Advocacy: Our Impact

 Victoria Mwanza receiving her certificate from Dr, Kent Brower, Pro-Vice Chancellor.

Victoria Mwanza, 42, is part of the first cohort of pharmacy assistants to graduate from the Southern Africa Nazarene University (SANU) with a Certificate in Pharmacy. This in-country pharmacy training program, established at the request of the Ministry of Health, was launched by SANU in August 2012, with the support of US Agency for International Development (USAID)-funded and Management Sciences for Health (MSH)-led Systems for Improved Access to Pharmaceuticals and Services (SIAPS).

 {Photo credit: MSH}Meleakeselam Kahilayu at Teklehaimanot monastery, South Tigray, Ethiopia.Photo credit: MSH

Melakeselam Kalayu is a religious leader who has been conducting baptisms for 15 years at Teklehaimanot Monastery in southern Tigray, Ethiopia. Throughout this time, Kalayu had prohibited people from taking any medications while using holy water at the monastery. Among the thousands of visitors to the monastery every day, many are people living with HIV (PLHIV). In response to Kalayu's teaching, many stopped their antiretroviral therapy (ART) while using holy water at the monastery.

 {Photo credit: Emmanuel Kenyi/MSH}David Kolang leads a community awareness session on TB.Photo credit: Emmanuel Kenyi/MSH

The World Health Organization (WHO) estimates prevalence for all forms of tuberculosis (TB) in South Sudan to be 146 for every 100,000 people.

 {Photo credit: SCMS}SCMS staff provides technical assistance to head of pharmacy at Hôpital Bernard Mevs in Haiti.Photo credit: SCMS

Hôpital Bernard Mevs is one of 177 sites where the Supply Chain Management System (SCMS), a US President’s Emergency Program for AIDS Relief (PEPFAR)-funded project, delivers lifesaving HIV & AIDS drugs and commodities in Haiti. On any given day, dozens of the more than 1,070 patients currently on antiretroviral treatment (ART) at the hospital wait outside the pharmacy’s door where Rose-Marie Marcelin dispenses their monthly supply of medication.

 {Photo credit: Jean-Jacques Augustin.}SCMS leads a national quantification exercise to ensure the availability of lifesaving drugs for nearly 55,000 HIV & AIDS patients.Photo credit: Jean-Jacques Augustin.

An estimated 141,000 people live with HIV in Haiti. In support of the Ministry of Public Health and the Population (MSPP)’s continued effort to improve the lives of people living with the virus, the US Government, through the Supply Chain Management System (SCMS), collaborates with the National AIDS Program to achieve its objective of having at least 90 percent of the eligible population on antiretroviral treatment (ART) by September 2015.

After five years of partnership with the Rwandan Ministry of Health, the Integrated Health Systems Strengthening Project (IHSSP) is drawing to a close. The project, leaders from the MSH home office, USAID Rwanda, and local and international partners gathered in Kigali on November 13 to celebrate the project’s many successes and share the wealth of knowledge it generated. Dr. Agnes Binagwaho, Rwanda’s Minister of Health, thanked MSH for the support it provided, which she said, “…enabled us to accelerate health progress and helped us to achieve our vision.”

Chronic diseases account for about 28 percent of deaths in sub-Saharan Africa, and by 2030 they will kill nearly twice as many people in the region as they do today. In Uganda, screening for cancer, diabetes, cardiovascular disease, and other illnesses remains limited despite the availability of inexpensive and effective diagnostic techniques.

{Photo credit: Warren Zelman, Ethiopia.}Photo credit: Warren Zelman, Ethiopia.

This story originally appeared on SIAPSProgram.org. This year’s National Annual Review led by Ethiopia’s Ministry of Health (MoH) brought together more than 850 health professionals from across the country to discuss the way forward in public health for the coming year. The MoH identified eight priority areas, one of them being the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program/Ethiopia's transformative APTS system—the first time a pharmacy area was selected as part of the annual review meeting agenda.

 {Photo credit: Amélie Sow-Dia/MSH}Fortunée Kabeya and her newborn baby at the Muaka Health Center in Mwene Ditu, August 2014.Photo credit: Amélie Sow-Dia/MSH

It is 1 p.m. in Mwene Ditu, a crossroads town in the province of Kasaï Oriental, the nexus of diamond mining in Democratic Republic of the Congo (DRC). Fortunée Kabeya* has just given birth at the Muaka health center. Céline Bukasa, the head nurse, assisted Fortunée’s delivery, and mother and baby are doing well.

 {Photo credit: Samuel Edet/MSH} A large crowd observes the festivities.Photo credit: Samuel Edet/MSH

There is no way we can achieve the presidential mandate of 30 percent health coverage by 2015 without tapping into Nigeria’s informal sector. Community-Based Health Insurance (CBHI) is therefore a veritable tool to ensure wider coverage, increased ownership, and an entrenched culture of health insurance among the Nigerian public. 

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