Leadership, Management & Governance: Our Impact

 {Photo credit: Benjamín Balarezo/MSH}Community leaders and authorities participate in first module of program for Moral Leadership and Community Management.Photo credit: Benjamín Balarezo/MSH

For many communities in Peru, the cultivation of illegal coca for drug trafficking, far from bringing prosperity, has only brought them fear and instability, an eroding community, and caused serious health problems primarily affecting women and children. This dark landscape is now changing for 41 rural communities in the Huanuco and Ucayali regions, who, in 2012 signed an agreement with the Peruvian government to stop growing coca.

 {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. 

 {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: BLC staff/MSH.}Photo credit: BLC staff/MSH.

“You are stronger than this disease,” Ana’s sister reminds her. Ana Paz is a 35-year-old community health worker for Mwenho, a civil society organization in Angola. She works at Centro de Salúde de Alegria, a public health facility in the capital city, Luanda. Her day is busy, providing HIV counseling and testing (HCT), basic medication, and support to people living with HIV.

 {Photo credit: MSH staff.}Marie Claude Joseph updating commodity management records at the Santé Lumière Health Center in Haiti.Photo credit: MSH staff.

In Haiti, only 31 percent of married women use modern family planning methods. According to the 2012 Demographic and Health Survey (known as the DHS), 52 percent of births in the country are wanted; 21 percent are unwanted; and 27 percent of pregnancies occur sooner than desired. Despite the evident need for family planning services, many facilities in Haiti, including the Santé Lumière Health Center in the Cayes district, have not been able to provide them.

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

The Gender Directorate’s mandate is to ensure that gender is mainstreamed throughout the ministry of health in Ethiopia. This is a very difficult and important mandate. Building our capacity is the first step to fulfill this responsibility. We must plan, design, advocate, implement and monitor interventions to mainstream gender, and this requires leadership, knowledge, awareness, and skills.

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

In January, the Leadership, Management & Governance (LMG) Project hosted a week-long online seminar on LeaderNet, a global online network for health professionals, called “Women in Leadership.” Over the course of three days, 391 men and women from 74 countries joined the internet-only conversation. Participants actively dialogued through a total of 390 conversational postings on topics including the qualities of women’s leadership, obstacles and challenges faced by women leaders, what makes a mentoring program succeed, and more. Women in Leadership Topics

 {Photo credit: Elizabeth Walsh/MSH.}Dorothy Onyango, founder and executive director of Women Fighting AIDS in Kenya (WOFAK), talks with MSH about WOFAK, her role as a leader and mentor, and how women are contributing to moving towards an AIDS-free generation.Photo credit: Elizabeth Walsh/MSH.

In Kenya, civil society organizations are on the frontline of health service delivery at the community level. At least 50 percent of healthcare services to communities in Kenya are provided through the nongovernmental sector, which is made up primarily of civil society organizations.

{Photo credit: William Vasquez}Photo credit: William Vasquez

Management Sciences for Health (MSH), under its PEPFAR, USAID-funded Leadership, Management and Sustainability/Kenya project, has been appointed as a Continuous Professional Development provider by the Kenya Medical Practitioners and Dentists Board (KMPDB). Participants in Kenya taking the LMS/Kenya leadership and management related courses—Health Systems Management (HSM) and the Leadership Development Program (LDP)—will now earn credit points for these courses.

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