Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: Innovation

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.

Read full story

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.

Read full story

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.

Read full story

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.”

Read full story

08.12 2016

IMG_0552Having been in my new role as President of VillageReach only a few weeks, each day is filled with new “firsts.”  First staff meeting, first attempt to work the phone system (failed), first presentation (so-so). Among them was my first—but certainly not last—Final Mile Logistics Working Group Happy Hour hosted by Lynden International. At VillageReach, we focus on increasing access to quality healthcare for those living in the most difficult-to-reach and underserved communities where basic, routine health care delivery is a huge challenge.  For us, supply chain and logistics are essential elements of addressing that challenge, so it was great to meet and talk with representatives and leading thinkers from Puget Sound-area companies and our WGHA colleagues who share our interest, have a passion for new ideas, and apply them on a global scale.  Who better to help us think through the challenges and opportunities of last mile delivery?

Read full story

08.09 2016

As a global health innovator, VillageReach invests great time and effort in exploring how new technologies can be applied to address existing heath systems challenges. Often, this means considering how health system improvements can be leveraged to solve more than one problem at a time. Take, for instance, the emerging Zika virus threat: while VillageReach does not coordinate emergency disease response, our work improving routine transport of medical commodities could be used to strengthen emergency efforts. Similarly, emerging and innovative technologies, such as unmanned aerial vehicles (UAVs, commonly referred to as drones) could add to this comprehensive approach to healthcare improvement.

Read full story

07.27 2016

IMG_0721Often when we talk about methods of delivery in low-resource environments, we are referring to simple solutions. Health commodities arrive at rural clinics on trucks, by bicycle or motorbike, by foot, and sometimes even by boat or canoe. These traditional delivery methods are often faced with simple, but insurmountable barriers. Roads are washed out or are in poor repair. Vehicles are not properly maintained or require expensive fuels. Routes pass through potentially dangerous areas with threatening wildlife. Trying to find new, innovative solutions for these problems has lead VillageReach to UAVs – unmanned aerial vehicles. Last week, I presented at the first meeting of the Final Mile Logistics Working Group, providing an overview of UAVs and the potential they have for filling the delivery gap in global development.

Read full story

07.26 2016

dav

Bringing a program to scale can’t be done single-handedly. It requires the commitment of partners working collaboratively towards a common goal and a dedicated team to keep up momentum as new and unexpected challenges arise. Sometimes, key individuals drive a project forward. They find themselves in the unique position to motivate partners and steward the larger team. Upile Kachila is one of these people.

Read full story

07.22 2016
Jessica Crawford spoke about health delivery in last mile contexts.

Jessica Crawford spoke about health delivery in last mile contexts.

Global health innovation requires us to think beyond an individual product – it’s about creating space for “last mile thinkers” to meet with the scientists and engineers whose work influences medicine availability and healthcare access in low- and- middle income countries. This is how VillageReach found itself on a stage next to representatives from GlaxoSmithKlein, Pfizer, Washington Global Health Alliance, and the Controlled Release Society, engaging in conversations about what medicine delivery means in the context of global health.

Tremendous time, resources, and efforts are invested in developing new, more effective medicines that can improve quality of life – some of these medical breakthroughs have promise to control or eliminate diseases that costs thousands of lives each year. But the challenge of delivering these innovations in low-resource settings remains a pervasive barrier to improving health care access and outcomes. New products have unintentionally strained fragile health systems. Health supply chains for example, designed decades ago, struggle today to deliver a wider range of medicines to larger populations. Infrastructure and human resource challenges limit the impact of these innovations. Life-saving medicines sit on shelves in a warehouse, or expire in broken refrigerators at a rural health facility – many of us who live and work at the last mile of rural communities are familiar with this “innovation pile-up.”

Read full story

07.13 2016

If someone asked me “what’s a van?” in the US, I’d probably say a big-ish vehicle meant to efficiently move people and stuff from point A to point B. In Africa, these large people movers are called minibuses, kombis or any of a hundred other terms, except van. So when someone asks me about “VAN” in the African context, it means something very different. VAN is an acronym for “Visibility and Analytics Network.” In Nigeria, where VillageReach is working on the VAN project, it represents a new, more holistic approach to vaccine delivery and achieving a healthy, functioning supply chain. Though our VAN doesn’t have four wheels, it’s still purposefully designed to move things around more efficiently.

Read full story

Search Blog:

Newsletter Sign Up

By providing your email address you agree to receive periodic email news from VillageReach.

Support Health Care for All

Your tax deductible contribution helps to increase health care availability to reach the most under-reached.

Donate Today

Malawi healthcare worker