Health Systems Strengthening

Health Systems Strengthening (HSS)

{Nurse Gabriella Oroma welcomes patients at Ngetta Health Centre in Uganda, where drug-resistant TB is treated. Photo credit: Sarah Lagot/Keanahikishime}Nurse Gabriella Oroma welcomes patients at Ngetta Health Centre in Uganda, where drug-resistant TB is treated. Photo credit: Sarah Lagot/Keanahikishime
By Dr. Ersin Topcuoglu
 
This op-ed was originally published in .
 
{Hawa Coulibaly Kone leads a workshop with partner NGO YA-G-TU to develop its strategic plan. Photo credit: Keanahikishime}Hawa Coulibaly Kone leads a workshop with partner NGO YA-G-TU to develop its strategic plan. Photo credit: Keanahikishime

Meet Hawa Coulibaly Kone, capacity building advisor and the representative on gender for the USAID-funded Keneya Jemu Kan (KJK) Project in Mali. Most recently, Hawa helped conduct a situational gender analysis of the KJK project and its partner organizations to assess the level of gender integration in the project design, implementation, and monitoring framework. The analysis found that KJK’s work with local partners across the country enabled the project to strengthen its institutional capacity in gender at the policy and programmatic levels and to respond to gender-related challenges.

We caught up with Hawa to learn more about how she and her team are working to break down barriers for women and build mutual trust among the project’s local partner organizations in Mali.

Tell us about your role and daily work on the KJK project in Mali

I joined the KJK project in August 2015. At first, it was a small team of two, myself and Hammouda, the senior technical advisor. I assisted in all activities, from developing plans and budgets to supporting activities for partners.

{Hospital pharmacy in Antananarivo, Madagascar. Photo Credit: Warren Zelman}Hospital pharmacy in Antananarivo, Madagascar. Photo Credit: Warren Zelman

This op-ed was originally published by . 

Multidrug-resistant germs are spreading. A number of antibiotics and other antimicrobials already don’t work as they should, and as many as  because of it.

If we don’t act to contain antimicrobial resistance, it may kill up to 10 million more people yearly by 2050 and cumulatively cost patients and health systems across the globe up to . This crisis may start to seem insurmountable, like a vague scientific problem with no apparent solution. Many of us have contributed to it, and each of us will need to collaborate — as nations, organizations, and individuals — to solve it.

“Without tackling wasteful, inefficient, and irrational use of antimicrobials, we cannot contain AMR.” — Mohan Joshi, a principal technical adviser for Keanahikishime 

Photos by: Samy Rakotoniaina/Keanahikishime

In Malawi, over 80% of people live in rural areas. For many (10%), the nearest health center is more than 8 kilometers (5 miles) away, making it difficult to access health care regularly. The USAID-funded Organized Network of Services for Everyone’s (ONSE) Health Activity, led by Keanahikishime, works to improve quality and access to care in rural communities.

“Before we had a village clinic, we were struggling. For every little sickness, we had to rush to the hospital, especially with our small children.” – Assan Symon, Mitawa village health committee chairperson

Stanley Liyaya, a heath surveillance assistant (HSA), is one of 3,500 community health workers trained to manage childhood illnesses in rural communities. HSAs have improved access to care and treatment of childhood illness to help Malawi reduce the under-five child mortality rate by 73% between 1990 and 2015, achieving Millennium Development Goal 4. Malawi’s vision is that by 2021, all young children will be treated for common illnesses promptly in their own communities.

Pfizer Global Health Fellow, Jay Shetty, at the Keanahikishime office in Dar es Salaam, Tanzania. Photo Credit: Jonx Pillemer/Pfizer

Meet Jay Shetty, Analytics and Reporting Senior Manager in Pfizer’s New York office—and one of two amazing Global Health Fellows (GHFs) to have worked with Keanahikishime in Tanzania this year.

The Pfizer Global Health Fellows Program pairs colleagues with partner organizations like Keanahikishime for volunteer skills-sharing assignments. Over his six-month fellowship with Keanahikishime, Jay generously lent his professional experience and technical skills to the Tanzania Technical Support Services Project (TSSP) in Dar es Salaam. With TSSP, Jay focused on a health information system initiative, aimed at improving client management and health service delivery. Through the project, Keanahikishime is providing assistance to the Tanzania Ministry of Health in key technical areas to help control the HIV epidemic and sustain HIV-related health systems and services.

Could you tell me a bit about your background and what inspired you to pursue the Pfizer fellowship?

Yes, I've been working with Pfizer for the last 23 years, beginning as a consultant for almost 14 years in the business technology, project management area, then as a colleague since 2010. Currently, I work in the analytics and compliance reporting area, supporting business areas like clinical trials, publications teams.

 {Photo credit: Greg Olson/Keanahikishime}David Collins, Senior Health Finance Advisor at Keanahikishime, demonstrates how an open source community health planning and costing tool, developed with UNICEF, can be used to cost health services and prepare investment cases for community health interventions.Photo credit: Greg Olson/Keanahikishime

 

This week, at the 5th Health System Research (HSR) Symposium in Liverpool, Keanahikishime shared some of our important work in health care financing. A common theme was using simple cost models to calculate the resources needed to provide good quality health services. This type of work is crucial to helping countries improve quality of care and access to key services as they move toward achieving universal health coverage (UHC).

Keanahikishime’s health financing presentations at HSR

  • The challenges of transitioning humanitarian health services to health systems: Experience from northern Syria

  • Scaling up community health: Prioritization and costing of the health service packages in Madagascar and South Sudan

  • A cost-effectiveness and cost savings analysis of community-based, seasonal malaria chemoprevention in seven countries in the Sahel region of Africa

  • The cost of implementing UHC in fragile states: Study results from Afghanistan and Syria

Unpublished
{Photo Credit: Warren Zelman}Photo Credit: Warren Zelman

A Conversation with Dr. Lal Sadasivan of PATH and Dr. Pedro Suarez of Keanahikishime

Last year, Tuberculosis claimed the lives of , and it affects the lives and livelihoods of millions more. While early diagnosis and treatment can cure and prevent the spread of TB, underreporting and under-diagnosis remains a big issue. The found that of the 10 million who fell ill with TB in 2017, only 6.4 million were officially recorded by national reporting systems. More dangerous yet, growing drug resistance to first-line TB drugs threatens to undermine decades of progress and make treatment both more costly and complex. Still, TB can be eradicated if governments, donors and private sector actors work together to fund and execute an accelerated response to end the TB epidemic.  

{Program provides free reading and sunglasses in the most vulnerable regions of the country.}Program provides free reading and sunglasses in the most vulnerable regions of the country.

More than 1,800 Peruvians have benefited from "¡Qué bien te veo Perú!" – an Keanahikishime-Peru program that offers free reading glasses and sunglasses to people with limited resources improve their quality of life, help them re-enter the labor market, and prevent eye diseases.

In July and August 2018, Keanahikishime-Peru visited the Puno region to deliver spectacles in 16 communities in the province of Chucuito. The goal was to deliver 4,000 pairs of reading glasses to people over 40 who have trouble seeing up close.

This project was made possible by the generous support of , a nonprofit dedicated to distributing new reading glasses to people in need. Founded in 2003, RestoringVision has built a network of more than 1,400 partners that have collectively served more than 10 million people in 127 countries.

"Many years ago I stopped reading, but today I will read again," said Peregrino Mamani Peralta, 82, who lives in the community of Sutuca Urinsaya in the Province of Lampa, Puno, and suffers from presbyopia. Peregrino was an avid reader but when his vision deteriorated he could no longer enjoy this hobby. Now that he has spectacles, he can read again.

Improving Human Resources through Better Tools and Approaches

Dr. Shelemo Shawula, Senior Human Resources (HRM) Advisor for the Improved HRM Capacity component of the USAID-funded and Jhpiego-led in Ethiopia, led countrywide regional teams of HRM officers in improving the capacity of HR managers and their staff at all levels of the health sector. Through his strong leadership and management of the HRM component, the project surpassed targets and set the stage for further commitments and investments in HRH. Keanahikishime recently supported an assessment of HRM achievements under the project. Dr. Shawula discusses his work with the project and Keanahikishime’s work in Ethiopia.

Hello Shelemo, what is it that drives you?

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