Spotlight: Comprehensive HIV and mSH Tools and resources Tuberculosis Services in Ethiopia Health Service Delivery • Standard Operating Procedures for The national Ethiopia HIV/AIDS Care and The program has registered 47,000 pregnant • Achieving Functional HIV/AIDS Services Laboratories in ARV Programs Support Program uses an approach based women in ART health centers. Of those on district and health center strengthening, clients, almost 37,000 have been counseled Committed to through Strong Community and Management • Standard Operating Procedures for Support Pharmacies in ARV Programs use of case managers, training, and outreach and tested for HIV. to offer comprehensive HIV/TB services. • Management and Organizational Sustainability Tool for TB/HIV Collaboration: A Guide for Users and Facilitators Human resources for Health More than 1,400 community health workers have been trained in HIV prevention, care, A major challenge in treating patients is that they often drop out of treatment. Although Stopping the Spread of HIV by 2015 and treatment, contributing to the nearly 1 the national rate of patients lost to follow- • Scaling Up HIV/AIDS Programs: A Manual for • Tools for Planning and Developing Human million individuals who were counseled and up in Ethiopia exceeds 20 percent, this Multisectoral Planning Resources for HIV/AIDS and Other tested for HIV in 2008. These workers have program has maintained that rate at below Health Services, with the World Health also provided more than 134,000 people 5 percent. Organization with basic palliative care. pharmaceuticals, medical Devices, and The work of the RPM Plus/SPS Diagnostic Technologies Two hundred and fifty health centers offer (Strengthening Pharmaceutical Systems) • Adherence Promotion Planning Tool leadership, management, and antiretroviral therapy (ART), and the Program in renovating ART pharmacies • ARV Dispensing Tool governance number of individuals on treatment rose has been critical to the success of the • Human Resource Management Assessment from 15,000 to 22,000 between 2007 and treatment program. Training of pharmacy • Commodity Management for VCT Programs: 2008. Of that group, more than 60 percent students from the four national universities Tool for HIV/AIDS Environments A Planning Guide were women, who are more affected by HIV has prepared the graduates to work at • Leadership Development Program for & AIDS than are Ethiopian men. ART facilities. • HIV/AIDS Commodities Tracking Tool HIV/AIDS Managers • International Drug Price Indicator Guide For additional information go to www.msh.org or contact Daraus Bukenya, • Virtual Leadership Development Program • Management and Organizational Sustainability Global Technical Lead, HIV/TB, at firstname.lastname@example.org. Tool (MOST) for Laboratory Management Health Care Financing • Managing Drug Supply, with the World Health Organization • Expediting the Transfer of Funds for HIV/AIDS Programs MSH applies almost 40 years of management experience to integrating primary health care, including tuberculosis and malaria services, into HIV & AIDS programs around the world. 784 Memorial Drive : Cambridge, MA 02139 USA : Tel: +1 617.250.9500 : www.msh.org STrongEr HEalTH SySTEmS. grEaTEr HEalTH ImpaCT. Solutions for health care financing Prevention. MSH is MSH brings 15 years of expertise in performance- based financing, grant management, and costing to Care. committed to support the scale-up and quality improvement of HIV & AIDS services. Treatment. working with its The Grant Management Solutions Project assists countries with Global Fund grants to Management. partners to stop strengthen their ability to manage programs for the prevention and treatment of HIV & the spread AIDS and malaria. In 2008, MSH provided assistance that contributed to the award of Expanded prevention Services in Haiti Integrated primary Health Care in South africa of AIDS by 2015. grants totaling $57 million to three countries from the Global Fund to Fight AIDS, In Haiti, mSH and partners deliver integrated mSH introduced an innovative performance-based Tuberculosis and Malaria (GFATM). services to half the population through a grants program in 2006 to support the expansion network of ngos that operate 152 health of community-based services for orphans and facilities. By supporting both public- and vulnerable children. By providing grants to Essential information private-sector efforts in health and using community organizations that were already Information systems provide those who work to funding from partnerships with the commercial helping children but often struggled for adequate Strengthening combat AIDS with the means to make the most of limited resources, expand services, and serve clients sector, mSH has reached 32,000 pregnant women with HIV counseling and testing in just resources, mSH has rapidly scaled up services for some of South africa’s most vulnerable victims of Health Systems better. MSH works with partners to design practical nine months. the aIDS epidemic. systems to collect, use, and report information. MSH strengthens the health system that AIDS Well-functioning pharmaceutical Better leadership, management, Integrated, Community-Based In the first year of the program, about 6,000 services need to operate efficiently and cost- In Rwanda, a Web-based system for Services in malawi children were served; before the end of 2008, and laboratory systems and governance over 19,000 had received care, ranging from help effectively: service delivery; pharmaceutical collecting and analyzing performance data In malawi, most people live in rural areas far management; human resources for health; We strengthen or establish reliable, cost-effective, We foster leadership, promote good governance, has helped increase the efficiency, accuracy, with their homework to lifesaving arT from and sustainable mechanisms to help ensure and help modernize health care management. MSH from health facilities, so mSH is integrating HIV 23 organizations across five provinces. leadership, management, and governance; and transparency of the health care financing & aIDS and family planning and reproductive financing; and information. availability of medicines and laboratory supplies has extensive experience in individual performance system—and resulted in reporting of data needed for AIDS care and treatment. improvement and organizational capacity-building. by 100 percent of facilities providing AIDS health (Fp/rH) activities in eight districts. Improved access to Services in rwanda nearly 600 community-based distribution through performance-Based Financing SCMS (Supply Chain Management Through the Capacity-building of AIDS services. agents dispense contraceptives, make referrals, Comprehensive, integrated health System), which works with international Partners Project, the AIDSTAR-Two Project, and educate clients. From october 2007 From 2005 to the present, the rwanda HIV/pBF service delivery and local partners in 16 countries, is MSH is leading an esteemed partnership to project has achieved impressive results in health MSH applies almost 40 years of management saving $14 million per month on the build the capabilities of organizations that Innovative partnerships through December 2008, more than 100,000 people received Fp/HIV messages. finance reform, quality assurance, capacity-building, experience to integrating primary health care, purchase of antiretroviral medicines by implement activities funded by the President’s and monitoring and evaluation in both district using generics, pooling procurement, Emergency Plan for AIDS Relief (PEPFAR). To mount a comprehensive response to AIDS, Through “open Days,” Fp/rH and aIDS topics health centers and the ministry of Health. These including tuberculosis (TB) and malaria services, MSH directly engages global partners such as into HIV & AIDS programs around the world. We and establishing long-term contracts The Leadership, Management and are brought to life in traditional dances, songs, improvements to rwanda’s health system have with manufacturers. GFATM, local nongovernmental organizations and drama. Five events in 2008 drew 21,000 greatly increased the availability of HIV & aIDS provide the full range of services in prevention, care, Sustainability Program offers innovative (NGOs), and the private sector. people, of whom 273 received HIV tests. more services across the country, making them part of treatment, and management in dozens of countries. training opportunities—including the Virtual Leadership Development Program—for MSH is a leader in building public-private than 13,500 people have been tested since the basic health services. In Tanzania, BASICS (Basic Support for Human resources for health managers and clinicians at all levels. partnerships, coordinating multisectoral program began. Institutionalizing Child Survival) is helping initiatives, and assisting partners such as the a recent Demographic and Health Survey showed We work with governments to plan and prepare make sure HIV-infected infants and children Christian Health Association of Nigeria, a Strengthened Health System for that between 2005 and 2007 the contraceptive the health workforce needed to integrate HIV receive integrated care. We also which receives PEPFAR funding directly aIDS Care and Treatment in nigeria prevalence rate increased from 10 percent to 27 & AIDS services into related services. work with the Ministry of Health to train through the Nigeria Indigenous Capacity- percent, the mortality rate for children under five private medicine sellers to recognize and In Ethiopia a new type of worker, In nigeria, mSH and partners are providing fell from 152 to 103 per 1,000, and HIV testing the case manager, has been deployed as building Project. decentralized services to reach the country’s properly treat pneumonia, malaria, and and counseling increased by nearly 200 percent. diarrhea in children. part of a national rapid expansion of primarily rural population. This approach HIV & AIDS services for 64 million combines intensive outreach with the building people. Hundreds of these workers of sustainable systems. and, by incorporating link villagers with the health services principles of leadership and management they need. into all its activities, the program reinforces ownership by governments and communities. In only one year, 91,172 tests were performed for HIV, TB, and syphilis, and 1,400 patients began antiretroviral therapy (arT).