Stories

Provincial Planning Coordinating Committees meet monthly to monitor health conditions and review performance throughout the province. {Photo by Steve Sapirie 2004.}Photo by Steve Sapirie 2004.

War and conflict over the past 25 years have had dire consequences for the health of the Afghan people, particularly women and children. The health system was decimated, hospitals and health clinics were destroyed, and many trained health personnel fled the country, all contributing to some of highest infant and maternal mortality rates in the world.

In need of health care and medicines, many rural Tanzanians have to trek long distances to their nearest public health facility. Once there, they often find the medicines they need are out of stock, generally having to turn to private drug outlets, or duka la dawa baridi, to buy their prescribed medicines—and often paying more money for drugs of uncertain quality. This is the plight of many in Tanzania, where life expectancy had fallen to 44 years in 2001, from 50 years in 1990 (World Bank 2003), and infant mortality is 107 deaths per 1,000 and rising.

The Virtual Leadership Development Program (VLDP) works to help strengthen health managers and their teams to address real organizational challenges. One such organization is Kenerela, a network of religious leaders with HIV working throughout Kenya to increase HIV/AIDS awareness and address stigma, denial, and discrimination issues."My mother, stop lying to me.

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