HIV & AIDS: Our Impact

{Photo credit: MSH/Johanna Theunissen}Photo credit: MSH/Johanna Theunissen

Thousands of children in Lesotho will soon have a brand new pair of shoes on their feet, some for the first time in their lives, thanks to an on-going partnership between Management Sciences for Health (MSH) and TOMS Shoes. 

{Photo credit: MSH/Yvonne Otieno}Photo credit: MSH/Yvonne Otieno

“Medicine can be poisonous if it is contaminated. It can poison my clients, who will keep returning to the facility. To prevent contamination of the medicines we receive, our facility has invested in proper storage facilities,” says Mr. Andrew Mabele, a clinical officer responsible for screening outpatients, reviewing lab results, and providing HIV and tuberculosis patient follow-up treatment in the Kabichbich Health Centre.

Mr. Sello Lechesa, a pharmacy technician and RxSolution user in the ART pharmacy at Maluti Adventist Hospital. {Photo credit: MSH staff/Lesotho}Photo credit: MSH staff/Lesotho

Lesotho’s pharmaceutical sector faced two formidable challenges: the unreliable supply of essential medicines and the unknown quality of medicines circulating in the country. Inefficiencies within the supply chain system were at the root of both problems, specifically weak information management systems that did not support decision-making in the supply chain.

Juan-Carlos Alegre

Monitoring and evaluation (M&E) systems have played a critical role in advancing the field of global health, from applying quantitative and qualitative methods in collecting and using health data, to informing decision making, applying rigorous evaluations in assessing program effectiveness, and designing and conducting operational research that address implementation challenges.

How do you measure the overall health of an organization? Evaluating a person’s health is relatively easy – doctors around the world agree on the basic concepts of physical health, and measurements and standards have been well established for “ideal” height, weight, blood pressure, heart rate, and other components of health.

Despite progress made to reduce tuberculosis globally, it still remains one of the primary infectious causes of morbidity and mortality worldwide. Drug resistance to the disease has not only grown, but it has also impacted those co-infected with HIV/AIDS. With an increase in awareness by the global community and rising political will, countries are seeing a growth in funding to fight TB through various global initiatives.

Erik Schouten presents data on Option B+ in Malawi. {Photo credit: Sara Holtz/MSH.}Photo credit: Sara Holtz/MSH.

A Conversation with Dr Erik SchoutenWhen considering which public health intervention is best for a country or region for prevention of mother-to-child transmission (PMTCT) of HIV, the World Health Organization (WHO) provides a set of guidelines that provide options for various settings.

A shop owner displaying the brands of condoms she now stocks in her store, thanks to GHARP’s success in improving Guyana’s condom supply chain. {Photo credit: Ohio Thompson/MSH.}Photo credit: Ohio Thompson/MSH.

“If the shops where I live were selling condoms, I would not have gotten HIV. I went out to look for condoms but couldn’t get any to buy, so I took a chance,” said an HIV-positive beneficiary of USAID’s Guyana HIV/AIDS Reduction and Prevention Program, phase II (GHARP II).This man’s experience is common in Guyana, where many communities do not have pharmacies, supermarkets, or gas stations—places where condoms are traditionally sold.

Hauwa Bala, head of the rice sellers group, and other members display their produce during a group meeting. {Photo credit: MSH.}Photo credit: MSH.

Tunga Magajiya, Niger State, Nigeria - “Our lives have been improved with small loans,” said members of Nasara Support Group (NSG) at a meeting celebrating the group’s successes.

SDSH staff, Dr. Emmanuel Fils Salnave and Michaelle Chérisson meet with Gabriel for his first HIV counseling session. Gabriel is the first HIV-positive patient that this health center enrolled in an antiretroviral treatment program. {Photo credit: Gumy Dorvilmar/MSH.}Photo credit: Gumy Dorvilmar/MSH.

The USAID-funded project, Santé pour le Développement et la Stabilité d’Haïti (SDSH), implemented by Management Sciences for Health (MSH), recently opened an antiretroviral (ARV) center in southern Haiti. The launch of this center took place in the presence of the local director of the Ministry of Health, Dr. Jean Bernard Février, and the USAID representative, Mr. Clint Cavanaugh.The new center will increase HIV prevention services and access to counseling and antiretroviral treatment (ART) for people living with HIV.

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