HIV & AIDS: Our Impact

MSH supported the roll-out in 2011 of an ambitious and pioneering public health program in Malawi known as Option B+, a test-and-treat strategy for pregnant and breastfeeding women. Under Option B+, all HIV-infected pregnant and breastfeeding women are provided with lifelong antiretroviral therapy (ART) regardless of their CD4 count or World Health Organization clinical stage.

 {Photo credit: Tadeo Atuhura/MSH.}Rose Chebet (right) with her twins, her husband, and the linkage facilitator Helen Chelengat (middle).Photo credit: Tadeo Atuhura/MSH.

When Rose Chebet was five months pregnant with twins, she visited Kapchorwa Hospital in Eastern Uganda for a routine antenatal visit. She was devastated to learn that she was HIV positive and she feared her twins would not survive. Health workers referred Chebet, a first-time mother, to an antiretroviral therapy (ART) clinic where she began taking medication.

 {Photo credit: Tadeo Atuhura/MSH}In six months, 485 girls in six schools in Mbale District received HIV & AIDS education.Photo credit: Tadeo Atuhura/MSH

When Sylvia Kabuya entered Mbale Progressive Secondary School in eastern Uganda, she knew little about HIV & AIDS, how it was transmitted, or where to get tested. The 16-year-old’s knowledge about the disease was based on conjecture passed among her peers. Less than 40 percent of Ugandan women aged 15 to 24 have comprehensive knowledge about HIV & AIDS, according to the 2013 Uganda Demographic Health Survey.

 {Photo credit: AAM}Manuel, an AAM activist, conducts a sensitization session in Sambizanga district, Luanda.Photo credit: AAM

Angola, like many countries, struggles to provide good sexual and reproductive health (SRH), especially for youth. SRH is a “state of physical, emotional, mental, and social well-being related to sexuality and to the reproductive system” (UNFPA). Good SRH implies that both men and women have a right to decide about their sexual identity, sex life, and if and when to have children. 

{Photo Credit: Gwenn Dubourthoumieu}Photo Credit: Gwenn Dubourthoumieu

In Nigeria in 2014, MSH's PLAN-Health program assisted two state governments in launching the first community-based health insurance plan to cover small-scale business owners, farmers, traders, artisans, and others. PLAN-Health is funded by PEPFAR through USAID and supports Nigeria's goal of increasing coverage from 10 to 30 percent by 2015.

{Photo Credit: Warren Zelman}Photo Credit: Warren Zelman

Each year, nearly 300,000 women die from causes related to pregnancy and childbirth. Approximately 7.6 million children do not live to see their fifth birthday. Most of the major direct causes of maternal and child mortality are preventable. MSH's maternal and child health interventions begin before pregnancy, with integrated family planning and HIV services, and continue through the life of the child.

 {Photo credit: SCMS/Côte d’Ivoire}Côte d’Ivoire’s central medical store unloading supplies at the docking station.Photo credit: SCMS/Côte d’Ivoire

The Supply Chain Management System (SCMS) has been providing technical assistance since 2005 to Côte d’Ivoire’s central medical store, the Pharmacie de la Sante Publique (PSP)—later re-named the Nouvelle PSP (NPSP)—to strengthen the management of products in the health system. SCMS is a project under the US President’s Emergency Plan for AIDS Relief (PEPFAR) administered by the US Agency for International Development (USAID).

 {Photo credit: Alisher Latypov/MSH}Representatives from the German Enterprise for International Cooperation (GIZ) facilitating a communications workshop with the Ukrainian Center for Socially Dangerous Disease Control, in partnership with LMG-Ukraine.Photo credit: Alisher Latypov/MSH

In November 2013, Ukrainians took to the streets in Kyiv, claiming Maidan Square to protest corruption and to demand the signature of the EU-Ukraine Association Agreement, rejected by the now ex-Ukrainian President Yanukovich.  By the beginning of 2014, the situation reached a boiling point and the riots in Kyiv were turning into full-blown urban warfare.

 {Photo courtesy: Kenya’s National Organisation of Peer Educators}Jemila Hussein, shown here with her vegetable business; is no longer hiding from her HIV diagnosis.Photo courtesy: Kenya’s National Organisation of Peer Educators

Jemila Hussein, a 35-year-old widow and mother of six, lives in Namba, Migori Sub County, Kenya. In August 2008, Hussein’s life took a downturn when she tested positive for HIV. Deeply ashamed and fearing the stigma and discrimination associated with HIV, she isolated herself from her community. Her husband’s death had significantly reduced the family income, and Hussein worried about her children’s basic needs and education. She was convinced that she would die and leave them orphaned.

 {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.

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