Leadership, Management & Governance: Our Impact

Leadership Development Program Plus (LDP+) leads to dramatic rise in antenatal care visits “I was both aware of the challenges that existed and frustrated at not being able to meet them,” said Charlotte Abroman, midwife at the Kongoti Center for Rural Health, discussing low antenatal clinic visit rates. In Côte d’Ivoire as a whole, 70 percent of pregnant women attend all four ANC visits, but in Abroman’s area of Kongoti, only 11 percent made all the visits. In the health district of Daoukro, which includes Kongoti and other towns, the rate was 24 percent.

Dr. Ihsanullah Shahir, Director General of Human Resources within Afghanistan’s Ministry of Public Health, began work as a young doctor in mountainous Bamyan province during what he calls “an emergency situation during the war.” In 2004, Shahir became the Provincial Health Director in Bamyan Province. I had limited knowledge, but I got help from colleagues. We established everything from zero. Shahir and his colleagues worked to ensure coverage of the Basic Package of Health Services.

For many communities in Peru, the cultivation of illegal coca for drug trafficking, far from bringing prosperity, has only brought them fear and instability, an eroding community, and caused serious health problems primarily affecting women and children. This dark landscape is now changing for 41 rural communities in the Huanuco and Ucayali regions, who, in 2012 signed an agreement with the Peruvian government to stop growing coca.

There is no way we can achieve the presidential mandate of 30 percent health coverage by 2015 without tapping into Nigeria’s informal sector. Community-Based Health Insurance (CBHI) is therefore a veritable tool to ensure wider coverage, increased ownership, and an entrenched culture of health insurance among the Nigerian public.