Globally, more than 230,000 children died of TB in 2019. According to the World Health Organization (WHO), children under the age of 14 accounted for 12% of the people who developed TB in that year. In any given year, millions of children are infected with TB, which affects especially the most vulnerable, such as those who are malnourished. This tragedy is made worse because TB tends to be difficult to diagnose in children, and they are more likely to develop serious forms of TB. Many cases of childhood TB are missed, and access to services has been further compromised by the COVID-19 pandemic.

Improving Human Resources through Better Management Tools and Approaches

Tuberculosis remains the world’s leading infectious disease killer. Ending TB will require a comprehensive approach and targeted action, rapid innovation and proven interventions, bold leadership, and intensive community engagement.   On this World TB Day, the global health community is calling for “Leaders for a TB-Free World” to work together, make history, and end TB once and for all.

This story was originally posted by The Maternal Health Task Force

“When we started our project in 2011, there was no system in place to identify multidrug-resistant tuberculosis (MDR-TB),” explained Muluken Melese, project director for the Help Ethiopia Address the Low Tuberculosis Performance (HEAL TB) project. However, since then, the five-year USAID-funded project, implemented by Management Sciences for Health (MSH), has expanded access to TB services to over half the population of Ethiopia and led a 15-fold increase in the number of MDR-TB patients on treatment.

“I started feeling this coughing… so I went to the health center and got tested. It was positive for TB,” says Grace*, a young Ugandan woman. She started on medicines, but after two months, she stopped adhering to treatment.They told me to continue with the drugs for five more months, but I stopped.I thought I was ok.She started coughing again, went to the hospital, and was diagnosed with multidrug-resistant TB (MDR-TB). MDR-TB cannot be treated with two of the most powerful first-line treatment anti-TB drugs. Her treatment regimen?

Today, over 500 organizations and individuals worldwide are celebrating the first-ever Universal Health Coverage Day (UHC Day). All week, Management Sciences for Health (MSH) bloggers have shared stories, analysis, photos, and videos, in support of UHC Day and health for all: Partnering to Make UHC a Reality "For UHC to succeed worldwide, the global health community must generate what’s still missing: a fully-fledged roadmap for UHC efforts and an architecture for global UHC governance," blogs Jonathan Jay in Devex.

“MSH is like my mother,’’ said Yimenu, a young medical professional from East Gojam, a place about 600 kilometers from Ethiopia’s capital, Addis Ababa. “I have been suffering for five years and it was because of MSH that I started living all over again.” Yimenu is the voice of thousands: the symbol of partnership that contributed significantly to the country’s increasingly strengthened health sector to save lives. “I ask no more than an opportunity to help others,” said Yimenu looking at the crowd with complete joy.

It came as a surprise to many attending the symposium—health insurance in Ethiopia had been talked about in the media for a while, but most didn’t know the preparations had gone this far. It was at a high level session that the Acting Director General of the Ethiopian Health Insurance Agency, Dr. Mengistu Bekele, explained the work the government has been doing to start the implementation of the twin health insurance schemes. Dr.

This post originally appeared on Devex on November 14, World Diabetes Day (#WDD). During her third pregnancy, Eden Bihon visited the Mekelle Health Center in Tigray, Ethiopia. Although a routine prenatal visit, it held great importance for Eden, as she had recently lost her second child, who died from unknown causes at the age of just one year. Unknown to her at the time, this visit would have lasting implications for Eden and her baby. A 23-year-old mother, Eden, like most Ethiopian women, had concerns about her pregnancy and well-being. But gestational diabetes was not one of them.

We will sprint in the last round like our athletes. That is the Ethiopian style. So says the famous Ethiopian comedian Dereje Haile. His team is lagging behind in the first round of the popular Ethiopian Television (ETV) game show, Question and Answer Competition.

Azmara Ashenafi, a 35-year-old woman from the Amhara region of Ethiopia, was diagnosed with tuberculosis (TB) and placed on treatment. She was fortunate. Many people with TB are missed by health systems altogether. But Azmara’a treatment wasn’t helping. Despite taking medicine for months, her symptoms persisted and became more severe. In many places, her story would have a sad ending—TB is one of the top three leading causes of death for women 15 to 44 in low- and middle-income countries.

This post originally appeared on The Lancet Global Health Blog. A strong civil society is essential for realizing the lofty goal of achieving universal health coverage (UHC). While the ongoing global discussions around UHC have largely focused on the role of government and development partners in designing and implementing risk pooling mechanisms that have the potential to improve access to essential health services, there has been little discussion on the key role that local civil society organizations (CSOs) play to ensure various communities support UHC and hold governments accountable.

It was sudden and unexpected. It was also funny: the ball exploded and deflated right under Teferi's foot. But everybody started to worry when the director screamed: “We can’t shoot the next scene without the football! Somebody get me a new one!” I looked at the young boy actor. Tears were about to wash his gloomy face as the ball changed into a useless piece of flat plastic right before his cloudy eyes. "This is bad!" I said to myself. "The kid might not be willing to act anymore; we might be forced to start the production all over again!"

November 14 is World Diabetes Day. This year’s theme, “Protect our future,” emphasizes the importance of engaging and inspiring local communities to promote awareness and education on the effects of diabetes and its preventable risk factors. 

Strengthening health systems at all levels is the core of MSH’s response to the HIV epidemic. We build organizational capacity to implement innovative HIV, prevention, care, and treatment interventions in over 35 countries---from Côte d'Ivoire to Ethiopia to Vietnam.

Sunday, March 24, 2013, is World TB Day, and MSH staff and partners are promoting global efforts to stop TB throughout the week.Here are highlights from some of our activities around the world:The Afghanistan TB CARE I team is working with the national TB program (NTP) to conduct celebration events at 290 health facilities and communities in 13 USAID-supported provinces. TB messages will be aired through local telephone companies to approximately one million people throughout the nation.

Silenat Yihune, a 40-year-old woman, mother, and housewife, lives in a remote region of Huletejuenesie District, Ethiopia, which is approximately 20 kilometers from the closest health facility. For nine months Silenat suffered from a cough, chest pain, fever, and weight loss, but was unable to receive treatment. As is common among Ethiopian families, Silenat was economically dependent upon her husband. He refused to pay for her travel to the distant health facility.

I was circumcised when I was eighty days old, as is the tradition in Ethiopia. My sister was three. My mother had tried to spare us, but her aunt discovered that we were not circumcised and took it upon herself to have us circumcised.

The October edition of MSH's Global Health Impact newsletter (subscribe), features stories of people, communities, and countries on the road toward universal health coverage (UHC). The vital role of the essential package for health impact "Universal health coverage has two fundamental goals: maximizing health impact and eliminating — or at least reducing — impoverishment and bankruptcy due to healthcare costs," blogs MSH President Jonathan D. Quick.

The prospect that we may see the end of AIDS in our lifetime has never been greater. Over the last decade, the global HIV & AIDS community has achieved stunning successes, including a steady decrease in new HIV cases, a massive scale-up of antiretroviral therapy (ART), and proof that treatment is prevention. As we begin the XIX International AIDS Conference, we are also excited by new scientific advances in prevention and treatment, such as Option B+  for prevention of maternal-to-child transmission (PMTCT).

Cross-posted on TB-CARE I.World TB Day, March 24th, was commemorated in many countries around the world last week to acknowledge the accomplishments made in the fight against tuberculosis (TB), and to call attention to the work that still needs to be done.Voices of TB, a unique event organized by USAID, featured former TB patients speaking about their personal fight against TB.

Blog post updated Dec. 28, 2011. Twenty six year-old Aynalem Bekele has spent her entire life struggling to survive.

This year is not only MSH’s 40th anniversary; it is also 30 years since the first reported cases of HIV. Thirty years ago HIV was considered a new, always-fatal disease. ...Today 6.6 million people—nearly half of those in need—will take life-saving antiretrovirals.

Thirty years ago, we learned of a disease that began with a few cases and quickly transformed into an epidemic the world had not seen before. We were not exactly sure what it was, how it was spread, or how to care for people who had it. HIV & AIDS has had a dramatic impact on the world – and especially on people in low and middle income countries.

 Aberu Hailu is a 31 year old, mother of four living in Hidmo, Ethiopia a rural community 8 kilometers south east of Adigodum town in Tigray. Two years ago, she visited the Adigodum Health Center to be tested for HIV, a disease she had learned about through community health education. She discovered she was HIV-positive and informed her husband that he should be tested, but he refused.Two months later, Aberu became pregnant and found herself in despair.

Today, MSH teams around the world  observed World AIDS Day by participating in national commemorations and offering HIV testing, counseling, and prevention messages.In Guyana, the GHARP II team announced the winners of a contest among journalists and media houses for the best projects to reduce stigma and discrimination.In Honduras, AIDSTAR-Two supported its partner NGOs in a variety of special events, including puppet shows, health fairs, and HIV rapid test promotion.In Ethiopia, HCSP is having an exhibition booth at the national celebration displaying Information Education Communication

In mid-June the United States Government continued to show its commitment to global health by announcing the first Global Health Initiative (GHI) Plus countries: Bangladesh, Ethiopia, Guatemala, Kenya, Malawi, Mali, Nepal, and Rwanda. The GHI is a six-year, $63 billion initiative to help partner countries improve measurable health outcomes by strengthening health systems and building upon proven results.