Impact magazine looks under the hood to see how NGOs, donors, charity watchdogs and corporations measure impact and what role measurement plays in decision-making.
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Evidence for equity, quality, impact, and cost effectiveness of Social Franchising
New research shows how PSI reaches those most in need, especially in rural Myanmar, where healthcare options are limited or nonexistent.
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Lovemore: The Story of a Father in Zimbabwe
Most couples don’t make getting tested for HIV part of their wedding plans. But when single parents Lovemore and Fungai got engaged, they decided it was a good idea before blending their families.
Aggie's Fight for Reproductive Rights in Zambia
Every day, Aggie wakes up at 5:00 in the morning to pray for the rural women. Then she puts on her dancing shoes.
Do you know how much of your taxes go towards global health programs? Chris Collins, Vice President and Director of Public Policy, amfAR: The Foundation for AIDS Research, shares the facts in a blog post for the Huffington Post. He writes:
U.S.-funded global health programs have made an enormous impact over the last decade. According to a 2012 study conducted by Stanford University School of Medicine, between 2004 and 2008, the President’s Emergency Plan for AIDS Relief (PEPFAR) was associated with a reduction in the odds of death of nearly 20 percent in the countries where it operated. Researchers found that more than 740,000 lives were saved in nine target countries during this period. A 2013 report released by the Institute for Health Metrics and Evaluation found that malaria deaths among children in sub-Saharan Africa started declining rapidly in 2005. The report attributed this success to increased distribution of insecticide-treated bed nets and malaria treatment expanded through programs funded in large part by the U.S. government.
U.S. investments in foreign assistance save the lives of the world’s neediest and serve U.S. diplomatic interests. As Secretary of State John Kerry said in February, “Foreign assistance is not a giveaway. It is not charity. It is an investment in a strong America and a free world.”
(Thailand) – My name is Vanda. I am originally from Phichit, a province in the north of Thailand. I left home when I was 15 because my dad was not happy that I am a kathoei (transgender). I moved to Bangkok to stay with friends and started working at a bar in Silom. At that time I did not know about sexually transmitted diseases. When I went out with customers, I hardly used condoms. A year later, I moved to Pattaya and worked as a sex worker. I became addicted to Yaba (Amphetamines).
In September 2010, I was very ill with abscess and herpes. I went to Banglamung Hospital, where I was tested and found out I had HIV. Due to lack of ID card, I was unable to get antiretroviral therapy (ART). My weight dropped from 90 to 44 kg. I was so depressed and afraid to go back to my hometown.
The hospital staff introduced me to the USAID-supported Sisters center. I met with one Sisters staff and talked with her for many hours. She accompanied me to Glory Hut, where the Director Khun Ponsawan helped me with shelter and food and taught me how to treat Thrush and Candidiasis. Importantly, she helped me to get ART under the universal healthcare scheme.
Nepal has made impressive progress against maternal deaths, but the way the women are treated leaves the gains at risk. From the Atlantic:
Nepal is one of just a few countries that has already significantly reduced maternal deaths, and is on track to achieve MDG 5. But investments in the health system are crippled by engrained gender disparity. Until the status of women improves, childbirth will remain a dangerous labor.
The Nepali government has worked hard to improve their maternal health statistics, and arranged national policy around the international development agenda. There is a rigorous family planning program which has helped lower the average number of children women have from 4.6 in 1996 to 2.6 in 2011. Government spending on health tripled between 2006 and 2011. Abortion was legalized and reproductive rights were specifically included in the interim constitution of 2007, and more women are birthing in health centers, motivated in part by a government program that pays women to birth in clinics.
Lalu lives deep in Far-Western Nepal, a two-day’s drive and a world away from the bustling capitol where health policy is hammered out. Her village is stacked in tiers on the edge of a mountain, jutting over a deep valley. Across Achham, the endless hills are carved into terraces of fields planted with potato and wheat seedlings.
To get to her local clinic Lalu had to walk one to two hours, depending on her pain, along a path cut out of the side of the mountain, slowly ascending to the main dirt road. Then she had to double back on the opposite face of the mountain, descending a slippery, pebble strewn path. The health post is off the main road, past a tiny town comprised of teashops selling little more than hard candies and instant noodles. A steep, rocky path leads down to the clinic; it feels like a landslide waiting to happen.
But Lalu made the trek several times throughout her pregnancy to take advantage of prenatal checkups, and the 100 Nepali Rupees ($1.03 USD) she earned for each visit. A central part of Nepal’s efforts to make labor safer has been to entice women to birth in clinics and hospitals. At Lalu’s local clinic, a fresh-faced midwife named Parvati Kayat has received laboring women desperately trying to reach the health clinic to get the seemingly nominal stipend. “Some women are so poor that even if they deliver on the way they struggle to get here just to get the 1,000 Rupees ($10.57),” she said. The program pays between 500 and 1,500 Nepali Rupees, or $5 to $15 USD, depending on the region.
Lalu planned to birth at the clinic this time, something other women in her village had started doing in the past few years. “Everybody says it’s more comfortable there,” she explained.
Survival, not comfort, was her priority in earlier births. Most women in her village can relate a horrible birth story of their own, or a relative’s near-death experience during birth. It makes for anxious pregnancies, and inspired Nepal’s women’s health activists to push for policy change.
Each year in Oxford, England, nearly 1,000 distinguished delegates from the social, finance, private and public sectors convene in Oxford for three days and nights of critical debates, discussions and work sessions aimed at innovating, accelerating and scaling solutions to social challenges.
The Forum is also now a year-round platform where executive audiences can learn about the latest news and innovative approaches in a variety of focus areas (e.g. deforestation, education and economic opportunity, or healthcare access and treatment), and engage with the world’s leading thinkers and doers of social change on key questions, challenges and opportunities.
Skoll World Forum is proud to partner with PSI to bring you this special edition of Impact.
A two-year-old child died in Jeddah and a 53-year-old man died in Eastern Province, where the outbreak has been concentrated, the ministry said late on Saturday in a statement on its website. Four people have died outside the kingdom.
The ministry said another three people had been confirmed as being infected with Middle East respiratory syndrome (MERS), bringing the total number of confirmed cases inside the kingdom to 65 since it was identified a year ago.
On Friday the World Health Organization said MERS, which can cause fever, coughing and pneumonia, had not yet reached pandemic potential and may simply die out.
Ramadan, Islam’s fasting month, is expected to start in Saudi Arabia on Monday night and is traditionally a time when hundreds of thousands of Muslims come to Mecca for umrah, a pilgrimage that can be carried out at any time of year.
Millions are also expected to travel to Mecca for the main pilgrimage, haj, that will take place in October, although the authorities have cut the number of visas this year, citing safety concerns over expansion work at the main mosque site.
WHO experts said last month that countries at risk from MERS should put in place plans for handling mass gatherings but has stopped short of recommending restrictions on travel.
The Guardian Development Professionals Network hosted a conversation this morning on the progress and missteps against malaria drug resistance. PSI deputy director of the malaria and child survival department Angus Spiers joined other experts for a conversation about the present challenges and what is being done to slow down resistance. Here is an excerpt of the conversation:
AngusSpeirsPSI: Hello, this is Angus Spiers from PSI. Very happy to be part of this discussion. Prudence, (I hope you’re well, it’s been too long), you make a number of very pertinent points, particularly the need for rapid identification of resistance foci and measures to effectively target them.
We have been focusing on a number of areas in the Mekong region to help combat artemisinin resistance, particularly with case management in the private sector where a large proportion of people seek treatment (see ACTwatch) but receive little in the way of effective diagnosis and are often treated with sub-standard monotherapies which only help drive resistance.
Resistance and Artemisinin Combination Therapy (ACT)
PrudenceHamade: I know PSI is working in Myanmar to try to replace monotherapies with ACTs as well but I am afraid it might be too little too late.
ACTs still cure patients with malaria but they are taking longer to do so allowing the ‘resistant parasite’ which remains when all the non-resistant parasites are cleared to be transmitted to others Being positive 72 hours after treatment ( Day 3) is only a proxy measure of resistance how can we better determine resistance and when we do what can be done to make sure the resistant parasites are not passed on to others.
By Dr. Leslie Mancuso, PH.D., R.N., F.A.A.N., President and CEO, Jhpiego Frozan Admadi places her ear on one end of a pinard horn. She holds the other end of the stethoscope on the belly of her pregnant client, smiling as she hears the fetus’ steady heartbeat. Frozan is the only midwife in Marabad, a rural community […]
The President and his family said their goodbyes yesterday in Tanzania to return home to the US from a tour with stops in Senegal, South Africa and Tanzania. From VOA:
In Tanzania, Obama and former U.S. president George W. Bush marked the 1998 al-Qaida terrorist bombing. Coordinated truck bomb attacks on the U.S. embassies in Dar es Salaam, and Nairobi, Kenya on August 7, 1998 left 224 people dead.
Just over three years later, al-Qaida attacked the United States directly on home soil on September 11, 2001.
In a brief ceremony at the new embassy building that opened in 2003, Obama and former president Bush laid a wreath at the memorial to those killed in the attacks.
With five family members of victims and those who survived the attack nearby, they walked side by side to the memorial, and bowed their heads for a moment of silence.
Obama’s Africa trip has been focused primarily on enhancing trade and investment in the continent, based on a new model of aid, public-private partnerships with African governments and reforms.
In the final event of his Africa trip, Obama visited a formerly idle power plant brought back to life through joint Tanzanian-U.S. efforts, highlighting his new initiative to double access to electricity in Africa.
Obama said this reflects his approach of combining public and private resources to spur economic progress.
He referred to other new initiatives, from agriculture to education and health, and said the United States intends to be a strong partner with Africa in years ahead.
“That is what all our efforts are going to be about, is making sure that Africans have the tools to create a better life for their people and that the United States is a partner in that process. It’s going to good for Africa, it’s going to be good for the United States and it’s going to be good for the world,” he said.
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