The key to solving some of West Africa's most pressing health crises is experienced and responsive technical assistance that national health programs can rely upon. In the past the majority of this assistance has come from the developed world. With the growth of technically competent regional health organizations, technical assistance is now located nearer to areas that need it. However, many organizations that offer top-flight technical experience lack the administrative, financial and planning skills to make their organizations sustainable and responsive to their clients.

Promoting HIV prevention and reproductive healthAlthough HIV prevalence is declining in sub-Saharan Africa, recent estimates show that 13.7 percent of South African youth under age 20 are HIV positive. In the fight to contain this public health crisis, a critical challenge emerges: what is an effective way to reach the country's young people with relevant and appropriate information on HIV & AIDS and other reproductive health issues?The Integrated Primary Health Care (IPHC) Project initiated an innovative peer mentoring program that promises positive impact and sustainability.

The corridor floors of Salima District Hospital glisten in the afternoon sun and fresh air blows through sparkling clean windows—indications of the hospital's ranking as one of the cleanest in Malawi. Local newspaper clippings hang on message boards praising the hospital's new standards of cleanliness. One headline reads, “Salima District Hospital, Clean at Last!” Today's accolades are a reminder of the hospital's progress.