Delivery

Featured

myanmar_flag

Expecting Mothers Among First to Benefit from Cellphone Access in Myanmar

Myanmar was seen as the last frontier in mobile communications until recently when the government

pills

Improving Primary Care for the Poor by Leveraging Drug Sellers at Scale

“Primary health care has many different definitions, but can be defined simply as the first place where people seek care. Within this definition, private sector providers Read More

test

Strengthen healthcare systems while fighting Ebola, responders tell Congress

Ebola responders returning from West Africa told members of the House Foreign Affairs Committee on Tuesday that strengthening healthcare systems in Ebola affected countries must be a priority in the global response to the outbreak, both as part of recovery and long-term strategy. “People are not just dying from Ebola, they’re dying from malaria and […](Read more…)

Latest

Expecting Mothers Among First to Benefit from Cellphone Access in Myanmar

myanmar_flag

Myanmar was seen as the last frontier in mobile communications until recently when the government


Improving Primary Care for the Poor by Leveraging Drug Sellers at Scale

pills

“Primary health care has many different definitions, but can be defined simply as the first place where people seek care. Within this definition, private sector providers Read More


Strengthen healthcare systems while fighting Ebola, responders tell Congress

test

Ebola responders returning from West Africa told members of the House Foreign Affairs Committee on Tuesday that strengthening healthcare systems in Ebola affected countries must be a priority in the global response to the outbreak, both as part of recovery and long-term strategy. “People are not just dying from Ebola, they’re dying from malaria and […](Read more…)


Chiapas Health Workers Improve Maternal Health with mHealth

cellphone2

Rural Chiapas might appear to be an unlikely place for mHealth initiatives to gain traction—with one person in four unable to read, and little cell phone reception or internet connectivity in the mountains, it would seem that accessing understandable information through mobile technology would be a challenge for health workers and patients alike.Yet the community health workers of Compañeros en Salud (CES) have found unexpected ways to make innovations in mobile health technologies work for them and strengthen their programs.CES, a sister branch of Partners in Health, started training frontline health workers in 2012, who in turn began outreach initiatives to treat patients who previously had to travel long distances and pay exorbitant prices to receive care. Women in Chiapas die in childbirth 70% more often than the national average. In the two years since the project’s start, CES has managed to provide affordable care to tens of thousands of patients. This reach is in some part due to their incorporation of mHealth apps (which function offline once downloaded) to better manage their patient information, minimizing the “time-consuming and error-prone process” of using and maintaining paper health records.Within just one year, the team was able to use this technology to collect health information from over 5,000 patients.More recently, CES staff realized they could use these tablets for more than just data collection and efficient record-keeping; they could also use them as tools to educate health workers and their patients.Mobile apps could also be used to train health workers and help them to build new skills such as identifying symptoms and responding to emergencies. Frontline health workers could also use educational images and messages with patients to help explain a condition or help a patient to describe their symptoms.To explore this idea, CES performed a field-test using the Safe Pregnancy and Birth App, a mobile application developed by Hesperian Health Guides in 2011 to provide life-saving information about pre- and post-natal care. The field test was conducted by community health workers, midwives, and clinic staff, who used the app during checkups with patients


Most Money for Health Is Subnational, But What Will Donors Do About It?

In the big federal countries where global disease burden is concentrated, most public money for health isn’t ultimately spent by the national ministry of health, the traditional counterpart for global health funders and technical agencies. Instead, most money is programmed and spent subnationally (see figure 1).


“How to end a neocolonialist approach to global health training”

PIH

Partners In Health’s Dr. Michelle Morse, deputy chief medical officer for Haiti, discusses via devex the need for academic medical centers to more strongly consider Read More


To Eradicate HIV by 2030, We Must Invest in Health Workers

800px-Community_health_worker_gives_a_vaccination_in_Odisha_state,_India_(8380317750)

In September, UNAIDS announced its plan to end the AIDS epidemic by 2030, using its new fast-track strategy.The strategy relies upon countries to step up their investments and the pace at which they deliver HIV services, especially antiretroviral therapies.And it emphasizes a “90-90-90” target—that is, enabling 90% of people living with HIV to know their HIV status, 90% of people who know their status to have access to HIV treatment, and 90% of people on HIV treatment to achieve viral suppressions.These are worthy goals, but ambitious.They will require greater investments not only in antiretroviral therapies, rapid viral load testing kits, and condoms, but in strengthening fragile health systems. That means financing better health infrastructures, building laboratories, and—perhaps most importantly—investments in health workers, on whose shoulders will fall the burden of reaching the most at-risk populations in underserved communities.In an emergency, nothing can compensate for an inadequate supply of skilled health workers.  When the HIV epidemic first began, it was described as an emergency pandemic. We knew little, and little could be done for those infected and their families. Health workers were frightened to deal with clients or suffered burnout from caring for those for whom they knew there was no hope.As we learned more about the virus and, eventually, how to control and treat infections, health workers became more confident and able to handle prevention, treatment, and care.The disease transitioned from an emergency to a developmental effort.Now we are facing an Ebola epidemic, and it carries many of the same underlying challenges we saw during the emergency phases of HIV.But we know now, after decades of dealing with HIV, that the backbone of any response to a global health emergency is made up of health workers—especially those who can provide primary care and are trained, recruited, and retained in health posts near vulnerable communities.In an emergency, nothing can compensate for an inadequate supply of skilled health workers.My point is this: Donor and country intervention plans that focus on HIV treatment and preventing new infections must be complemented with a balanced focus on strengthening the health system, specifically the health workforce.The money and human resources devoted to HIV have been huge. But new resources for health systems strengthening have been modest by comparison


Mobile phone app fights TB in Vietnam

vietnam map wiki

What do the following facts have in common? Vietnam has 90 million people and roughly 120 million mobile subscriptions (a 130 percent saturation rate). Cases of multidrug-resistant tuberculosis are rising in Vietnam, 23 percent of which are retreatment cases. Here’s the answer: … Continue reading » ; ; ; ;Related StoriesFriday Think: the $150 ebola technology challengeThe future of field appropriate diagnosticsNew test combats major cause of preventable blindness in Africa ;


Health Service Delivery Reports in Uganda, Kenya, & Zambia

IHME wiki

IHME and multiple partners release reports on the status of health service delivery in Uganda, Kenya, and Zambia, including the capacity of health facilities, ART programs, Read More


Treatment: The Missing Piece in Ebola Prevention

Ebola graph wiki

An Ebola diagnosis need not be a death sentence. Here’s my assertion as an infectious disease specialist: if patients are promptly diagnosed and receive aggressive Read More


A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW…

The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues.


Shaping the Market for Global Health Data

This is a joint post with Prashant Yadav, University of Michigan The most valuable currency in global health programs today is accurate and reliable data, but such data—abundant in rich countries—does not exist for most low-income and lower-middle-income countries. And without data on past consumption and unmet needs, program planners and global financiers cannot budget appropriately, pharmaceutical and vaccine companies cannot plan investments, and it is harder to understand how programs are performing and how patients’ needs are changing over time. In OECD countries like the United States, Japan, and those of the European Union, organizations such as IMS Health collect data from a wide array of data sources throughout the health-care delivery chain


Transforming Mexico’s Post Med School Social Service Year

mexico flag wiki

Background: The Mexican mandatory year of social service following medical school, or pasantía, is designed to provide a safety net for the underserved.


River blindness and the communities it affects

579px-Life_Cycle_of_Onchocerca_volvulus_PLoS_Medicine

Editor’s note: This week PATH is announcing the launch of a new diagnostic test for river blindness with manufacturing partner Standard Diagnostics, Inc. Over three days, our blog series will explore how river blindness affects communities, how the diagnostic test … Continue reading » ; ; ; ;Related StoriesYour innovation story for the weekendAdvocating better health for Zambia’s newbornsWe agree: principles are paramount for new digital development ;


Older Posts »