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Ten years ago, in 2004, testing positive for HIV in Ethiopia was a death sentence. It was the start of a painful decline, including illness and ostracism from society, ultimately leading to premature death.

Launched in 2009, the Integrated Health Systems Strengthening Project (IHSSP) expanded on work initiated by the Rwanda HIV/Performance-Based Financing Project (2005 – 2009), also funded by the US Agency for International Development (USAID) and implemented by Management Sciences for Health (MSH).

Tuberculosis (TB) patients face many psychological, social and economic problems that complicate treatment and care. This may lead to decreasing adherence to prescribed treatment regimens and poorer clinical outcomes, including higher loss-to-follow-up, relapse and mortality rates. 

The five-year anniversary of the Haitian earthquake brings Haiti to the forefront of international development conversations once again. Much of the dialogue has focused on the setbacks of large-scale infrastructure and rebuilding projects, but there has been important progress in some sectors, especially the health sector.

STRIDES for Family Health, 2009–2014

Best Practices for HIV Voluntary Testing and Counselling in Tanzania

In December 2014, MSH sponsored a delegation of United States congressional staffers (delegates) to Haiti to witness first-hand the health progress made and the work still to be done to achieve a healthy future in Haiti following the devastating 2010 earthquake. The five delegates work on global health or foreign affairs, or have a focus on Haiti, and all expressed interes

MSH is dedicated to working with local leaders to build strong health systems that visibly improve health and well-being. In this report we offer a glimpse of youth leadership in Peru; healthy women and babies in DRC and Ethiopia; health systems strengthening in Rwanda; and movement toward universal health coverage (UHC) in Nigeria.

Africa's rapid expansion of information and communications systems, coupled with an increase in access to mobile technology, has set the stage for new and innovative approaches in health service delivery and financing. In May 2015, over 150 government, private sector, and donor participants came together in Lilongwe, Malawi at the "Africa Regional Meeting on Digital Health

BLC is responding to USAID Forward Agenda's Implementation and Procurement Reforms by providing capacity building support to local organizations, like North Star Alliance (NSA). The reforms emphasize long-term impact and sustainability as well as innovation and new partnerships.

Community Health Workers (CHWs) may include traditional birth attendants, caregivers, community mobilizers, and peer counselors/educators.

In Botswana, the USAID-funded Building Local Capacity for Delivery of HIV Services in Southern Africa Project (BLC) provides targeted technical assistance to the Ministry of Health and 11 health facilities to overcome the challenges to improve their service delivery and advance towards becoming internationally accredited.

More than one-third of children living in the small mountainous country of Lesotho are orphans, and nearly half of all households are caring for at least one orphan. In many cases, this is due to the country's HIV prevalence — 23 percent for people ages 15-49. Statistics like this are frequently publicized. However, do we stop to think about the impact on a single child?

When building leadership, management, and governance capacity, the BLC Project often assists organizations in conducting research — collecting strategic information to inform organizational programming. For national and regional organizations with coordination mandates, relevant information often relates to the size and needs of their constituencies.

Swaziland has the highest adult HIV prevalence in the world, at 31 percent among adults ages 18-49. The country's extended national strategic framework for HIV and AIDS adopts a combination prevention approach, integrating biomedical, behavioral, social, and structural interventions for maximum impact in stopping new infections. One of the core programs is voluntary medical male circumcision.

The Building Local Capacity for Delivery of HIV Services in Southern Africa Project (BLC), implemented by MSH and funded by USAID, was conceived to address many of the challenges of HIV and AIDS.

The HIV epidemic has contributed to a large number of orphans and vulnerable children (OVC) in southern Africa, particularly in Lesotho and Namibia, as a result of high HIV prevalence rates. One in every three children in Lesotho is an OVC, and nearly half of all households are caring for at least one orphan. In Namibia, one out of every five children is an OVC.

Improving the quality and increasing the use of essential health services are key components of the government of Democratic Republic of the Congo's (DRC) strategy to reduce maternal, newborn and young-child illness and mortality through the initiative "A Promise Renewed." Community participation is also a Ministry of Health principle for revitalizing health zones.

The government of Democratic Republic of the Congo (DRC) has set ambitious targets for improving the country's health system, in the wake of decades of instability. The challenges are many: despite rapid improvement in the last few years, under-five mortality is still 104 per 1,000 live births, and maternal mortality is nearly 85 out of 10,000.

Malnutrition is common in the Democratic Republic of Congo (DRC): 43 percent of children under five years are stunted, and many are also deficient in vitamin A, according to the Demographic and Health Survey (DHS) 2013. Among adults, 14 percent of women are chronically undernourished.

In Democratic Republic of the Congo (DRC), 320,000 children under five die every year—104 per 1,000 live births. The vast majority of these infants and children succumb to neonatal complications, malaria, respiratory infections, or diarrhea—all preventable or treatable at a health facility. But millions of people live far from facilities or cannot afford them.

The government of Democratic Republic of the Congo (DRC) has set ambitious targets for improving the country's health system in the wake of decades of instability. The challenges are many in this vast, underdeveloped country with few roads and thousands of isolated villages and towns.

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 implemented by MSH.

Akwa Ibom ranks sixth out of Nigeria’s 36 states for the highest number of people living with HIV in the country. The 2012 National AIDS and Reproductive Health Survey showed the state as having a prevalence rate of 6.5 percent. Providing equitable services and interventions to address the HIV burden in Akwa Ibom State is a health management emergency.

While measurement and attribution of maternal mortality is challenging, available evidence indicates that HIV-infected pregnant and postpartum women have an increased risk of death compared to their uninfected peers.

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