Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: Innovation

02.10 2017
Dr. Chan and me on the University of Washington Campus

One of the highlights of University of Washington’s symposium celebrating ten years in global health was seeing the Director General of the World Health Organization, Dr. Margaret Chan. Dr. Chan was charming as ever, with a spring in her step and a smile on her face. Perhaps it is because she is nearing the end of her term (her successor will be chosen during the upcoming World Health Assembly) that despite moments of levity, her words had a more sobering ring.

Dr. Chan painted a complex picture of the world in which global health professionals work.  We are confronting new diseases and old diseases, dealing with post-antibiotics and post-truth. She warned the attendees that some believe a long-standing social contract has been broken and “we are now living in a world that has lost its moral compass”. Before we could wallow in our collective struggle, Dr. Chan laid out four priorities to help guide health policies and programs.  Here’s what they mean for our work at VillageReach.

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01.19 2017

Collaboration is at the heart of a unique public-private initiative to increase availability for a range of health products in Mozambique. Tete provincial health authorities, Médecins Sans Frontieres (MSF), and VillageReach have partnered with the private sector company Confianca Absoluta to bring HIV medicines, vaccines and medical kits to rural health clinics. A new case study looks at the first six months of this initiative. It outlines the details of the partnership, benefits to date including increased availability and efficiency, and considerations for governments interested in outsourcing as a way to improve transport for essential medicines.

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01.10 2017

With the New Year upon us, I wanted to take this opportunity to reflect on some of the most important milestones that you, our partners and donors, have helped us to achieve this past year. With your support, we are reaching more people, proving the potential of emerging innovation, and working with new partners to increase access to quality healthcare at the last mile.

Reaching More


_x8a8078Chipatala Cha Pa Foni (CCPF, or “Health Center by Phone”) expanded
 to three additional districts in Malawi, reaching an additional 400,000 people, and ensuring that mothers like Patuma have access to health information, advice and care, no matter where they live. Airtel remains central to this growth as we work with the Ministry of Health towards national scale-up. New ventures like CCPF for Adolescents and collaboration with Johnson & Johnson are helping to enhance the quality of the service and expand its
potential to reach and serve more.

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12.01 2016

HIV has a profound impact on communities around the world and the health systems that serve them. Many remote, underserved communities feel the heavy burden of the HIV epidemic and can face substantial challenges in accessing health services. New approaches, systems and technologies have the potential to strengthen these systems and provide greater access to quality healthcare in these last mile communities.

As a global health innovator, VillageReach is dedicated to identifying, testing and scaling these potential solutions, which can be leveraged to support the global fight against HIV. World AIDS Day gives us a moment to reflect on our work with partners and governments that contributes to the reduction of HIV, particularly at the last mile.

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11.28 2016

The annual Global Health Supply Chain Summit brings together supply chain professionals from all over the globe to discuss and share important trends in global health and the supply chains that support global health efforts. Last year, the big ideas from the event reinforced critical components of our work to improve health supply chains: public-private partnerships, system design, and data for management.

This year’s summit provided another great opportunity for VillageReach and our ministry partners to share our experiences, to learn from others, and to identify important trends shaping the global health supply chain community. The VillageReach team reflects on some of these trends below.

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11.10 2016

Reposted from OpenLMIS

The OpenLMIS Community is pleased to announce the beta release of OpenLMIS 3.0!

The initial offering to come out of the re-architecture effort for OpenLMIS, 3.0 Beta contains one slice of functionality, Requisitions, based on an all-new micro-service architecture. This release is the first to utilize the new architecture and is a strong step in the direction of “shared investment, shared benefit” that is the primary mission of the OpenLMIS Community. 3.0 Beta is a proof-of-concept for this architecture and is not a feature-complete release. It does not contain every feature that the eventual 3.0 OpenLMIS stable release will, and further features will be added to the system as we work toward the full 3.0 release scheduled for the end of February, 2017.

Please reference the Living Product Roadmap for the high-level estimated release schedule through version 3.3, and read the 3.0 Beta Release Notes for further details. Visit the OpenLMIS GitHub page to view the 3.0 Beta code repository.

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10.28 2016

It was a bit of serendipity when the young woman’s phone started buzzing. Normally at a conference, a phone call or a text message would be an embarrassing disruption, but not this time. This interruption came as twenty young women gathered to share their personal stories. Some had children, some were sex workers, others had dropped out of school. These women were representatives of the many young women around Zomba and Machinga Districts in Malawi who face challenges in accessing quality reproductive health services, providing real faces to the broader issue at hand.

20161013_121020
The twenty young women received certificates at the end of the workshop.

This text message was received at the DREAMS Innovation Challenge Ambassador Workshop in Blantyre, Malawi – where I represented VillageReach as one of the 56 winners chosen to find new, innovative ways to reduce the impact of HIV on women and girls. This workshop brought together Innovation Challenge winners from around Malawi, as well as this group of young women. We were all there to learn and share, creating new connections while underscoring the importance and urgency of this work.

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10.19 2016

Last week, the Reproductive Health Supplies Coalition (RHSC) brought together hundreds of the top minds in global reproductive health issues at the Coalition’s 17th Annual Meeting. This meeting provided a forum for discussing the many triumphs and continuing challenges of reaching 120 million additional women with reproductive health services by the year 2020. Access to reproductive health commodities allows women to decide if and when to have children. This ability is not only a human right, it can be a life or death situation for many women and young girls. Increasing access to reproductive health is also one of the most effective and cost-efficient ways to reduce infant and maternal deaths.  As an active member of the RHSC’s System Strengthening Working Group, VillageReach eagerly engaged in this week of conversation and idea exchange. Many of the central themes reflect the work of VillageReach, allowing us to bring our experience and expertise to the conversation while learning and growing from the experiences of our partners.

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10.03 2016

untitled-design-2Simple ideas can be powerful – a point driven home during my recent trip to Uganda. While I was there, I had the opportunity to tour the Ugandan national medical stores, where medicines for the entire country are warehoused. The head of sales and marketing showed me how each and every commodity that the Government of Uganda procures is marked as a way to safeguard against theft. Every layer of packaging is embossed: “GOVERNMENT OF UGANDA. PUBLIC USE ONLY. NOT FOR SALE.” Even individual tablets are marked “UG.” The government builds this requirement into its procurement contracts with suppliers. I walked away completely floored. What a simple yet brilliant idea to solve a persistent supply chain problem.

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09.20 2016

final-20-report-coverWhile visiting rural health units outside Montepuez district in Mozambique, I met a mother at Naioto clinic. It had taken her two hours to get to the facility, with a baby on her back. She was happy to stand in a queue for vaccines for her baby because vaccines were available. The nurse at the clinic, Ana Bendita Miguel, remembers times when she had to turn these mothers away. Prior to ensuring regular, monthly distribution of the provincial delivery truck, it wasn’t uncommon for Bendita to ride a bus to the district centre, a difficult trip of 68km to collect vaccines. In addition to taking Bendita away from seeing patients at the clinic, the bus fare cost her 240 MZN (around $3.30), which was not refunded. In those days she said, “when I didn’t have money for bus fare, I couldn’t prevent the stockout.”

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