where health workers confirmed that her life was in danger due to blood loss.

 {Photo credit: Overseas Strategic Consulting, Ltd.}A community health worker facilitates an educational session on family planning methods.Photo credit: Overseas Strategic Consulting, Ltd.

The Democratic Republic of Congo (DRC) ranks among the top 20 countries with the highest death rates of mothers and children, often due to health complications resulting from poor family planning and lack of birth spacing. In the Kole health zone, the US Agency for International Development (USAID)-funded DRC Integrated Health Project (DRC-IHP) is addressing this challenge through the grassroots Champion Community approach.

 {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.

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