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The primary goal of the Challenge TB (CTB) project in Afghanistan is to assist the NTP to reach its strategic objective of increasing TB case notifications by at least 8% annually through comprehensive TB care and prevention activities.

In high TB- and HIV-burden settings, the two diseases reinforce each other and share common risk factors. Single, categorical services provided to persons with multiple, related risk factors miss opportunities to diagnose, treat, and prevent TB and/or HIV.

The Jhpiego-led, USAID-funded Strengthening Human Resources for Health (HRH) project has focused on long-term and medium-term goals for health sector human resources development priorities earmarked by health sector leaders and policy makers in Ethiopia.

The Champion Community approach, which is owned and sustained at the health area level, was established by the Integrated Health Project (IHP) and IHPplus to encourage community members to decide on their health priorities and to teach them to sensitize their communities on those priority health issues.

The availability of timely, high-quality health data remains a challenge in the Democratic Republic of the Congo (DRC), despite some significant progress. DRC is a vast, landlocked country where the distances between health facilities, especially at different levels of the health system, are often great.

The DRC National Strategic Plan 2014-2020 outlines a multi-sectoral vision that aims to increase the modern contraceptive prevalence to 19% and provide access to and use of modern contraceptive methods to at least 2.1 million women by 2020.

In its National Health Development Plan 2016-2020, the Democratic Republic of the Congo (DRC) aims to reduce maternal deaths per 100,000 live births from 846 to 548 and to reduce infant and child mortality from 104 to 60 deaths per 1,000 births.

To treat infections in newborns and young infants (age 0 to 59 days), WHO recommends transferring them to a hospital and administering a regimen combining two injectable antibiotics, namely, penicillin or ampicillin, plus gentamicin for seven to ten days.

Strengthening information systems to support health data use is a critical component of quality improvement. In the past, research on quality of care has focused on the availability of resources and implementation of clinical guidelines, while often ignoring the regular metrics and monitoring systems used to inform decision making and manage improvement initiatives.

The Integrated Health Project Plus (IHPplus) was implemented in the Democratic Republic of Congo (DRC) from June 2015 to June 2018 by Management Sciences for Health (MSH) and Overseas Strategic Consulting, Ltd. (OSC), under a subcontract via Pathfinder/Evidence to Action.

The Integrated Health Project Plus (IHPplus) was implemented in the Democratic Republic of Congo (DRC) from June 2015 to June 2018 by Management Sciences for Health (MSH) and Overseas Strategic Consulting, Ltd. (OSC), under a subcontract via Pathfinder/Evidence to Action.

The Integrated Health Project Plus (IHPplus) was implemented in the Democratic Republic of Congo (DRC) from June 2015 to June 2018 by Management Sciences for Health (MSH) and Overseas Strategic Consulting, Ltd. (OSC), under a subcontract via Pathfinder/Evidence to Action.

The Integrated Health Project Plus (IHPplus) was implemented in the Democratic Republic of Congo (DRC) from June 2015 to June 2018 by Management Sciences for Health (MSH) and Overseas Strategic Consulting, Ltd. (OSC), under a subcontract via Pathfinder/Evidence to Action.

The Integrated Health Project Plus (IHPplus) was implemented in the Democratic Republic of Congo (DRC) from June 2015 to June 2018 by Management Sciences for Health (MSH) and Overseas Strategic Consulting, Ltd. (OSC), under a subcontract via Pathfinder/Evidence to Action.

The Integrated Health Project Plus (IHPplus) was implemented in the Democratic Republic of Congo (DRC) from June 2015 to June 2018 by Management Sciences for Health (MSH) and Overseas Strategic Consulting, Ltd. (OSC), under a subcontract via Pathfinder/Evidence to Action.

The Integrated Health Project Plus (IHPplus) was implemented in the Democratic Republic of Congo (DRC) from June 2015 to June 2018 by Management Sciences for Health (MSH) and Overseas Strategic Consulting, Ltd. (OSC), under a subcontract via Pathfinder/Evidence to Action.

A man learns the importance of educating his daughters. Community-based distributors (CBDs) increase family planning method use. Well-stocked community care sites save children’s lives. A successful fistula repair operation gives a woman back her dignity and standing in her community.

Bangladesh is one of the world’s high tuberculosis (TB) burden countries. According to World Health Organization’s 2017 Global TB Report, 38% of drug-sensitive and approximately 84% of drug-resistant patients are undiagnosed or unreported. The most infectious TB patients are these missing cases.

GxAlert is a web-based open-source data connectivity application that includes a system for data management designed to work with any diagnostic device that can connect to the internet or a mobile network.

Ethiopia is one of the most populous countries in Africa with a high TB burden across a wide geography. The national TB program has reached hundreds of thousands of cases and successfully treated them. However, health authorities believe that a third of cases have been missed in the community, development corridors, industries, and crowded settings, such as universities.

Our objective was to assess the knowledge of health professionals on Xpert MTB/RIF assay and associated factors in detecting TB/TB drug resistance. An institution based cross–sectional study was conducted from April 4 to June 5, 2015, in Addis Ababa, that involved 209 healthcare providers working in TB clinics.The overall magnitude of knowledge of healthcare workers on Xpert was found to be low. Health workers above age 35 years and those who had read the guidelines on Xpert had greater knowledge of Xpert. Distribution of the national guidelines on Xpert and assigning experienced clinicians to TB DOTs clinics are recommended.

From 2006 to 2014, Supply Chain Management System (SCMS), the global procurement and distribution project for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), distributed over US$1.6 billion worth of antiretroviral drugs and other health commodities, with over US$263 million purchased from local vendors in 14 countries in sub-Saharan Africa. A simple framework was developed and 39 local suppliers from 4 countries were interviewed between 2013 and 2014 to understand how SCMS local sourcing impacted supplier development. SCMS local suppliers reported new contracts with other businesses (77%), new assets acquired (67%), increased access to capital from local lending institutions (75%), offering more products and services (92%), and ability to negotiate better prices from their principals (80%). Additionally, 70% (n=27) of the businesses hired between 1 and 30 new employees after receiving their first SCMS contract and 15% (n=6) hired between 30 and 100 new employees. This study offers preliminary guidance on how bilateral and multilateral agencies could design effective local sourcing programs to create sustainable local markets for selected pharmaceutical products, laboratory, and transport services.

Tuberculosis remains one of the world’s top infectious killers. MSH works in 22 countries with international, national, and local partners to strengthen the capacity of health systems to prevent the spread of TB and improve the lives of those affected by it.

Inadequate health-care provider performance is a major challenge to the delivery of high-quality health care in low-income and middle-income countries (LMICs). The Health Care Provider Performance Review (HCPPR) is a comprehensive systematic review of strategies to improve health-care provider performance in LMICs. We screened 216,477 citations and selected 670 reports from 337 studies of 118 strategies. For professional health-care providers (generally, facility-based health workers), the effects were near zero for only implementing a technology-based strategy or only providing printed information. For percentage outcomes, training or supervision alone typically had moderate effects (10·3–15·9 percentage points), whereas combining training and supervision had somewhat larger effects than use of either strategy alone. Group problem solving alone showed large improvements in percentage outcomes (28·0–37·5 percentage points), but, when the strategy definition was broadened to include group problem solving alone or other strategy components, moderate effects were more typical (12·1 percentage points).

Quality of tuberculosis (TB) microscopy diagnosis is not a guarantee despite implementation of external quality assurance (EQA) services in all laboratories of health facilities. Hence, we aimed at evaluating the technical quality and the findings of sputum smear microscopy for acid fast bacilli (AFB) at health centers in Hararge Zone, Oromia Region, Ethiopia. Of the total 55 health center laboratories assessed during the study period (July 2014-July 2015), 20 (36.4%) had major technical errors; 13 (23.6%) had 15 false negative results and 17 (30.9%) had 22 false positive results. The quality of AFB smear microscopy reading and smearing was low in most of the laboratories of the health centers. Therefore, it is essential to strength the EQA program through building the capacity of laboratory professionals.

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