MSH, as a partner to the government of Nigeria and sub-recipient to Catholic Relief Services, supports the Global Fund Malaria grant in building Nigeria’s capacity to implement malaria control activities, strengthen the quality of care for malaria, and improve the use of health data across 13 states. Leading up to the 2020 Annual Meeting of the American Society of Tropical Medicine & Hygiene (ASTMH), we got on the phone with Dr.
Tanzania is unusually ambitious relative to other countries in sub-Saharan Africa and around the globe in having a national government-led digital health strategy, which it launched in 2013. The Centers for Disease Control and Prevention-funded Technical Support Services Project (TSSP), led by Management Sciences for Health (MSH), is supporting Tanzania in overhauling its digital health infrastructure, including introducing electronic medical records, hospital facility management software, and a patient ID system.
In the midst of the global COVID-19 pandemic, it is hard to think of anything else. And yet, the burden of Non-Communicable Diseases (NCDs) — such as diabetes and hypertension — remains and continues to grow across low- and middle-income countries. Each year, NCDs kill 41 million people, equivalent to 71% of all deaths globally.In Kenya, over half a million adults were living with diabetes in 2019, and 40% of them were unaware of their condition.
Health workers not only need water, sanitation, and hygiene (WASH) services to prevent the spread of COVID-19 right now but also to provide safe essential health services every day. But 25% of health facilities around the world lack basic water services. One in six facilities doesn’t have hand hygiene services, such as soap and water or alcohol-based hand rub, available at points of care. And health workers in facilities in sub-Saharan Africa face even greater WASH challenges.Two frontline health workers—Margaret Odera and Dr. Ann Phoya—recently called for improved WASH services during an event alongside the 75th United Nations General Assembly. Read on to find out what it’s like to be a health worker on the frontlines without WASH and the steps they are taking to access and improve WASH in Kenya and Malawi.
Read this blog on the CSEM websiteAs COVID-19 infiltrates the physical, mental, social, economic and geographical landscapes we all inhabit, citizens around the world are forced to obey new national laws and policies on social isolation, lockdowns, and movement restrictions.For some groups of particularly vulnerable people - the elderly, disabled, those suffering from physical and mental ill-health or those at risk of violence and abuse - the restrictive measures have a significant and negative effect. These people’s health and wellbeing, in all senses, are being corroded.
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.
By Megan MontgomeryTanzania needs more health care workers. Its workforce is only 44%1 of the required staff, per its national human resources for health plan. This shortage is more dire in rural areas, where 80%2 of the country’s population lives, as well as among mid-level health care workers. Hospitals are often filled beyond capacity, as they must also take referrals from less well-equipped facilities.
By Matthew Ziba
Many health facilities across Malawi don’t have enough trained pharmacy staff to adequately manage stock and dispense medicines. These tasks often fall on health care providers, who already have many other responsibilities, namely caring for patients. In some cases, even a ground laborer or a security guard—who may have no training in pharmacy management—must step in to help.
This article was originally published by Global Health Now.
Paid or volunteer?
Community health workers are on the frontlines in many countries—and vital to achieving universal health coverage. Yet the public health community has not reached a consensus on which model is the best.
Consensus is urgently needed, both at the global and country levels, to inform future policies and strategies for strengthening health systems and delivering on UHC.
Based on our experiences in rural Peru and Ethiopia, it’s not either-or. It’s both.
Meet Hawa Coulibaly Kone, capacity building advisor and the representative on gender for the USAID-funded Keneya Jemu Kan (KJK) Project in Mali. Most recently, Hawa helped conduct a situational gender analysis of the KJK project and its partner organizations to assess the level of gender integration in the project design, implementation, and monitoring framework. The analysis found that KJK’s work with local partners across the country enabled the project to strengthen its institutional capacity in gender at the policy and programmatic levels and to respond to gender-related challenges.
This op-ed was originally published by Devex.
Multidrug-resistant germs are spreading. A number of antibiotics and other antimicrobials already don’t work as they should, and as many as 700,000 people die each year because of it.
"Work to lose your job. If you don't have that in mind, you shouldn't be working in development," says Hammouda Bellamine, Senior Technical Advisor for Capacity Building for the USAID-funded KJK (Keneya Jemu Kan) Project in Mali.
Hammouda and his team are modeling important leadership skills and building capacity for social marketing and behavior change communication activities among local NGOs and public and private organizations. This interview has been edited for length and clarity.
Hi Hammouda. Could you start by describing your role and responsibilities on the KJK Project?
More than 1,800 Peruvians have benefited from "¡Qué bien te veo Perú!" – an MSH-Peru program that offers free reading glasses and sunglasses to people with limited resources improve their quality of life, help them re-enter the labor market, and prevent eye diseases.
In July and August 2018, MSH-Peru visited the Puno region to deliver spectacles in 16 communities in the province of Chucuito. The goal was to deliver 4,000 pairs of reading glasses to people over 40 who have trouble seeing up close.
Dr. Mark Dybul, MSH’s newest board member, has been a leader in global health policy as Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria during the Obama administration and as head of the US President's Emergency Plan for AIDS Relief (PEPFAR) during the Bush administration. Dybul is Professor of Medicine and Faculty Co-Director of the Center for Global Health and Quality at Georgetown University Medical Center.
By providing compassionate and culturally appropriate care to women throughout their reproductive life, trained and supported midwives are critical to closing the gaps in human resources for health and helping to reduce maternal and newborn deaths. Gloria Flores, a licensed nurse and perinatal specialist from Morelos state, Mexico, is working to improve the quality of care moms and babies receive and to help mainstream professional midwifery practice at the primary health care level.
Elimase Kamanga is a mother, a midwife for more than 15 years, and the Senior Technical Advisor for Maternal and Newborn Health for the USAID-funded Organized Network of Services for Everyone’s (ONSE) Health Activity, led by MSH. Chisomo Mdalla, ONSE’s Chief Communications and Knowledge Exchange Officer, talked with Kamanga about her work to improve the quality of care for mothers and newborns in Malawi. This interview was edited for length and clarity.
Elimase, can you tell us about how you got to where you are today?
Antimicrobial resistance (AMR) occurs when a microorganism becomes resistant to a drug that was originally effective for treating the infections it caused. It is one of the world’s most pressing global health threats and could erode progress made thus far in the treatment of HIV/AIDS, TB, malaria, and many other infectious diseases.
Management Sciences for Health’s (MSH) role in combatting AMR was recently featured in the peer-reviewed journal, Global Public Health.
As the globe marks World Water Day on March 22, the Organized Network of Services for Everyone’s Health (ONSE) Activity has been supporting the Government of Malawi in responding to a months-long cholera epidemic.ONSE, funded by the United States Agency for International Development and led by Management Sciences for Health (MSH), works in Malawi to reduce maternal, newborn, and child morbidity and mortality by focusing on health system strengthening; family planning and reproductive health; maternal, newborn, and child health; malaria; and water, sanitation, and hygiene (WASH).The
In 2014, an Ebola outbreak that started in Guinea and quickly spread to Liberia and Sierra Leone threatened health systems across West Africa. During the crisis, the Côte d’Ivoire National Institute of Public Health (INSP) mobilized a One Health cross-sectoral collaboration in the country’s western regions bordering the Ebola-affected countries and established committees to address the epidemic.
At the 4th Global Health Security High-Level Ministerial Meeting held in Uganda on October 25-27, “Health Security for All: Engaging Communities, Non-governmental Organizations, and the Private Sector,” more than 600 participants including ministers from 41 countries recommitted to and eagerly embraced the agreements made under the Global Health Security Agenda (GHSA) to accelerate progress toward a world safe and secure from infectious disease threats.
Health systems strengthening was front and center in discussions held in New York on the sidelines of the 72nd United Nations General Assembly. MSH hosted three events spotlighting how strong health systems are critical to resiliency and stability in fragile environments, at the core for global health security and essential for achieving universal health coverage. Here are some highlights from the week. See more on Twitter @MSHHealthImpact, @MSHACTS and @FCIatMSH.
Resilient and Stable: Building Strong Health Systems to Protect Women, Adolescents, and Children | September 18, 2017
Many civil society organizations (CSOs) play an essential role as service providers and advocates in health systems around the world. They can connect policymakers and providers to the communities they serve, promote smarter decision-making, and foster local ownership. If countries are going to make Universal Health Coverage (UHC) a reality, it will be side-by-side and in partnership with civil society.
Delivering essential health services
What it takes for health systems to provide lifelong antiretrovirals
Soon after her husband’s death in 1991, Bahati Shellinah tested positive for HIV, but antiretroviral drugs (ARVs) were not yet available. In 2004 she fell ill, but, luckily, this time ARVs were available. Bahati visited the Joint Clinical Research Centre (JCRC) outside of Kampala, Uganda, and she began taking ARVs for the first time
Malaria in pregnant women contributes to several negative outcomes including miscarriage, premature birth, labor complications, low birth-weight babies, anemia, and maternal and newborn death. In Sierra Leone, malaria in pregnancy and child mortality rates are especially high: the disease contributes to nearly 40 percent of deaths of children under the age of five.
Before the civil war in the late 1990s, the Democratic Republic of Congo (DRC) had a large network of clinics and health facilities. But decades of conflict weakened a fragile health system and robbed this resource-rich country of its potential to become one of sub-Saharan Africa’s wealthiest nations. By 2010, 70 to 80 percent of Congolese people had little or no access to healthcare, and the country suffered from a lack of basic security, communication systems, power, clean water, and transportation.
Strong health systems can protect the poor and promote equity. That was the resounding main message at the Fourth Global Symposium on Health Systems Research, held in Vancouver, Canada, just a few weeks ago.
This is the last in a series of four blog posts about the impact of leadership, management, and governance in strengthening health systems. See the full series on our blog.
Hurricane Matthew weakened Haiti’s already vulnerable health system when it struck last month, adding to the many challenges that the country’s government already faces in providing quality health services to its population.
Now, more than ever, Haiti needs strong leadership, management, and governance in the health sector to strengthen the system and ensure that its people have access to the care they need.
Strong, well-functioning health systems need strong leadership, management, and governance. Over the next couple of weeks, leading up to conversations that MSH is hosting at the Global Symposium on Health Systems Research next month in Vancouver, we will be sharing stories and insights about the role of leadership, management and governance in health systems strengthening. This is the second in a series of four blog posts on this topic. See part one.
Strong, well-functioning health systems need strong leadership, management, and governance. Over the next couple of weeks, leading up to conversations that MSH is hosting at the Global Symposium on Health Systems Research next month in Vancouver, we will be sharing stories and insights about the role of leadership, management and governance in health systems strengthening.
HIP Brief: Leaders and Managers: Making Family Planning Programs WorkFor years, Management Sciences for Health (MSH) and partners have championed and advocated that leadership and management be recognized as a high-impact practice (HIP) for family planning. Proven, promising, and emerging practices in family planning are codified in HIP briefs, publications developed by collaborating partners, with support from the US government, and rigorously reviewed by experts in family planning practice.
The Global Maternal and Newborn Health Conference held last week in Mexico City was an action-packed three days of presentations and conversations about state-of-the-art strategies to improve maternal and newborn health. Throughout it all, the following key themes stood out as critical for the post-2015 development agenda, particularly in the context of pursuing universal health coverage (UHC). Optimize health systems.
After two years of negotiations, 193 Member States of the United Nations reached agreement last month on the new sustainable development agenda that will be formerly adopted later this week at the 70th United Nations General Assembly (UNGA) in New York City.
The Member States agreed to 17 sustainable development goals (SDGs) with a total of 169 targets. The SDGs will replace the Millennium Development Goals (MDGs) that expire this year and will influence development priorities and funding for the next 15 years.
About the New Development Agenda
“If you want to go fast, go alone. If you want to go far, go together.”
This ubiquitous African proverb became the unofficial motto of the first ECOWAS Forum on Good Practices in Health, held July 29-31 in Ouagadougou, Burkina Faso. More than 300 health professionals, researchers, donors, implementing partners, and stakeholders gathered at the conference, hosted by the West African Health Organization (WAHO), a partner of Management Sciences for Health.
The teenage years. Changes seem to happen overnight. Puberty. Your first crush. Fighting with a parent. Discovering your identity, your purpose, and your role in the community. A confusing and challenging, yet rewarding, coming of age... an emerging adult.
Wednesday, August 12, is International Youth Day; the date designated by the United Nations to recognize the influence young people have on society and to raise awareness of youth issues. Currently, there are over 1.8 billion young people in the world that are not only patients, clients, and beneficiaries, but providers and leaders who can contribute to a healthier future for all.
Are you interested in youth leadership for family planning and reproductive health?Join the Leadership, Management & Governance (LMG) Project (@LMGforHealth) for the launch of the #AskLMG Twitter Q&A Series on Thursday, August 6, 2015, at 10 am ET.MSH staffer Sarah Lindsay (@shlindsa) will be answering questions about the importance of youth leadership development; the roles youth leaders play; and the LMG Project's support for young leaders improving family planning and reproductive health in their communities.Not on Twitter? No problem!
While at the World Federation of Public Health Associations meeting in India earlier this year, I met with a district health manager from Nigeria. He asked, What is the value of having a District Health Council? It takes a lot of time to work with them; so what is the return on that invested time? My Nigerian colleague is not the only one struggling to support the role of governing bodies. For years, governing bodies -– from district and provincial health councils to executive boards -– have been overlooked as valuable players in strengthening health systems.
The benefits of good health governance are far-reaching: Leaders who govern facilitate the work of health managers. Health managers facilitate the work of health service providers. - Management Sciences for Health On May 11-13, 2015, the USAID-funded Leadership, Management & Governance (LMG) Project, led by Management Sciences for Health (MSH), conducted an online seminar on LeaderNet titled Unleash the Power of Good Governance.
Just a few months ago, the province of KwaZulu Natal, South Africa, captured the world’s attention for unfortunate reasons: xenophobic attacks on foreign African nationals. This week, from June 9 to 12 in Durban, the same province is hosting the 7th South African AIDS conference, a gathering expected to bring together thousands of activists from within the country, the Southern African region and, indeed, the rest of the continent and the world, to “reflect, refocus, and renew” efforts in response to HIV and AIDS.
More than 10 years ago, Management Sciences for Health (MSH) developed its Leadership Development Program (LDP), a structured program for leadership development that ties together personal development and real life challenges, utilizing a team-based, action learning approach to improve health outcomes.
Are you strengthening youth leaders in a low or middle-income country? Take the Youth Leadership Program Survey now Young people are the next generation of leaders. How many times do we say this, or some version of it? Yet, do we examine the rhetoric behind it? What does it mean to strengthen youth leaders and what do programs that embody this mantra look like?
Going to Geneva for the 68th Session of the World Health Assembly (WHA)? Please join Management Sciences for Health (MSH) for three WHA side events: two on Monday, May 18th (a breakfast call to action on gestational diabetes screening, and an evening panel discussion on building global health resilience); and one on Tuesday, May 19th (a lunch panel discussion on setting adolescent health priorities). Please RSVP to each event separately. We hope to see you in Geneva!
For five years, the USAID-funded, MSH-led Leadership, Management and Sustainability project in Haiti (LMS/Haiti) worked with the Ministry of Health and Population (MSPP) and local NGOs to ensure a steady supply of family planning commodities to nearly 300 facilities throughout the country amid bone-rattling roads, surging rivers, and rocky footpaths.
Said Dr. Georges Dubuche, General Director of the MSPP, at the project’s closing ceremony April 14: It is with real pride and great emotion that I salute LMS/Haiti.
Nearly three years ago, I blogged about a systems approach to improving access for a Maternal Health Task Force (MHTF) series on maternal health commodities: Increasing access to essential medicines and supplies for maternal health requires a systems approach that includes: improving governance of pharmaceutical systems, strengthening supply chain management, increasing the availability of information for decision-making, developing appropriate financing strategies and promoting rational use of medicines and supplies. It was an exciting year for maternal health.
Good governance of a health system enables sound management of medicines, health information, human resources, and finances. Good governance enables health providers to deliver better health service performance which leads to better health outcomes.
In this series, hosted by The Leadership, Management and Governance (LMG) Project, our speakers will: Discuss the factors that constrain governance effectiveness in service delivery organizations
Explore solutions to the governance challenges using real life examples
Each year International Women’s Day energizes women and girls all over the world to celebrate and acknowledge the contributions of women globally. Together, we celebrate both the spirit and the essence of women wherever they may be, in whatever role they have taken. Based on our own experiences as women, each of us must align ourselves in solidarity with movements that signify a moment in our lives where we have overcome challenges despite the obstacles faced.
The strengthening of health systems in low and middle income countries is central to the global effort to promote economic and social development through universal health coverage, reduce mortality, and improve health and sustainability of health care over the next 15 to 25 years.
A version of this post originally appeared on the Leadership, Management & Governance Project Blog.
Since 1992, the United Nations General Assembly has observed the International Day of Persons with Disabilities on December 3. The annual observance aims to promote an understanding of disability issues and mobilize support for the dignity, rights, and well being of persons with disabilities. It also seeks to increase awareness of gains to be derived from the integration of persons with disabilities in every aspect of political, social, economic and cultural life.
My name is Tiglu. I was born and raised in Bahir Dar. When I first learned that I am living with the [HIV] virus, my mind went blank. I was depressed. After that, I started taking antiretroviral treatment. Then they found TB in me... Meet Tiglu, a living example of how partnering for stronger health systems saves lives. In Ethiopia, about 790,000 people are living with HIV. Tiglu, a patient at the Bahir Dar Health Center in the Amhara Region of north-western Ethiopia, discovered he is HIV positive three years ago, and started on antiretroviral treatment (ART).
The unprecedented outbreak and spread of the Ebola virus in three West African countries (Guinea, Liberia, and Sierra Leone) continues to wreak havoc on the lives, economy, and already-strained health systems of the region. The outbreak is particularly high in Liberia with 2,413 people killed by the disease to date.
This post originally appeared on the Community of Practice on Scale-up and Gender, Policy, and Measurement and US Agency for International Development (USAID)'s Leadership, Management & Governance (LMG) Project Blog. Management Sciences for Health (MSH) leads the USAID-funded LMG project with a consortium of partners.
This post originally appeared on LeaderNet.org.
Have you ever wondered what happens after a project activity ends? We are always deeply committed to local ownership and sustainability, yet, we rarely have the opportunity to do long term follow up or reflection. I recently had the extraordinary opportunity to discover for myself the long term impact of the Leadership Development Program (LDP) in Nepal.
To sum it up in one word: Wow!
“Japanese women could be a tremendous force for social change—in Japan and elsewhere,” said Atsuko Fish, Trustee of the Fish Family Foundation in Boston. “But, few have the confidence and skills to take on leadership roles.”
Experience the 69th UN General Assembly (UNGA) and Clinton Global Initiative (CGI) Annual Meeting as we take you through some of the key events in photos, videos, and tweets. More than a dozen Management Sciences for Health (MSH) representatives led or participated in UNGA and CGI activities in New York City, New York, last week.
Today, September 26, is World Contraception Day. The Family Planning 2020 (FP 2020) Initiative says the vision for the day "is a world where every pregnancy is wanted. Its mission is to improve the awareness of contraception to enable young people to make informed decisions on their sexual and reproductive health." We share part two of our interview with Dr. Fabio Castaño, MSH’s global technical lead of family planning (FP) and reproductive health, in celebration of World Contraception Day. Join the conversation on social media with hashtag #WCD2014.
Read Choice: Part One
This post originally appeared on the Health Communication Capacity Collaborative (HC3) blog.
In my role as a capacity building advisor, I design a lot of learning programs. Time and again, I find myself asking: How can I present technical content in a way that will best enable my audience to apply new knowledge and skills in their work environment?
Should I use a mobile phone app?
What about some on-the-job-learning?
The Building Local Capacity for Delivery of HIV Services in Southern Africa (BLC) Project, funded by the US Agency for International Development (USAID) and led by Management Sciences for Health (MSH), provided a grant to The Luke Commission (TLC) to deliver safe medical male circumcision to men and boys in Swaziland. The BLC Project also provides organizational capacity building support to TLC. A version of this post originally appeared on the Southern Africa HIV and AIDS Regional Exchange (SHARE) blog.
This blog post, cross-posted with permission from The Leadership, Managment, and Governance (LMG) project blog on LMGforHealth.org, is part of our Global Health Impact series on the 67th World Health Assembly in Geneva, May 18-24, 2014. MSH is co-hosting three side events focusing on the role of universal health coverage (May 20), chronic diseases (May 20), and governance for health (May 21) in the post-2015 framework. This year, six MSH representatives are attending WHA as part of the 60-plus-person Global Health Council (GHC) delegation.
Cross-posted from LMGforHealth.org, this blog post post is part of a series leading up to the 67th World Health Assembly (WHA) in Geneva, Switzerland from May 19–24, 2014. In conjunction with WHA, the Leadership, Management & Governance (LMG) Project will host a side session with global health leaders titled, “Governance for Health: Priorities for Post-2015 and Beyond.” This series will offer insight on how good governance in the health system can result in stronger health impact as we move beyond the Millennium Development Goals.
Good governance is like a large elephant, Ahmed Adamu, Chairperson of the Commonwealth Youth Council, said. One person can touch the trunk, one the stomach, and one the tail, and they have had very different experiences with the elephant. Around the world, everyone has different experiences and different perceptions of good governance. With this anecdote, Adamu, a speaker at the plenary, “Achieving Good Governance and Accountability” at the 2014 World Conference on Youth, captures the challenges of defining good governance often cited in more academic terms. Though the concept of good governance is up for interpretation, there is consensus across countries, generations, and sectors that it is sorely needed. According to a consultation by Restless Development with young people in 12 countries , overall, governance is their most important issue that should be addressed in the post-2015 dialogue. And while good governance might be their most pressing concern, according to Subinay Nandy, Sri Lanka’s Resident Coordinator to the United Nations, it is young people themselves who are the most important tool international agencies can use to guarantee good governance.
The World Conference on Youth (WCY2014) is bringing together over 1,500 youth delegates, ages 18 to 29, from May 6-10, 2014, in Colombo, Sri Lanka, for thematic policy roundtables to create an outcome document ("Colombo Action Plan") that will state the position of mainstreaming youth in the post-2015 development agenda.
This blog post is part of a series leading up to the 67th World Health Assembly (WHA) in Geneva, Switzerland from May 19 – 24, 2014. In conjunction with the WHA, the Leadership, Management & Governance (LMG) Project will host a side session with global health leaders titled, “Governance for Health: Priorities for Post-2015 and Beyond”. This blog series will offer insight on how good governance in the health system can result in stronger health impact as we move beyond the Millennium Development Goals. This post originally appeared on the LMGforHealth Blog.
As a government we cannot work alone. However, it is important that those contributing to achieving the government’s vision of a healthy Kenya be guided by standards that encourage them to provide a certain level of quality that is acceptable and desirable. These were the words of Dr.
For over four decades, MSH has promoted equal access to healthcare for women and girls in more than 135 countries, as we work toward our vision of "a world where everyone has the opportunity for a healthy life." Health for all is a human right, and we believe strengthening health systems within a gender framework can help achieve this vision.
This post originally appeared on the LMGforHealth Blog.
In discussions around the importance of country ownership of health-related activities and initiatives, both Management Sciences for Health (MSH) and the Leadership, Management, and Governance (LMG) Project are committed to making sure that the role of civil society is taken into consideration and promoted, in line with USAID Forward’s drive to engage and strengthen local capacity.
At the Devex Partnerships Forum, being held today in Nairobi, Kenya, Management Sciences for Health (MSH) urged the private sector to collaborate with health institutions to improve management, enable better service delivery, and lower the cost of healthcare in Kenya.
With the healthcare service being devolved to counties in Kenya, a number of challenges exist, such as unequal distribution of human and material resources to health facilities. This strains the governance of the institutions as the few personnel are stretched, handling large clientele as well as administration.
We call on you to celebrate the girl child, read and support the Girl Declaration—a call to action for the post-2015 development agenda to prioritize girls and stop poverty before it begins—and help educate and empower the girl child in all of us. Many of us are shaped by what we experience as children. For those in high-income countries, the world of the girl child is often full of possibilities and options. However, for many in low- and middle-income countries, the girl child lives in a world fraught with harsh realities and limited choices. To understand the journey of women, we must look at the girl child not only as a period in one’s life but as one which continues to live in all of us as we reach adulthood and beyond. "I was not put on this earth to be invisible."
This post originally appeared on the LMGforHealth.org Blog. USAID's Leadership, Management and Governance (LMG) Project, led by Management Sciences for Health (MSH), hosted the Governance for Health (G4H) in Low- and Middle-Income Countries Roundtable 2013 (G4H2013) at Georgetown University in August.
The overwhelming consensus of G4H2013? Governance matters.
Over one hundred years ago on this date, (August 20, 1897), British scientist Sir Ronald Ross discovered that infected female mosquitoes transmit malaria between humans. (Like any vector borne disease, the malaria-causing parasite, Plasmodium, needs a specific host: in this case, the mosquito. The female mosquito needs blood to nourish her eggs; the male just eats nectar.) Dr. Ross received the Nobel Prize for his discovery that year. Today, we mark the day, August 20, as “World Mosquito Day.”
What’s all the buzz about?
Strengthening health systems at all levels is the core of MSH’s response to the HIV epidemic. We build organizational capacity to implement innovative HIV, prevention, care, and treatment interventions in over 35 countries---from Côte d'Ivoire to Ethiopia to Vietnam.
Today, as we celebrate International Youth Day and the theme of “Youth Migration: Moving Development Forward,” we are reminded of difficult situations millions of young people experience every day—and of the power young people have to create change in their lives when they connect with their peers.
Management Sciences for Health (MSH) has been awarded the contract for “Technical Assistance in Service Delivery and Management Capacity Building for the Salud Mesoamérica 2015 Initiative Countries,” a $9.3 million, 18-month award by the Inter-American Development Bank. The goal of the Salud Mesoamérica 2015 Initiative (“salud” is Spanish for health) is to reduce health equity gaps in eight countries in the Mesoamérica region.
By Anita Katharina Wagner & Dennis Ross-Degnan
We were delighted to collaborate with our colleagues at Management Sciences for Health (MSH) and the Rockefeller Foundation, along with the Pan American Health Organization (PAHO) and the US Agency on International Development (USAID), on developing and implementing a first international dialogue dedicated to an important global issue: medicines as part of universal health coverage (UHC).
Universal health coverage (UHC) is the ultimate accomplishment in health systems strengthening: UHC is achieved when a health system is strong enough to deliver high-quality products and services in a reliable, comprehensive and affordable way to its entire population. For the leaders who govern health systems, UHC is an ambitious and worthy goal. And as MSH President and CEO Jonathan Quick explains, success starts with their vision.
Cross-posted with permission from the Southern Africa HIV and AIDS Regional Exchange (SHARE).I used to smile at the sentimental nickname for Lesotho, “The Mountain Kingdom.” Following a few visits to the capital Maseru, I had the opportunity to travel to the district of Mokhotlong, in the east of the country. Here I discovered that this term is more literal than symbolic, and no laughing matter. Narrow gravel roads with incredible switchback turns had me engaging in lively discussion in the car to avoid thinking about how close I was to the edge.
Cross-posted with permission from the LMGforHealth.org blog.
I had the pleasure and privilege of moderating a stimulating discussion, hosted by the USAID-funded AIDSTAR-Two project entitled, "Organizational Capacity Development: How Do We Measure Impact?".
A version of this post originally appeared on the LMGforHealth.org blog. (Photos by Sarah Lindsay, Rachel Hassinger, Willow Gerber, and Barbara Ayotte / MSH)
The theme of the first day of Women Deliver 2013 was Investing in Women and Girls. During the day, MSH and the Leadership, Management, and Governance (LMG) project held a panel on investing in women as leaders of the health system.
At the MSH booth, we asked conference attendees to tell us the diverse ways women lead around the world.
ADD YOUR VOICE:
In a couple of days, thousands of decision-makers, leaders, advocates, health professionals, media, and more will gather to focus on our most valuable investment: women and girls.We are honored to be a Gold Sponsor and Advisory Group member of Women Deliver 2013.
Integrating the Leadership Development Program into Guyana's national nursing school training (watch video): Guyana HIV/AIDS Reduction and Prevention, phase two (GHARP II), a PEPFAR-funded and USAID-supported project.Developing Strong Health Leaders Saves Lives, the newest edition of MSH's Global Health Impact e-newsletter (subscribe), features:a conversation with Jonathan Quick and Sylvia Vriesendorp on strong women health leaders;an interview with Xavier Alterescu on the next horizons of leadership: gender, decentralized governance, and building organizational capacity for networking;a blog
The Improving Performance of Nurses (IPN) project in Upper Egypt celebrated the first Arabic publication of Management Sciences for Health's (MSH)'s “Managers Who Lead” handbook with an event last November.
After a very busy week scurrying around behind the scenes at Kenya’s First National Conference on Health Leadership, Management and Governance, the staff of the USAID-funded Leadership, Management and Sustainability project in Kenya (LMS/Kenya) gathered on Friday morning before the start of the fourth and final day. Generally, the last day of a conference is filled with summaries and closing-day formalities. But this time, Project Director Karen Caldwell informed us that we still had one essential task ahead.
In Myanmar, 50 years of military dictatorship left behind a seriously underdeveloped health system, serving barely one in twenty of the country’s 60 million people. You might expect that the first minister of health under civilian rule would be despondent. But on my recent trip I found the opposite: Dr.
Management Sciences for Health (MSH) staff presenting at the Global Maternal Health Conference in Arusha, Tanzania, January 15-17, 2013. (Photo credits: C. Lander & J. Briggs / MSH)RelatedSecond Global Maternal Health Conference: Will it Set Itself Apart? Off to an Excellent StartJoin MSH at the Global Maternal Health Conference 2013
We have seen some remarkable gains in global health in 2012. Yet millions of women, children, and men still die from preventable causes. As we pause and reflect on 2012 and look ahead to the new year, I invite you to read and share some of our favorite blog posts from the year.Saving women's lives: Meeting the unmet need for family planning.
Last night, while in the Democratic Republic of the Congo (DRC) visiting our programs, I attended a US election-eve gathering of mostly Congolese people in Kinshasa. The DRC is one of those “distant nations” President Obama was referring to in his early morning acceptance speech today, where people are, “risking their lives just for… the chance to cast their ballots like we did today.”Fragile, conflict-ridden nations, such as the DRC, struggle with leadership and governance.
My grandmother married at 8 years old; my mother married at age 15.I often wonder what their lives --- their potential --- would have been, if they were not child brides.Today, the same pattern is repeated in villages and cities around the world.
Building local capacity is a pillar of the United States Agency for International Development's USAID Forward reforms. This post is one example of how USAID worked through Management Sciences for Health (MSH) to build, nurture, and support a local development stakeholder that is still thriving today. The story was written by global health writer John Donnelly, and first appeared in MSH’s book Go to the People in 2011.
On this historic World Population Day --- the first with the world’s population at seven billion and growing --- we call your attention to a crucial summit in London happening today, and to the ongoing importance of supporting access to family planning and sexual and reproductive health.The London SummitOver one hundred high-level decision-makers are convening at The London Summit on Family Planning in hopes of securing a better future for women and girls globally.
Securing funds from donors and partners can be challenging for Nigerian non-governmental organizations (NGOs), given the nation’s large pool of competing organizations. In order to earn funds, NGOs must have strong proposal writing skills, the ability to defend their proposals, and efficient operational capacity.The Global Health Awareness Research Foundation (GHARF) is a community-based organization operating in Enugu state in southeastern Nigeria.
Good governance in health care matters at all levels of the health system—from communities to health facilities to governments. When a community HIV & AIDS association in Zanzibar grew from 40 members to more than 1,000, it needed better governance. When women in Senegal raised concerns about lack of privacy and poor security at a district hospital, it needed better governance.
Ezekiel Kyasesa is a village health team coordinator and supervisor in Kasese District, western Uganda. He supports 11 villages, 90 parishes, and 2 health centers.Ezekiel has been working in community health for a few years, but only on a small scale. A year ago, he was selected to attend a training provided by STRIDES for Family Health to learn new family planning, child survival, and reproductive health information and the skills to become a village health team member.
Nearly 50 countries, including Afghanistan, Democratic Republic of the Congo, Haiti, Liberia and South Sudan, are considered a fragile or conflict-affected state -- a state that is in conflict, recovering from conflict or crisis, or a state that has collapsed or has a strong and repressive government. Over nearly 40 years of working in fragile states, Management Sciences for Health (MSH) has identified best practices, lessons learned, and appropriate interventions for a myriad of situations in fragile states.
The Kasese district in western Uganda is nestled between two national parks. Located hours from the capital city, Kampala, the region attracts tourists to view gorillas and mountain birds.During my recent trip to Uganda, I met with Dr. Yusuf Baseka, the district health officer of Kasese, who described the health challenges his district faces, and his hopes for the future.Although the national parks are beautiful and bring a much needed economic boost to the area, they also offer a challenge, Dr.
All project health indicators for the second phase of the USAID-funded Sudan Health Transformation Project (SHTP II), led by Management Sciences for Health (MSH) in partnership with the International Rescue Committee, have shown improved performance over the past two years.On the ground, this means that more people are being immunized against diseases, communities are receiving education on HIV, and lives are being improved.While other indicators improved by leaps and bounds, one indicator consistently lagged during the first year of the project: births attended
Cross-posted from the Global Health Magazine blog.How did Malawi control its brain drain?The British Medical Journal issued a report last month estimating that nine African countries have lost $2 billion worth of investment in training and educating doctors who have subsequently migrated abroad. It needn't be this way. Doctors, nurses and other health professionals do not have to give up home, family and country to earn enough money to give themselves and their children a future, even a modest one.
The 16th International Conference on AIDS and Sexually Transmitted Infections (ICASA) opened today, December 5, 2011, at the newly refurbished Millennium Hall in Addis Ababa, Ethiopia, with a colorful and lively music and dance production by the Ethiopian National Theatre and Traditional Music Group and the Addis Ababa Youth & Children’s Theatre.UNAIDS Executive Director Michel Sidibé gave an impassioned welcome speech remembering the last 30 years of AIDS and the 24 million African lives lost to the epidemic.
Samiha Badawy, a nurse at the Al Sabaeyya Hospital in Aswan, Eqypt, other nurses, health managers and Directorate of Health staff, are learning how to improve infection control and patient safety through a leadership development program called Improving the Performance of Nurses (IPN).
The future is indeed bright for public health in Nigeria, judging from what Dr. Muhammad Ali Pate, the Honorable Minister of State for Health of the Federal Republic of Nigeria, said at the Africare House in Washington, D.C. on September 21. The event, Innovative Approaches to Expanding Health Care Services, was co-sponsored by Management Sciences for Health (MSH), fhi360, the Anadach Group, and hosted by Africare.
Lucia Afiki and Esther Goodson are living positively with HIV. They are counselors for family planning and HIV & AIDS at Salima District Hospital in Malawi, where they openly tell their clients that they are HIV-positive. “When we are open with them about our status,” says Afiki, “people say, ‘Come closer, we want to learn from you.’” Goodson adds: “They say, ‘What should I do to look as good as you?’” The counselors tell them to visit a doctor and join a support group. This is an approach that saves lives.
Earlier this year, USAID supported the launch of the Leading High-Performing Healthcare Organizations program (LeHHO) for senior health leaders in Kenya. Offered at Nairobi’s Strathmore Business School, the program is the result of a successful partnership between Strathmore and USAID’s Leadership, Management and Sustainability (LMS) project in Kenya.
Blog post updated Dec. 27, 2011. In 2003, after dwindling funds, low staff morale, and accusations of patient neglect had eroded community confidence in Kiriaini Mission Hospital in Kenya, the Catholic Diocese of Murang’a decided to shut it down -- leaving locals to seek treatment at the distant provincial capital of Nyeri.Six months later five Franciscan nuns arrived from India to reopen the hospital. They hired new staff, renovated the dilapidated structures, and restored much needed services to the rural community.
In the kidney dialysis unit of Kom Ombo District Hospital in Upper Egypt, dedicated nurses prepare for the monthly treatment of a regular patient. They have assured the proper functioning of medical equipment, stocked the dialysis room with necessary supplies, and prepared staff for the dialysis process. However, the patient is missing.Meanwhile, the patient---a young man named Kasim---stands alone outside the hospital entrance. Kasim has impaired mobility resulting from an amputated leg and relies on a prosthetic limb or the help of relatives to accomplish daily activities.
Monday at the International AIDS Society conference in Rome, an expanded session featured information on the HPTN 052 study, the Partners PrEP Study, and the Centers for Disease Control’s TDF2 study presented in a joint session titled Treatment Is Prevention: The Proof Is Here, on Monday.
Over the next couple of months, as MSH celebrates it's 40th anniversary, reporter John Donnelly and photographer Dominic Chavez will be traveling to several countries to report on MSH’s work in the field. The stories will go into a book due out in the fall on MSH’s 40 years in global health. This blog entry is a post from the road, to give a flavor of their experiences with MSH staff.(Part 1 of this story: Introducing Triage in Hospitals, and a Baby in a Coma) SALIMA, Malawi – A child enters a hospital in a coma. Health workers resuscitate him. The child regains his health.
The theme of this year’s Global Health Council annual conference was Securing a Healthier Future in a Changing World. As populations are shifting, so are their health priorities. Increasing urbanization has led to more people living in and around cities, creating a series of problems that are new to public health professionals. Nutritional challenges, the need for improved water and sanitation infrastructure, and addressing the issue of unregulated health care providers are all problems facing governments, ministries, NGOs, donors, and populations.
Kenya’s new constitution, promulgated on August 4, 2010, mandates significant transformations in the health sector. Hospital reforms are a key part of these transformations. For MSH’s Leadership, Management and Sustainability Program in Kenya (LMS/Kenya), the opportunity to work closely with health sector partners, including the Ministry of Medical Services, to support the hospital reform agenda is an exciting and rewarding experience.On Monday, June 6, the Permanent Secretary of Kenya’s Ministry of Medical Services, Ms.
It’s common sense that a mother who is on treatment for AIDS, pregnant, has a sick child, and is accompanying a sister debilitated by Tuberculosis should not have to visit four separate service delivery points to receive care. Integrated health services not only make the world a healthier place, but also decrease the burden on health systems.Integration is a comprehensive approach to service delivery. It is the transition from a vertical or horizontal approach to a diagonal, synergistic approach at all levels of a health system.
This is a guest post from Olive Mtema, Policy Advisor, from the Community Based Family Planning and HIV & AIDS Services project in Malawi. Olive is an employee of the Futures Group. On March 12, 2011, Muslim Leaders gathered in Lilongwe, Malawi for a conference on Reaffirming Muslims' Positions on Family Planning and HIV & AIDS Issues.
Last week, the United Nations Commission on Population and Development (CPD) met in their 44th session to negotiate next steps on a resolution for fertility, reproductive health, and development. The Commission helps inform the United Nations (UN) on their global efforts and provides crucial recommendations to form UN Resolutions.MSH, with over 80 partners and advocacy organizations, sent an open letter to the delegates of the 44th session.
In March 2011, the CSIS Global Health Policy Center asked bloggers around the world: What should the key priority of the upcoming UN High Level Meeting on Non-Communicable Diseases be and why? We had a number of great submissions. Dr. Jonathan D. Quick was one of our four finalists. Read his entry below and look out in the days and weeks ahead for other finalist's blogs and another blog contest on NCDs. This was originally posted on smartglobalhealth.org.The most common NCDs are diabetes, heart disease, cancers, and chronic lung diseases.
Strong leadership, governance, and management are the cornerstones of successful global, national, and local efforts to save lives and achieve the maximum impact from health investments. Yet effective leadership, management, and governance skills and practices too often are the vital missing elements in public, civil society and even private health organizations. Fortunately, these skills can be developed.
(This blog post was originally posted on Global Health Council's Global Health Magazine blog.)How do we set a gold standard for monitoring and evaluating capacity building?Last week I attended the inaugural HIV Capacity Building Partners Summit in Nairobi from March 16-18, 2011.
News from the HIV Capacity Building Partners Summit in Nairobi, KenyaOn the second day of the first ever Regional HIV Capacity Building Partners Summit in Nairobi, Kenya, one of the key issues that continued to dominate the conversations in various sessions was sustainability.Many speakers noted that despite a mild increase in organizational capacity building efforts by donors, governments, and nongovernmental organizations in the Eastern and Southern Africa region, the documentation and dissemination of these efforts and their effects on HIV & AIDS programs and other health programs and s
Terekeka, a growing county and town just 60 miles north of Juba, translates as “The Forgotten” in the local dialect. Just five years ago, this area was awash in violence, poised close to the frontlines of a civil war which resulted in the death and displacement of millions. Villagers and returnees began repopulating the area after the signing of the Comprehensive Peace Agreement in 2005, which heavily increased demand for health services.
For 40 years, MSH has promoted equal access to health care for women by strengthening health systems and building the capacity of women as leaders and managers, technical experts, clinicians, and community health workers. Management Sciences for Health celebrates International Women's Day, March 8, 2011. Meet the women who inspire us.
Simi Grewal is the Program Coordinator for Health Systems Strengthening and Results Management at MSH. She worked as a fellow in Egypt from January 16-February 5.Although it has been more than three weeks since my return from Egypt, I am still reflecting on how I saw conflict in the community foster change at various levels. At 4 am on February 2, 2011 I sat in my hotel room in Aswan, Egypt watching a live feed of Tahrir Square in Cairo as shots cracked in the dark night. The sound of gunfire is unmistakable and its meaning inevitably ominous.
Introductionby Joan Bragar Mansour, ED.D, leadership development specialist at MSH.Dr. Morsi Mansour is an Egyptian surgeon and Leadership Development Specialist for MSH who teaches leadership to health professionals and develops leadership facilitators around the world. He was in Tahrir Square for two weeks during the uprising in Egypt and shares his experience below.In Egypt, there has been a Leadership Development Program since 2002.
Part six of the blog series: Spotlight on Global Health Initiative Plus Countries Amid grave health statistics, the Global Health Initiative (GHI) brings hope of a healthier future in Mali.Mali is one of the ten poorest countries in the world, ranking 173 out of 175 countries on the 2007 Human Development index of the United Nations Development Program (UNDP).
Prior to January 12, 2010, Management Sciences for Health’s Leadership, Management and Sustainability Program was working with Haiti’s Ministry of Public Health and Population to build capacity in several areas: family planning and reproductive health; commodity management and security; coordinating HIV & AIDS awareness and community mobilization activities; and leadership development.
Bangladesh, which is situated in a resource poor setting with a population of over 150 million, faces the major health challenge of a high maternal mortality rate. In the 1970s, the maternal mortality rate was 700 deaths per 100,000, and now it is still at 320 per 100,000. Although Bangladesh has made progress in reducing its infant mortality, much progress needs to be made to reach the Millennium Development Goals for maternal mortality. Bangladesh will need more than five years to achieve the goals.
There have been a collection of high-profile and well attended mobile health (mHealth) “summits” held around the world in the past few years, including last month’s second annual mHealth Summit in Washington, D.C. (headlined by Bill Gates and Ted Turner), but the really interesting conversations are happening on the African continent.
Over 33 million people are currently living with HIV & AIDS throughout the world. Despite great strides in slowing the epidemic, there remains a stunning gap in prevention, care, and treatment efforts. This is especially true for most-at-risk-populations, which include commercial sex workers (CSWs) and their clients, injecting drug users (IDUs), men who have sex with men (MSM), and prisoners.
Danielle Brown is the Program Coordinator of the Leadership, Management and Sustainability (LMS) project in Haiti. She worked with our teams in Haiti from October 24 – November 14. It’s two days after Tropical Storm Tomas hit Haiti and our caravan of Leadership, Management and Sustainability (LMS) Project/Haiti Landcruisers filled with MSH employees hits its first challenge on the seven-hour stretch of road from Port-au-Prince to the North West region of the country---a wide river to cross.
Blog post also appeared on Global Health Magazine. As the country with the second highest maternal mortality rate in the world, outranked only by India, Nigeria loses one in every 18 women during child-birth.
The Santé pour le Développement et la Stabilité d’Haíïti (SDSH) project Chief of Party, Agma Prins, and Dr. Serge Conille are in the Artibonite department to support the MSH response to the cholera outbreak. They continue to coordinate with the Ministry of Health and other international and local partners. MSH is working with Pure Water for the World to educate communities about hygiene and provide access to clean water through bio-sand filters.Additionally, MSH Sr. Technical Advisor, Dr.
Blog post originally appeared on Global Health Magazine. Six years ago the Malawi health system was on the verge of collapse due to severe shortages of health workers. Every year the College of Medicine would train 20 doctors and every year, half of them would leave the country. Nurses were overwhelmed by the demand for services.Ratios of doctor and nurses to population were the lowest of all countries in Southern Africa. HIV & AIDS was on the rise and without more health staff, the roll-out of antiretroviral therapy (ART) would remain just a dream.
Pick up any American newspaper these days, and all of the stories coming out of Haiti are negative: earthquake relief work is going slow, displaced people are still living in tented camps, men and women are still struggling to find work. And while these facts can’t be disputed, there are many other stories that are being left untold. Working in Haiti earlier this month, I encountered six women who are on the front lines of the battle against Haiti’s HIV & AIDS epidemic, who shared their stories with me.In the bustling, dense Delmas section of Port au Prince, these w
Originally appeared in GLOBAL HEALTH magazine.Men who have sex with men (MSM) bear a disproportionate share of the HIV/AIDS burden in Eastern Europe and Central Asia, but data on and services for this population are woefully inadequate. With a better understanding of this marginalized community's needs, donors and implementers can help support effective policies and programs for MSM infected and affected by HIV.In Eastern Europe and Central Asia, as in many parts of the world, the HIV epidemic among MSM is underreported and under”acknowledged.
On June 17, 2010, I was honored to attend and speak at a ceremony where Management Sciences for Health officially handed over 35 tons of life saving essential drugs to the Republic of Congo (DRC) in Kinshasa. The ceremony was chaired by Dr. Victor Makwenge Kaput, the DRC’s Minister of Health. These drugs represent the first half of an initial order of pharmaceuticals and medical supplies worth more than $ 1.5 million, and were made available through funding from USAID/DRC.
The Group of Eight (G-8), holding their annual summit last weekend in Muskoka,Canada, announced a Canadian-led Muskoka Initiative on Maternal, Newborn and Under-Five Child Health (Muskoka Initiative). The Group of 20 (G-20) summit held immediately after in Toronto, resulted in no additional commitments to maternal and child health. MSH believes the G-20 missed an opportunity to support global health when the group did not endorse the G-8’s maternal and child health initiative announced the day before.
Next month in Vienna, Austria, thousands of activists, community workers, donors, health leaders, and government officials will gather for the VVIII International AIDS Conference. This year’s theme is Rights here, right now: a mandate on the importance of health as a human right for all. While it is easy to talk about health as a human right, it is much more difficult to deliver to diverse communities in some of the poorest countries around the world. Last year when President Obama announced his Global Health Initiative (GHI), he spoke about meeting the health needs of t
“Songs brought by foreigners do not last long at the dance.” So goes a Kenyan proverb that supports the concept that countries should own their development. The development community knows this, but we aren’t yet making it happen on a broad scale.
Just over five months ago, Haiti suffered a devastating earthquake that displaced more than 700,000 people. Addressing the health needs of such a large population in a post-disaster situation is a complex challenge, one Management Sciences for Health (MSH) is supporting through its many programs including our Leadership, Management and Sustainability Program (LMS).
Last week at the Women Deliver Conference in Washington, DC, Melinda Gates announced that the Gates Foundation is committing $1.5 Billion in new grant money for maternal health. “Women and children have moved up on the global agenda, and I’m here to tell you that’s where they are going to stay,” said Gates.In most developing countries, women and girls are the poorest and most vulnerable parts of the population because of entrenched inequalities.