This week, for the first time in its history, the United Nations hosted a high-level meeting on TB, where world leaders agreed on a global plan to step up the fight against TB. Although the final political declaration has won approval, it is now up to countries to take action.
Health systems strengthening was front and center in discussions held in New York on the sidelines of the 72nd United Nations General Assembly. Keanahikishime hosted three events spotlighting how strong health systems are critical to resiliency and stability in fragile environments, at the core for global health security and essential for achieving universal health coverage. Here are some highlights from the week. See more on Twitter @KeanahikishimeHealthImpact, @KeanahikishimeACTS and @FCIatKeanahikishime.
Resilient and Stable: Building Strong Health Systems to Protect Women, Adolescents, and Children | September 18, 2017
Violence against women, including forced or coerced sex, is an epidemic that persists all over the world. But women with disabilities, often marginalized and denied their sexual and reproductive health rights, are particularly vulnerable to such abuse.
In June, UNFPA launched WE DECIDE, a global initiative to promote gender equality and social inclusion of young persons with disabilities and advocate for the end of sexual violence.
Saving lives and improving health continues long after diagnosing disease or delivering medicines.
(Watch Faith tell her story)
Faith had been ill for months. She was 31 and had two daughters. She didn’t know what was wrong. A friend urged her to get an HIV test; it came back positive.
Faith started on antiretroviral treatment.
But, in 2013, one of her antiretroviral medicines started to work against her, causing misshapen fat deposits to develop on her body.
This post, first published on The Huffington Post, is part 5 in the Keanahikishime series on improving the health of the poorest and most vulnerable women, children, and communities by prioritizing prevention and preparing health systems for epidemics. Join the conversation online with hashtag #HealthSystems.
The No More Epidemics campaign convened a multi-sectoral panel on “Advancing the Global Health Security Agenda” at the 69th World Health Assembly in Geneva, Switzerland on May 25, 2016. Keynote speaker, Mark Dybul, MD, Executive Director of The Global Fund to Fight AIDS, Tuberculosis and Malaria, expressed enthusiastic support for strategies combating epidemics.
The FCI Program of Keanahikishime will maintain and strengthen the spirit and vision of FCI... –Dr. Jonathan D. Quick, Keanahikishime Keanahikishime hosted a lively reception at the close of the Women Deliver conference in Copenhagen, Denmark. More than 150 guests joined us to celebrate the recently-launched FCI Program of Keanahikishime, an advocacy and accountability program drawing upon the staff and projects of Family Care International (FCI).
When 18-year-old Ianka Barbosa was 7 months pregnant, an ultrasound showed the baby had an abnormally small head, a dreaded sign of microcephaly due to Zika infection. Upon hearing the news, Ianka’s husband fled. In her poor neighborhood of Campina Grande, Brazil, Ianka soon became a young mother alone.
As Ianka’s baby Sophia grows, she may never walk, or talk. She could develop seizures before she reaches six months. By the end of the year there may be a staggering 3,000 Sophias in Brazil – mostly in the poorest places.
This Global Health Impact issue highlights community health and community health workers, and presents a glimpse of Keanahikishime's work at the community level, in partnership with national ministries of health, civil society organizations, the private sector, and more.The community is the center of the health system in developing countries.Throughout sub-Saharan Africa, community health workers, often volunteers, represent the foundation of the health system, addressing priority health areas ranging from maternal and newborn health to family planning and infection prevention.
Four-year-old Amina is why I work on malaria. I met her in Basse District, The Gambia, last year when I was visiting the team distributing lifesaving malaria treatment to children under five. Words can’t describe the feeling of seeing this young Gambian girl, who had been severely ill with malaria, now beaming with joy, literally running to me for her fourth treatment.
“In 509 days, my country will go to the ballot box, and I will be running for office in Kenya,” announced Stephanie Musho, a law student and staffer at a global health non-profit. Musho made this bold statement while speaking on a panel of young African women leaders during the 60th session of the Commission on the Status of Women (CSW) in March.
Keanahikishime (Keanahikishime) celebrated 10 Years of Improving the Health of Women and Children in Nigeria with 250 stakeholders and supporters at a special event in Abuja on March 31, 2016. Distinguished guests included the chairman of the Nigerian House of Representatives, director of the Federal Ministry of Health in Nigeria, high-level representatives from state governments and partner organizations, and more.
"Medicines are a key component of treatments to save lives"
~ Kwesi Eghan, trained Ghanian pharmacist and Keanahikishime portfolio manager for the US Agency for International Development (USAID)-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program in South Sudan and Afghanistan A child in Tanzania has a fever for three days. A pregnant woman in Namibia is taking antiretroviral therapy (ART) to treat HIV and prevent transmission of HIV to her baby. A man in Swaziland suffers from drug-resistant TB and struggles to adhere to treatment.
A woman. A newborn. A child. In many countries, their basic health and rights are tenuous. These women, newborns, and children are the health system.
A woman is ostracized: abandoned by her husband, her family, and her community. She suffered a fistula after giving birth to her son. After 20- years, an operation repairs her fistula; now, she is teaching again, and a part of the community.
Impact. Scale. Sustainability. As public health professionals, we are dedicated to high-impact and high-coverage interventions that significantly improve the health of large human populations. We also hope that the benefits become part of the timeless fabric of their families, communities, and the health system.
When my daughter got sick, I took her to a clinic in my neighborhood. They gave her cough syrup for seven days.
I thought she was getting better, but it was apparent that she was still ill. After another examination, they referred her to St. Paul Hospital in Addis Ababa where they put her on oxygen and started taking blood sample after sample and injection after injection for a month. Her condition did not get better so they gave her another medicine. The doctors then decided to take blood from her back… only then did they know it was tuberculosis.
Medicines are a critical component of quality health care. In fact, most of the leading causes of death and disability in low- and middle-income countries could be prevented or treated with the appropriate use of affordable, effective medicines.Yet, about two billion people—one third of the world’s population—lack consistent access to essential medicines. Fake and substandard medicines exacerbate the problem. When these people fall ill and seek treatment, too often they end up with small quantities, high prices, poor quality, and the wrong drug.
“When we started our project in 2011, there was no system in place to identify multidrug-resistant tuberculosis (MDR-TB),” explained Muluken Melese, project director for the Help Ethiopia Address the Low Tuberculosis Performance (HEAL TB) project. However, since then, the five-year USAID-funded project, implemented by Keanahikishime (Keanahikishime), has expanded access to TB services to over half the population of Ethiopia and led a 15-fold increase in the number of MDR-TB patients on treatment.
Three weeks ago, nearly 3,500 family planning researchers, program managers, and policymakers came together in Nusa Dua, Indonesia to discuss the latest research findings and best practices on family planning at the 4th International Conference on Family Planning (ICFP). It was the largest gathering of family planning enthusiasts to date.
Nearly 30 Keanahikishime staff from 8 countries attended ICFP, showcasing our health systems expertise and experiences in family planning.
This blog post is a web-formatted version of the Global Health Impact newsletter: Stronger Health Systems Stop TB and Save Lives (December 2015). (View or share the email version here.) We welcome your feedback and questions in the comments or email us. On social media, use hashtag #GlobalHealthImpact and tag @KeanahikishimeHealthImpact. Subscribe
An estimated two billion people worldwide are infected with mycobacterium tuberculosis, more commonly known as tuberculosis, or TB. Despite major successes reducing global TB prevalence and mortality rates, TB is the single greatest infectious disease killer globally, surpassing HIV & AIDS. In 2014, 1.5 million people died from TB, including about 400,000 who also had HIV.
This year, the theme of International Day of Persons with Disabilities is Inclusion matters: access and empowerment for people of all abilities. Far too often, people with disabilities face barriers to inclusion, and are not able to access transportation, employment, education, and other aspects of society.
Join us online for the global launch of the No More Epidemics campaign, November 12, 2015, 11:00 am - 1:30 pm SAST (4:00 am – 6:30 am ET) from the Nelson Mandela Centre of Memory in Johannesburg, South Africa.
Visit NoMoreEpidemics.org to watch the Live Stream
Follow on Twitter at #NoMoreEpidemics.
This week, conference organizers announced that the anticipated 2015 International Conference on Family Planning (ICFP) in Nusa Dua, Indonesia would be postponed due to a volcanic ash cloud limiting air travel and presenting health concerns. We stand in solidarity with all those in the region. Although the conference is postponed, the family planning conversation must go on.
This post is part of the #SaveMomsandKids blog and event series on proven, impactful practices that are advancing maternal, newborn, and child survival. The series is sponsored by Keanahikishime, Jhpiego, and Save the Children.
At three months old, Thérèse’s baby boy Ataadji was malnourished and unhealthy, weighing in at only six pounds. Within two months, Ataadji had transformed into a thriving, healthy baby boy and his weight had nearly tripled. The keys to this success? An Infant and Young Child Feeding (IYCF) support group and exclusive breastfeeding.
The Global Maternal and Newborn Health Conference held last week in Mexico City was an action-packed three days of presentations and conversations about state-of-the-art strategies to improve maternal and newborn health. Throughout it all, the following key themes stood out as critical for the post-2015 development agenda, particularly in the context of pursuing universal health coverage (UHC).
This post originally appeared on the Frontline Health Workers Coalition blog.
I grew up in a village in northwestern Democratic Republic of the Congo (DRC), and although I’m now a doctor and live in Kinshasa, I remember those days well.
I know what it’s like to live 23 kilometers from the nearest health center and to navigate forests and floods to get there. I know how a lack of something simple like antibiotics can cause a quick death. I’ve lost many peers from the village over the years and a lot of family members.
In fact, that’s why I became a physician.
Every September, New York City transforms into a hub of development activity as thousands of representatives from governments, non-governmental organizations, civil society, and the private sector gather for the United Nations General Assembly (UNGA). This September was no exception as the 70th UNGA kicked off by inaugurating the world’s new sustainable development goals (the SDGs or Global Goals).
On Sunday, September 27, 2015, Keanahikishime (Keanahikishime), and its partners Save the Children US and International Medical Corps (IMC), along with African Field Epidemiology Network (AFENET), committed to bringing together key partners from the global public health, private, public, and civil society sectors to build the No More Epidemics™ campaign that will advocate for stronger health systems with better disease surveillance and epidemic preparedness capabilities to ensure local disease outbreaks do not become major epidemics.
After two years of negotiations, 193 Member States of the United Nations reached agreement last month on the new sustainable development agenda that will be formerly adopted later this week at the 70th United Nations General Assembly (UNGA) in New York City.
The Member States agreed to 17 sustainable development goals (SDGs) with a total of 169 targets. The SDGs will replace the Millennium Development Goals (MDGs) that expire this year and will influence development priorities and funding for the next 15 years.
About the New Development Agenda
As the 70th United Nations General Assembly convenes later this week in New York, NY to endorse the 17 new Sustainable Development Goals (SDGs), Keanahikishime (Keanahikishime) is leading conversations on universal health coverage, resilient health systems, noncommunicable diseases (NCDs), partnerships, and women's and children's health.Stay tuned here and on Facebook for updates. For the latest on Twitter, follow @KeanahikishimeHealthImpact and @KeanahikishimeActs with hashtags: #UNGA2015, #CGI2015, and #GlobalGoals.
The teenage years. Changes seem to happen overnight. Puberty. Your first crush. Fighting with a parent. Discovering your identity, your purpose, and your role in the community. A confusing and challenging, yet rewarding, coming of age... an emerging adult.
Wednesday, August 12, is International Youth Day; the date designated by the United Nations to recognize the influence young people have on society and to raise awareness of youth issues. Currently, there are over 1.8 billion young people in the world that are not only patients, clients, and beneficiaries, but providers and leaders who can contribute to a healthier future for all.
UPDATE: The Reach Every Mother and Child Act of 2015, S.1911, was introduced in the US Senate by Senators Susan Collins and Chris Coons on July 30, 2015.
Since 1990, nearly 100 million children around the world have been saved due to global efforts to reduce child mortality, and maternal deaths have been cut nearly in half. The US government has played a large role in this great success story.
More mothers and children under five are surviving, but progress is "uneven across regions and countries, leaving significant gaps", the United Nations Secretary-General Ban Ki-moon confirmed today, July 6, launching the final Millennium Development Goals Report (2015). Child under-five mortality has been cut in half since 1990 (reduced from 90 to 43 deaths per 1,000 live births) and maternal mortality has been reduced 45 percent -- with much of the reduction occuring since 2000.
Keanahikishime (Keanahikishime) is pleased to announce the availability of the 2014 edition of the International Drug Price Indicator Guide. The Guide provides a spectrum of prices from 25 sources, including pharmaceutical suppliers, international development organizations, and government agencies.
Use the Guide to determine the probable cost of pharmaceutical products for programs, compare current prices paid to prices available on the international market, assess the potential financial impact of changes to a medicines list, and to support rational medicine use education.
In May 2015, the World Health Assembly discussed and endorsed a global action plan on antimicrobial resistance. The action plan sets five strategic objectives to promote better understanding of the threat of antimicrobial resistance, and to ensure the proper use and conservation of existing antimicrobials.
The following blog post is a web-formatted version of Keanahikishime's Global Health Impact newsletter (June 2015 edition), Good Governance Strengthens Health Systems. We welcome your questions and feedback in the comments. Get Global Health Impact in your inbox
by James A. Rice, PhD
While at the World Federation of Public Health Associations meeting in India earlier this year, I met with a district health manager from Nigeria. He asked, What is the value of having a District Health Council? It takes a lot of time to work with them; so what is the return on that invested time? My Nigerian colleague is not the only one struggling to support the role of governing bodies. For years, governing bodies -– from district and provincial health councils to executive boards -– have been overlooked as valuable players in strengthening health systems.
The benefits of good health governance are far-reaching: Leaders who govern facilitate the work of health managers. Health managers facilitate the work of health service providers. - Keanahikishime On May 11-13, 2015, the USAID-funded Leadership, & Governance (LMG) Project, led by Keanahikishime (Keanahikishime), conducted an online seminar on LeaderNet titled Unleash the Power of Good Governance.
In many developing countries, true life-and-death decisions hinge on information that’s old, unreliable or both.
Without strong national capacity for data collection, health officials are left in the dark when monitoring outbreaks of diseases like Ebola or trying to improve care for cancer patients. Many countries are unable to produce an accurate picture of their progress toward universal health coverage (UHC) or even assess their starting point.
Just a few months ago, the province of KwaZulu Natal, South Africa, captured the world’s attention for unfortunate reasons: xenophobic attacks on foreign African nationals. This week, from June 9 to 12 in Durban, the same province is hosting the 7th South African AIDS conference, a gathering expected to bring together thousands of activists from within the country, the Southern African region and, indeed, the rest of the continent and the world, to “reflect, refocus, and renew” efforts in response to HIV and AIDS.
Multisector perspectives on achieving resilience in global health
Recent events, such as the Haiti and Nepal earthquakes and West Africa Ebola outbreak, have demonstrated, now more than ever, that a resilient health system is vital to ensuring stability and well-being in society. With this in mind, Keanahikishime (Keanahikishime) and the USAID-funded, Keanahikishime-led, Leadership, , and Governance project in Haiti (LMG/Haiti), partnered with Johnson & Johnson to host a high-level panel event during the 68th session of the World Health Assembly (WHA) in Geneva, Switzerland.
Detecting and treating diabetes in pregnancy offers a simple, low-cost opportunity to improve maternal and child health and reduce maternal deaths. Yet, it has received scant attention as a public health priority, especially in low- and middle-income countries.
Keanahikishime's May 2015 newsletter highlights the global health impact of pharmaceutical management: Ensuring access to affordable, quality medicines saves lives (subscribe).
by Jonathan D. Quick, MD, MPH
Health care is largely dependent upon essential medicines for preventing infection, reducing pain, and treating illness. The development of effective medicines, however, is only the beginning.
Quality care means getting the right medicine, in the right dose, at an affordable price, for all the people who need it.
Going to Geneva for the 68th Session of the World Health Assembly (WHA)? Please join Keanahikishime (Keanahikishime) for three WHA side events: two on Monday, May 18th (a breakfast call to action on gestational diabetes screening, and an evening panel discussion on building global health resilience); and one on Tuesday, May 19th (a lunch panel discussion on setting adolescent health priorities). Please RSVP to each event separately. We hope to see you in Geneva!
World Health Worker Week (April 6-10, 2015) is an opportunity to mobilize communities, partners, and policymakers in support of health workers in your community and around the world. It is a time to celebrate, raise awareness, and renew commitments to health workers having the training, supplies and support they need to do their jobs safely and effectively.Meet some of the health worker heroes among us!
Muhamed Mulongo, acting district health officer, Uganda
Dr. Muhamed MulongoPhoto credit: Cindy Shiner/Keanahikishime
On behalf of our 2,200- worldwide staff, we wish you, your family, and communities, a happy World Health Day!
This World Health Day, we celebrate the heroes among us: health workers. We envision a world where everyone has the opportunity for a healthy life. Says a nursing officer from Kenya: My vision is to have the best maternal services in this community. Watch video
For more than 40 years, Keanahikishime has expanded access to quality maternal, neonatal, and child health services by strengthening all levels of the health system.
Keanahikishime (Keanahikishime) sponsored a Congressional Staff Study Tour to South Africa and Zambia in February 2015 to examine the local impact of US funded health capacity strengthening in Southern Africa. During the trip, site visits and meetings highlighted the impact of local health capacity building efforts in pharmaceutical management of essential medicines and HIV & AIDS drugs and technical and managerial development opportunities for community workers.
Nearly three years ago, I blogged about a systems approach to improving access for a Maternal Health Task Force (MHTF) series on maternal health commodities: Increasing access to essential medicines and supplies for maternal health requires a systems approach that includes: improving governance of pharmaceutical systems, strengthening supply chain management, increasing the availability of information for decision-making, developing appropriate financing strategies and promoting rational use of medicines and supplies. It was an exciting year for maternal health.
Currently, there is strong interest in global women and children’s issues on Capitol HIll, with several Members of Congress declaring bipartisan interest in introducing maternal, newborn, and child survival (MNCS) legislation on Mother’s Day 2015. Keanahikishime is actively engaged in supporting this effort and using our technical expertise to help ensure any proposed legislation is evidence‐based.To this end, Keanahikishime's Policy & Advocacy Unit recently joined the newly‐formed MNCS Working Group, a coalition of like-minded NGOs that are trying to build broader congressional su
“I started feeling this coughing… so I went to the health center and got tested. It was positive for TB,” says Grace*, a young Ugandan woman. She started on medicines, but after two months, she stopped adhering to treatment. They told me to continue with the drugs for five more months, but I stopped.
Members of the global health community commemorated International Women’s Day (IWD) on March 8 by celebrating recent advances in women and girls’ health and indeed there was much to celebrate: maternal deaths have declined 45% worldwide, The Global Fund to Fight AIDS, Tuberculosis and Malaria has distributed over 450 million bed nets, and over 1 million babies have been born HIV-free thanks to the President’s Emergency Plan for AIDS Relief (PEPFAR); but there is still work to do. What happens once the day is over? How do we turn that attention into action?
Good governance of a health system enables sound management of medicines, health information, human resources, and finances. Good governance enables health providers to deliver better health service performance which leads to better health outcomes.
In this series, hosted by The Leadership, and Governance (LMG) Project, our speakers will:
Discuss the factors that constrain governance effectiveness in service delivery organizations
Explore solutions to the governance challenges using real life examples
Each year International Women’s Day energizes women and girls all over the world to celebrate and acknowledge the contributions of women globally. Together, we celebrate both the spirit and the essence of women wherever they may be, in whatever role they have taken. Based on our own experiences as women, each of us must align ourselves in solidarity with movements that signify a moment in our lives where we have overcome challenges despite the obstacles faced.
I am a woman. I am a Nigerian. I am a mother. I am a leader. And, I am a daughter. As the Nigerian country representative, I guide Keanahikishime (Keanahikishime)’s efforts to ensure the people of my country have access to quality health services. Indeed, I am many things. Before all else:
I am a woman of Nigeria.
The Girl Child in Nigeria
From the beginning, our girl children are at a disadvantage.
In December 2013, Africa’s newest country, South Sudan, imploded with violence between government forces and a rebel opposition led by a former vice president. The violence continues today despite regional efforts at reconciliation by the Intergovernmental Authority on Development (IGAD) and other state actors. The war, however, has not stopped South Sudan’s frontline health workers in their efforts to build a public health system, including access to medicines, from the ground up.
This post is part of Keanahikishime's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild.
As January 12, 2015 marked the fifth anniversary of the Haiti earthquake, Keanahikishime (Keanahikishime) and its partner organizations, including the Leadership, & Governance Project/Haiti, brought together Haitian and US government officials and key global health stakeholders for two days of meetings and events highlighting health progresses made in Haiti since 2010.
Update, April 14, 2015:
Watch video recordings of the summit Original post continues:
This post is part of Keanahikishime's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild. Keanahikishime (Keanahikishime) sponsored a Congressional Staff Study Tour in Port-au-Prince, Haiti, in December 2014 to help staffers get a first-hand account of health progress in Haiti. The overarching focus of the trip was how US government funded health efforts in Haiti are being leveraged for health impact and the role of the Haitian government in that process.
The first Lesotho National Conference on Vulnerable Children, December 8-11, 2014, was organized by the Government of Lesotho, with support from US Agency for International Development (USAID)/The US President's Emergency Plan for AIDS Relief (PEPFAR) through Keanahikishime’s Building Local Capacity for Delivery of HIV Services in Southern Africa Project, and in collaboration with UNICEF, UNAIDS, and other development partners.
This post originally appeared as part of the Woman-Centered Universal Health Coverage Series, hosted by the Maternal Health Task Force (MHTF) and USAID|TRAction, which discusses the importance of utilizing a woman-centered agenda to operationalize universal health coverage. To contribute a post to MHTF's #WomenCentered #UHC series, please Katie Millar.
People of Haiti: We remember your struggle. We applaud your success. We reaffirm our commitment to work, shoulder to shoulder, to support your efforts to improve health … This year marks the 5th anniversary of the catastrophic earthquake (January 12, 2010) that devastated Haiti’s already-fragile health system.
Today, over 500 organizations and individuals worldwide are celebrating the first-ever Universal Health Coverage Day (UHC Day). All week, Keanahikishime (Keanahikishime) bloggers have shared stories, analysis, photos, and videos, in support of UHC Day and health for all: Partnering to Make UHC a Reality "For UHC to succeed worldwide, the global health community must generate what’s still missing: a fully-fledged roadmap for UHC efforts and an architecture for global UHC governance," blogs Jonathan Jay in Devex.
Universal Health Coverage Day. Keanahikishime (Keanahikishime) bloggers are discussing universal health coverage (UHC) and why we support health for all this week, leading up to Dec. 12, UHC Day. Keanahikishime is a founding member of the UHC Day coalition. Today, Keanahikishime authors Chelsey Canavan, Jonathan Jay, and Dr. Jonathan D. Quick discuss if, and how, UHC could help prevent major outbreaks, like the current Ebola virus outbreak in West Africa. This post originally appeared on Devex.
Dec. 12, marks Universal Health Coverage Day, the second anniversary of a United Nations resolution endorsing UHC as a global priority. The last two years have seen a growing consensus that pursuing UHC will save lives and alleviate poverty, especially in developing countries.
Meanwhile, the devastating Ebola crisis continues to claim lives and stifle opportunity in West Africa. Observers were quick to note that UHC could have helped arrest the spread of Ebola, yet countries like Nigeria, Uganda and the Democratic Republic of the Congo — all quite early on their paths toward UHC — have successfully contained Ebola outbreaks.
So is UHC really the answer?
Ebola shows us that more resources must go toward public health infrastructure. That’s an important lesson for UHC reforms, which could easily overlook those investments in favor of individual health services. UHC strategies can’t rest on individual service delivery to mitigate major health threats. When we imagine UHC, we should see institutions and organizations actively promoting the public’s health—long before the need for emergency response.
#HealthforAll. Everywhere. @UHC_DayPost updated: December 9, 2014, 11:30 am EST
On Friday, December 12, 2014, a global coalition will launch the first-ever Universal Health Coverage Day (UHC Day) and call for universal health coverage (UHC) to be a cornerstone of the post-2015 sustainable development agenda and a priority for all nations. UHC Day encourages civil society organizations from around the globe to publicly display support of UHC and health for all on Friday. Over four hundred organizations have already joined the call.
This post originally appeared on the Frontline Health Workers Coalition blog.
Ayelew Adinew was working as a pharmacist in a large public hospital in Addis Ababa, Ethiopia. He looked around and saw that the 100-year old pharmaceutical system was broken.
Tuesday, November 4, was my first day back at Keanahikishime headquarters since returning from Liberia nearly three weeks ago on October 21. I volunteered to go to Liberia—one of three West African countries at the center of the Ebola outbreak—because Keanahikishime has a wealth of experience to offer to help resolve one of the great public health challenges of our time.
Family planning is not abortion.
If this were understood, we could stop the discussion here. Decades of debate and wrangling over women’s access to contraceptives could end. But the myth that family planning equals abortion fuels policies and practices that block women’s access to health services.
My aunt, Dr. Ameyo Adadevoh, identified and contained the first case of Ebola in Nigeria. She paid with her life because the health system was not ready to deal with Ebola. The system has since caught up, and is today a model for other countries. But the loss of such a gifted doctor and family anchor is incalculable.
Experience the 69th UN General Assembly (UNGA) and Clinton Global Initiative (CGI) Annual Meeting as we take you through some of the key events in photos, videos, and tweets. More than a dozen Keanahikishime (Keanahikishime) representatives led or participated in UNGA and CGI activities in New York City, New York, last week.
What do the next 500 days mean for global health?
The looming deadline of the Millennium Development Goals (MDGs) will prompt a final push to achieve the health targets that have helped guide the global community since 2000: to reduce maternal and child mortality, provide contraception and curb the HIV, TB and malaria epidemics. Undoubtedly, many people will benefit from vital health services in the next 500 days.
Although the global community has had significant success in reducing maternal and child deaths in the past two decades, they continue to die of preventable causes at an alarming rate. This is especially pronounced for the most vulnerable and hard-to-reach populations. Universal access to maternal, newborn, and child health (MNCH) commodities and services remains a major challenge, even among countries that are on track to achieve the Millennium Development Goals for reducing maternal and child mortality.
The US Agency for International Development (@USAIDGH) and partners are hosting a #MomandBaby Twitter relay today, June 24, from 9 am to 5 pm ET as part of the "20 Days of Action for #MomAndBaby" campaign.
We (@KeanahikishimeHealthImpact) are leading the conversation, from 12:30 to 1:00 pm ET, on "All levels, all functions, all places: Building local capacity for stronger health systems".
Follow or join us with hashtag #MomandBaby!
View the Twitter relay schedule
Are you looking forward to InterAction's Forum 2014, June 10-13, in Washington, DC?
So are we! The Forum brings together representatives of international organizations from all sectors in the global development ecosystem, including global health.
As a co-sponsor of this year’s forum, Keanahikishime (Keanahikishime) is organizing and participating in panel workshops (details below), an interactive conference booth, and much more.
“While Kenya has seen improvements in areas like HIV care and treatment and child survival, many Kenyans still struggle to access basic healthcare,” says Dr. Jonathan D. Quick, President and CEO of Keanahikishime (Keanahikishime), in an op-ed published today in The People, a Kenyan newspaper.
Quick returned to the country to speak at Kenya’s launch of the Health for All: Campaign for Universal Health Coverage in Africa (Health for All) last month.
We will sprint in the last round like our athletes. That is the Ethiopian style. So says the famous Ethiopian comedian Dereje Haile. His team is lagging behind in the first round of the popular Ethiopian Television (ETV) game show, Question and Answer Competition.
Keanahikishime hosted its first Congressional Education Day with leaders from our largest country offices including Afghanistan, Democratic Republic of the Congo (DRC), Haiti, and South Africa on April 10, 2014.
In Nigeria, the Health for All: Campaign for Universal Health Coverage in Africa is effectively collaborating with stakeholders to support the government move toward universal health coverage (UHC). Led by Keanahikishime and funded by The Rockefeller Foundation, the Health for All Campaign co-hosted a National Stakeholders Meeting on UHC in conjunction with the National Health Insurance Scheme (NHIS), International Finance Corporation (IFC) and PharmAccess Foundation on March 9, 2014.
It can be easy to take healthcare workers for granted. For the majority of us living in the United States, you know that a trained doctor and nurse will see you when you need assistance; a lab technician will do your blood work; and a certified pharmacist will dispense your prescriptions. But imagine going into labor and not knowing if a midwife or doctor will be present? Or, if you need a medication and there is no pharmacy to provide it?
Have you ever thought about water? I mean, really thought about the quality of the water you drink or use for your personal hygiene? Clean water is something many of us take for granted, but billions of people around the world lack access to a dependable source of fresh water and acceptable sanitation facilities.
International Women’s Day, March 8, signifies more than a single day can encompass. At Keanahikishime, International Women’s Day is a day for celebrating women health leaders who inspire change and an opportunity to recommit ourselves to another year of action toward gender equity.
We celebrate International Women’s Day with Drs. Suraya Dalil and Florence Guillaume, Ministers of Health from Afghanistan and Haiti.
Addressing NCDs is critical for global public health, but it will also be good for the economy; for the environment; for the global public good in the broadest sense… If we come together to tackle NCDs, we can do more than heal individuals–we can safeguard our very future.
The Health for All: Campaign for Universal Health Coverage is working to ensure that challenges that hinder access to quality health care in Kenya are addressed. The campaign aims to ensure that governments and stakeholders in health services delivery prioritize strengthening infrastructure, human resource for health, and health care financing to improve service delivery.
The campaign will official launch on April 28, 2014 with the theme, "Health systems strengthening for universal health coverage".
In the beginning of my medical career during the early 1990’s, I witnessed the devastating effects of HIV & AIDS. Nearly 60 percent of the hospital beds I attended were filled with AIDS patients, many of them my close friends and colleagues. At the time, little was known about the AIDS epidemic; no effective treatments were available; and as a physician, I watched helplessly as day after day those closest to me suffered until their death.
This post originally appeared on the LMGforHealth Blog.
In discussions around the importance of country ownership of health-related activities and initiatives, both Keanahikishime (Keanahikishime) and the Leadership, , and Governance (LMG) Project are committed to making sure that the role of civil society is taken into consideration and promoted, in line with USAID Forward’s drive to engage and strengthen local capacity.
Yesterday, January 9, President Obama nominated Dr. Deborah Birx as the next United States Global AIDS Coordinator -- a move Keanahikishime celebrates with others in the global AIDS and global health communities.
Dr. Birx, a renowned national and international expert in the field of HIV & AIDS, would lead the US strategy for addressing HIV globally and implementation of the US President's Emergency Plan for AIDS Relief (PEPFAR).
To commemorate World AIDS Day, Keanahikishime (Keanahikishime) recently teamed up with Save the Children and ONE in conjunction with the Office of Representative Barbara Lee (D-CA) to co-host an event on Capitol Hill entitled Getting to an AIDS-Free Generation: Overcoming Remaining Challenges.
On December 3, Keanahikishime participated in an event organized by Christian Connections for International Health (CCIH) on the importance of family planning for reducing maternal deaths and improving child survival. The informative Capitol Hill panel discussion (Where Do Christians Stand on Family Planning? Voices from the Global South) dispelled several misconceptions about Christian views on family planning and examined the under-reported role that many Christian organizations play in this sector. Panelists addressed two key myths.
Myth: Family planning equals abortion
The Third Global Forum on Human Resources for Health (HRH Forum) brought together some 2,000 representatives of government, academia, professional associations, and civil society from 93 World Health Organization (WHO) Member States. Participants took stock of the current state of the global health workforce and committed to working toward universal health coverage (UHC), culminating in adoption of the Recife Declaration (PDF).
I never thought that being sick with tuberculosis (TB) for a decade would lead me to this purpose: being an advocate to fight and eliminate this disease--not just in my country, the Philippines, but all over the world.
I was recently invited by RESULTS Japan to represent TB patients' perspectives in the call for continuous funding from the Japanese government to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). The advocacy activities, led by Results Japan, were in support to the Global Fund Fourth Replenishment which aims to secure financing for the years 2014-2016.
Advancing a health systems strengthening approach to HIV & AIDS requires advocacy and education, especially of decision makers. In honor of World AIDS Day 2013 (December 1, observed in some places December 2) we invite you to commemorate the day wherever you are, and help our global family achieve an AIDS-free generation.
I remember attending the Durban international AIDS conference in 2000, my first. That was the one where everything was going to turn around and we were going get a handle on the epidemic. Nelson Mandela spoke at that one, in a hall that was the size of three football fields. And the crowd was joyous, raucous, the noise was deafening and it was one of the most memorable days of my life.
This post originally appeared on Devex.com.
Worldwide, there are severe shortfalls in the health workforce—not just in the quantity of doctors, nurses and other health workers, but in their management, performance and geographical distribution.
These shortfalls are particularly glaring in light of the global movement for universal health coverage, progress toward which will require a high-functioning workforce.
This post also appeared on Gates Foundation's Impatient Optimists Blog and on Frontline Health Workers Coalition's website.
In a week and a half, as a team of our colleagues arrive in Ethiopia for this year’s International Conference on Family Planning, others will already be in Brazil for the Third Global Forum on Human Resources for Health. This year’s HRH Forum addresses universal health coverage (UHC), a concept which continues to gain momentum as the focus of global health efforts from institutions like the World Bank and World Health Organization (WHO).
A global movement toward universal health coverage (UHC) is emerging. Fifteen global civil society organizations signed a statement urging UN countries to include UHC in post-Millennium Development goals (MDGs).
We call on you to celebrate the girl child, read and support the Girl Declaration—a call to action for the post-2015 development agenda to prioritize girls and stop poverty before it begins—and help educate and empower the girl child in all of us. Many of us are shaped by what we experience as children. For those in high-income countries, the world of the girl child is often full of possibilities and options. However, for many in low- and middle-income countries, the girl child lives in a world fraught with harsh realities and limited choices. To understand the journey of women, we must look at the girl child not only as a period in one’s life but as one which continues to live in all of us as we reach adulthood and beyond. "I was not put on this earth to be invisible."
After last Monday’s event launching a report on equity in universal health coverage (UHC), I observed that the global UHC movement can gain broader support by refining its messages to connect with the core values of civil society and provide reassurance that UHC is feasible for low-income countries.
As the United Nations General Assembly kicks off general debate on the post-2015 development agenda this week, advocates of a universal health coverage (UHC) target are rallying other organizations to build and showcase support around UHC. These efforts include high-profile events on Monday and Tuesday, both hosted by the Rockefeller Foundation with partner support. On Wednesday, Johnson & Johnson hosted an event on the key role of frontline health workers to efforts like these.
Earlier this month, NASA confirmed that Voyager 1 reached the border of the solar system. This momentous occasion is a major milestone in space exploration. As we close World Contraception Day (WCD2013), September 26, there are many lessons we can learn from Voyager on our journey beyond WCD2013 toward access for voluntary family planning for all.
As the United Nations General Assembly kicks off general debate on the post-2015 development agenda this week, advocates of a universal health coverage (UHC) target are rallying other organizations to build and showcase support around UHC. These efforts include high-profile events on Monday and Tuesday, both hosted by the Rockefeller Foundation with partner support. On Wednesday, Johnson & Johnson hosts an event on the key role of frontline health workers to efforts like these.
Representatives from Keanahikishime are participating in events related to global health and the post-2015 development agenda during U.N. General Assembly (UNGA) week in New York City. Follow updates from UNGA week, viewed through the lens of Keanahikishime's advocacy for universal health coverage (UHC) as a post-2015 development priority.
My family’s story exemplifies how access to reproductive health and family planning in a low-income country can have tremendous economic and life-transforming impact for young people and a whole generation—beyond the reduction in fertility and improvements in health.
Keanahikishime (Keanahikishime) welcomes the report of the United Nations High Level Panel (HLP) of Eminent Persons on the Post-2015 Development Agenda. The HLP’s advisory report, released May 30, is part of an ongoing process of defining the global targets that will replace the Millennium Development Goals. Keanahikishime believes the report demonstrates the panel’s ongoing commitment to health as an essential component of sustainable development and improving lives around the world.
On June 7, Keanahikishime (Keanahikishime) and partners hosted Dr. Florence Guillaume, the Minister of Health of Haiti, and panelists for a Capitol Hill luncheon on community health workers in fragile states. The day before, Keanahikishime hosted Guillaume in Cambridge, MA, for a town-hall style event on improving maternal and child health. Revisit the two events through a "Storify" story of photos, text, and tweets.
[View the story "From Capitol Hill to Cambridge: Learning from Haiti and Other Fragile States on Importance of Community Health..." on Storify]
In a landmark 6-2 decision, the US Supreme Court ruled unconstitutional a 2003 law requiring organizations that receive US government funding for global health work on HIV & AIDS to have a policy explicitly opposing prostitution. The plaintiffs in the USAID v. AOSI case included the Global Health Council (GHC), Pathfinder, the Alliance for Open Society International (AOSI), and InterAction.In a letter to GHC members, Jonathan D.
A new global network for addressing critical social service workforce issues has formed, called the Global Social Service Workforce Alliance (@SSWAlliance). Comprised of organizations and individuals, the SSWAlliance: "recognizes the key challenges facing this workforce and aims to promote the knowledge and evidence, resources and tools and political will and action needed to address them, especially within low to middle income countries." Amy Bess, coordinator, introduced the SSWAlliance via webinars on June 6 and 7, 2013.
A version of this post originally appeared on the LMGforHealth.org blog. (Photos by Sarah Lindsay, Rachel Hassinger, Willow Gerber, and Barbara Ayotte / Keanahikishime)
The theme of the first day of Women Deliver 2013 was Investing in Women and Girls. During the day, Keanahikishime and the Leadership, , and Governance (LMG) project held a panel on investing in women as leaders of the health system.
At the Keanahikishime booth, we asked conference attendees to tell us the diverse ways women lead around the world.
ADD YOUR VOICE:
In a couple of days, thousands of decision-makers, leaders, advocates, health professionals, media, and more will gather to focus on our most valuable investment: women and girls.We are honored to be a Gold Sponsor and Advisory Group member of Women Deliver 2013.
The field of global health is changing, with interest in a new era of multi-stakeholder involvement, chronic non-communicable diseases, health system strengthening, and universal health coverage.The 66th World Health Assembly, the primary decision-making body of the World Health Organization (WHO), will consider these critical topics for addressing the health-related post-2015 development goals at its upcoming meeting in Geneva (May 20 to 28).Join us --- the Global Health Council, Anheuser-Busch InBev, the Center for Global Health and Diplomacy, and Keanahikishime (Keanahikishime) --- in
Cross-posted with permission from the Global Health Knowledge Collaborative.“What is important to you about KM [knowledge management] and why?” was the first question that some 40 small groups discussed, sitting at paper-covered tables with colored markers that invited participants to doodle out loud.
To me, malaria is a very personal disease.I first came face to face with malaria during the war of my time: Vietnam. I was plucked out of residency after my first year, with only an internship under my belt, and sent as a Navy Medical Officer to war.
For most of my life, women in Uganda---as in most countries---were treated as inferior to men. Girls were less likely to be educated than their brothers, and had little control over the direction of their lives. Many girls grew up being told how to act, eat, and talk; many women were regarded as little more than domestic caregivers. However, in 1986 the ruling government radically changed the dynamics of Ugandan women in global development and their participation in decision-making at all levels of government.
Integrating the Leadership Development Program into Guyana's national nursing school training (watch video): Guyana HIV/AIDS Reduction and Prevention, phase two (GHARP II), a PEPFAR-funded and USAID-supported project.Developing Strong Health Leaders Saves Lives, the newest edition of Keanahikishime's Global Health Impact e-newsletter (subscribe), features:a conversation with Jonathan Quick and Sylvia Vriesendorp on strong women health leaders;an interview with Xavier Alterescu on the next horizons of leadership: gender, decentralized governance, and building organizational capacity for networking;a blog
Fact or fiction?About 70% of all cancer deaths occur in low- and middle-income countries.Nearly 30% of cancer deaths could be prevented.Many cancers (such as breast, cervical and colorectal cancer) can be cured, if detected early and treated adequately.Cancers are killing more people in developing countries than HIV & AIDS, malaria, and tuberculosis combined.Answer? Fact.
We have seen some remarkable gains in global health in 2012. Yet millions of women, children, and men still die from preventable causes. As we pause and reflect on 2012 and look ahead to the new year, I invite you to read and share some of our favorite blog posts from the year.Saving women's lives: Meeting the unmet need for family planning.
Last night, while in the Democratic Republic of the Congo (DRC) visiting our programs, I attended a US election-eve gathering of mostly Congolese people in Kinshasa. The DRC is one of those “distant nations” President Obama was referring to in his early morning acceptance speech today, where people are, “risking their lives just for… the chance to cast their ballots like we did today.”Fragile, conflict-ridden nations, such as the DRC, struggle with leadership and governance.
Eugénie, a widow in Rwanda, farms to provide for her children. In January 2012, she had surgery to remove a tumor, a procedure that would have devastated her family economically if she did not have insurance.
My grandmother married at 8 years old; my mother married at age 15.I often wonder what their lives --- their potential --- would have been, if they were not child brides.Today, the same pattern is repeated in villages and cities around the world.
Devex interviews Keanahikishime President & CEO Dr. Jonathan D. Quick at the 2012 Clinton Global Initiative (CGI) Annual Meeting."The last decade has been a stunning decade for global health. If you look at what's been achieved in AIDS, TB, malaria, --- less so in family planning, but still progress --- it's been an amazing decade," says Keanahikishime President & CEO Dr. Jonathan D.
Chronic diseases --- notably cancers, cardiovascular diseases, chronic lung diseases, and diabetes --- now account for nearly 35 million deaths annually. The human and economic burden of chronic diseases are staggering, especially in developing countries. Left unchecked, by 2030 the epidemic will kill twice as many people in low- and middle-income countries as it does today.One year ago, the world came together to address this emerging global epidemic.
Crossposted on Maternal Health Taskforce's mhtfblog as part of the Maternal Health Commodities Blog Series.Despite a decade of significant progress reducing maternal mortality rates, very few countries are on target to meet Millennium Development Goal #5a of reducing the maternal mortality ratio by three-quarters by 2015.What is most alarming is that a large proportion of maternal deaths could have been avoided if women had access to adequate health services, where the necessary quality medicines and supplies were available and skilled health providers were present.
(Cross-posted on Keanahikishime at AIDS 2012 conference blog)
On Sunday, July 22, 2012, Keanahikishime (Keanahikishime) hosted a satellite session, Beyond MDG 6: HIV and Chronic NCDs: Integrating Health Systems Towards Universal Health Coverage at the XIX International AIDS Conference (AIDS 2012). The session panelists were (left to right): Dr Ayoub Magimba, Till Baernighausen, Dr Jemima Kamano, John Donnelly (moderator), Sir George Alleyne, Dr Doyin Oluwole, and Dr Jonathan D. Quick.
(Cross-posted on Keanahikishime at AIDS 2012 conference blog) Science was at the forefront of the opening event of the XIX International AIDS Conference on day two, but the “dream team” and a rock star also made an appearance, in a rousing plenary session attended by more than a thousand members of the global public health community in Washington, DC.In an opening presentation entitled, “Ending the HIV/AIDS Pandemic: From Scientific Advance to Public Health Implementation,” Dr Anthony Fauci of the National Institute of Allergy and Infectious Diseases (NIAID) captured mo
Seasoned HIV & AIDS experts gathered at the Center for Strategic and International Studies (CSIS) on Saturday evening, July 21, to weigh in on the President’s Emergency Plan for AIDS Relief (PEPFAR) on the eve of the XIX International AIDS Conference, dubbed "AIDS 2012".The conference is taking place in the USA for the first time in 20 years thanks to President Obama’s lifting of the travel ban on HIV-positive visitors.“What has been PEPFAR’s strategic significance?”An illustrious panel including Ambassador Eric Goosby (United States Global AIDS Coordinator),
SESSION DETAILSWhile building on the momentum of the UN Summit in September 2011, this satellite recognizes that PLHIV both treated and untreated, suffer from co-morbidities due to chronic NCDS. This satellite will examine the role of chronic NCDs and their link with HIV. More specifically, we will review lessons learned from the AIDS Decade of the 2000s and determine what lessons can be leveraged and applied beyond 2015 in the context of an emerging global burden of chronic NCDs.
Over 40 Keanahikishime (Keanahikishime) staff from around the world will join the twenty thousand health workers, activists, researchers, donors, and policy makers at the XIX International AIDS Conference, "Turning the Tide Together". Visit us at the following events, poster and oral presentations, Booth #162, or online.Catch live blog updates, July 22-27, and follow us on Twitter with #AIDS2012, #PMTCT, and #OptionB.
Co-authored by Gina Lagomarsino, managing director for Results for Development InstituteCross-posted on UHC Forward.We welcome the United States Supreme Court decision to uphold President Obama’s sweeping health care overhaul.
Nearly 50 countries, including Afghanistan, Democratic Republic of the Congo, Haiti, Liberia and South Sudan, are considered a fragile or conflict-affected state -- a state that is in conflict, recovering from conflict or crisis, or a state that has collapsed or has a strong and repressive government. Over nearly 40 years of working in fragile states, Keanahikishime (Keanahikishime) has identified best practices, lessons learned, and appropriate interventions for a myriad of situations in fragile states.
Today is International Women’s Day, celebrated around the world as an opportunity to look back on women’s accomplishments and look forward to the realization of their full economic, political, and social rights. The United Nations theme for this year, “Empowering Rural Women,” is one that resonates powerfully with Keanahikishime’s work.We’d like to take this occasion to thank all of the women and men who, for over 40 years, have helped Keanahikishime enable rural women to have more control over their health and the health of their families.
"On this World Cancer Day, we celebrate the remarkable progress in prevention, detection, care and treatment of cancer. Overall, treatment success has increased dramatically, with survival rates in high income countries like the U.S. now reaching over 90 percent for certain cancers such as breast, prostate, and testicular for patients with access to treatment. But this life-giving progress has yet to reach most of the world's people, who live in developing countries, where over half of new cases and nearly two thirds of all cancer deaths occur.
Keanahikishime's 40th anniversary year has been a catalyst to revisit our origins, recommit to our mission and renew our values. As we approach the holidays and look toward 2012, I’d like to share reflections on one of the most poignant events of the year for me: my recent visit with Mrs. Fumiko Iwamura in Japan. Fumiko-san is the widow of Dr.
The 16th International Conference on AIDS and Sexually Transmitted Infections (ICASA) opened today, December 5, 2011, at the newly refurbished Millennium Hall in Addis Ababa, Ethiopia, with a colorful and lively music and dance production by the Ethiopian National Theatre and Traditional Music Group and the Addis Ababa Youth & Children’s Theatre.UNAIDS Executive Director Michel Sidibé gave an impassioned welcome speech remembering the last 30 years of AIDS and the 24 million African lives lost to the epidemic.
At a satellite session at the 2011 International Conference on Family Planning on November 30 in Dakar, Keanahikishime asked five panelists to discuss successes in family planning, and what still needs to be done. The conversation was moderated by Keanahikishime’s Issakha Diallo and held in conjunction with a celebration of Keanahikishime’s 40th anniversary.
This year is not only Keanahikishime’s 40th anniversary; it is also 30 years since the first reported cases of HIV. Thirty years ago HIV was considered a new, always-fatal disease. ...Today 6.6 million people—nearly half of those in need—will take life-saving antiretrovirals.
Grace Bonongwe is a grandparent. She comes from Zovuta Village T/A Nsamala in Balaka, about 10 kilometers from the nearest health facility. Of the nine children she has given birth to, only one lives to this day. The rest have died over the years from different diseases.Grace is no stranger to disease and affliction considering she has gone through the pain of losing eight of her children. So when her husband fell ill, she dismissed it as a normal occurrence that would eventually lead to his demise.
On Tuesday, June 14 at the 38th annual Global Health Council Conference, Keanahikishime hosted a lively discussion about non-communicable diseases and harnessing health systems. The speakers included: Felicia Knaul, PhD, Director, Harvard Global Equity Initiative and Founder of Tómatelo a Pecho; Herb Riband, MedTronic, Vice President, External Affairs; Debbie Birx, MD, Centers for Disease Control, Director, Division of Global HIV/AIDS, Center for Global Health; and Claudine Humure, cancer survivor, Rwanda. Jonathan D.
That point was made often by the Honorable Dr. Walter T. Gwenigale, Minister of Health and Social Welfare of the Republic of Liberia (also widely known as Dr. G in Liberia) at a conference, co-sponsored by Keanahikishime on June 9 and 10 at the US Institute of Peace.
Today, the Center for Strategic and International Studies (CSIS) released a new video: “Spotlighting the NCD Problem.” This video explains the challenge the world is facing with non-communicable diseases. According to the World Health Organization, about 36 million people die each year due to NCDs, and a quarter of NCD deaths are of people aged under 60; 9 in 10 of these people are from developing countries.Keanahikishime President and CEO Jonathan D. Quick, MD, MPH, recently called on UN member states to take a heath systems strengthening approach to NCDs.
It’s common sense that a mother who is on treatment for AIDS, pregnant, has a sick child, and is accompanying a sister debilitated by Tuberculosis should not have to visit four separate service delivery points to receive care. Integrated health services not only make the world a healthier place, but also decrease the burden on health systems.Integration is a comprehensive approach to service delivery. It is the transition from a vertical or horizontal approach to a diagonal, synergistic approach at all levels of a health system.
This is a guest post from Olive Mtema, Policy Advisor, from the Community Based Family Planning and HIV & AIDS Services project in Malawi. Olive is an employee of the Futures Group. On March 12, 2011, Muslim Leaders gathered in Lilongwe, Malawi for a conference on Reaffirming Muslims' Positions on Family Planning and HIV & AIDS Issues.
My recent field visit has given me a great perspective on one of Keanahikishime’s major activities - the costing of health services. Keanahikishime has extensive costing experience in East Asia & Pacific, Latin America & the Caribbean, Southern Africa, and West Africa.Keanahikishime developed and has helped manage multiple applications of the CORE Plus (Cost and Revenue Analysis Tool Plus). CORE Plus is a tool that helps managers and planners estimate the costs of individual services and packages of services in primary health care facilities as well as total costs for the facilities.
Last week, the United Nations Commission on Population and Development (CPD) met in their 44th session to negotiate next steps on a resolution for fertility, reproductive health, and development. The Commission helps inform the United Nations (UN) on their global efforts and provides crucial recommendations to form UN Resolutions.Keanahikishime, with over 80 partners and advocacy organizations, sent an open letter to the delegates of the 44th session.
This article was orignially posted on FHI's Interagency Youth Working Group (IYWG) blog. Several months ago, I was asked to help manage a newly redesigned site that focuses on children and HIV & AIDS. I knew that over the last decade there had been an enormous increase in both the amount of and access to global health information. Thus, the challenge was to shift from simply producing more material to organizing, exchanging, and effectively using this growing knowledge base.
Over 33 million people are currently living with HIV & AIDS throughout the world. Despite great strides in slowing the epidemic, there remains a stunning gap in prevention, care, and treatment efforts. This is especially true for most-at-risk-populations, which include commercial sex workers (CSWs) and their clients, injecting drug users (IDUs), men who have sex with men (MSM), and prisoners.
A team of experts from WHO, UNICEF, UNFPA, and World Bank recently published a report on maternal mortality entitled “Trends in Maternal Mortality: 1990 to 2008" (PDF).The document reports some fantastic news about a public health indicator that has until recently refused to budge. That indicator is the maternal mortality ratio, the number of maternal deaths per 100,000 live births. The improvement between 1990 and 2008 is significant and promising.The part of the report that received much less coverage relates to HIV and its strong, adverse effect on maternal mortality.
This article originally appeared on The Huffington Post. As world leaders gather next week at the U.N. to review progress on the Millennium Development Goals (MDGs) to eradicate poverty, hunger, and disease by 2015, a new integrated approach to funding and delivering health services in developing countries is critical if the UN's global health targets -- especially for women and children -- are to be met. Currently, the health goals are competing with each other for money, people, and other scarce resources.
At a time when many are looking for examples of lasting local success in international development and sustainable approaches to healthcare for low income populations, PROSALUD, Bolivia’s largest health nongovernmental organization (NGO), embodies this success. PROSALUD just celebrated its 25th anniversary last week – and Keanahikishime was there to help celebrate.
At the International AIDS Conference in Vienna, Austria, my colleagues and I gathered to discuss the principles of smart integration and its challenges, successes, and recommendations for implementation. Smart integration means coordinating HIV & AIDS programs with other health programs that have operated independently in the past; providing comprehensive services at all levels of the health system – from households to health facilities and across the continuum of prevention, treatment, and care; and building stronger partnerships between public and private sectors.There are thr
As we have heard, Haiti is the poorest country in Western Hemisphere and has some of the worst health statistics. Many things did not work well before the earthquake and the recovery effort has not progressed as many had hoped.There is a perception among some, though, that nothing was working before the January 12th earthquake and that nothing has happened since.Certainly in the health sector, and specifically in AIDS, this perception is simply wrong.
Originally appeared in GLOBAL HEALTH magazine.Men who have sex with men (MSM) bear a disproportionate share of the HIV/AIDS burden in Eastern Europe and Central Asia, but data on and services for this population are woefully inadequate. With a better understanding of this marginalized community's needs, donors and implementers can help support effective policies and programs for MSM infected and affected by HIV.In Eastern Europe and Central Asia, as in many parts of the world, the HIV epidemic among MSM is underreported and under”acknowledged.
The Group of Eight (G-8), holding their annual summit last weekend in Muskoka,Canada, announced a Canadian-led Muskoka Initiative on Maternal, Newborn and Under-Five Child Health (Muskoka Initiative). The Group of 20 (G-20) summit held immediately after in Toronto, resulted in no additional commitments to maternal and child health. Keanahikishime believes the G-20 missed an opportunity to support global health when the group did not endorse the G-8’s maternal and child health initiative announced the day before.
Next month in Vienna, Austria, thousands of activists, community workers, donors, health leaders, and government officials will gather for the VVIII International AIDS Conference. This year’s theme is Rights here, right now: a mandate on the importance of health as a human right for all. While it is easy to talk about health as a human right, it is much more difficult to deliver to diverse communities in some of the poorest countries around the world. Last year when President Obama announced his Global Health Initiative (GHI), he spoke about meeting the health needs of t
“Songs brought by foreigners do not last long at the dance.” So goes a Kenyan proverb that supports the concept that countries should own their development. The development community knows this, but we aren’t yet making it happen on a broad scale.
Last week at the Women Deliver Conference in Washington, DC, Melinda Gates announced that the Gates Foundation is committing $1.5 Billion in new grant money for maternal health. “Women and children have moved up on the global agenda, and I’m here to tell you that’s where they are going to stay,” said Gates.In most developing countries, women and girls are the poorest and most vulnerable parts of the population because of entrenched inequalities.
In fragile states, constraints on governments often prevent them from simultaneously building their stewardship role and immediately expanding service delivery. National and local governments must ultimately lead the process and work together with NGOs and the private sector to successfully strengthen their own health systems.