Women's, Children's, and Adolescents' Health: Our Impact

{Photo credit: Rejoice Phiri/MSH} Photo credit: Rejoice Phiri/MSH

On April 2, 2020, Malawi’s President Peter Mutharika confirmed the country's first cases of COVID-19.

{Photo credit: MSH Staff}Photo credit: MSH Staff

Access to effective antenatal care (ANC) was already a challenge for indigenous women and adolescents in the Western Highlands of Guatemala, even before the COVID-19 pandemic. The Quetzaltenango department in particular has high poverty and fertility rates, and substandard access to health services. In 2019, MSH began working to strengthen antenatal care (ANC) in Quetzaltenango using a group care model to improve women’s experience of pregnancy and improving birth outcomes.

Women wait to receive services outside a health center in Tanzania. Photo Credit: Brooke Huskey/MSH

In January 2020, the Tanzania Ministry of Health, Community Development, Gender, Elderly, and Children (MoHCDGEC), in collaboration with the World Health Organization and the Technical Support Services Project (TSSP), identified the need for a national health cross-cutting dashboard that would allow for more efficient reporting from the District Health Information Software 2 (DHIS-2), which is the national health information data repository. We spoke with Isaelly Nagunwa, Strategic Information Advisor, Management Sciences for Health (MSH) TSSP, and Claud John Kumalija, MoHCDGEC Head

 {Barnabé Tchoudji/ Activité de Services de Santé Intégrés de l'USAID} Remise des documents officiels relatifs à la réception de l’ambulance médicalisée dans le Plateau. De gauche vers la droite : Le Chef de Service des Affaires Administratives et Economiques, M. Bernard Fagbohoun ; le Directeur Départemental de la Santé, Dr. Hypocrate Fatembo ; le Chargé de l’Administration et des Ressources, M. Télesphore Adomou ; M. Rafiou Aya ; le Directeur de l’hôpital de zone de Pobè, M. Bakary Abdoul Karibou.Barnabé Tchoudji/ Activité de Services de Santé Intégrés de l'USAID

Lorsqu’une femme enceinte a une urgence médicale, quelques minutes de retard peuvent avoir des conséquences dramatiques. Cependant, avec peu d’ambulances publiques dans certains endroits du Bénin, les familles doivent souvent passer ces précieuses minutes à trouver un moyen de transport vers l’hôpital.Dans le département du Plateau, les patients se trouvent en difficulté depuis 2018, date à laquelle la dernière ambulance publique est devenue hors d’usage. De plus, les structures sanitaires privées facturent le transport avec un coût allant jusqu’à 25 000 Francs CFA (environ 46 USD), une somme importante pour beaucoup. D’autre part, les chauffeurs privés sont souvent réticents à effectuer les références à cause de l’état des pistes. Par conséquent, cette situation force les personnes à choisir entre débourser beaucoup d’argent ou prendre les transports en commun.

{Photo credit: Barnabé Tchoudji/USAID Integrated Health Services Activity}Official transfer of documents during the reception of the ambulance in Plateau. Left to right: The Chef de Service des Affaires Administratives et Economiques, Bernard Fagbohoun, the Directeur Départemental de la Santé, Dr. Hypocrate Fatembo, the Chargé de l’Administration et des Ressources, Télesphore Adomou, Rafiou Aya, and the Director of the Hospital of the zone of Pobè, Bakary Abdoul Karibou.Photo credit: Barnabé Tchoudji/USAID Integrated Health Services Activity

Pour lire cette histoire en français, veuillez cliquer ici.When an expectant mother has a medical emergency, a few minutes’ delay can be deadly. But with few public ambulances in parts of Benin, families often spend those precious minutes securing transportation to the hospital.In the Plateau department, patients have struggled with emergency transportation since 2018, when the last public ambulance broke down. Private health facilities charge up to 25,000 CFA (about $46) for an ambulance, a significant cost for many people.

 {Photo credit: Dr. Stanley Ugah}Mrs. Folake Ajayi takes her IPTp while being observed by health care workers during ANC at PHC Oniyanrin.Photo credit: Dr. Stanley Ugah

Malaria is common among pregnant women in Oyo State, Nigeria, which increases the risk of maternal anemia, low birth weight, premature delivery, stillbirth, and death of infants. Although intermittent preventive treatment of malaria in pregnancy (IPTp) helps prevent these adverse effects for pregnant women and their unborn children, its uptake in the state is poor. Indeed, IPTp uptake across health facilities in Oyo State was less than 50% from April 2019 to February 2020, when the U.S President’s Malaria Initiative for States (PMI-S) project started supporting the state.

{Crédit photo: Samy Rakotoniaina/MSH}Un staff du PNLP participe à la session d’orientation LDP+ avec l’équipe d’ACCESS (Septembre 2019)Crédit photo: Samy Rakotoniaina/MSH

Lire cette histoire en anglais Un Leadership, un Management, et une Gouvernance (LMG) solides sont nécessaires à tous les niveaux du système de santé pour assurer la mise en œuvre efficace de prestations de services accessibles, abordables et de haute qualité dans tout le continuum de soins.

 {Photo credit: Samy Rakotoniaina/MSH}NMCP staff in the LDP+ orientation session with the ACCESS team (September 2019)Photo credit: Samy Rakotoniaina/MSH

Read this story in FrenchStrong leadership, management, and governance (LMG) is necessary at every level of the health system to ensure the effective implementation of accessible, affordable, and high quality service provision across the continuum of care. LMG includes overseeing functions such as human resources management, supply chain and equipment management, quality assurance (both clinical and non-clinical components of quality), referral systems, community engagement, data collection and use, and target setting, among others.

Do you have a bold idea on how to help the people of Uganda have more access to affordable, quality, essential, medicines and health supplies? If so, submit your idea(s) to Uganda’s first-ever Health Supply Chain Solutions Challenge, hosted by the newly launched Supply Chain Innovation Lab. Winners will work with our team of experts in Uganda’s supply chain innovation community to turn your idea into action. 

 {Crédit photo : Abdougafarou Mamam, Médecin Chef}Le personnel de la maternité de Cobly en train de sensibiliser les femmes enceintes sur les signes de danger lors de la grossesse.Crédit photo : Abdougafarou Mamam, Médecin Chef

Lire cette histoire en anglais Le Bénin est un pays avec une disponibilité de services de santé maternelle, néonatale, et infantile très hétérogène. Le Service Availability and Readiness Assessment de 2018 indique ainsi que le pourcentage d’établissements offrant des services, comme la planification familiale ou les soins préventifs pour les enfants, se situe au-dessus de 70%.

Pages