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The Magnitude and Trend of Artemether-Lumefantrine Stock-Outs at Public Health Facilities in Kenya [1]

Despite lower levels of artemether-lumefantrine (AL) stock-outs compared to the reports in 2008, the stock-outs at Kenyan facilities during 2010-2011 are still substantial and of particular worry for the most detrimental: simultaneous absence of any AL pack. Only minor decrease was observed in the stock-outs of individual AL packs. Recently launched interventions to eliminate AL stock-outs in Kenya are fully justified.

Pilot Assessment of Supply Chains for Pharmaceuticals and Medical Commodities for Malaria, Tuberculosis and HIV Infection in Ethiopia [2]

Of 48 surveyed hospitals and health centers in Ethiopia, 9 (19%), 9 (19%), and 10 (21%) did not have malaria, TB, or HIV drugs, respectively. Similarly, of 27 health posts, 9 (33%) and 6 (22%) did not have rapid diagnostic tests and antimalarial drugs, respectively. The findings indicated an inadequate availability of essential drugs and commodities in the surveyed facilities as well as weaknesses in human resources and training.

Human Resource Leadership: The Key to Improved Results in Health [3]

This article is the lead article in the Human Resources for Health journal's first quarterly feature. The series of seven articles was contributed by Management Sciences for Health (MSH) under the theme of leadership and management in public health. The journal invited Dr. Manuel M. Dayrit, Director of the WHO Department of Human Resources for Health and former Minister of Health for the Philippines, to launch the feature with an opening editorial in the journal's blog. This opening article describes the human resource challenges that managers around the world report and analyses why solutions often fail to be implemented. The case studies in this issue were chosen to illustrate results from using the Leadership Development Program (LDP) at different levels of the health sector. The LDP makes a profound difference in health managers' attitudes towards their work. Rather than feeling defeated by a workplace climate that lacks motivation, hope, and commitment to change, people report that they are mobilized to take action to change the status quo. The lesson is that without this capacity at all levels, global policy and national HR strategies will fail to make a difference.

A Strategy to Improve Skills in Pharmaceutical Supply Management in East Africa: The Regional Technical Resource Collaboration for Pharmaceutical Management [4]

Background: International initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, the President's Emergency Plan for AIDS Relief and the President's Malaria Initiative have significantly increased availability and access to medicines in some parts of the developing world. Despite this, however, skills remain limited on quantifying needs for medications and order

The Role of Leadership in HRH Development in Challenging Public Health Settings [5]

As part of the special feature on leadership and human resources, Management Sciences for Health profiles three leaders who have made a significance difference in the HR situation in their countries.

The Health Worker Recruitment and Deployment Process in Kenya: An Emergency Hiring Program [6]

Despite a pool of unemployed health staff available in Kenya, staffing levels at most facilities were only 50%, and maldistribution of staff left many people without access to antiretroviral therapy (ART).

Empowering Primary Care Workers to Improve Health Services: Results from Mozambique's Leadership and Management Development Program [7]

This article is the third article in the Human Resources for Health journal's feature on the theme of leadership and management in public health. The third article presents a successful application in Mozambique of a leadership development program created by Management Sciences for Health (MSH).

Improving Retention and Performance in Civil Society in Uganda [8]

This article is the second article in the Human Resources for Health journal's first quarterly feature. This article describes the experience of the Family Life Education Programme (FLEP), a reproductive health program that provides community-based health services through 40 clinics in five districts of Uganda, in improving retention and performance by using the Management Sciences for Health (MSH) Human Resource Management Rapid Assessment Tool.

Improving Quality of Reproductive Health Care in Senegal through Formative Supervision: Results from Four Districts [9]

Background: In Senegal, traditional supervision often focuses more on collection of service statistics than on evaluation of service quality. This approach yields limited information on quality of care and does little to improve providers' competence. In response to this challenge, Management Sciences for Health (MSH) has implemented a program of formative supervision.

Community Health Workers for ART in Sub-Saharan Africa: Learning from Experience – Capitalizing on New Opportunities [10]

Low-income countries with high HIV/AIDS burdens in sub-Saharan Africa must deal with severe shortages of qualified human resources for health. This situation has triggered the renewed interest in community health workers, as they may play an important role in scaling-up antiretroviral treatment for HIV/AIDS by taking over a number of tasks from the professional health workers.

Existing Capacity to Manage Pharmaceuticals and Related Commodities in East Africa: An Assessment with Specific Reference to Antiretroviral Therapy [11]

Background: East African countries have in the recent past experienced a tremendous increase in the volume of antiretroviral drugs. Capacity to manage these medicines in the region remains limited.

Impact of Performance-Based Financing on Primary Health Care Services in Haiti [12]

To strengthen Haiti’s primary health care (PHC) system, the country first piloted performance-based financing (PBF) in 1999 and subsequently expanded the approach to most internationally funded non-government organizations. PBF complements support (training and technical assistance).

Cost-Effectiveness Analysis of Option B+ for HIV Prevention and Treatment of Mothers and Children in Malawi [13]

Background: The Ministry of Health in Malawi is implementing a pragmatic and innovative approach for the management of all HIV-infected pregnant women, termed Option B+, which consists of providing life-long antiretroviral treatment, regardless of their CD4 count or clinical stage. Our objective was to determine if Option B+ represents a cost-effective option.

Impact of an Innovative Approach to Prevent Mother-to-Child Transmission of HIV — Malawi, July 2011–September 2012 [14]

In 2011, the Malawi Ministry of Health (MOH) implemented an innovative approach (called "Option B+"), in which all HIV-infected pregnant and breastfeeding women are eligible for lifelong antiretroviral therapy (ART) regardless of CD4 count. Since that time, several countries have adopted the Option B+ policy. Using data collected through routine program supervision, this report is the first to summarize Malawi's experience implementing Option B+ under the direction of the MOH and supported by the Office of the Global AIDS Coordinator through the President's Emergency Plan for AIDS Relief (PEPFAR). In Malawi, the number of pregnant and breastfeeding women started on ART per quarter increased by 748%, from 1,257 in the second quarter of 2011 (before Option B+ implementation) to 10,663 in the third quarter of 2012 (1 year after implementation). Of the 2,949 women who started ART under Option B+ in the third quarter of 2011 and did not transfer care, 2,267 (77%) continue to receive ART at 12 months; this retention rate is similar to the rate for all adults in the national program. Option B+ is an important innovation that could accelerate progress in Malawi and other countries toward the goal of eliminating mother-to-child transmission of HIV worldwide.

Free Tuberculosis Diagnosis and Treatment Are Not Enough: Patient Cost Evidence from Three Continents [15]

Setting: The National Tuberculosis Programs of Ghana, Viet Nam and the Dominican Republic. Objective: To assess the direct and indirect costs of tuberculosis (TB) diagnosis and treatment for patients and households.

Closing the Access Barrier for Effective Anti-Malarials in the Private Sector in Rural Uganda: Consortium for ACT Private Sector Subsidy (CAPSS) Pilot Study [16]

Background: Artemisinin-based combination therapy (ACT), the treatment of choice for uncomplicated falciparum malaria, is unaffordable and generally inaccessible in the private sector, the first port of call for most malaria treatment across rural Africa.

IRS Form 990 - Management Sciences for Health 2011 [17]

Return of Organization Exempt from Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code  

Statement of Revenues, Program Expenses, and Changes in Fund Balance, Fiscal Year 2012 [18]

Year Ended June 30, 2012, drawn from audited financial statements.

STAR-E-LQAS [19]

Lot Quality Assurance Sampling (LQAS) is a component of Strengthening TB and HIV & AIDS Responses in Eastern Uganda (STAR-E), USAID project funded by the President's Emergency Plan for AIDS Relief (PEPFAR).

mHealth Compendium, Volume One [20]

The first edition of the mHealth Compendium, published in November 2012, contains 35 case studies which document a range of mHealth applications. Developed to assist USAID missions access relevant mHealth information, this compendium offers project descriptions, publication references, and contact information for making further inquiries.

HIV Testing for Children in Resource-Limited Settings: What Are We Waiting For? [21]

Summary Points Expansion of prevention of mother-to-child transmission in resource-limited settings remains a challenge. In many countries, most HIV-exposed infants do not benefit from PMTCT programs, which results in a 30% or more transmission rate.

Is Option B+ the Best Choice? [22]

Letter to the editor  Anna Coutsoudis and colleagues worry that international organisations have too hastily endorsed a strategy to provide lifelong triple antiretroviral therapy (ART), irrespective of CD4 count, to pregnant women with HIV in high-burden countries. This strategy for preventing mother-to-child transmission is called Option B+.

Mystery Shopping in Community Drug Shops: Research as Development in Rural Tanzania [23]

BackgroundThroughout Africa, the private sector plays an important role in malaria treatment complementing formal health services. However this sector is faced by a number of challenges including poor dispensing practices by unqualified staff.

Strengthening the Appointment and Tracking Systems for Patients on Antiretroviral Therapy in Tanzania: A Strategy to Optimize Adherence to ART [24]

Rationale, aims, and objectives: For a successful patient outcome, a high level of adherence to antiretroviral therapy (ART) is needed. A 2008 report in Tanzania indicated poor clinic attendance and a high lost to follow-up rate as major threats to optimal ART program effectiveness.

Enhancing the Role of Pharmacists in Public Health in Developing Countries [25]

In developing countries, particularly in Africa, the provision of health services leans heavily towards today’s epidemics, including HIV and AIDS, malaria, tuberculosis and other infectious diseases. This calls for different approaches to the implementation of interventions from a public health perspective.

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Source URL: https://www.msh.org/resources/msh-corporate-brochure?page=10

Links
[1] https://www.msh.org/resources/the-magnitude-and-trend-of-artemether-lumefantrine-stock-outs-at-public-health-facilities?page=10
[2] https://www.msh.org/resources/pilot-assessment-of-supply-chains-for-pharmaceuticals-and-medical-commodities-for-malaria?page=10
[3] https://www.msh.org/resources/human-resource-leadership-the-key-to-improved-results-in-health?page=10
[4] https://www.msh.org/resources/a-strategy-to-improve-skills-in-pharmaceutical-supply-management-in-east-africa-the?page=10
[5] https://www.msh.org/resources/the-role-of-leadership-in-hrh-development-in-challenging-public-health-settings?page=10
[6] https://www.msh.org/resources/the-health-worker-recruitment-and-deployment-process-in-kenya-an-emergency-hiring-program?page=10
[7] https://www.msh.org/resources/empowering-primary-care-workers-to-improve-health-services-results-from-mozambiques?page=10
[8] https://www.msh.org/resources/improving-retention-and-performance-in-civil-society-in-uganda?page=10
[9] https://www.msh.org/resources/improving-quality-of-reproductive-health-care-in-senegal-through-formative-supervision?page=10
[10] https://www.msh.org/resources/community-health-workers-for-art-in-sub-saharan-africa-learning-from-experience-%E2%80%93?page=10
[11] https://www.msh.org/resources/existing-capacity-to-manage-pharmaceuticals-and-related-commodities-in-east-africa-an?page=10
[12] https://www.msh.org/resources/impact-of-performance-based-financing-on-primary-health-care-services-in-haiti?page=10
[13] https://www.msh.org/resources/cost-effectiveness-analysis-of-option-b-for-hiv-prevention-and-treatment-of-mothers-and?page=10
[14] https://www.msh.org/resources/impact-of-an-innovative-approach-to-prevent-mother-to-child-transmission-of-hiv-%E2%80%94-malawi?page=10
[15] https://www.msh.org/resources/free-tuberculosis-diagnosis-and-treatment-are-not-enough-patient-cost-evidence-from-three?page=10
[16] https://www.msh.org/resources/closing-the-access-barrier-for-effective-anti-malarials-in-the-private-sector-in-rural?page=10
[17] https://www.msh.org/resources/irs-form-990-management-sciences-for-health-2011?page=10
[18] https://www.msh.org/resources/statement-of-revenues-program-expenses-and-changes-in-fund-balance-fiscal-year-2012?page=10
[19] https://www.msh.org/resources/star-e-lqas?page=10
[20] https://www.msh.org/resources/mhealth-compendium-volume-one?page=10
[21] https://www.msh.org/resources/hiv-testing-for-children-in-resource-limited-settings-what-are-we-waiting-for?page=10
[22] https://www.msh.org/resources/is-option-b-the-best-choice?page=10
[23] https://www.msh.org/resources/mystery-shopping-in-community-drug-shops-research-as-development-in-rural-tanzania?page=10
[24] https://www.msh.org/resources/strengthening-the-appointment-and-tracking-systems-for-patients-on-antiretroviral-therapy?page=10
[25] https://www.msh.org/resources/enhancing-the-role-of-pharmacists-in-public-health-in-developing-countries?page=10
[26] https://www.msh.org/resources/msh-corporate-brochure
[27] https://www.msh.org/resources/msh-corporate-brochure?page=9
[28] https://www.msh.org/resources/msh-corporate-brochure?page=6
[29] https://www.msh.org/resources/msh-corporate-brochure?page=7
[30] https://www.msh.org/resources/msh-corporate-brochure?page=8
[31] https://www.msh.org/resources/msh-corporate-brochure?page=11
[32] https://www.msh.org/resources/msh-corporate-brochure?page=12
[33] https://www.msh.org/resources/msh-corporate-brochure?page=13
[34] https://www.msh.org/resources/msh-corporate-brochure?page=14
[35] https://www.msh.org/resources/msh-corporate-brochure?page=50