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The Integrated Health Project (DRC-IHP) in DRC focuses on maternal, newborn, and child health, family planning, nutrition, malaria, and tuberculosis, HIV and AIDS, and water, sanitation, and hygiene (WASH)— applying many proven, low-cost, high-impact innovations on a large scale.DRC-IHP works closely with the government of the Democratic Republic of Congo to strengthen th

SummaryThe COVID-19 pandemic limits pricing policy options for vaccines. It is therefore necessary to consider what appropriate policy options governments can use to ensure affordable and equitable access to these novel products. Commonly used policies such as fostering competition, generic substitution, and external and internal reference pricing will not work for novel vaccines.

Bacterial meningitis is a medical emergency associated with high mortality rates. Cerebrospinal fluid (CSF) culture is the “gold standard” for diagnosis of meningitis and it is important to establish the susceptibility of the causative microorganism to rationalize treatment. The Namibia Standard Treatment Guidelines (STGs) recommends initiation of empirical antibiotic treatment in patients with signs and symptoms of meningitis after taking a CSF sample for culture and sensitivity. The objective of this study was to assess the antimicrobial sensitivity patterns of microorganisms isolated from CSF to antibiotics commonly used in the empirical treatment of suspected bacterial meningitis in Namibia. The common organisms isolated from CSF were Streptococcus Pneumoniae, Neisseria meningitidis,Haemophilus influenzae, Staphylococcus, and E. coli. All common organisms isolated from CSF showed high sensitivity to cephalosporins used in the empirical treatment of meningitis. The resistance of the common isolates to penicillin is high. Most ESBL K. pneumoniae were isolated from CSF samples drawn from neonates and were found to be resistant to the antibiotics recommended in the Namibia STGs. Based on these findings, it is recommended to use a combination of aminoglycoside and third-generation cephalosporin to treat non–ESBL Klebsiella isolates. Carbapenems (e.g., meropenem) and piperacillin/tazobactam should be considered for treating severely ill patients with suspected ESBL Klebsiella infection. Namibia should have a national antimicrobial resistance surveillance system for early detection of antibiotics that may no longer be effective in treating meningitis and other life-threatening infections due to resistance.

The aim of this study was to assess the incidence and nature of adverse drug events (ADEs) in hospitalized children at a teaching hospital in Ethiopia. We studied 600 children hospitalized at Jimma University Specialized Hospital between 1 February and 1 May 2011. Fifty-eight ADEs were identified, with an incidence of 9.2 per 100 admissions, 1.7 per 1000 medication doses and 9.4 per 1000 patient-days. One-third of ADEs were preventable; 91% caused temporary harms and 9% resulted in permanent harm/death. A strategy to prevent ADEs, including education of nurses and physicians, is of paramount importance.

An alarming number of countries are not on target to meet Millennium Development Goal to reduce maternal mortality despite efforts and investments made at both the global and national levels. Increasing access to and use of essential commodities for maternal health have recently gained attention as key concerns of several international initiatives.

Stories of How MSH Is Advancing Health around the WorldThis collection of stories represents the lifesaving work MSH and the frontline health workers we partner with perform every day, all around the world.

Producido por la Federación de Organizaciones de la Nacionalidad Kichwa de Sucumbíos (FONAKISE), AMNKISE y FCI Ecuador, el Camino al Buen Trato es un rotafolio para capacitar y formar a promotores del buen trato en las comunidades de Ecuador de manera que puedan gestionar contra la violencia de la mujer y su prevención. Esta publicación es sólo disponible en

This training handbook facilitates governance orientation and education for leaders and officials who govern health centers. When used by the facilitators in conjunction with the LMG Project’s good governance resources, participants will be able to master and apply the five practices of good governance in their organization, improving its performance.

This handbook facilitates the governance orientation and education for officials and leaders who govern provincial health systems. When used by facilitators in conjunction with the LMG Project’s guides and learning resources, participants will be able to master and apply the five practices of good governance in their organization, improving its performance.

Advocating Together: The Power of Alliances for Maternal Health provides guidance for national civil society organizations (CSOs) interested in establishing or strengthening an alliance in support of maternal health advocacy. This toolkit provides a step-by-step approach to working with partners in a national-level alliance to advocate for maternal health policy change.

To target the most affected populations with life-saving maternal health policies and programs, governments need accurate information about maternal mortality in their countries. Unfortunately, measuring maternal deaths is not a simple task. National statistics on maternal mortality vary considerably from internationally published maternal death estimates.

Esta  nos da un panorama sobre la situación en materia de salud de los y las jóvenes bolivianos en comunidades indígenas, con énfasis en la salud sexual y reproductiva.

The five-year Program to Build Leadership and Accountability in Nigeria's Health System (PLAN-Health) is funded by the US Agency for International Development (USAID) and the President's Emergency Plan for AIDS Relief (PEPFAR) and implemented by MSH.

This brief provides details on the achievements, challenges, and lessons learned from the TRACK TB project's Urban DOTS component. TRACK TB works to strengthen the capacity of the National TB/Leprosy Programme in Uganda, to provide leadership for TB response, and deliver quality, well-organized, and efficient services in close collaboration with other USAID programs.  

This technical brief examines the relative contribution of community health volunteers to reach people, particularly women of reproductive age, and children under the age of ve years, with primary health care services and examines the role of community health volunteers in assuring a continuum of care for pregnant women and young children between 2014 and 2016.

Technical HighlightCommunity health volunteers (CHVs) provide primary health care services to remote populations. Services include integrated community case management (iCCM) of childhood illnesses, such as diarrhea, malaria, and pneumonia; and family planning (FP) counseling and provision of contraceptives.

In Madagascar, despite years of efforts to improve maternal health, the maternal mortality ratio remains as high at 487 deaths per 100,000 live births, whereas the average for developing countries is 235. Additionally, only 51% of pregnant women receive four antental care (ANC) visits, which is the recommended number to prevent and manage possible pregnancy complications.

This research brief highlights excerpts of findings from a study conducted by the USAID-funded Leadership, Management, and Governance and Evidence to Action Projects in Cameroon.The study took place at two hospitals in Yaoundé, Cameroon, from October 2014-September 2015, and studied the effect of combining a leadership development program with clinical training to improve postpartum family

The Rwandan Ministry of Health, in collaboration with the USAID-funded Integrated Health Systems Strengthening Project (IHSSP), carried out a study to determine the costs of providing health centre services. The results of the costing were intended for use in re-designing insurance reimbursement mechanisms and levels.

This technical brief presents analysis of the impact of differential fertility decline among wealth quintiles on population age structure in four African countries, the trajectory of these trends through 2050, and the impact on access to economic opportunity.

In 2004, testing positive for HIV in Ethiopia was a death sentence. It was the start of a painful decline, including illness and ostracism from society, ultimately leading to premature death.

In Ethiopia, male-dominated gender dynamics and health care provider attitudes lead many women to avoid or not fully utilize antenatal care (ANC) and prevention of mother-to-child transmission (PMTCT) services, creating barriers to women’s access to care and to interrupting vertical transmission of HIV.

In Bangladesh, fertility was high in the 1950s and declined to fewer than five births per woman in the early or mid-1990s like other developing countries. After that the level of fertility is stalled. The aim of this study is to assess the extent of unmet need for family planning among married women of reproductive age group in Bangladesh and to study the factors related to it.

HIV has been a global challenge over the past several decades, particularly in developing countries such as Malawi, where adult HIV prevalence is about 10.6%.This technical brief describes this Plan, Do, Study, Act (PDSA) approach as implemented by the District Health System Strengthening and Quality Improvement for Service Delivery (DHSS) Project to assist health facilities in strengthening

Ukraine has successfully implemented e-TB Manager nationwide as its mandatory national tuberculosis registry after first introducing it in 2009. Our objective was to perform an end-of-programme evaluation after formal handover of the registry administration to Ukraine's Centre for Disease Control in 2015. Of the 5.9 million transactions over a 4-year period, nine out of 24 oblasts (regions) and Kiev City accounted for 62.5% of all transactions, and corresponded to 59% of Ukraine's tuberculosis burden. There were 437 unique active users in 486 rayons (districts) of Ukraine, demonstrating extensive reach.

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