Maternal, Newborn, & Child Health: Our Impact

Preventing mother-to-child transmission (PMTCT) of HIV remains a challenge in Haiti since most institutions providing maternal health care are not equipped to perform deliveries. (A key drug to prevent the transmission of HIV is administered during labor and delivery.) In the North Department, a USAID-funded clinic helps HIV-positive pregnant women receive the full package of services that their status requires.The story of Guise Paulne’s (name changed to protect her privacy) illu-strates the success of these efforts.

MSH: What is your role at MSH? I am the Prevention of Mother-to-Child Transmission (PMTCT) Technical Advisor placed at the Ministry of Health (MOH) in Malawi.MSH: What is the situation in Malawi with respect to the AIDS epidemic? What are Malawi’s greatest challenges in tackling HIV & AIDS? Malawi is experiencing a severe epidemic. Since 1985, when the first AIDS case was diagnosed, HIV prevalence has increased significantly in the 15–49 age group. It rose to 16.2 percent in 1999, before coming down and stabilizing at around 12 percent in 2005.

Girls at Enjil Comprehensive Health Center, Herat Province. Photo by Julie O'Brien.Building on a strong history of health-system strengthening in Afghanistan, MSH is working with its partners to cut by half the high number of child deaths over the next four years. At the end of Taliban rule, Afghanistan registered one of the worst child health statistics in the world: one child in four died before reaching age five.

With only 10 miles of paved road in all of Southern Sudan, a region the size of Texas, Steve Redding, Director of Health Service Delivery at Management Sciences for Health (MSH), explains that it is unusual to bump into any sign of government: “There are no roads, mostly cattle trails. Many of the people are seminomadic. . . . To have health facilities positioned along cattle routes reminds people that there is a government concerned with their welfare.” Three years ago, life was different in Southern Sudan.

Through the well-established Integrated Primary Health Care (IPHC) Project, MSH introduced an innovative performance-based grants program in March 2006 to support the expansion of community-based services for at least 15,000 orphans and vulnerable children (OVC). By providing grants to community-based organizations that were already helping children but often struggled for adequate resources, MSH envisioned a rapid scale-up of services for some of South Africa’s most vulnerable victims of the AIDS epidemic.

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 .

CAMBRIDGE, MA — The Integrated Primary Health Care (IPHC) Project in South Africa has been awarded a $6 million cost extension by USAID, extending the program through December 30, 2010. Dr.

Improvements in health are seen in statistics and reports, but their most profound effect is within people. It became apparent where the wealth of a nation truly lives when Dr. Leslie Ramsammy was approached by a father who wanted to thank him for saving his child’s life from malaria. “Health is wealth,” said Dr. Ramsammy, the Minister of Health of Guyana, during a visit to MSH headquarters in Cambridge, MA. “It is the foundation for all other aspects of society—the economy, the history, the culture.

The new HIV/AIDS Care and Support Program (HCSP), funded by the US Agency for International Development, represents the largest national expansion of HIV & AIDS services at the community and health center levels in Africa. Dr. Belkis Giorgis, the program’s NGO Capacity Building/Gender Advisor, discusses the challenges that Ethiopian women face and MSH’s family-focused, gender-sensitive approach to AIDS. To extend the reach and impact of our activities, MSH recognizes the importance of including senior staff such as Dr.

CAMBRIDGE, MA —USAID/BASICS has announced the appointment of William Newbrander as Technical Director. In the position, he will supervise the project's technical focus areas, including: pneumonia, diarrheal diseases, healthy timing and spacing of pregnancy, malaria, nutrition for children and infants, newborn survival and health, and pediatric HIV & AIDS.Dr. Newbrander joined Management Sciences for Health (MSH) in 1992 after serving with the World Health Organization (WHO) for eight years.


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