Health Systems Strengthening

Health Systems Strengthening (HSS)
Photo Credit: Samy Rakotoniaina/MSH

This article was originally published in NextBillion.

What does scalable innovation in global health look like?

It could be a piece of software that provides faster access to blood supplies in Cameroon, an m-health platform that links virtual health coaches to people facing chronic illness in Nigeria, or an app that lets people use points to buy and exchange health products in Senegal, helping them save for out-of-pocket expenses. Or it might be a primary care service that reaches underserved people in India via telemedicine, or a microscope app that can diagnose breast and cervical cancers in remote areas in sub-Saharan Africa, where some 400,000 women die each year because they cannot access screening services.

Unpublished
David Kaliisa, a TB community linkage facilitator in Kawempe, Kampala, checks on Celeb and her daughter. While both received treatment for multi-drug resistant TB, Kaliisa made regular house calls to support their adherence to treatment. Photo Credit: Diana Tumuhairwe/MSH.

This op-ed was originally published in The Hill.

{A woman receives depo-provera contraceptive method at Area 18 health center in Lilongwe District, Malawi. Photo credit: Rejoice Phiri/MSH}A woman receives depo-provera contraceptive method at Area 18 health center in Lilongwe District, Malawi. Photo credit: Rejoice Phiri/MSH

Program seeds providers in high-density health center

In July, 23-year old Esther walked a fair distance to Area 18, a health center in Malawi’s Lilongwe District, since no family planning services were available in her area. She has one child and wants to wait before having a second. At the health center, Esther joined a group counseling session where all family planning methods were presented. Afterwards, during individual counseling, she shared her desire to wait at least five years before becoming pregnant. Once informed of her options, including long-term reversible contraceptives, she chose to receive an intrauterine contraceptive device (IUCD), and had it inserted right away.

“I will tell my friends about the IUCD,” says Esther. “I know the truth about how it works. We need to be careful not to pay attention to the stories people tell.”

{A mother and child wait outside a clinic on the outskirts of Mbuji Mayi, Democratic Republic of the Congo. Photo credit: Warren Zelman}A mother and child wait outside a clinic on the outskirts of Mbuji Mayi, Democratic Republic of the Congo. Photo credit: Warren Zelman

In the face of conflict, natural disasters, or other crippling events, women disproportionately suffer from preventable illnesses and death. In such circumstances, women are more likely to experience gender-based violence, and they have more difficulty accessing basic health services, such as obstetric care and family planning. This was evident in the wake of the Ebola outbreak in West Africa, when maternal mortality rose sharply between 2013 and 2015; with the HIV epidemic, when rates of HIV among young women soared in sub-Saharan Africa; and with spikes in sexual and gender-based violence that occur during a humanitarian crisis.

{Photo credit: Rudi Thetard/MSH}Photo credit: Rudi Thetard/MSH

"There is a great joy when the family comes back to hospital wanting to show that their less than 1500g baby has now grown into a healthy newborn with no trace that they were premature. Sometimes we meet parents in the market place who keep appreciating our efforts in saving their premature babies... I appreciate it so much when babies are born in hospital so care can be initiated as soon as possible." - Chelmsford Gondwe, Registered Nurse Midwife

The USAID-funded Organized Network for Everyone’s Health (ONSE) Activity and lead implementer Management Sciences for Health joined the world to commemorate World Prematurity Day on November 17, 2019. This global movement seeks to raise awareness about prematurity, calling for the participation of everyone in the prevention and care of small and sick newborns to avert deaths. This year’s celebrations were under the theme “Born Too Soon: Providing the right care, at the right time, in the right place.” 

 (Photo Credit: Jawad Jalali)An Afghan nurse washes her hands before taking care of patients in Wazir Akbar Khan hospital, Kabul Afghanistan. (Photo Credit: Jawad Jalali)

Originally published by Scientific American

“Rise of the superbugs.” “Global crisis.” “Nightmare bacteria.” “Deadly fungus.”

The media has caught on to the dire threat that antimicrobial resistance (AMR) presents, and it has certainly captured the urgency of the situation.

Global health professionals know this crisis has been years in the making and have been acting accordingly. We know, however, that we cannot contain the spread of AMR without strengthening health systems in low- and middle-income countries, which tend to have weaker surveillance systems for drug use and infectious disease management. Our efforts would be futile. It’s time to take stock of where we are and figure out our focus going forward; we have no time to lose.

{Photo credit: Warren Zelman}Photo credit: Warren Zelman

Meet Daniel Gemechu, MSH Regional Director for the USAID-funded Challenge TB Project in Ethiopia. MSH has worked in Ethiopia since 2011 to improve the quality of TB care and prevention services. Over the past five years, treatment success rates rose above 90%, with 75% of those suffering from multidrug-resistant TB (MDR-TB) now able to beat the disease after completing their treatment regimens. We asked Dr. Gemechu to reflect on his experience working with MSH and what remains to be done to eliminate the disease in Ethiopia.

[Dr. Gemechu cross-checks doses taken and doses remaining on TB treatment patient kits at a health center in Oromia region to verify whether treatment is being delivered according to national guidelines.]Dr. Gemechu cross-checks doses taken and doses remaining on TB treatment patient kits at a health center in Oromia region to verify whether treatment is being delivered according to national guidelines.What drives you to fight TB in your home country? 

Community health workers in Madagascar review patient data. Photo Credit: Samy Rakotoniaina/MSH

Originally published on LeaderNet

When community health programs are well-designed, managed, and sufficiently funded, they can yield substantial health and economic benefits. In addition to contributing to a healthier, more productive population, they can reduce the risk of costly epidemics while generating substantial cost savings for families and health systems (1). On the other hand, when poorly designed or managed and insufficiently funded, community health programs can fail to improve poor health outcomes and advance national health priorities.

Recognizing their potential in strengthening primary care and advancing Universal Health Coverage, countries are increasingly formalizing the role of the community health worker within their health systems. In fact, many countries have passed national community health policies to ensure that community health workers (CHWs) are well trained, incentivized, and equipped to provide a basic package of life-saving services within their communities.

Prize winner Vishal Phanse shares how his company, Piramal Swasthya, uses telemedicine and community outreach programs to make health care more accessible and available to marginalized populations in India. Photo credit: Sarah McKee/MSH

MSH and USAID Co-Host Celebration of Inclusive Health Access Prize Winners

On September 24, the US Agency for International Development (USAID) and MSH recognized the five winners of USAID’s Inclusive Health Access Prize: GIC Med, Infiuss, JokkoSanté, mDoc, and the Piramal Swasthya Management and Research Institute. These private-sector organizations have developed and proven innovative solutions to expand access to lifesaving basic health care in low- and middle-income countries while demonstrating a vision for expanding their approach.

“Locally Leading the Way to UHC: USAID’s Inclusive Health Access Prize,” attended by nearly 200 people in person and online, was held in conjunction with the United Nations General Assembly’s first-ever High-Level Meeting on Universal Health Coverage (UHC).

Pages

Subscribe to RSS - Health Systems Strengthening