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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.

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 five, yet multiple challenges remain in the fight. An estimated 445,000 deaths occurred in 2016, compared to 446,000 in 2015, and 91 percent of these deaths occur in Africa.

Management Sciences for Health serves on the steering group of The NCD Alliance, which has issued this polcy brief on universal health coverage and non-communicable diseases. 

A civil society organisation (CSO) perspective on how UHC can be reached by 2030 Universal Health Coverage 2030 (UHC2030) MSH is the secretariat for the Civil Society Engagement Mechanism of UHC2030, a global movement to build stronger health systems for universal health coverage.

We conducted a cross-sectional analysis of 33,744 mother–infant pairs to estimate the use and outcomes of the Malawian programme for the prevention of mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV). Most women used the Malawian programme for the prevention of MTCT. The risk of MTCT increased if any of the four main steps in the programme were missed.

The FCI Program of MSH advocates at the global, country, and community levels, for improved sexual, reproductive, maternal, newborn, child and adolescent health and rights.

Challenge TB (CTB) is a global USAID-funded project, working in Afghanistan. CTB/Afghanistan is a five year project effective from January 2015-September 2019. Globally, it is implemented in partnership with MSH, KNCV, WHO, Ministry of Public Health (MoPH)/National Tuberculosis Program (NTP), WHO, JICA, Global Fund and locally, by BPHS implementers.

The community-based health insurance (CBHI) scheme launched by the Government of Rwanda (GoR) reached 91% of the population in 2010, starting from 7% in 2003. Initially, all CBHI members paid the same fees, regardless of their personal income, and the poorest citizens faced challenges in paying premiums (almost US$1.50 per person). A mechanism was thus urgently needed to guarantee access to health care for the most vulnerable and promote equity among members. The GoR decided to introduce a stratification system based on the socioeconomic status of the population. Together with partners, including the Integrated Health Systems Strengthening Project (IHSSP), the GoR developed a national database that stratifies Rwandan citizens by income. To date, more than 10 million residents’ records, representing 96% of Rwanda’s population, have been entered into the database. This database helped identify the most vulnerable based on socioeconomic status (about 25% of the population). Identification of the poorest among the population has allowed an increase in CBHI funds due to identification of individuals who have a greater capacity to pay. The database thus improved the financial viability and management capacity of the CBHI scheme.

This fact sheet provides information about misoprostol’s critical role in preventing and treating postpartum bleeding or hemorrhage (PPH), one of the leading causes of maternal death worldwide.

In April 2016, the Population Council, in partnership with the World Health Organization (WHO) and the International Consortium for Emergency Contraception, convened a regional meeting in Lusaka, Zambia, geared toward supporting countries in East and Southern Africa in meeting their obligations under the Maputo Protocol. Government and civil society representatives from six countries participated: Botswana, Ethiopia, Kenya, Malawi, Rwanda, and Zambia. The meeting was the first activity in a joint project of technical assistance by the conveners, aimed at strengthening access to comprehensive post-rape care for survivors of sexual violence. The regional technical meeting concluded with a discussion of practical steps that participants could take to facilitate legal, policy, and program reform with respect to pregnancy prevention and safe abortion in their respective countries.

MSH has 10 TENs composed of approximately 600 members from 45 countries. Over two-thirds of members are based in field-based projects supported by MSH. Each TEN is focused on a technical area, such as reproductive, maternal, newborn, and child health, HIV/AIDS, and tuberculosis; a health systems function, such as leadership and governance, health care finance, and human resources for health; or cross-cutting topics, such as gender, youth, monitoring and evaluation, and country operations. A review of the literature, development of an operational framework, assessment, and analysis with case examples provide important insights into how the TENs can be used to collaborate with peers around the world and add value to the agency’s mission and vision. MSH now can identify which TENs are ready to be pushed to the next level of functionality to meet MSH’s evolving performance and learning priorities.

In this edition, you will read about MSH support to Society for Women and Children Living with HIV/AIDS in Nigeria (SOWCHAN) advocacy march to the National Assembly on World Aids Day; how we are applying gender lens in Nigeria; and mitigating human resource gaps in general hospital Minna.

In this edition, you will read about MSH’s work in ensuring that Or- phans and Vulnerable Children (OVC) return to school in Nigeria, HIV Polymerase Chain Reaction (PCR) laboratory transitioned to the Global Fund and FHI360.

Outbreaks can overwhelm weak or fragile health systems that lack the tools, infrastructure, policies, and systems to keep communities healthy and safe. Timely detection, preparedness, and appropriate response are essential for limiting both the loss of human life and crippling political and socio-economic impact of disease outbreaks.

The USAID Mikolo Project created a new approach to assure, improve, and sustain the quality of community-based health services.This technical brief describes the Mikolo approach and assesses its impact on community health volunteer performance between 2014 and 2016. The USAID Mikolo Project quality assurance / quality improvement approach included ve key activities:

The USAID Mikolo Project, in collaboration with the Ministry of Public Health and the Ministry of Youth and Sports, established aYouth Peer Educators (YPE) initiative.The initiative aims to improve youth education and awareness on reproductive health and FP in order to increase contraceptive prevalence rates among 15–24 year olds in USAID Mikolo intervention areas.

Technical Highlight Malaria is responsible for about 7% of all deaths in children under five in Madagascar. The USAID Mikolo Project promoted community approaches to prevent and treat malaria by working with health facilities, community health volunteers (CHVs), and families.

We are pleased to share this booklet that summarizes 10 of the best stories we’ve collected from the field. These narratives are a legacy to Madagascar’s health system and for future public health interventions in the country.

To improve quality of service provision and data accuracy and timeliness, USAID Mikolo is introducing mobile technology to replace paper-based tools used by community health volunteers (CHVs).Working alongside the Ministry of Public Health and other partners, the project has developed a smartphone application that CHVs will use to manage their health services and record-keeping and disseminate inf

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