Latest Updates

  • Blog post

    Originally appearing on USAID's Impact Blog during their focus on global health throughout the month of May and featuring the important role of mothers and partnerships May 11-17, this post by Ruwaida Salem and Stephen Goldstein highlights the importance of family planniing in reducing maternal mortality and the innovative partnerships that maximize USAID's investment to achieve greater impact.

    With memories of Mother’s Day in the U.S. this past weekend still fresh in the mind—family gatherings, celebrations, festive meals, presents, flowers, and more—attention turns to the estimated 287,000 maternal deaths that occur each year, mostly in developing countries.

    A mother and child attend a family planning counseling session in Chaibasa, India

    A mother and child attend a family planning counseling session in Chaibasa, India.

    © 2012 Jennifer Applegate, Courtesy of Photoshare

    During this week, USAID is focusing on mothers and on how maternal health is critical to achieving its global health goals. Partnerships between the private sector and NGOs, foundations, associations, and others have allowed USAID to maximize its health impact around the world.

    The death of a mother profoundly affects the health and well-being of her children. When a mother dies, her children are less likely to survive. If a mother dies in childbirth, her child is 10 times more likely to die before reaching age one.

    While maternal mortality remains unacceptably high throughout the developing world, a number of USAID-assisted countries have achieved significant reductions in maternal deaths from pregnancy-related causes. For example, several countries have already achieved Millennium Development Goal (MDG) 5 (PDF)—reducing maternal mortality by three-quarters between 1990 and 2015—including the following countries in which USAID works:

    • Romania (achieved an 84% reduction, from 170 to 27 maternal deaths per 100,000 live birth)
    • Equitorial Guinea (81% reduction, from 1,200 to 240 maternal deaths per 100,000 live births)
    • Nepal (78% reduction, from 770 to 170 maternal deaths per 100,000 live births)
    • Vietnam (76% reduction, from 240 to 59 maternal deaths per 100,000 live births)

    Several countries are also on track to achieving MDG 5, including Bangladesh (with a 5.9% average annual decline in maternal mortality) and Egypt (6% annual decline).

    Nevertheless, even with the global decline of maternal mortality by 47% since 1990, the level is far short of the 2015 target and developing regions still have maternal mortality rates 15 times higher than developed regions.

  • Blog post

    In the past few years, I have been a part of many different types of online discussions. More recently there has been an upswing of Tweetchats. Today, any well organized meeting, conference, or discussion is complimented by some kind of common hashtag, Twitter, or Facebook presence. It helps the event gain exposure and fuels conversation with people who may not be able to attend in person.  

    On Thursday, May 16  the Guardian’s Global Development Professionals Network hosted the online discussion/debate, How can social media change how development is done?  People were able to participate through comments on the actual post or using #GlobalDevLive participants were able to post questions and make comments via Twitter.

    Social Media as a Global Community

    Peer to Peer Versus Dissemination

    Peer-to-peer versus dissemination. Graphic facilitation by The Value Web.

    Though the conversation only lasted about an hour, took in nearly 200 comments on the discussion forum page and over 450 tweets. There were nine panelists including myself that were from all over the world and with many different development backgrounds.  So much was shared through the forum and through Twitter, it was overwhelming how important social media has become to the development community.

    One participant wrote, “In terms of development, social media has an unrivaled capacity to empower the individual. Nothing promotes freedom of speech like social media.”

    Powerful thoughts and words were littered throughout the page about how social media will give a voice to those without a voice.  One panelist, David Girling agreed with a participant and stated that social media has the ability to change development, “It has, can, will and it should.”

  • Blog post

    Family Planning 101 is one of the most popular eLearning courses housed at the Global Health eLearning Center, with over 65,419 learners subscribed thus far!

    Modinat Bamidele

     

    Modinat Bamidele, a family planning client, attends a counseling session with a service provider at Orolodo primary health centre in Omuaran township in Nigeria’s central state of Kwara.

    © 2012 Akintunde Akinleye/NURHI, Courtesy of Photoshare

    As an immigrant from Kenya, I have seen the negative effects that lack of family planning (FP) can have on women and their families. I have lost nieces and nephews due to ill-timed births and close friends as a result of early childbearing. If these individuals had access to information on family planning services, I believe that they would be alive today. 

    Being indelibly affected by these unwarranted deaths, I decided to channel my inner fury into something actionable and decided to pursue public health in graduate school. I have since taken a number of family planning online courses, but to date, none has had more real-life examples based on behavior change communication theories than the Family Planning 101 eLearning Course. This course provides relevant and up-to-date information on voluntary FP programs and services. It is very well designed and would be a good tool for individuals to gain the knowledge needed to conduct basic family planning education. Topics included in the course are:

    1. Rationale for voluntary family planning;
    2. Family planning method considerations;
    3. Short-acting contraceptive methods;
    4. Long-acting and permanent contraceptive methods;
    5. Special needs;
    6. Quality and access;
    7. Special delivery tools; and
    8. Contraceptive security.
  • Blog post

    Hot on the heels of a partnership agreement to reduce the price of the long-acting, contraceptive implant Jadelle by half (see my blog of February 22), comes  an announcement by Merck (MSD) and partners to reduce the cost of IMPLANON® and its next generation IMPLANON NXT® by 50% for the next six years in 70 of the poorest countries around the world.Implanon® is the only single-rod, long-acting reversible contraceptive implant (Jadelle has two rods). It offers three years of pregnancy protection through a one-time single insertion by a trained health care worker. “Notably, IMPLANON and its next generation IMPLANON NXT® are pre-packaged and fully sterilized, making them easy and convenient to insert, including in settings with limited health care infrastructure,” according to the announcement. (Learn more about Implanon and two other hormonal implants, Jadelle and Sino-implant (II), at K4Health’s Implants Toolkit.)

    Woman displays contraceptive implant in Thailand

     

    A family planning client in Kampong Thom, Cambodia, displays her contraceptive implant insertion site.

    © 2012 Marcel Reyners, Courtesy of Photoshare

    MSD and the Bill & Melinda Gates Foundation are direct parties to the agreement. Other facilitating parties include the Clinton Health Access Initiative, the governments of Norway, the United Kingdom, the United States, and Sweden, the Children’s Investment Fund Foundation, and the United Nations Population Fund (UNFPA).

    According to a USAID press release about the earlier Jadelle price reductions, about 600 million women in the developing world use some form of contraception, but only 1% to 2% of them are using long-acting, contraceptive implants. Surveys show that as many as 20% would prefer them, if they were available.  An article published in the Global Health: Science and Practice Journal (co-published by USAID and the K4Health Project) explains that if 1 of 5 women in sub-Saharan Africa who were currently using pills or injectables switched to the more effective contraceptive implants, more than 1.8 million unintended pregnancies would be averted in 5 years, resulting in 10,000 fewer maternal deaths and almost 600,000 fewer abortions.

    Now with the cost of all three implants on par at about US$8 per set, there is a tremendous opportunity to provide modern contraceptives at low cost to the 222 million women—73% of whom live in developing countries—who want, but don’t have access to, them.

  • Blog post

    2013 has already brought many exciting changes for the reproductive health community, including the Institute for Reproductive Health at Georgetown University (IRH). But this year also means the close of our six-year USAID-funded project focused on Fertility Awareness-based Methods (FAM).

    Georgetown University's Institute for Reproductive Health's new website

    Georgetown University's Institute for Reproductive Health's new website

    It was in the spirit of continued scale-up that we asked ourselves what we could do to better preserve our projects’ legacies and encourage partners to carry on the work of expanding family planning options globally, including FAM. Re-evaluating the impact of our most globally-accessible housing place for this legacy—our website—was one solution.

    Today, we value websites as a place to share messages related to our mission and what we’re doing in the world. We like inviting people to engage with our work and implement our strategies, curriculum, best practices, etc. by visiting our website to learn more. Having this portal for downloadable resources and materials has been amazing for our global health community. It has taken collaboration and information-sharing to the next level of “instant communication.”

  • Blog post

    Editor's Note: The deadline to sign up for Knowledge Management for Public Health in Low and Middle Income Countries has been extended to Monday, May 20. Sign up now!

    The Johns Hopkins Bloomberg School of Public Health Department of Health, Behavior and Society 2013 Summer Institute is offering Knowledge Management for Public Health in Low and Middle Income Countries June 19-21. Taught by Tara Sullivan, Deputy Director of the Knowledge for Health (K4Health) Project at the Johns Hopkins Bloomberg School of Public Health Center for Communication Programs, and Piers Bocock, Director of Knowledge Management and Communication with the CGIAR Consortium, the course is geared primarily toward health professionals who design and/or manage health programs in low to middle income country settings, to help them maximize the impact of their programs.

    The registration deadline for the 2013 Health, Behavior and Society Summer Institute is May 13, 2013.

    Knowledge has the power to transform health and development programs worldwide. Using knowledge management (KM) as a systematic public health approach ensures that the latest knowledge is accessible and applied to public health practice in ways that strengthen public health systems and improve health and development outcomes.

  • Blog post

    Although much progress has been made in the fight against HIV/AIDS, we still have more work and learning to do.

    We have learned over the last decade that HIV prevention efforts must be targeted. Even in countries where there is a general epidemic, interventions for key populations are critical and could have a significant impact on the epidemic as a whole.[1]

    For this reason, it’s important to learn more about programming best practices for key populations as well as develop robust systems to effectively monitor and evaluate these programs.

    If you are interested in learning more, check out two new eLearning courses on key populations: Designing HIV Prevention Programs for Key Populations and M&E Guidelines for Sex Workers, Men Who Have Sex With Men, & Transgender Populations-National Level.

    The Designing HIV Prevention Programs for Key Populations course provides field staff and country implementing partners with best practices in designing and implementing a comprehensive package of HIV services that meet the specific needs and circumstances of different population sub-groups.

    Key populations are distinct sub-groups within the general population who are at higher risk of exposure to HIV, who engage in highly stigmatized behaviors and who are often marginalized in their own societies and thus have reduced access to health care and other public services.

  • Blog post

    Imagine an urban slum in Kenya where trash is so abundant that children are prevented from playing. This is where Diana Mong’are, the 2012 Anzisha Prize winner, grew up – a community where the norm was to throw your trash wherever you saw fit. Upon graduating from high school, she saw this as a large problem and came up with a solution.  At 18 years old, Mong’are started small with her own community and 10,000 Kenya Shillings (≈$120 USD) raised from her family and friends. Her solution, Planet Green, was threefold:

    Boy in Kibera

     

    A small boy rummages through trash in Kibera, Africa's largest slum in Nairobi, Kenya, where most people live below one dollar per day. Youths depend on collecting debris from the Nairobi River (a flowing sewer in this slum area), such as bottles and bags, which they then hope to sell. Most of the homes are shacks, and schools are built on the flowing, murky river. Residents have no access to clean water and hence depend on the polluted river for survival.

     

    © 2005 Felix Masi, Courtesy of Photoshare

     

    1. Provide bags for garbage sorting and a pickup service for the trash and recycling.
    2. Purchase waste from carpenters (wood chips) and sell to the chicken farmers to be used as coop flooring to be made into manure to then be used or sold.
    3. Create environmental clubs through primary school in the community to increase demand for positive environmental awareness.

    On May 1, 2013, the Woodrow Wilson Center’s Africa Program hosted a program on African Women and Youth as Agents of Change Through Technology and Innovation. Diana Mong’are was part of the first panel focused on problem solving through innovative solutions for sustainable development. What struck me about Mong’are’s project was that while extremely innovative, it did not utilize any form of technology as we are used to seeing with innovation. In the age of technology that we all live in, I think innovation without technology is still extremely valuable and often not recognized. Mong’are’s presentation was inspiring and truly showed the ability for one individual to impact social problems. Since the start of her small project she has expanded from 20 families to 80 and continues to expand with more employees and into more areas of Kenya.

  • Blog post

    Bringing about real change in the area of global health is a hard task and requires a great deal of resources. Often bringing for-profit entities to the table can open a plethora of assets that might not have been available otherwise. My recent post, originally appearing on the Southern Africa HIV and AIDS Regional Exchange (SHARE) Blog, talks about how a public and private partnership is hoping to get real results in the HIV prevention world.

    Announced this month, the collaboration between the world’s largest youth-focused HIV and AIDS awareness and prevention campaign, MTV Staying Alive Foundation (MTV SAF) and the world’s largest condom brand, Durex. This comes at a pivotal time in HIV prevention; with more funding being allocated towards biomedical interventions, prevention has been pushed to the back burner. However the emphasis on HIV prevention is still an intricate part of moving towards a HIV-free generation. MTV SAF and Durex are giving the power of creating HIV prevention and creative sexual education programs into the hands of those it affects the most; youth.

    MTV and Durex Are in a Relationship

    MTV and Durex Are in a Relationship

    MTV SAF’s mission is to produce ground-breaking, original content that delivers vital HIV prevention messaging to a young global audience. Along with producing global, free to use and distribute service announcements, videos and documentaries, MTV SAF funds grantees to do HIV prevention work worldwide. These grantees are young people running grassroots prevention programs in their communities, they receive funding, training and mentoring to have a sustainable program to prevent HIV. 

  • Blog post

    Originally appearing on the Global Health Knowledge Collaborative (GHKC) Blog, this post by Basil Safi describes a pilot eHealth program in Bangladesh that equips community health workers with Netbooks loaded with behavior change communication materials rigorously vetted by the Bangladesh Knowledge Management Initiative (BKMI) and the Bangladesh Ministry of Health and Family Welfare (MOFW). Basil discussed the pilot project at the Global Health Knowledge Management Share Fair last month, and it was recently highlighted on USAID's Impact Blog in a post by Monica Bautista and Peggy D'Adamo.

    A Family Planning Provider in Bangladesh

    BKMI will help providers access the latest resources to better counsel their clients on family planning (FP), maternal, newborn and child health (MNCH) and nutrition. 

    © 2011 Cassandra Mickish/CCP, Courtesy of Photoshare

    Under the Knowledge for Health (K4Health) Project, the Bangladesh Knowledge Management Initiativeworks to build the capacity of the Ministry of Health and Family Welfare (MOHFW) in Bangladesh to improve knowledge management and coordinate behavior change communication (BCC) in the country.  BKMI collaborated with MOHFW to establish the gold standard of BCC for health, population and nutrition and make the best tools and resources available in an offline, digital format to health workers in the field.  BKMI is using a rigorous monitoring and evaluation plan to assess the impact of this pilot project.  

    During the Global Health Knowledge Collaborative's Knowledge Management Share Fair on April 16th in Washington, DC, I explained that as part of the initiative, 300 community-level health workers in the Sylhet and Chittagong districts will receive netbooks pre-loaded with HPN BCC eToolkits and eight eLearning courses to use when counseling clients about family planning (FP), maternal, newborn and child health (MNCH) and nutrition. The digital resources will also be made available on computers in 42 health complexes, 12 clinics and two Agriculture Information Communication Centers.  By the end of the pilot, a robust evaluation will look for changes in field workers’ knowledge and BCC skills, as well as their clients’ intention to adopt healthier behaviors around FP, MNCH and nutrition.