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Health service delivery data in Tanzania have tended to be disease- and health program-centric rather than client-centric. Patient information is stored in independent paper-based or electronic systems without a way to connect them or to locate one patient among multiple records.

This report summarizes significant USAID MTaPS achievements, key challenges, program performance, and adaptation in response to new demands and lessons learned for the October through December 2018 period. The report is organized by health area, objective, region, and country.

Frequently Asked Questions (FAQs)

Foire aux questions (FAQs)

Urban health facilities present particular challenges in TB service provision.

This webinar, presented on March 19, 2019, explores how expanding the World Health Organization’s directly observed treatment, short course (DOTS) strategy to the densely populated city of Kabul has helped the country strengthen its TB control efforts. Implemented by USAID's Challenge TB Project in partnership with MSH and a broad coalition of organizations and health workers in pu

The year 2015 saw a critical transition in global development. The Millennium Development Goals, which mobilized national governments to achieve remarkable improvements in health and reductions in poverty, were succeeded by the United Nations 2030 Sustainable Development Goals (SDGs). The 17 SDGs demand even more universal and ambitious action to eliminate poverty.

Mobile applications play an important role in field data collection in developing countries. However, poor infrastructure remains a challenge to fully utilizing mobile services. e-TB Manager, an electronic tuberculosis (TB) management system, is a web-based tool used to manage all TB-related data and information needed by national TB control programs.

The National TB Programme (NTP) in Ethiopia is committed to decentralizing and scaling up implementation of drug resistant TB (DR-TB) management by using an alternative ambulatory model to increase access to care. Challenge TB in collaboration with the NTP supported the implementation of programmatic management of DR-TB (PMDT) across the country by expanding treatment initiating centers (TICs

Contact investigation (CI) refers to the systematic evaluation of individuals who have been in close contact with potentially infectious TB cases within three months of TB treatment initiation. In Ethiopia, the USAID-funded HEAL TB and Challenge TB projects implemented three CI approaches: routine or prospective, reverse, and retrospective.

Many women in low and middle-income countries face gaps in access to high-quality ANC: they often do not receive the recommended services for a healthy pregnancy, experience poor quality of care, and are treated disrespectfully. 

Many women in low and middle-income countries face gaps in access to high-quality ANC: they often do not receive the recommended services for a healthy pregnancy, experience poor quality of care, and are treated disrespectfully. 

In Nigeria, tuberculosis (TB) is a major public health problem and low case finding remains a challenge to its eradication. The USAID-funded Challenge TB project supports GeneXpert sites across the country. However sub-optimal GeneXpert utilization due to modular failures, power supply issues, and inadequate samples has contributed to low TB case finding.

Over the past two decades, Rwanda has realized impressive declines in preventable child and maternal mortality, serving as an example of what is possible through committed, collective action.

This report summarizes significant USAID MTaPS achievements, key challenges, program performance, and adaptation in response to new demands and lessons learned for the January through March 2019 period. The report is organized by health area, objective, region, and country.

In Bangladesh, the Directorate General of Family Planning (DGFP), with assistance from the US Agency for International Development (USAID), is well ahead of other countries in its use of locally developed and automated inventory management tools, especially at the upazila (sub-district) and warehouse levels.

In collaboration with the USAID-funded Rwanda Health Systems Strengthening Project and partners, Rwanda’s Ministry of Health introduced the Workload Indicator of Staffing Needs (WISN) tool in all public district and provincial hospitals in the country.

The Rwanda Medical Procedure Coding (RMPC) system was developed by Rwanda’s Ministry of Health, with technical assistance from the USAID-funded Rwanda Health Systems Strengthening Project, to harmonize procedure coding with an international standard.

A key challenge identified by a study on health sector staff retention, conducted by the USAID-funded Rwanda Health Systems Strengthening Project in 2017, was the lack of access to credit at a reasonable interest rate from commercial banks for building a home, purchasing essential items or meeting emergency expenses.

In collaboration with the Ministry of Health and other health sector stakeholders, the USAID-funded Rwanda Health Systems Strengthening Project conducted many interventions aimed at improving the performance of the health system at all levels.

Launched and administered with support from the USAID Rwanda Health Systems Strengthening Project, the District Operational Research Challenge Fund aims to build and grow the capacity of MOH’s district hospital staff and young health researchers to conduct research and implement sustainable public health programs.

In 2000, the Government of Rwanda decentralized health and other services to the district level. After nearly two decades of progressively taking on responsibilities for the health sector, district leaders are demonstrating stronger ownership of health initiatives.

In Rwanda, the Ministry of Health has committed to providing universal access to health services and improving the quality of care. An important factor that impacts quality and access to care is the amount of time patients wait to see providers at health facilities.

One of the most successful interventions designed to provide universal health coverage to the citizens of Rwanda has been the establishment of the Community Based Health Insurance (CBHI) Scheme. This provides a basic package of primary care and referral services through a wide network public and some private health facilities at an affordable cost for those who can pay.

Market intelligence data, United Nations Commodity Trade Statistics for insulin trade, the International Medical Products Price Guide for prices of human insulin and additional web searches were used as data sources. A total of 34 insulin manufacturers were identified. Most countries and territories are reliant on a limited number of supplying countries. The overall median government procurement price for a 10‐ml, 100‐IU/ml vial during the period 1996–2013 equivalent was US$4.3, with median prices in Africa and low-income and low‐ to middle‐ income countries being higher over this period.This research shows the high variability of insulin prices and the reliance on a few sources, both companies and countries, for global supply. In addressing access to insulin, countries need to use existing price data to negotiate prices, and mechanisms need to be developed to foster competition and security of supply of insulin, given the limited number of truly global producers.

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