Tuberculosis: Our Impact

Twenty MSH experts on tuberculosis (TB) from 15 countries showcased the latest global experience and methodologies at the 40th Union Conference on Lung Health, held December 3-7 2009, in Cancun, Mexico.

Andualem Mohammed, SCMS advisor. Photo Credit: Margaret Hartley.MSH: Please tell me about your background and how you became interested in public health. I am from Ethiopia, and I joined Management Sciences for Health (MSH) as an employee seconded to a Missionaries of Charity orphanage for HIV-positive children, where I became the head of the pharmacy. But I wanted an opportunity to help millions of people instead of hundreds, so I joined the Supply Chain Management System (SCMS) Project as Quantification and Supply Planning Advisor.MSH: What is your role at MSH?

HIV, tuberculosis, malaria, diarrheal disease, respiratory tract infections—these major killers in the developing world are becoming resistant to the medicines used to treat them. According to the Center for Global Development, the emergence and spread of drug resistance are draining resources and threatening the ability to treat infectious diseases in developing countries. Through international forums and publications, Management Sciences for Health (MSH) continues to spread the word about ways to contain resistance to antimicrobials.In September, Dr. Mohan P.

A school visit to eastern Africa. Photo by Ida Grum. {Photo credit: MSH.}Photo credit: MSH.

In a recent review, the United States Development Agency (USAID) reported that MSH's HIV/AIDS Care and Support Program (HCSP) in Ethiopia, with funding from the President’s Emergency Plan through USAID, has already surpassed many project targets in HIV care and treatment in its first two years.Key results include:45,000 people received antiretroviral (ART) therapy 1.5 million people were counseled and tested for HIV in year two alone100,000 HIV-positive people were enrolled in chronic care 7,000 health care providers and 6,000 community members were trained in HIV care and supp

On October 1, 2009, USAID officially handed over the keys to the newly refurbished and upgraded Central Reference Laboratory (CRL) in Lilongwe, Malawi, to the Ministry of Health in a ceremony attended by representatives from USAID, the Government of Malawi, MSH, the Tuberculosis Control Assistance Program (TB CAP), and other collaborating partners. With the improvements, the CRL is now the first Biosafety Level 3 laboratory based on World Health Organization (WHO) guidelines in Malawi and one of the few laboratories of this level in southern Africa.  According to USAID Charge d&rsquo

 MSH was recently awarded a $60 million five-year follow-on project to the USAID-funded LMS-AIDS Care and Treatment (LMS-ACT) project. Under LMS-ACT (2007-2009), MSH has been assisting the government of Nigeria to take leadership of Nigeria’s HIV & AIDS response at both the federal and state levels, working with the Nigerian government to build the capacity of government health systems, improve health workers’ skills, and take full ownership of providing staff and resources for improved delivery, quality, and sustainability of HIV/AIDS/TB care.

CAMBRIDGE, MA (MAY 19, 2008) — Management Sciences for Health (MSH) has been selected to lead the District-based HIV/Tuberculosis (TB) Program in Uganda, focusing on the prevention, care, and treatment of HIV/TB in health facilities and communities located in the eastern region of the country. USAID recently selected MSH to lead the five-year, $63 million program in hopes of decreasing HIV/TB rates in the region and support the expanded application of Lot Quality Assurance Surveys (LQAS) at the national level.

It has been over six decades since tuberculosis (TB) was deemed a treatable and curable disease. Yet it still remains one of the leading causes of death across the world, killing more than 1.5 million people per year. Despite myths about its danger, misinformation about its breadth, and ignorance about its true burden on the world’s population, TB remains one of the deadliest epidemics in the world. From low detection rates to drug-resistant strains to the continued threat of co-infection with HIV, we need to recognize just how important this fight is.

In the midst of Cité Soleil, one of the poorest slums in Port-au-Prince, Haiti, malnourished children and their needy mothers find safe haven at the Rosalie Rendu Center for Nutrition and Health, run by Saint Vincent de Paul nuns and supported by the MSH-implemented Santé pour le Développement et la Stabilité d’Haïti (SDSH) Project .

Expediting the Roll-Out of TB and HIV/AIDS Programs"I have learnt that a laboratory service is the engine oil that lubricates the 'mechanical system' of the hospital, without which the engine breaks down. As a leader, I will ensure that the oil is always available."A participant in Uganda's Laboratory Performance Improvement Program used this metaphor to portray the power of laboratory management teams. These teams have broken through hospital barriers that hinder the roll-out of tuberculosis and HIV/AIDS programs.

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