Financing Health Services: Our Impact

{Crédit photo : Méré Chabi Boum} Participants à une formation sur la supervision des activités.Crédit photo : Méré Chabi Boum

Pour lire cette histoire en anglais, veuillez cliquer ici.Écrit par Méré Chabi Boum, spécialiste en système de santé communautaire pour l’Activité de Services de Santé Intégrés de l’USAID, mise en œuvre par Management Sciences for Health.Les relais communautaires jouent un rôle essentiel dans l’amélioration de la santé de la population.

{Photo credit: Méré Chabi Boum}Participants at a training on supervising activities.Photo credit: Méré Chabi Boum

To read this story in French, please click here. Written by Méré Chabi Boum, Community Health Systems Specialist for the USAID Integrated Health Services Activity, led by Management Sciences for HealthCommunity health workers (CHWs) play an important role in improving the health of the population.

 Dr. Rabia Kahveci presents at a Ukraine's first national national health technology assessment forum.

MSH congratulates Dr. Rabia Kahveci for her appointment as board vice president and president-elect of Health Technology Assessment international (HTAi), a nonprofit organization dedicated to fostering health technology assessments worldwide. The two-year appointment will lead to Dr. Kahveci assuming the presidency of the organization in 2023. Dr. Kahveci is MSH’s senior technical advisor for pharmaceutical policy and governance and has also served as a board director with HTAi from 2014 to 2020 and as chair of the HTAi Developing Countries Interest Group and co-chair of the Medical Devices Interest Group. In addition, she served as the Chair of the Eurasian Health Technology Assessment (HTA) Initiative. 

 {Barnabé Tchoudji/ Activité de Services de Santé Intégrés de l'USAID} Remise des documents officiels relatifs à la réception de l’ambulance médicalisée dans le Plateau. De gauche vers la droite : Le Chef de Service des Affaires Administratives et Economiques, M. Bernard Fagbohoun ; le Directeur Départemental de la Santé, Dr. Hypocrate Fatembo ; le Chargé de l’Administration et des Ressources, M. Télesphore Adomou ; M. Rafiou Aya ; le Directeur de l’hôpital de zone de Pobè, M. Bakary Abdoul Karibou.Barnabé Tchoudji/ Activité de Services de Santé Intégrés de l'USAID

Lorsqu’une femme enceinte a une urgence médicale, quelques minutes de retard peuvent avoir des conséquences dramatiques. Cependant, avec peu d’ambulances publiques dans certains endroits du Bénin, les familles doivent souvent passer ces précieuses minutes à trouver un moyen de transport vers l’hôpital.Dans le département du Plateau, les patients se trouvent en difficulté depuis 2018, date à laquelle la dernière ambulance publique est devenue hors d’usage. De plus, les structures sanitaires privées facturent le transport avec un coût allant jusqu’à 25 000 Francs CFA (environ 46 USD), une somme importante pour beaucoup. D’autre part, les chauffeurs privés sont souvent réticents à effectuer les références à cause de l’état des pistes. Par conséquent, cette situation force les personnes à choisir entre débourser beaucoup d’argent ou prendre les transports en commun.

{Photo credit: Barnabé Tchoudji/USAID Integrated Health Services Activity}Official transfer of documents during the reception of the ambulance in Plateau. Left to right: The Chef de Service des Affaires Administratives et Economiques, Bernard Fagbohoun, the Directeur Départemental de la Santé, Dr. Hypocrate Fatembo, the Chargé de l’Administration et des Ressources, Télesphore Adomou, Rafiou Aya, and the Director of the Hospital of the zone of Pobè, Bakary Abdoul Karibou.Photo credit: Barnabé Tchoudji/USAID Integrated Health Services Activity

Pour lire cette histoire en français, veuillez cliquer ici.When an expectant mother has a medical emergency, a few minutes’ delay can be deadly. But with few public ambulances in parts of Benin, families often spend those precious minutes securing transportation to the hospital.In the Plateau department, patients have struggled with emergency transportation since 2018, when the last public ambulance broke down. Private health facilities charge up to 25,000 CFA (about $46) for an ambulance, a significant cost for many people.

{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.

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