Leadership, Management & Governance: Our Impact

 {Photo credit: Samy Rakotoniaina/MSH}A mother and her child sit under their bednet in Vohipeno, Madagascar.Photo credit: Samy Rakotoniaina/MSH

While progress against malaria in the last 20 years has been significant, many people continue to suffer and die from this preventable and treatable disease. Malaria is among the leading causes of child mortality in Africa. In 2018, nearly 900,000 children in 38 African countries were born with a low birth weight due to malaria in pregnancy, and children under five still accounted for two-thirds of all malaria deaths worldwide.

Read this blog on the CSEM websiteAuthors: Justin Koonin, Dheepa Rajan, Eliana Monteforte, Marjolaine NicodIn September 2019, at the UN High-Level Meeting on Universal Health Coverage, world leaders endorsed the most ambitious and comprehensive political declaration on health in history.This Declaration included a commitment to “engage all relevant stakeholders, including civil society, the private sector and academia, as appropriate, through the establishment of participatory and transparent multi-stakeholder platforms and partnerships”[1].The test of that commitment has

 {Photo credit: MSH staff}The Koboko District Rapid Response team and partners discuss medicines and medical supplies to order through the eELMISPhoto credit: MSH staff

Read the original story on the USAID websiteIdentifying opportunities to improve global health requires innovation and creative thinking.  In developing countries such as Uganda, the COVID-19 pandemic is impacting an already-strained health system. Access to primary health care remains difficult for many people, and quality of care is inconsistent, with limited drugs, supplies, and human resources.

Members of the KJK team (from left to right: Mariame Sene Diallo, Hawa Coulibaly Kone, Hammouda Bellamine, Aicha Diarra and Justine Dembele)

Led by Johns Hopkins University’s Center for Communication Programs and in partnership with Management Sciences for Health, the Palladium Group, and a number of local implementing partners in Mali, the USAID-funded Keneya Jemu Kan (KJK) project (communication and health prevention) aims to promote key healthy behaviors and increase the demand for and use of high-impact health services and commodities.

 {Photo credit: David J. Olson}Madame Togo Kadiatou Mallé, president of Muso Yiriwa Ton.Photo credit: David J. Olson

by David OlsonThis story was originally published by K4Health The first five times the sales manager of Keneya Jemu Kan came looking for Madame Togo Kadiatou Mallé to talk about her women’s association selling condoms and other health products, she ran away and hid, so terrified was she of the prospect of having to work with condoms.But the sales manager’s persistence paid off. Eventually, they talked, and Madame Togo has become such an enthusiastic condom promoter, she is known as Mama Condom.

 {Photo credit: MSH Rwanda}Left to right: Lisa Godwin, USAID Rwanda Health Office Director, Dr. Diane Gashumba, Rwanda's Minister of Health, Alain Joyal, RHSS Project Director, Management Sciences for Health.Photo credit: MSH Rwanda

Over the past five years, the United States Agency for International Development (USAID) has invested in measures to strengthen and sustain Rwanda’s health sector through its Rwanda Health Systems Strengthening (RHSS) Project (2014-2019). In a ceremony at the Kigali Serena Hotel, USAID, the Ministry of Health (MoH), as well as the implementing partner, Management Sciences for Health (MSH), marked the culmination and remarkable achievements of the five-year effort to strengthen the country’s health sector.

{Photo credit: Todd Shapera}Photo credit: Todd Shapera

Cesarean section (C-section) delivery, which is usually initiated when complications arise during pregnancy or delivery, is one of the most frequent surgeries performed at health facilities worldwide.

{Photo credit: Todd Shapera}Photo credit: Todd Shapera

When Ruhengeri Hospital in northern Rwanda upgraded from a district to a referral hospital in 2014, it began receiving cases from 15 health centers in its own district and five hospitals in surrounding districts. In 2015 alone, the hospital had nearly 6,000 monthly outpatient visits—about 25% above previous levels and among the highest in the country. While these numbers indicate how important the status upgrade was in relation to local health needs, the facility struggled to consistently meet those needs.

{Photo Credit: Irene Nambi, MSH}Photo Credit: Irene Nambi, MSH

Linda* arrived at Kibagabaga Hospital exhausted and desperate. Referred by a smaller health center, she had already been in labor for more than 24 hours. A midwife admitted Linda and put her on an IV. There, she waited for several hours until an obstetrician examined her. Realizing that the baby had an accelerated heartbeat, which is a sign of distress, the doctor ordered a Cesarean section (C-section). When the baby emerged, he was not responsive. Hospital staff worked to help him breathe and eventually, he let out a wail.

 {Photo credit: Irene Nambi, MSH}Beatrice Uzamukunda visits with a nurse in Rwamagana Hospital.Photo credit: Irene Nambi, MSH

By Irene Nambi On an early morning at Rwamagana Hospital in Rwanda’s Eastern Province, patients began to fill the busy outpatient department. As health workers started receiving patients, Beatrice Uzamukunda rushed in with her daughter, Esther. “My baby was very ill with a very high temperature. I was so worried that I had almost lost hope as we approached the facility,” says Beatrice.

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