Like many nations, Madagascar is prioritizing universal health coverage (UHC) by working to provide the population with access to quality health services and to reduce the cost of care. While progress has been slow so far, consistent health gains from programs working at the lowest level of the health system are the key to Madagascar […]
Immunization is one of the most successful and cost-effective public health interventions in history, saving two to three million lives every year. However, national immunization supply chains continue to face challenges that result in poor temperature control, risks of reduced potency, and poor availability.
Over the past four decades, JSI has supported more than 80 countries to build and maintain health systems that are capable of delivering life-saving services and products to women, children, and adolescents, whenever and wherever they need them. JSI began supporting the Millennium Development Goals in 2011 with the Every Woman Every Child (EWEC) campaign, […]
In Madagascar, maternal and child health issues are persistent–10 women die each day as a result of pregnancy or birth-related complications and 100 children die each day from preventable causes. The country is predominantly rural; around 64 percent of its total 25 million inhabitants live in rural areas, where their communities are known as fokontany, […]
The places in which people live, play, learn, and work, determine their ability to access the resources necessary for maintaining a long, healthy life. There is growing recognition of the benefits of place-based strategies to help communities flourish and their inhabitants to thrive.
JSI staff are committed to providing evidence-based, context-specific services that respond to locally-identified needs. Read along to learn how JSI’s Folami Harris and Hannabah Blue are working to prevent HIV among vulnerable populations in the United States and around the world.
Behaviors and habits established during adolescence have ramifications that affect the quality of life and health throughout adulthood. Adolescence is a critical transition period that includes rapid biological developments and increasing independence. Predisposed to greater risk-taking, adolescents are at an increased danger for negative consequences through substance use, unintended pregnancy, and sexually transmitted infections. In […]
Mental health problems in Sierra Leone pose a high burden of developmental, emotional, and behavioral disorders not only in adults but also in children and adolescents. The country’s recent history includes a long civil war, the Ebola epidemic, and in 2017, a mudslide that killed more than 500 people. Furthermore, throughout Sierra Leone, there is […]
Opioid, alcohol, and other drug misuse and disorders place a tremendous strain on families, workplaces, communities, and health care systems. In 2016, overdoses involving opioids killed more than 42,000 people in the United States, and that number has only increased since. Women often suffer the consequences of substance misuse disorders the most, either because of […]
In Nepal, nearly 1 in 30 children die before reaching their first birthday, with 66% of those deaths occurring in the first one month of life, the neonatal period. Almost half of all newborn deaths are due to neonatal infections, many of which can result from exposure of the newborn’s umbilical cord stump to pathogens […]
In less than two months the plague has infected 1,240 people and killed 124 across urban and rural areas of Madagascar. The USAID Community Capacity for Health program, locally known as Mahefa Miaraka and implemented by JSI Research & Training Institute, Inc. (JSI), has played a key role in Madagascar’s national plague response, led by the Ministry of Public Health.
How do you strengthen a health system? This is a complex question public health experts are still trying to answer. At JSI, we know that expanding access to good health data — and getting people to use the data — is a critical piece of the puzzle. In Pakistan, JSI was asked to strengthen the […]
Putting a Life-Changing Tool in the Hands of Myanmar’s Frontline Health Workers. A woman rides on the back of a motor bike between Chuang U and Amyint Village in Myanmar’s Sagain Region. This is Su Su Htet, an area coordinator (AC) for the RMNCH Quality of Care Project (RMNCH QoC), a program implemented by JSI […]
At separate levels of Madagascar’s health system, two health workers are partnering to champion the health of mothers and their young children. Meet Dr. Rakotonandrasana Thierry: medical doctor, community leader, and pioneer. Dr. Thierry was the head of health facilities in Madagascar’s Matsakabanja commune from 2014 to 2015. While leading the Centre de Sante de […]
In 2014, an estimated 44,073 people in the United States were diagnosed with HIV. About 1 in 8 people with HIV in the United States does not know that he or she is infected. Gay and bisexual men continue to be hardest hit by the HIV epidemic. Nationally, 1 in 4 Latino gay men are […]
I have some terrible news: each and every one of us is going to die one day. I know, I know, but the research is clear and the stories seem legitimate. Not that you would necessarily know it. We spend a lot of time and money avoiding death. We construct images of pain and severe suffering […]
A maternal and newborn health revolution is spreading across Nigeria. Over the last three years, policymakers have invested in low-cost drugs that are saving the lives of mothers and babies. The distribution of misoprostol and chlorhexidine (CHX)—used respectively to prevent postpartum hemorrhage and newborn sepsis, the leading causes of maternal and neonatal mortality—has the potential to save […]
The Positive Spin Campaign uses narrative to explain the importance of navigating the HIV Care Continuum.
When a baby is born, her purpose is simple: to grow into a healthy child. Breastfeeding makes this possible by giving a newborn nutritional and immunoprotective benefits that impact their immediate health, as well as their long-term health and opportunity for success. As a development tool, breastfeeding is a key contributor to achieving the broader Sustainable Development Goals (SDGs). This World Breastfeeding Week, USAID’s global nutrition project, Strengthening Partnerships and Results in Nutrition Globally (SPRING), joins our many partners in recognizing the importance of promoting good breastfeeding practices and the supportive environments that enable them.
Twenty-seven year old Madeleine Bienvenue, like many women in her community, knew very little about maternal and child health. Now, married with five children, she has educated herself on maternal and child health with help from her MAHEFA-trained community health volunteer (CHV) Louisette. Fortified with this knowledge, Madeleine now serves as a care group household […]
Water, sanitation, and hygiene (WASH) interventions are an integral to improving health in Madagascar. JSI’s MAHEFA Project tackled WASH challenges in various ways, one of which included promoting good hygiene and sanitation practices in communities, including the construction and use of latrines in order to eliminate open defecation. Zaia is a local mason in Miarinarivo, […]
The MAHEFA Project’s youth program aims to empower youth to make responsible reproductive health decisions and sensible family planning choices through direct mentoring by youth peer educators (YPEs). These interventions are much needed in MAHEFA’s program regions, where youth between the ages of 15 and 24 years old make up one-fifth of the population. Twenty-seven […]
For many people in Madagascar, the USAID-funded Community-Based Integrated Health Program, locally known as MAHEFA, means increased access to improved health services. MAHEFA is also helping people make positive changes in their communities. Outlined below are some of the many people who benefit from and work with the MAHEFA program. The Elder “I have at least […]
Community Health Volunteers play a vital role in delivering basic health services to families living in rural Madagascar. Follow Helena, a community health volunteer supported by the MAHEFA program, as she moves through her community providing health services and educating her neighbors about healthy behaviors.
When Ebola swept through West Africa, the greatest pressure fell on health workers. From rural clinics nearly inaccessible by roads to the crowded neighborhoods of Monrovia, health workers faced daily decisions on whether or not to risk their own lives to care for patients. As part of JSI’s Infection Prevention and Control Activity, funded by […]
How Georgia revolutionized maternity care and reduced maternal mortality by 40%. Despite the Soviet Union’s claim to have outstanding health care, reality was very different. At the fall of the Soviet Union, and for many years after, Georgia had a surprisingly high maternal mortality ratio. Maternity care was inhumane and, at times, even harmful for […]
Genzebe Tumoro narrates her life story as an urban health extension professional in this photo diary. Ethiopia’s Federal Ministry of Health (MoH) has recognized that the delivery of public health information and services in urban settings is less than optimal and has developed an urban program that builds on the success of Ethiopia’s rural Health Extension […]
Bugiri is a bustling outpost along a highly trafficked trade route that runs east-west, connecting Uganda to neighboring Kenya. Commerce in Bugiri is conducted on the roadway where crowds of vendors compete to sell sodas and snacks to road-weary taxi and truck drivers. Brightly painted storefronts along the highway advertise goods and services, such as […]
In Madagascar, 80% of the population lives in rural areas with difficult access to most health services. Using innovative designs in emergency transport methods, JSI’s MAHEFA program’s emergency transport system is enabling communities to connect patients in urgent need of treatment with their nearest health facility. For sixty-year old Robin Erinesy of Antanambao, Morondava, falling […]
The world has learned a lot about fighting Ebola since its deadliest epidemic in history broke out last year in West Africa. The importance of health workers having access to the right infection prevention and control supplies, such as personal protective equipment (PPE) and bleach, is critical. Yet getting these essential, lifesaving supplies to health […]