Our Impact

{Photo credit: MSH}Photo credit: MSH

For many Liberian women, the excitement of pregnancy is often accompanied by cautious fear. Too many of these women have experienced pregnancy complications themselves or know others who have suffered or died from hemorrhage, blood clots, infection, high blood pressure, or obstructed labor. While these complications pose serious dangers for all pregnant women, Liberian mothers face the added risk of a weak health system that often leaves them in the hands of untrained staff and ill-equipped facilities.

 {Photo credit: Overseas Strategic Consulting.}Frank Baraka (left) sews a bed net to use as a fishing net.Photo credit: Overseas Strategic Consulting.

It is 1 p.m. in the village of Kavimvira. The sun is high over Lake Tanganyika, at the foot of the Mitumba Mountain, in scenic Sud Kivu. Frank Baraka has packed the bounty of the morning fishing trip and folded his nets, when his cell phone chimes to signal an incoming text message: “Sleep every night under an Insecticide-Treated Net (ITN), to protect your family from malaria,” he reads out loud, amused, to his fishing companion. 

 {Photo credit: MSH.}Floride Niyuhire, MD, MPH, a Performance-Based Financing Advisor for RBHS.Photo credit: MSH.

MSH contributes to health systems strengthening in Liberia through Rebuilding Basic Health Services (RBHS), a USAID-supported project, led by the JSI Research & Training Institute, Inc. We spoke recently with Floride Niyuhire, MD, MPH, a Performance-Based Financing Advisor for RBHS. Liberia experienced civil war throughout the 1990s, finally ending in 2003. How did civil war affect the health system?

The trained medicine dispenser/proprietor signs paperwork to receive the official AMS logo for her store. {Photo credit: Arthur Loryoun/MSH Liberia}Photo credit: Arthur Loryoun/MSH Liberia

The Liberia Ministry of Health and Social Welfare (MOHSW), Liberia Medicine and Health Products Regulatory Authority (LMHRA) and the Pharmacy Board of Liberia (PBL) marked the successful launch of the Accredited Medicine Store (AMS) program in Liberia on February 12, 2013. The Sustainable Drug Seller Initiatives (SDSI) program supports the AMS initiative in Liberia through a grant from the Bill & Melinda Gates Foundation to Management Sciences for Health (MSH). 

Dr. Stanekzai, Afghanistan.Dr. Stanekzai, Afghanistan.

The 2010 Afghanistan Mortality Survey (AMS 2010) is Afghanistan's first comprehensive mortality survey. Implemented by the Afghan Public Health Institute (APHI), the Ministry of Public Health (MoPH), and the Central Statistics Organization (CSO), the national survey represents over 22,000 households, covering 87 percent of the total Afghan population. In addition to data on mortality and cause of death for mothers, children, and all adults, the survey includes data on fertility, family planning, and on the utilization of maternal and child health services.

Women and children gather in Tambura, South Sudan. {Photo credit: MSH.}Photo credit: MSH.

Women throughout the world face a stacked deck when it comes to health. They bear and raise children, perform taxing housework, and often take primary responsibility for cultivation and harvesting – all of which make them vulnerable to health complications. But they are usually not the primary decision makers in the household, even when it comes to their own health.

 {Photo credit: SCMS/Côte d’Ivoire}Côte d’Ivoire’s central medical store unloading supplies at the docking station.Photo credit: SCMS/Côte d’Ivoire

The Supply Chain Management System (SCMS) has been providing technical assistance since 2005 to Côte d’Ivoire’s central medical store, the Pharmacie de la Sante Publique (PSP)—later re-named the Nouvelle PSP (NPSP)—to strengthen the management of products in the health system. SCMS is a project under the US President’s Emergency Plan for AIDS Relief (PEPFAR) administered by the US Agency for International Development (USAID).

{Photo credit: MSH staff/Afghanistan}Photo credit: MSH staff/Afghanistan

Dr. Mohammad Khakerah Rashidi is Country Representative of Management Sciences for Health (MSH) Afghanistan and Project Director of USAID's Challenge TB in Afghanistan. Rashidi also serves as First Vice Chair of the Country Coordinating Mechanism (CCM) Afghanistan (Global Fund) and is a Senior Lecturer at Zawul Institute of Higher Education. Earlier in his career, Rashidi says he was the “only medical doctor for more than a million people.” He spoke to MSH about its TB work in Afghanistan in the context of a fragile state.

 {Photo credit: Alisher Latypov/MSH}Representatives from the German Enterprise for International Cooperation (GIZ) facilitating a communications workshop with the Ukrainian Center for Socially Dangerous Disease Control, in partnership with LMG-Ukraine.Photo credit: Alisher Latypov/MSH

In November 2013, Ukrainians took to the streets in Kyiv, claiming Maidan Square to protest corruption and to demand the signature of the EU-Ukraine Association Agreement, rejected by the now ex-Ukrainian President Yanukovich.  By the beginning of 2014, the situation reached a boiling point and the riots in Kyiv were turning into full-blown urban warfare.

 {Photo credit: MSH}Dr. Ihsanullah Shahir (third from left), Director General of Human Resources within Afghanistan’s Ministry of Public Health, used the Leadership Development Program (LDP) to develop local solutions with local leaders.Photo credit: MSH

Dr. Ihsanullah Shahir, Director General of Human Resources within Afghanistan’s Ministry of Public Health, began work as a young doctor in mountainous Bamyan province during what he calls “an emergency situation during the war.” In 2004, Shahir became the Provincial Health Director in Bamyan Province. I had limited knowledge, but I got help from colleagues. We established everything from zero. Shahir and his colleagues worked to ensure coverage of the Basic Package of Health Services.