• Stephen Goldstein

    JHU∙CCP | Senior Consultant

    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.

  • Sophie Savage

    Institute for Reproductive Health (IRH), Georgetown University | Communications

    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.”

  • K4Health Highlights

    Tara Sullivan

    JHU∙CCP | Deputy Director

    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.

  • K4Health Highlights

    Lisa Mwaikambo

    JHU∙CCP | eLearning Coordinator & KM Officer

    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.

  • Health Innovations

    Rebecca Shore

    JHU∙CCP | Communications Specialist

    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.

  • Rebecca Shore

    JHU∙CCP | Communications Specialist

    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. 

  • K4Health Highlights

    Becca Simon

    JHU∙CCP | Communications Manager

    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.

  • K4Health Highlights

    Becca Simon

    JHU∙CCP | Communications Manager
    Field Knowledge is the Best Knowledge

    At the Global Health Knowledge Management Share Fair, Stacey Young from USAID's Bureau of Policy, Planning and Learning discussed the importance of local knowledge, and how the curated knowledge base needs be be accessible to practitioners in the field.

    This post originally appeared on the Global Health Knowledge Collaborative (GHKC) Blog. Basil Safi presented the Strategies Against Flu Emergence (SAFE) program at last month's Global Health Knowledge Management Share Fair, and how it's not always necessary to create a new tool to manage knowledge. Using Indonesia as an example, he illustrated how galvanizing a local team to optimize an existing tool can make life-saving knowledge accessible to those who need it most.

    Stacey Young, Senior Learning Advisor at USAID's Bureau of Policy, Planning and Learning, remarked that the knowledge base needs to be more than accessible to local partners, it needs to be created at the field level. 

    Strategies Against Flu Emergence (SAFE) is a program created to support USAID/Indonesia’s Avian and Pandemic Influenza (API) Program and the Government of Indonesia’s National Strategy for Avian Influenza (AI) Control and Preparedness for Human Pandemic Influenza. In addition to a range of prevention activities at the local level, the program uses state of the art KM and social media tools to promote public-private partnerships, good poultry farming practices, improved biosecurity and hygiene behaviors at farms and markets, and improved care-seeking behavior for AI. 

    During the Global Health Knowledge Collaborative's Knowledge Management Share Fair on April 16th in Washington, DC, I discussed that a key objective of the SAFE program was to facilitate coordination among partners by sharing important health information that is targeted for program managers and other decision-makers. In order to achieve this, SAFE taps into the potential of digital technology and create an online platform as a tool to share knowledge and communicate experiences for AI and Pandemic Influenza Programs in Indonesia.  

    Avian Influenza Toolkit

    Since it launched, this collection of Avian & Pandemic Influenza resources has been one of K4Health's most popular online toolkits.

    In its process, SAFE did not wish to create a new tool, but rather to optimize the already existing online platform under the USAID-funded Knowledge for Health (K4Health) project led by the Johns Hopkins Bloomberg School of Public Health’s Center for Communication Programs. In this endeavor, Indonesia has become a pioneer in which documents on Avian Influenza and Pandemic Influenza are carefully selected, stored, and shared among users. No less than 160 documents have populated the sites from different organizations in both Bahasa and English, and as SAFE is entering its final months, it is ensuring the continuation of the process by formally handing over the eToolkit to a KM technical advisory group made up of government and local NGO members. Representatives of these institutions will be granted special access to upload their own resources as they become available, so that the toolkit remains a living and dynamic platform through which all stakeholders can share the latest and most important information.  In February 2013, this eToolkit was the 8thmost visited toolkit within all the K4Health online toolkit resources and continues to receive a high degree of traffic each month, with the average visitor reading 3.4 resources per visit. 

  • K4Health Highlights

    Sidhartha Deka

    JHU∙CCP | Program Specialist

    K4Health's Bangladesh Knowledge Management Initiative (BKMI) has rolled out an eHealth pilot in April in two low-performing districts. The pilot is aiming to normalize the use of digitized resources on netbook computers by community-based fieldworkers for the purpose aiding their client-based counseling and supplementing their own knowledge in three key technical areas: MNCH, family planning, and nutrition. USAID's Monica Bautista and Peggy D'Adamo visited Bangladesh in early April where they observed the launch of the pilot in Chittagong District.  In this recent post on USAID's Impact Blog, they reflect on the value of including fieldworkers in the vision of a Digital Bangladesh

    With a population of 150 million, Bangladesh is a bustling country filled with vibrant people. On a recent trip to Dhaka and Chittagong we experienced first-hand the kindness and welcoming spirit of the country. The goal of our trip was to meet with various USAID implementing partners, and several units within theMinistry of Family Health and Welfareto find out more about their behavior change communication work. Developing high quality, evidence-based communication campaigns that promote healthy behaviors is quite a challenge for Bangladesh with their large population, numerous rural communities, and with so many health issues that need to be addressed. These health areas range from improved antenatal and postnatal care, family planning, nutrition, and child health. USAID implementing partners and the Ministry of Family Health and Welfare are now streamlining their health communications work, making sure their messages are in agreement, effective, and accessible to a range of people of all ages and educational backgrounds.

    Community health workers in Bangladesh receive training on the new netbooks

    Community health workers receive training on the new netbooks.

    Photo credit: Bangladesh Knowledge Management Initiative

    A key part in this new effort was the launch of a three-month eHealth pilot program, developed by Johns Hopkins University – Center for Communication Programs in partner with Eminence, the Bangladesh Center for Communication Programs, and the Ministry of Health and Family Welfare, with funding from USAID. The pilot will take place in Sylhet and Chittagong where 300 community health workers have received a netbook computer loaded with several eToolkits that contain a digital library of communication materials in maternal and child health, family planning and nutrition, and eight eLearning courses. The eToolkit includes 116 materials and tools which were selected by a team after a detailed assessment and review. The eToolkit will improve the quality and effectiveness of counseling visits that the community health workers have with their clients, while replacing the heavy materials they previously carried from house to house. The eight eLearning courses on the netbooks are meant to supplement the training that community health workers currently receive. Each course also includes an assessment designed to measure changes in the knowledge and skills of community health workers.

  • K4Health Highlights

    Becca Simon

    JHU∙CCP | Communications Manager
    Peer to Peer Learning in Communities of Practice

    Communities of practice benefit most when skilled facilitators encourage peer-to-peer learning, versus lecture-style dissemination. This image was created at the Global Health Knowledge Management Share Fair: Challenges and Opportunities by the Value Web as part of the graphic facilitation Knowledge Wall.

    Originally appearing on the Global Health Knowledge Collaborative (GHKC) Blog, this post by Kate Fatta of URC explains the emphasis the USAID ASSIST Project puts on small group discussions for meaningful exchange of tacit knowledge. 

    Last month's Global Health Knowledge Management Share Fair elicited a similar sentiment: Communities of practice benefit when a skilled facilitator encourages peer-to-peer learning over lecture-style dissemination, and the importance of giving people a moment to think before they are asked to speak in a group.

    The Share Fair utilized small group discussions, along with peer assists and other knowledge management and exchange techniques, to catalyze conversations about challenges and opportunities in knowledge management for global health and international development.

    Working with facility-based teams of health workers in knowledge management on the USAID Applying Science to Strengthen and Improve Systems Project (ASSIST) and its predecessor, the USAID Health Care Improvement Project (HCI), my colleagues and I have come to recognize the importance of using conversational, small group techniques to draw out tacit – “how to” – knowledge and provide opportunities for meaningful sharing between people.

    On ASSIST we work with many teams in multiple countries to improve the quality of the services they provide – whether they are providing anti-retroviral treatment to patients or ante-natal care to pregnant women. For example, one of the activities we are working on in Uganda is to integrate nutrition, assessment, counseling, and support (NACS) services with prevention of mother to child transmission of HIV (PMTCT) services in 22 sites in six districts. At the 22 sites, there are teams of service providers working to make this happen. While they are working on it, they are generating a lot of learning and new knowledge about this work and our challenge is to provide them with opportunities to come together and meaningfully share and learn from one another. We have already been doing this on HCI in the form of learning sessions, or meetings in which teams working on a specific activity are brought together to share what they have been doing, but in the past, we have often conducted those meetings in a very didactic, one person speaks/everyone else listens format.

    Photo by Kate Fatta, URC

    Photo by Kate Fatta, URC

    However, as our understanding and use of knowledge management techniques have grown, we have come to see the importance of designing meetings so that people share in small groups and integrate new knowledge in the large group. Giving people the opportunity to share in small groups and ask questions of each other allows for greater exchange of tacit knowledge than a formal presentation does. By using techniques such as storytelling, field trips, and even poster presentations in small groups, the person sharing learns more about their work by explaining it and answering questions, while the person listening gets to ask questions and probe deeper. It sets the stage that everyone has something to share and everyone has something to learn, eliminating the expert/student feeling that can happen with formal presentations.

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