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Routine Immunization and Community Case Management of Pneumonia, Diarrhea, and Malaria

Each year the world continues to lose almost 300,000 mothers as a result of preventable causes related to pregnancy and childbirth. Another 6.6 million deaths occur among children under age 5, of which 44 percent occur during the first month of life. The first 48 hours after birth are the most critical, with almost half of newborn deaths occurring within the first 24 hours of life.

Clean water, nutritious food, and a hygienic environment— these are the building blocks of health for any community. Yet, these necessities are out of reach for many families in low-resource environments. As a result, malnutrition contributes to 45 percent of childhood deaths worldwide.

Southern Africa has a long history of cross-border migration (movement of people across international borders) and internal migration (movement of people within a country). People migrate for political, social, and economic reasons.

In 2012, more than 15.1 million children in sub-Saharan Africa had lost one or both parents to HIV. The effect of parental loss on a child can be severe, especially as it frequently exacerbates poverty.

The field of HIV is complex; no one government or organization is able to address all of the related issues. Instead, the HIV response requires a multitude of stakeholders with a variety of strengths to collaborate in order to be effective.

The field of HIV is complex; no one government or organization is able to address all of the related issues. Instead, the HIV response requires a multitude of stakeholders with a variety of strengths to collaborate in order to be effective. Together, they are the building-blocks of strong health systems and contribute to improved health of the people in southern Africa.

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 Integrated Health Project (DRC-IHP) in DRC focuses on maternal, newborn, and child health, family planning, nutrition, malaria, and tuberculosis, HIV and AIDS, and water, sanitation, and hygiene (WASH)— applying many proven, low-cost, high-impact innovations on a large scale.

The Integrated Health Project's (DRC-IHP) "fully functional service delivery point" approach (FOSACOF) gives health facilities a yardstick to measure the quality of care they provide. FOSACOF ratings on nine key criteria allow managers to see what most needs improvement—and, importantly, measure increases in the quality of service.

Emphasizing its role in reducing maternal mortality, in 2014 the government of the DRC officially approved the National Strategic Plan for Family Planning 2014–2020. DRC-IHP is working in more than 2100 health centers and community care sites throughout 78 health zones to train health workers at all levels in contraceptive technology and family planning counseling.

To deliver quality services to everyone takes more than pills and nurses: a functional health system requires financing, training, reliable data, equipped facilities — and the ability to get the services, commodities, and health workers where they're needed, when they're needed.

DRC has one of the highest rates of malaria-related deaths in the world, particularly for children under five.

Across 78 health zones, the Integrated Health Project (DRC-IHP) has prioritized a set of low-cost, high-impact interventions that make birth significantly safer for mother and newborn, and dramatically reduce childhood illness and mortality.

Malnutrition causes stunting in over 40 percent of Congolese children under five, according to DRC's 2013-2014 Demographic Health Survey. Assisting the ministry of health by providing training for health workers, promoting breastfeeding, and establishing infant and young child feeding support groups for parents, the Integrated Health Project (DRC-IHP) is making lasting changes in child health.

Under results-based financing, staff, community health committees, and other stakeholders agree on goals to improve infrastructure and services, get training on leadership and management, and receive a sum to start improvements. The facility then receives payments based on milestones met, rather than just hours open.

Half of all cases of tuberculosis (TB) go undetected and therefore untreated. TB is often considered a curse rather than a curable disease, and few consult health workers about it until they become incapacitated. Bringing information into the home is critical. Once a community understands TB, they tend to tell others who are coughing to go to the hospital.

Safe water sources and usable toilets are vital for public health. In DRC, their lack leads to high levels of water-borne disease. Diarrheal disease is a major cause of infant and child mortality. Since sanitation facilities require new habits, community mobilization is critical.

The five-year Program to Build Leadership and Accountability in Nigeria's Health System (PLAN-Health) is funded by the US Agency for International Development (USAID) and the President's Emergency Plan for AIDS Relief (PEPFAR), and is implemented by MSH.

HIV prevalence is disproportionately high among sex workers and long distance truck drivers compared to the general population, both globally and in the Southern African region.

The African Strategies for Health project and MSH participated in the Financial Protection and Access to Care Workshop, held in Accra, Ghana February 15-19, 2016.

Once thought nearly conquered, tuberculosis (TB) is now a global epidemic. With the combined threats of HIV, diabetes, and other chronic diseases, as well as the emergence of multi-drug resistant TB, the challenges of the disease are overwhelming national health systems. Yet TB is preventable, diagnosable, and curable.

In response to the HIV and TB epidemics, Management Sciences for Health builds the capacity of our public and private sector partners to prevent TB and HIV and improve diagnosis and management of co-infected patients.

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project strengthens the capacity of Nigeria's public private, and community sectors for sustainable HIV/AIDS and TB prevention, control, care and treatment integrated within the health system. This fact sheet shows the project's results in Kebbi State from October 2013 to July 2016.


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