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12 Stories:
Strong Health Systems Save Lives
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Photo: Gwenn Dubourthournieu
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For the fourth year in a row, Management Sciences for Health (MSH) invited staff to submit stories about how health systems save lives and improve the health of the poorest and most vulnerable worldwide. MSH staff from 34 projects submitted over 50 stories from 2015. These 12 stories, selected by MSH staff judges, demonstrate how good storytelling and effective partnerships can save more lives.
In this special edition of our Global Health Impact Newsletter, meet health workers, community leaders, pharmacy managers, beneficiaries working together toward healthier communities. (Stories appear alphabetically by country.)
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by Zakia Sultana and Francis Hajong
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With support from the Challenge TB project, funded by US Agency for International Development (USAID) and led by MSH in Bangladesh, intensified active tuberculosis (TB) case finding among high-risk groups, such as children, people living with HIV, diabetics, etc.; is saving lives, such as twenty-two-month-old Anika (pictured with her mother).
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Photo: Francis Hajong/MSH
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Thanks to timely support from the Supply Chain Management System (SCMS) to the Divo regional hospital immediately after a fire destroyed the pharmacy, antiretroviral distribution has continued without interruption to the Loh-Djiboua region of Côte d'Ivoire. Funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR), administered by USAID and led by the Partnership for Supply Chain Management (PFSCM) -- a nonprofit organization established by MSH and John Snow, Inc. –- SCMS supplies lifesaving medicines to HIV and AIDS programs around the world.
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Democratic Republic of the Congo
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by Isa Iyungamo and Landry-Serges Malaba
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Respiratory distress could have cost Baby Mushombe (pictured) his life -- as it does many infants in Democratic Republic of the Congo -- were it not for a team of midwives and assistants who had mastered Helping Babies Breathe, a resuscitation technique developed for environments with limited resources.
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by Berhan Teklehaimanot and Ali Galgalo
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Aster Gemede (pictured) lost her husband to tuberculosis (TB) meningitis early in 2012. Struck with grief, she did not notice her own deteriorating health in the months after his death. When Gemede got to the point where she was unable to look after her two children, she was forced to walk eight hours from her home in rural Borena zone, Oromia, Ethiopia, to the nearest health facility.
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“We have come a long way,” Dagnachew Hailemariam, head pharmacist of Bishoftu General Hospital in Ethiopia, says. Through the systems and guidelines put in place with the help of the hospital’s Drug and Therapeutic Committee, supported by USAID-funded, MSH-led Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS), the hospital has decreased the expiry rate from 20 percent in 2009 to 4.5 percent in 2015 -- significantly cutting medication costs and increasing patient satisfaction from 55 percent to 90 percent in the same period.
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The USAID Mikolo project, led by MSH, is helping avert missed opportunities for providing family planning by supporting local NGOs to train community health volunteers, such as Vololona Harivelo (pictured), in the use of pregnancy tests.
Health workers in Madagascar -- the first country to scale-up pregnancy test use by community health volunteers -- say the use of pregnancy tests has the potential to quickly increase modern contraceptive prevalence rates and use of antenatal care services.
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Through SIAPS, MSH has helped the Namibian Ministry of Health and Social Services establish a quality management system for training pharmacist assistants (PA), such as Martin Mandumbwa (pictured).
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by Adeola Ayo, Emmanuel Nwala, and Philomena Orji
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Nse Usoro Odo (pictured right) is living proof of the health and economic benefits of community-based health insurance schemes in Akwa Ibom State, Nigeria.
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“Thanks to USAID there was a tremendous change in my community... more united, cleaner, women participate in the assemblies, men respect us, and the children are no longer sick like they were before,” said Graciela Quío (pictured), president of the Monte de los Olivos Community Development Committee.
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by Gail Mkele and Susan Putter
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Two MSH-led projects, SIAPS and SCMS, collaborated to support local leaders’ efforts to improve pharmaceutical leadership, governance, and supply chain processes at a provincial pharmacy depot in South Africa.
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When Rose Chebet (pictured right) was five months pregnant with twins, she visited a hospital in Eastern Uganda for a routine antenatal visit. She was devastated to learn that she was HIV positive and she feared her twins would not survive.
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Through TRACK TB-supported monthly clinical reviews, medicine deliveries, quarterly home visits, and mentorships conducted by a district hospital, Flora Mugisa (seated) completed her multidrug-resistant tuberculosis (MDR-TB) treatment after nearly two years. USAID's TRACK-TB, led by MSH, supports 6 of 15 MDR-TB treatment facilities in Uganda and provides treatment services to over two-thirds of all MDR-TB patients in the country.
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Thank you for reading MSH Global Health Impact. We encourage you to share these stories with your family, friends, and networks. On social media, share links to individual stories or to this email with hashtags #12Stories or #MSHHealthImpact. (Tag @MSHHealthImpact on Twitter, and on @Management Sciences for Health on Facebook.)
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