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The mHealth Compendium series, developed by the African Strategies for Health project, has expanded the body of knowledge and increased access to the most current information on mobile technology solutions for health.

People in low-income countries purchase a high proportion of antimicrobials from retail drug shops, both with and without a prescription. Tanzania's accredited drug dispensing outlet (ADDO) program includes dispenser training, enforcement of standards, and the legal right to sell selected antimicrobials. We assessed the role of ADDOs in facilitating access to antimicrobials.

At the beginning of the HEAL TB project in 2011, culture and drug susceptibility testing (DST) using solid media was available to the program in two regions to detect drug-resistant tuberculosis (DR-TB) and for monitoring treatment response, which made identifying drug- resistance patterns possible and allowed health care workers to provide more appropriate drug treatment for DR-TB patients.

In Bangladesh tea and rubber garden workers and indigenous communities live in isolated areas with difficulties to access government health facilities. In addition, the level of poverty of some of these groups put them at risk of getting TB.

GeneXpert has revolutionized the diagnosis of tuberculosis (TB) and drug resistant TB (DR-TB) by effectively detecting M. tuberculosis in clinical specimens and RMP resistance in less than two hours without sophisticated laboratories. This enables patients to begin treatment for rifampicin resistant TB on the same day, rather than after several months of ineffective treatment.

The e-TB Manager was used for drug resistant TB case management from 2010. The number of active DR-TB cases being managed in the system increased from 23 in 2010 to 1,037 in 2016.

Challenge TB was implemented in Ethiopia as part of Management Sciences for Health’s (MSH’s) Innovation Challenge Fund (INCH)2 initiative designed to encourage innovative interventions across MSH supported projects. MSH used the ExpandNet Framework3 to scale up the innovation.

Together with Borena and Guji zonal health department and the Oromia Regional Health Bureau (RHB), MSH, through the HEAL TB project (December 2015-June 2016) and now through Challenge TB (December 2016-present), identified six districts within the mining areas. Six woreda coordinators were trained and deployed to coordinate case finding and treatment observation.

Despite challenges of operating in emergency settings, the South Sudan Challenge TB project has been able to support improvements in case notification and other TB-related indicators. This technical highlight showcases implementation strategies, results, lessons, and reflections on the way forward.

Malawi has a population of 18 million, with an adult HIV prevalence of 10.6%. The country has made remarkable progress toward achieving the UNAIDS 90-90-90 goals, achieving the first goal remains a challenge. The Malawi HIV program estimated Malawi’s progress on achieving the 90-90-90 goals at 88-78-86 by June 2017.

Malawi adopted the 90-90-90 strategy as part of the National Strategic Plan to end HIV/AIDS by 2030 which calls for: identifying 90% of people living with HIV (PLHIV); initiating and retaining on antiretroviral therapy (ART) 90% of PLHIV identified; and achieving 90% viral suppression for ART patients.

Malawi is among the countries hardest hit by the HIV pandemic. The country has a national HIV prevalence rate of 10.6% of the adult population aged 15–64 years (12.8% women vs 8.2% in men). With 85% of Malawians living in rural areas, access to health services is difficult because of long distances, poverty, and other social factors.

HIV has been a global challenge over the past several decades, particularly in developing countries such as Malawi, where adult HIV prevalence is about 10.6%.

Twelve Stories of How MSH Is Advancing Health around the World

This technical brief examines the relative contribution of community health volunteers to reach people, particularly women of reproductive age, and children under the age of ve years, with primary health care services and examines the role of community health volunteers in assuring a continuum of care for pregnant women and young children between 2014 and 2016.

Strong and resilient health systems are essential for accelerating progress toward a world safe from the threat of infectious disease outbreaks. In countries with robust health systems, essential health services are delivered within the context of ongoing response activities, and outbreaks can be prevented or identified and contained quickly.

There are more than one million Malawians (HIV prevalence of 10.6%) living with HIV. Nearly 85% of people live in rural or hard-to-reach areas of the country and the sparsely located health facilities are unable to meet their needs.

In 2015, MSH’S projects reached more than 84.2m people worldwide. Since 2012, MSH has contributed to saving more than 500,000 lives and has trained more than 107,000 people - from health officials to frontline health workers.   

In 2008, the USAID Mission invited the Strengthening Pharmaceutical Systems (SPS) Program to provide technical assistance and support to the Government of Afghanistan’s Ministry of Public Health (MoPH) to improve the pharmaceutical system.

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.

  Although international guidelines for tuberculosis (TB) control are standardized, country TB programs are often unable to properly manage the data needed for following the guidelines, resulting in poorly timed interventions.  

The UN adoption of the SDGs in 2015 signaled a strong commitment of member countries to the expanded access to essential health service agenda and definitively recognized the critical role of medicines in achieving UHC.

Despite the commitment of the Democratic Republic of the Congo (DRC) to expand the family planning method mix and increase access to services, awareness of emergency contraception is low among women, and the method remains underused and poorly integrated in family planning programming. Data from 15 focus group discussions conducted in 2016 among women aged 15–35 were used to examine awareness and perceptions of, and attitudes toward, emergency contraceptives. Emergency contraceptive pills have the potential to address gaps in the family planning method mix in the DRC. Assessing whether women have incomplete or erroneous information about family planning methods can provide better understanding of women's contraceptive choices in low-income countries.

Road traffic injuries (RTIs) are commonly under-reported in low- and-medium-income countries. This study aimed to estimate the number of RTIs and determine the magnitude of under-reporting by traffic police and hospital registries. The police registry captured 14.4% of the estimated number of RTIs and the hospitals captured 60.4%. The estimated number of RTIs was higher than reported by either the police or the hospitals alone. Neither the police nor the hospitals provided accurate data on RTIs, calling for the strengthening of both sources of data.

Building coalitions can amplify stakeholder efforts to carry out effective AMR prevention and control strategies. We have developed and implemented an approach to help local stakeholders kick-start the coalition-building process. The five-step process is to (1) mobilise support, (2) understand the local situation, (3) develop an action plan, (4) implement the plan, and (5) monitor and evaluate. Our experience with the coalition-building approach in Ethiopia, Namibia, Zambia, and with the Ecumenical Pharmaceutical Network shows that coalitions can form in a variety of ways with many different stakeholders, including government, academia, and faith-based organisations, to organise actions to preserve the effectiveness of existing antimicrobials and contain AMR.

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