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Twelve Stories of How MSH is Advancing Health around the World

Twelve Stories of How MSH Is Advancing Health around the World

Twelve Stories of How MSH Is Advancing Health around the World  This compendium of stories was submitted through an internal story-telling contest at MSH and represents the lifesaving work MSH and the frontline health workers we partner with perform every day, around the world.

Stories of How MSH Is Advancing Health around the World

Year Ended June 30, 2015, drawn from audited financial statements.

A total of 1,221 adolescents living with HIV, in eight health facilities in Ethiopia, were screened for TB. The TB incidence rate was 16.32 per 100 PYO during pre-antiretroviral therapy (pre-ART) follow-up but declined to 2.25 per 100 PYO after initiation of ART. IPT use was associated with a significant reduction in TB incidence in the ART cohort, but not in the pre-ART group.

A change of continuation phase tuberculosis (TB) treatment regimen from ethambutol (E) and isoniazid (H) combination for 6 months (6EH) to rifampicin (R) and isoniazid (H) combination for 4 months (4RH) was recommended. However, the effect of the regimen switch in the Ethiopian setting is not known. A comparative cross-sectional study among 790 randomly selected new cases of TB (395 each treated with 4RH and 6EH during the continuation phase) was conducted in nine health centers and one hospital in three zones in southwestern Ethiopia. The switch of continuation phase TB treatment regimen from 6EH to 4RH has brought better treatment outcomes which imply applicability of the recommendation in high prevalent and resource constrained settings. Therefore, it should be maintained and augmented through further studies on its impact among the older, rural residents and HIV positives.

We are conducting a cluster randomised controlled trial in Mokhotlong district, Lesotho, to evaluate a newly developed community-based intervention program to integrate HIV-testing and treatment services, early childhood care and development, and nutrition education for caregivers with children aged 1-5 years living in rural villages. Caregivers and their children are randomly assigned by village to intervention or control condition. We select, train, and supervise community health workers recruited to implement the intervention, which consists of nine group-based sessions with caregivers and children over 12 weeks (eight weekly sessions, and a ninth top-up session 1 month later), followed by a locally hosted community health outreach day event. This study provides a unique opportunity to assess the potential of an integrated early childhood development intervention to prevent or mitigate developmental delays in children living in a context of extreme poverty and high HIV rates in rural Lesotho. This paper presents the intervention content and research protocol for the study.

The Integrated Health Project in the Democratic Republic of Congo was a five-year Cooperative Agreement (2010–2015) funded by USAID/Democratic Republic of Congo and implemented by MSH, with partners the International Rescue Committee (IRC), and Overseas Strategic Consulting (OSC), Ltd. The project covered 78 health zones in four provinces.

This 13-page bibliography lists MSH-authored publications on aspects of HIV/AIDS. It includes 93 peer-reviewed journal articles led by or with MSH authors, as well as MSH publications (technical briefs, position papers, and issues of The Manager) and selected major project reports. The bibliography was updated in January 2017.

INSIDE STORY tells the story of Kalu, a rising Kenyan footballer, who moves from rural Kenya to urban Johannesburg to follow his dream and support his family. His path becomes more challenging when he falls in love with the coach’s daughter Ify and subsequently finds out he is HIV-positive.

PROGRES is a master organizational capacity assessment tool developed by Management Sciences for Health (MSH) staff in February 2014.

In recent years, Democratic Republic of the Congo (DRC) has increasingly focused on strengthening its health system and improving health outcomes for its 79.8 million people.

Performance-based financing (PBF) has been used increasingly to improve the quantity and quality of health services by directly rewarding providers with financial incentives based on achieved results.

Management Sciences for Health (MSH) has been assisting Malawi since 2003 to strengthen health care systems, increase disease prevention education, reduce maternal and childhood mortality rates, and expand access to quality HIV/AIDS services.

The global partnership fighting malaria has witnessed much success in the last 20 years. Malaria is no longer the leading cause of illness and death among children under ve, yet multiple challenges remain in the ght. An estimated 429,000 deaths occurred in 2015 alone, 303,000 in children under ve.

Users of e-TB Manager, a web-based eHealth system institutionalized in 10 resource-constrained countries that account for one-third of the world’s tuberculosis (TB) burden, reported that e-TB Manager helped to improve patient care and workplace productivity, and they found it reliable for case management. The users--especially those with more experience in TB programs and those who had used the system for more than two years--were generally satisfied with the system. Responses came from Armenia, Bangladesh, Brazil, Cambodia, Namibia, Nigeria, Indonesia, Ukraine, and Vietnam. The study concluded that younger users and those with less experience in TB programs need more training, and institutional capacity for managing e-TB Manager takes at least five years. The capacity  to manage e-TB Manager has been built in Brazil and Ukraine.

This selected bibliography of MSH publications and tools on health economics and health care financing covers the period 2000-2016. It demonstrates MSH's strengths in performance-based financing, universal health care, insurance, costing of health services, and capacity building in financial management, among other areas.

We examined how different training modalities have been employed and adapted in 12 countries to meet country-specific needs by a global pharmaceutical systems strengthening program in collaboration with a country’s Ministry of Health and local stakeholders. Case-based learning, practice and feedback, and repetitive interventions such as post-training action plan, supportive supervision and mentoring approaches are effective, evidence-based training techniques. In Ethiopia and Bangladesh, over 94% of respondents indicated that they have improved or developed skills or competencies as a result of the program’s training activities. Supportive supervision structures and mentorship have been institutionalized with appropriate management structures. National authorities have been sensitized to secure funding from domestic resources or from Global Fund grants for post-training follow-up initiatives. The Pharmaceutical Leadership Development Program is an effective, case-based training modality that motivates staff to develop quality-improvement interventions and solve specific challenges. Peer-to-peer learning mechanisms rather than traditional didactic methods was a preferred intervention among high level government officials both within country and between countries.

This page provides instructions for upgrading or reinstalling the QuanTB software on Mac or PC. To learn more about QuanTB and download the software for Mac or PC, please visit the main QuanTB page.

This page provides a technical brief for the QuanTB software.

This page provides the QuanTB User's Guide and Installation Instructions. To learn more about QuanTB and download the software for Mac or PC, please visit the main QuanTB page.

From community health workers in Haiti, to drug shop owners in eastern Tanzania, to midwives in western Afghanistan, the impact of Management Sciences for Health (MSH) has been felt throughout the developing world.

Year Ended June 30, 2016, drawn from audited financial statements.

MSH’s 45 years of history demonstrate that long-term investments in health systems strengthening and capacity building can result in sustainable improvements in health, saving lives of the most vulnerable people. MSH continues to strengthen health systems and facilitate innovations that save lives and improve health for all.

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