Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: Human Resources for Health

12.01 2015
Today the world recognizes World Aids Day – a day to unite in the fight against HIV and to support the millions of people around the globe living with HIV.

In conjunction with World Aids Day, Médecins Sans Frontières (MSF) has published a new report – Empty Shelves, Come Back Tomorrow – evaluating the current incidence of HIV for four of the worst HIV-affected countries in sub-Saharan Africa including Mozambique.  In the country, 11% of the adult population is HIV positive, but only 45% of those affected receive the required level of treatment.   As the report notes about Mozambique “… there is no funded regular last mile delivery and stockouts are seen at facility level.”

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10.12 2015

The UN Commission for Life-Saving Commodities (UNCoLSC)Atelier d’échange: Pratiques et ressources pour améliorer l’accès aux treize produits vitaux pour la santé des femmes et des enfants(in English, “Workshop to Promote Exchange on Practices and Resources to Increase Access to the 13 Life-Saving Commodities for Women’s and Children’s Health”) on took place last month in Dakar, Senegal. The workshop was made possible through a collaboration between the UNCoLSC and Securité Contraceptive en Afrique Francophone (SECONAF, the regional forum for Francophone Africa of the Reproductive Health Supply Chain Coalition), and followed the SECONAF Annual Meeting.

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09.24 2015

Many people in global health talk about how Coca-Cola supply chain practices could be applied and adapted to health commodities to ensure that vaccines, malaria treatment, family planning commodities, and many more essential medicines are available at the last mile health facilities. And they have a point—I have seen Coca-Cola in pretty much every village I’ve been to in Africa throughout my almost 20 years of going to these remote places.

However, that cannot be said for the south part of the Equateur Province in the Democratic Republic of Congo.

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08.13 2015
Malawi village clinic

VillageReach HSA, Pemphero Katondo leads Jailosi Village clinic

As a Community Health Facilitator for VillageReach in Malawi, I see the impact of Community Case Management (CMM), a strategy that promotes the early care-seeking behavior, assessment, diagnosis, recognition, and appropriate treatment for childhood illnesses at the community-level.

Over the last few years, CCM has evolved into a more comprehensive strategy that addresses the three main diseases that commonly kill young children under 5

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06.05 2015

The 15th TechNet Conference convened last month in Bangkok, bringing together a global network of professionals and practitioners committed to strengthening immunization services in developing countries.  As my first time attending, it was a great opportunity to “geek out” about vaccines with a whole bunch of other vaccine “geeks.” The conference presented a mix of global policies and trends, as well as presentations from different countries on innovations for the vaccine supply chain that are improving efficiencies and increasing vaccine coverage rates. It was an opportunity to share experiences and learn from others’ work around the world.

Tech Net-21

Tech Net-21 Group Photo, courtesy of TechNet-21

A few key themes emerged from the conversations and presentations during the conference:

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04.28 2015

For the last fifteen years, VillageReach has been working to help ensure all children have access to vaccines. I have had the opportunity to spend time in rural health facilities across sub-Saharan Africa, talk with hundreds of healthcare workers, and meet with numerous leaders of health ministries. Through our daily interactions with health workers and government partners, I’ve seen first-hand the challenges to achieving immunization equity, especially as new vaccines are being added to already strained systems.

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02.09 2015

VillageReach, in collaboration with D-tree, is proud to announce the implementation of a new mHealth application in Malawi. What an exciting partnership! During the first week of February 2015, 25 health surveillance assistants (HSAs), nurses and other health workers in Balaka District received intensive training on smartphone technology and the capabilities of a new maternal and neonatal health (MNH) assessment application developed by D-tree. Using smartphones to improve the assessment of pregnant women and their children will increase access to health care and improve the quality of care provided in rural villages.

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10.10 2014

I am a clinician by profession, serving a population of over 30, 000 in the 25 villages that my health center serves. I am the only clinician at the health facility with a single nurse to assist covering when possible.  We recently lost the only health surveillance assistant that was trained as a drug clerk as she has left to pursue a one and a half year course in midwifery. This leaves me as the only clinician and also the only person to manage stocks in the medicine store (pharmacy).  I undertake the majority of dispensing responsibilities as the hospital attendants that sometimes need to fill this role are not knowledgeable about medicines. When it’s month end, I am also responsible for doing the physical inventory and producing a monthly report.  Each of these tasks requires time away from my primary responsibility of treating patients. This results in less time with patients, and inadequate reporting of essential information required to manage inventory. For example, I am not sure the reports that I send are even a true representation of the situation on the ground due to the limited time I have to devote to this task.

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06.17 2014

 loveness By LOVENESS KASIYAMPHANJE                                                 Pharmacy Assistants Training Program- Class of 2015                             

My name is Loveness Kasiyamphanje. I am originally from Ntcheu, in the Central Region of Malawi, but I currently live in Namiyango in Blantyre District. I am pursuing a Certificate in Pharmacy Programme at Malawi College of Health Sciences (MCHS), Lilongwe Campus. The programme was created by VillageReach, the Malawi College of Health Sciences (MCHS) and their partners. The Programme is for two years and I am in the first year.

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Malawi healthcare worker