HIV & AIDS: Our Impact

Busia District in Eastern Uganda has a population of about 250,000 people, 83% of who live in rural villages. HIV prevalence in the district is three times higher than the national prevalence of 6.4%. STAR-E, a project funded by US Agency for International Development and led by Management Sciences for Health (MSH), is working in the district’s health facilities and in the community to address these health indicators.

Even when they were healthy, Nigatua Mekonnen and her husband struggled to pay their rent and feed their two children. When Nigatua became severely ill during her third pregnancy, the situation became dire. She lost the baby immediately after delivery and eventually became bedridden. Suspecting she was HIV-positive, her neighbors and relatives stopped speaking to her, and her landlord increased her rent in an effort to force her off the compound. “It was the most unforgettable black time in the history of my life,” said Nigatua.

Twenty-six year-old Aynalem Bekele has spent her entire life struggling to survive. Left in poverty after her father’s death, Aynalem and her mother baked injera (flatbread)and washed clothes to afford the rent on their small, dilapidated house in Hawassa, Ethiopia. In late 2008, Aynalem’s health began to deteriorate, leaving her bedridden, unable to work or care for her elderly mother, and struggling to survive yet again.

A severely ill and bedridden woman is scared and alone but knows her only chance of survival is to get to the local health center for medical help. She pleads with her neighbors to help transport her there and undergoes an invasive examination only to be told she will have to come back in ten days to receive her test results and proceed with treatment.  She returns home to wait, dejected, and hopes she can summon the courage and resources to return to the health center in ten days for the care she needs.

May 11, 2011 - The International Network for the Rational Use of Drugs Initiative on Adherence to Antiretrovirals (INRUD-IAA) has developed a simple, low-cost approach to collecting and analyzing facility level data on adherence to antiretroviral treatment (ART).   The manual, How to Investigate Adherence to Antiretroviral Treatment, is a step-by-step guide on how to design and carry out a national or facility level survey to determine: How a facility is doing at any given time How it is doing over time How it compares to other facilities The effectiveness of inte

Rudi Thetard. {Photo credit: MSH.}Photo credit: MSH.

Pervasive, chronic poverty has devastated every sector of Malawi for decades—contributing to a faltering economy and applying enormous pressure on an overextended and under resourced government.  A fragile health care infrastructure is aggravated by the poverty problem and has increased the prevalence of HIV & AIDS, tuberculosis, malaria, malnutrition, and other epidemics. Malawi has some of the worst health indicators in the world.

Pro-ACT-supported laboratory in Nigeria. {Photo credit: MSH.}Photo credit: MSH.

The sudden rapid scale up of HIV & AIDS service delivery in Nigeria has led to the strengthening of HIV-related laboratories, instead of the general laboratory health systems. It is not uncommon to see a newly constructed, well-staffed HIV laboratory side-by-side with a crumbling general laboratory.The HIV laboratories have better human and material resources, and enhanced working conditions compared to the existing general laboratories.

West and Central Africa is a very diverse region with many unique languages, cultures, demographics, policies, and people. But, they share similar public health challenges that have no boundaries such as increasing HIV & AIDS prevalence rates and high maternal mortality rates.

Tallying election results. {Photo credit: MSH.}Photo credit: MSH.

In Nouakchott, the capital of Mauritania, civil society organizations elected representatives to a national AIDS, TB and malaria governance body to re-qualify for grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria.Countries wishing to apply for and implement Global Fund grants related to AIDS, TB or malaria must maintain a national, multilateral governance body—known as a Country Coordinating Mechanism (CCM)—to provide strategic leadership and oversight. CCMs are comprised of representatives of the public, civil society, private and donor sectors.

Leadership Development Project Team-Adzope in Adzopé, Côte d'Ivoire. {Photo credit: MSH.}Photo credit: MSH.

Gathering and analyzing data, and using that data for decision making, remain essential to delivering health services that meet the needs of the population.  In collaboration with its partners in the MEASURE Evaluation Phase III (MEval-III) project led by the University of North Carolina, MSH provides the leadership and organization development support necessary for monitoring and evaluation (M&E) teams world-wide to develop and sustain strong M&E systems. MEval-III's recently released mid-project report highlights examples of how MEval–III has supported monitoring and


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