Advocacy: Our Impact

 {Photo credit: MSH}Pastor Chery (at left) congratulates a youth on completing the education sessions.Photo credit: MSH

In Haiti, the vast majority of taboos related to sexual and reproductive health come from the religious sector. Religious leaders' moral, social, and spiritual influence has often been a barrier for young people seeking information on reproductive health. Religious leaders have feared, sometimes rightly, that this information was contrary to their principles. This has left many young people vulnerable to the problems of teen pregnancy. Pastor Sadrac Chery, adviser to Haiti's Protestant Network of Churches, noted that the prevalence of teenage pregnancy in his community was worrisome.

{Photo credit: MSH}L--R: Mayowa Joel Communication for Development Centre; Hor Sidua Coordinator of Universal Healthcare for All campaign, Ghana; Dr Stephen Karau, Country Director, AIDS Healthcare Foundation (AHF) Kenya; Arije Adebisi, Director of Communications, Management Sciences for Health (MSH) Nigeria; Dr. David Olayemi, Senior Advocacy Manager, Save the ChildrenPhoto credit: MSH

Management Sciences for Health (MSH)  joined African civil society organizations (CSOs) at a side event  on July 2 of  the Abuja +12 meeting of African heads of governments. The groups   agreed that universal health coverage should be included in the  post-2015 development agenda.

 {Photo credit: MSH/Candide Tran Ngoc}Diogène shows his CBHI card.Photo credit: MSH/Candide Tran Ngoc

Thirty-seven year-old Diogène lives in the Eastern province of Rwanda. In March 2012, he began to feel ill. He was short of breath, couldn’t walk uphill, and had chest pains. Diogène held community-based health insurance (CBHI), which enabled him to see a doctor at the Ngarama district hospital, where he was diagnosed with heart disease.

Águida Curo Vican, at right, visiting a new community member to share information on healthy practices. {Photo credit: MSH}Photo credit: MSH

Peru’s maternal mortality rate remains among the highest in the Americas. Access to health care workers who speak indigenous languages such as Quechua is almost nonexistent. Chronic child malnutrition affects close to half of children under five years of age. And men pay little attention to areas considered "women's issues," such as maternal, child, and reproductive health. Fortunately, all of this is changing in the rural Peruvian community of Tutumbaru, thanks to Águida Vicaña Curo and the Local Development Committee (LDC).

Most African countries are slowly moving toward achieving Universal Health Coverage (UHC) to provide access to appropriate health care services for all at an affordable cost. Funded by the Rockefeller Foundation and led by Management Sciences for Health (MSH), “Health for All: The Campaign for Universal Health Coverage (UHC)” will support existing government initiatives towards universal health coverage and equitable health reform in four African nations: Ethiopia, Nigeria, Kenya, and Ghana.

Photo credit: C. T. Ngoc/MSH.

Eugénie is a widow and farmer living in the southern province of Rwanda, who struggles to provide for her three children. For many years, Eugénie suffered from a renal tumor. Although she had community-based health insurance (CBHI) that covered 90 percent of her medical fees, Eugénie was unable to pay the remaining 10 percent. Her health deteriorated.

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