: Our Impact

In a recent survey, a team from the African Medical and Research Foundation (AMREF) and Management Sciences for Health found that human resource (HR) managers in four East African countries—Ethiopia, Kenya, Tanzania, and Uganda—want and need better preparation to carry out their responsibilities, which include recruitment and deployment of staff, HR planning and policy, and training. The study recommended seeking professionals for these roles and providing short courses in HR management and leadership.

Morocco serves as a beacon to other nations for its innovative use of new technology and transparent practices to oversee multimillion-dollar grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria. The Morocco Country Coordinating Mechanism (CCM) sought assistance from the Grant Management Solutions Project, which is funded by the US President’s Emergency Plan for AIDS Relief and managed by MSH, to increase the number of board members from civil society. Bereber nomad girls outside of Taourirt, Morocco. © 2007 José M.

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.

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.

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.

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.

Because AIDS is a political, socioeconomic, and human rights issue as well as a health problem, Management Sciences for Health (MSH) has been helping the Government of Guyana bring the resources of all its sectors to bear on the epidemic. By incorporating AIDS activities into all Guyana’s governmental ministries—by beginning with eight—resources are being mobilized and many different kinds of leaders are working together to fight HIV & AIDS.

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. Although progress has been made—the under-five child mortality rate has dropped by 25 percent since 2003—today only Sierra Leone has a higher rate.

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. Although progress has been made—the under-five child mortality rate has dropped by 25 percent since 2003—today only Sierra Leone has a higher rate.

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