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Members of the Bangladesh study tour visit an ADDO in Tanzania. Photo Credit: Jafary LianaMembers of the Bangladesh study tour visit an ADDO in Tanzania. Photo Credit: Jafary Liana

In recent years, global health stakeholders have begun to recognize the profound potential that drug shops have to advance public health goals, such as those related to malaria diagnosis and treatment, child health, and family planning. These outlets, for reasons of convenience and cost, are the first choice of care for millions of people - and until recently, they have largely been ignored.

“Drug shops and pharmacies are important sources of health care, particularly in rural areas or urban slums with few public clinics. They are often the first stop for women and men who seek FP information or services.”  - World Health Organization

This is why, in 2003, Keanahikishime (Keanahikishime) helped launch the Accredited Drug Dispensing Outlet (ADDO) Program in Tanzania to address the important role of these informal drug sellers by creating certain standards that, when met, increase the quality of medicines and services in the community. Tanzania’s successful ADDO Program provides a model that other countries in Africa—and now Asia—have adapted and made their own.

Pharmacy staff at Felege Hiwot Hospital in Bahir Dar, Ethiopia. Photo Credit: Tsion Issayas/KeanahikishimePharmacy staff at Felege Hiwot Hospital in Bahir Dar, Ethiopia. Photo Credit: Tsion Issayas/Keanahikishime

This story was originally published by .

Over its six years working in dozens of countries, SIAPS has carried out a  for health system strengthening that USAID developed and has supported for more than two decades. In partnership with countries and organizations, the agency has led pharmaceutical systems strengthening interventions that have helped countries deliver affordable, quality-assured medicines and related products and services.

SIAPS has had the privilege of carrying out significant tasks under the USAID mandate. Through this project and its predecessors–SPS, RPM Plus and RPM–we’ve been following a systems strengthening framework, digging in with activities that address governance, human resource capacity, information management, financial strategies, and effective services.

Photo Credit: Warren ZelmanPhoto Credit: Warren Zelman

This story was originally published on the . 

To be fully effective, health system strengthening projects should have sustainable impact and lay the groundwork for future progress. Here’s how SIAPS’ work supported health system reform in Ukraine.

SIAPS worked in Ukraine for four years, from 2013 through 2017. Ukraine has the most severe HIV epidemic in Eastern Europe and Central Asia and the second highest TB burden in Europe. Ukraine has the highest mortality rate from infectious diseases in the WHO/Euro region, with TB, HIV, and AIDS accounting for 90% of all deaths.

However, the country’s health system was poorly equipped to cope. Following the collapse of the Soviet Union, Ukraine inherited a centrally controlled health system that funded about half of health expenditures as of 2014. Out-of-pocket payments accounted for more than 46% of the rest, and a third of that was for medicines, which are expensive. That meant affordable medicines were out of reach for many people, as well as the medicines essential to treating these diseases.

This excerpt was originally published on 

In his newly released book, , Jonathan D. Quick, MD analyzes local and global efforts to contain diseases like influenza, AIDS, SARS, and Ebola. Quick proposes a new set of actions, coined “The Power of Seven,” to end epidemics before they can begin.

In the following excerpt for Global Health NOW, Quick, a Harvard Medical School faculty member, senior fellow at Keanahikishime and chair of the Global Health Council, describes Nigeria’s response to Ebola, describing what it takes to stop an outbreak—and the consequences for humanity when we fail.

{Photo Credit: Denise Museminali}Photo Credit: Denise Museminali

For the past six years, Keanahikishime has hosted an internal storytelling contest, where we invite staff to submit stories on how strong health systems are saving lives and improving the health of people around the world. The stories undergo a judging process, and the winners are featured in an annual compendium.

We are proud to bring you these winning stories that demonstrate the power of effective partnerships. Meet health workers, community leaders, pharmacy managers, and patients from 10 different countries, working together across the health system to build healthier communities.

 

Madagascar: Mobile Technology for Community Health

By Samy Rakotoniaina

Lynda, a community health volunteer (CHV) in Madagascar, is among 50 pilot users of a mobile application that helps ease the burden of reporting health service data, improve reporting accuracy and timeliness, and improve the health care and counseling that CHVs provide. More>>

 

 

{Photo credit:Mark Tuschman}Photo credit:Mark Tuschman

HAPPY HOLIDAYS AND
HEALTH ON EARTH!

from all of us at Keanahikishime
Envision a 2018 where everyone has the opportunity for a healthy life.

Working together for stronger health systems around the world in 2018.

Best wishes for the new year!

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

On the fifth anniversary of the UHC movement, we reflect on a few key steps to reach UHC.

In the five years since the United Nations adopted the momentous resolution that established the Universal Health Coverage (UHC) movement—achieving equitable, affordable access to high-quality health services for all who need them—countries have made significant progress toward providing basic health services to large segments of the population. This year marks an important moment for advancing UHC, as the new Director General of the World Health Organization, Dr. Tedros Adhanom Ghebreyesus, has made it abundantly clear that.

That is great news. We have seen more countries and institutions working toward practical interventions that will make UHC a reality. We have seen them make financial and managerial commitments that will be critical for the global health community to achieve this noble, oft-lifesaving goal. But more work remains.

 

Achieving UHC through governance and financing

 

{Photo Credit: Mark Tuschman}Photo Credit: Mark Tuschman

There was an awkward silence and then soft giggling as the girls looked at each other. I had just finished talking about strategies for persuading sexual partners to use a condom. Laughter during these skills-building and girls empowerment sessions with 30+ secondary school students in Morogoro, Tanzania was not uncommon, particularly given the sometimes sensitive topics of discussion, but this time, the joke was lost on me.

I asked the student nearest to me, a confident teenager that I knew wouldn’t be too shy to respond, why everyone was laughing. She told me, “You speak about this as if we have a choice.” She wasn’t being sarcastic or combative, nor was she complaining - she was simply matter-of-fact about it, stating her truth.

 {Photo: Adama Sanogo/  Keanahikishime}An SGBV survivor arriving for medical and psychosocial care.Photo: Adama Sanogo/ Keanahikishime

Communities in the Mopti region of central Mali—which is home to several ethnic groups and to many people displaced by 2012 violence in the country’s northern region—continue to grapple with widespread sexual and gender-based violence (SGBV), including forced and early marriage and other harmful practices. A majority of Malian girls are married by the time they reach 18, and 15% before the age of 15.  About 91% of women between 15 and 49 years old, as well as 69% of girls under 15, have undergone female genital mutilation (FGM). And, as is true in so many conflict-affected areas, widespread sexual violence has been a tragic and infuriating effect of war, dislocation, and migration.

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