Advocacy: Our Impact

With thousands of people dying in West Africa from the Ebola virus and many more at risk, Liberia’s Accredited Medicine Stores (AMS) and other drug shops continue to help ensure access to pharmaceutical products and services at the community level even as other health facilities have closed down. They also offer the potential to contribute to the control of the lethal disease that has West Africa and the international community on high alert.

 {Photo credit: Ruth Omondi/MSH.}Two women beneficiares of the integrated HIV and MNCH program at the Mbeere District Hospital.Photo credit: Ruth Omondi/MSH.

Mbeere District Hospital, following USAID-funded LMS/Kenya support, increases the number of HIV-positive mothers delivering healthy babies According to the Ministry of Health, 13,000 babies in Kenya are born HIV-positive each year, despite availability of proven methods to prevent mother-to-child transmission of the virus. One of these is integrating HIV care and treatment into maternal and child health services. In 2013, Mbeere District Hospital in Embu County decided to take this approach to reduce the number of children born with HIV in their facility. 

 {Photo credit: Todd Shapera.}Community health workers and children, Rwanda.Photo credit: Todd Shapera.

It has been 20 years since the genocide that killed over a million citizens and devastated the Rwandan health system and economy. In some respects, it feels more recent. Our memories of both the violence and our collective inadequacies in the international response are still raw. But the progress Rwanda has made toward economic and social stability in just two decades is astonishing and a cause for celebration.   

 {Photo credit: MSH}A patient receives treatment in a new chemotherapy seat.Photo credit: MSH

The Kenyatta National Hospital Cancer Treatment Center (CTC) is the only health facility in Kenya where the poor can obtain advanced comprehensive treatment for cancer. But given the high demand for services, these patients often experience delays of up to five weeks to see a doctor, resulting in complications and, in some cases, death. This situation is exacerbated by insufficient medical personnel as well as inadequate and in some cases dilapidated equipment.

 {Photo credit: John Rae / The Global Fund}Martin Kopp and Catherine ServoPhoto credit: John Rae / The Global Fund

A grant management dashboard for use by implementers of grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund)—slated for pilot testing in six countries beginning in February 2014—is being codesigned and  codeveloped by Grant Management Solutions (GMS), SAP AG (Germany) and the Global Fund. GMS is a project funded through a contract between the U.S. Agency for International Development and Management Sciences for Health, who leads the project along with 25 partners. 

Abiodun Awosusi.

Endorsed by global stakeholders like the World Health Organization (WHO), World Bank, UN General Assembly, and African Ministers of Health and Finance, universal health coverage (UHC) is gathering momentum in the post-2015 health development agenda. As countries and international organizations consider how to address maternal and child mortality, unmet need for family planning, and other poor health indicators and outcomes, UHC is seen as a way to help countries have the mechanisms needed to increase access to lifesaving, quality care.

 {Photo credit: Jabulani Mavudze/MSH}A community health agent conducting home-based HIV testing and counseling in Cunene Province, Angola.Photo credit: Jabulani Mavudze/MSH

Many countries in sub-Saharan Africa discovered too late that they had an HIV epidemic, and some of these countries were equally slow to respond. This has had devastating consequences in terms of deaths due to AIDS, and new HIV infections among adults and children. Angola, due in part to the country's civil war and resulting insulation, is one of the few countries in the sub-Saharan region with a relatively low HIV prevalence, giving the country a unique opportunity to maintain and reduce the prevalence by implementing relevant and context-specific HIV prevention and treatment interventions.

 {Photo Credit: Candide Tran Ngoc/MSH}Mr. Nkurunziza Justin, human resources manager at Kibungo Provincial Hospital in Rwanda.Photo Credit: Candide Tran Ngoc/MSH

The health workforce is the core of every health system. In Rwanda, where qualified clinical staff are in short supply—the country has an average of one nurse for every 1,500 inhabitants and one doctor per 15,306 citizens —efficiently allocating human resources is crucial to the provision of quality services.

 {Photo credit: MSH}Thérèse Ashingo proudly shows off her healthy son after two months of exclusive breastfeeding.Photo credit: MSH

In the Democratic Republic of Congo, child malnutrition is a leading cause of infant and child mortality. In the Kole health zone in Kasaï Oriental province, 23 children were diagnosed with severe malnutrition between February and April 2013, with two infants under six months old dying from the condition. Community health workers have recently made strides in addressing this issue, with the support of the USAID-funded Integrated Health Project (DRC-IHP), led by Management Sciences for Health with partners the International Rescue Committee and Overseas Strategic Consulting.

{Photo credit: Rachel Hassinger/MSH}Photo credit: Rachel Hassinger/MSH

MSH spoke with Sandra Guerrier, Ph, MSc, project director for the USAID-funded Leadership, Management & Sustainability Project in Haiti (LMS Haiti)—one of four MSH projects in the country. Tell us about LMS and MSH’s presence in Haiti.