Financing Health Services: Our Impact

{Photo credit: Barnabé Tchoudji} Women in the newly built waiting room wait for their children to receive vaccinations, November 2020.Photo credit: Barnabé Tchoudji

To read this story in French, please click here.The Government of Benin aims to implement a health system that offers quality health services to all citizens in a sustainable manner while giving more responsibility to local leaders. However, Government funds are not sufficient to cover the costs of this initiative, especially when considering health emergencies. For this reason, local authorities must identify alternative sources of funding for the care of their constituents.

{Crédit photo : Barnabé Tchoudji.} Des femmes dans la salle d’attente nouvellement construite attendant que leur enfant reçoive leur vaccin.Crédit photo : Barnabé Tchoudji.

Le Gouvernement du Bénin ambitionne de mettre en place un système de santé qui offre à chaque citoyen des services de santé de qualité de façon pérenne tout en donnant plus de responsabilités aux élus locaux.

MSH was formed in May 1971 by Dr. Ron O’Connor to focus on supporting countries as they strengthen their health systems and the local ownership needed to achieve sustainable change. In 2021, we are celebrating our five decades of health impact. But we are not going to celebrate this anniversary by reflecting on the past. We want to focus on the future of global health – the Next 50 Years.We turn 50 during a time when, due to the COVID-19 pandemic, the importance of global health is on everyone’s mind and impacting everyone’s lives.

 {Photo credit: Modeste B. Gnitona}The women’s group Iréti’mbè and Ifèomontayo in Adja-Ouèrè has increased its income and launched a savings fund to cover the cost of health services for its members.Photo credit: Modeste B. Gnitona

Pour lire cette histoire en français, cliquez ici.Even when healthcare is available, it is not always accessible. In Benin, poverty prevents many women and their children from paying for essential health services.

On September 24, 2020 over 120 health care professionals in Ukraine gathered online for the 2nd National Health Technology Assessment (HTA) Forum led by the Ministry of Health of Ukraine, with support from the MSH-led, USAID Safe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) Activity.  HTA, an evidence-based instrument to identify which medicines, medical devices, and treatment regimens are optimal for a state to support, is designed to serve as a key priority-setting tool for Ukraine’s health system. Globally, HTA is recognized as the preferred tool for reviewing health technologies and providing evidence for the value they can deliver to patients, the health system, and more broadly, to society.

 {Photo credit: Samy Rakotoniaina/MSH}A community health volunteer in Madagascar discusses family planning methods with a client.Photo credit: Samy Rakotoniaina/MSH

Community health workers (CHWs) are a critical part of the health workforce – not only do they bring accessible, quality services closer to where people live but they often serve as the early warning system for epidemics and are responsible for leading effective community responses.

 {Photo credit: MSH Rwanda}Left to right: Lisa Godwin, USAID Rwanda Health Office Director, Dr. Diane Gashumba, Rwanda's Minister of Health, Alain Joyal, RHSS Project Director, Management Sciences for Health.Photo credit: MSH Rwanda

Over the past five years, the United States Agency for International Development (USAID) has invested in measures to strengthen and sustain Rwanda’s health sector through its Rwanda Health Systems Strengthening (RHSS) Project (2014-2019). In a ceremony at the Kigali Serena Hotel, USAID, the Ministry of Health (MoH), as well as the implementing partner, Management Sciences for Health (MSH), marked the culmination and remarkable achievements of the five-year effort to strengthen the country’s health sector.

MSH collaborated with UNICEF and the Government of Burkina Faso to develop an investment case for community health services to reduce maternal and child mortality and achieve UHC.

{Photo credit: MSH}Hon. Dr. Riek Gai Kok (Minister of Health, Republic of South Sudan), Colin Gilmartin (MSH), Alfred Driwale (MSH Consultant), and Chair of the Health Parliamentary Committee of the Republic of South Sudan.Photo credit: MSH

South Sudan faces extraordinary challenges to build and strengthen its health system to meet the basic health needs of its people. After decades of civil war, the country faces a critical shortage of trained health personnel,[1] limited access[2] to essential health services,[3] and consequently experiences some of the worst health indicators globally. The majority of childhood deaths are due to preventable causes such as diarrhea, malaria, and pneumonia while an estimated one in seven women die due to pregnancy related complications.[4]

A mother asks a SILC group for a loan to pay for the treatment of her sick baby.

Throughout Madagascar most families struggle with financial instability. Eighty percent of families work as farmers generating seasonal, unreliable income. In southwestern Tulear II District, the arid climate puts even greater stress on a farmer’s income.