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Countries emerging from conflict have some of the worst health indicators in the world.About one-sixth of the world’s population lives in such countries, but these people suffer one-third of childhood and maternal deaths, and they endure a disproportionate burden of preventable diseases such as tuberculosis and malaria. Health is an issue that people can unite around.

The progress made on the Zimbabwe National Family Planning Council (ZNFPC) Expanded Community-Based Distributor (CBD) Program during the period October 2002 to September 2003 was measured in terms of the following project indicators: Commodity distribution through the ZNFPC Pilot Program on Expanded CBD (with a focus on condom distribution)

This volume presents an overview of how countries emerging from years of conflict and disruption of the social fabric have tackled the sometimes thorny issues of rebuilding a health workforce. It presents strengths and pitfalls encountered. It highlights the challenges to newly emerging national authorities to bring together the still functioning elements of the national health system.

The Advance Africa program was successful in working around the highly sensitive issue of family planning methods in the Democratic Republic of Congo. Despite the religious barriers in their public health arena, MSH trained more than 280 health providers in five provinces where the project worked.

The Accelerating Contraceptive Use Project, funded by the William and Flora Hewlett Foundation, contributed to dramatic improvement in the acceptance of family planning in parts of Afghanistan. The use of injectable contraceptives, oral contraceptives, and condoms increased by an average of 15%, 4%, and 7%, respectively, over one year in locations in three provinces.

Through the Advance Africa program, MSH helped rebuild the family planning system of Huambo Province in Angola for 2.2 million people using a community-based approach. The number of contraceptive users increased from virtually none to nearly 45,000 in 18 months. Working with the Ministry of Health, MSH used the Strategic Mapping approach to identify family planning goals in Angola.  

MSH HA DESARROLLADO un enfoque para ayudar a los gerentes aactuar más como coaches, lo que ha dado buenos resultados en varios entornos diferentes. En Nicaragua, por ejemplo, el coaching se convirtió en un componente crucial del esfuerzo de la organización hacia el logro de la sustentabilidad financiera en momentos de crisis.

PRISM II provides the Ministry of Public Health with specialized technical assistance to integrate primary health care services and reproductive health into the country's national health care system. PRISM launched a leadership initiative in April 2002 with two Leadership Dialogue meetings in Conakry in collaboration with the MSH Management and Leadership Program.

MSH's 2007 annual report celebrates the remarkable evolution that has taken place in global health since the turn of the millennium, and we highlight some of the practical contributions MSH has made to support governments, service delivery NGOs, and other local organizations in that transition.

In March 2006, with generous support from USAID and PEPFAR, MSH initiated performance-based funding for an Orphans and Vulnerable Children (OVC) Project through the Integrated Primary Health Care (IPHC) Project. The OVC Project started with six home-based care (HBC) organizations based in four provinces of South Africa.

The Challenge Model is a simple learning tool for teams to use in the workplace to address real challenges and achieve results. Beginning with creating a shared vision, the Challenge Model creates motivation and commitment within teams enabling them to face their challenges and achieve results.

The HRH Action Framework is designed to assist governments and health managers to develop and implement strategies to achieve an effective and sustainable health workforce.

The dimensions of the Human Resource (HR) crisis in health have been reported in stark terms over the last few years. Despite rising attention to the acute shortage of health care workers, solutions to the human resource crisis are difficult to achieve, especially in the poorest countries.

Human resource management (HRM) is essential in any organization, critically so when public health crises and workforce shortages collide, as they now do in many parts of the developing world. This issue of The eManager provides an overview of HRM systems, policies, and procedures; the components within these areas; and the Human Resources for Health Action Framework.

El concepto de buena gobernación ha adquirido cada vez más prominencia en los programas de desarrollo en el transcurso de la última década. La buena rectoría en el sector salud y en otros sectores que tiene un impacto sobre la salud es reconocida como un elemento esencial para lograr los Objetivos de desarrollo del milenio.

The Problem: In developing countries, the most accessible source of treatment for common conditions is often an informal drug shop, where drug sellers are untrained and operations are unmonitored.

By Claire Anderson, Ian Bates, Diane Beck, Tina Brock, Billy Futter, Hugo Mercer, Mike Rouse, Tana Wuliji, and Akemi YonemuraPharmacy Education is a priority area for the International Pharmaceutical Federation (FIP), the global federation representing pharmacists and pharmaceutical scientists worldwide that is spearheading the Global Pharmacy Education Taskforce.

La gestión de recursos humanos (GRRHH) es esencial en cualquier organización, y es aún más crítica cuando las crisis de salud pública y la escasez de la fuerza laboral colisionan, como está ocurriendo en muchas partes del mundo en vías de desarrollo.

La Herramienta de Administración y Sustentabilidad Organizacional para Programas Nacionales de Control de la TB (MOST para la TB) es un proceso para mejorar la administración de un PNCT, cuyo resultado final es contribuir a lograr los tres objetivos principales de los PNCT.

The five-year Leadership, Management and Sustainability (LMS) Program was awarded to MSH in August 2005 by the US Agency for International Development's Office of Population and Reproductive Health, in the Bureau of Global Health, and concluded in December 2010.

Background: HIV prevalence among pregnant women in Malawi is 12.6%, and mother-to-child transmission is a major route of transmission. As PMTCT services have expanded in Malawi in recent years, we sought to determine uptake of services, HIV-relevant infant feeding practices and mother-child health outcomes.

Transforming Organizations to Improve Health

For four decades in more than 130 countries, Management Sciences for Health (MSH) has taken a whole-of-society approach to development: MSH works with governments to strengthen their leadership and governance capacity and with private and civil society organizations to improve service delivery systems. Through this locally driven approach, MSH regularly works its way out of a job.

Objective  To describe how district-wide access to HIV/AIDS care was achieved and maintained in Thyolo District, Malawi. Method  In mid-2003, the Ministry of Health and Médecins Sans Frontières developed a model of care for Thyolo district (population 587 455) based on decentralization of care to health centres and community sites and task shifting.

The debate on the interaction between disease-specific programmes and health system strengthening in the last few years has intensified as experts seek to tease out common ground and find solutions and synergies to bridge the divide. Unfortunately, the debate continues to be largely academic and devoid of specificity, resulting in the issues being irrelevant to health care workers on the ground.

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