[{"data":1,"prerenderedAt":1939},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":9,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":491,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":564,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":711,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":736,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":795,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":836,"$fl6ATK2RCFdjbze-eHG1Ko_8fcPdycqNelKOwiWBJufY":877,"$fJgW8XfZWx6lhg4eHPHmkk32d46KJ8TgbRBv2WH0pu9o":980},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8},"Jhpiego","We start with women's health, but we don't stop there.","https://api.jhpiego.org","https://jhpiego.org","https://api.jhpiego.org/wp-content/themes/fuxt-backend/screenshot.png",{"googleAnalytics":10,"socialSharedImage":15,"footerText":108,"footerEmail":109,"footerPhone":110,"footerImage":111,"introVideoBg":192,"searchHeaderImage":247,"":314,"hideFeaturedNewsPost":315,"featuredNewsPost":316,"menuFeaturedNews":373,"showCustomMenuItem":387,"menuFeaturedItem":388,"featuredBanner":454,"emailRecipients":490},[11,13],{"code":12},"G-MN8NG7QBCQ",{"code":14},"G-RNH48Z0R08",{"id":16,"src":17,"width":18,"height":19,"alt":20,"caption":21,"title":22,"description":20,"mimeType":23,"html":24,"srcset":25,"sizes":26,"meta":27,"acf":103},1113,"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg",2048,1367,"","Met the health volunteer Mamadjibeye Sarah, 26, at the Miandoum ACT health clinic to follow her home to work with Sarah who is hoping to go to college and be a nurse. She studies when she can for her exams...though no schedule yet for that.  Meanwhile she is helping with the family farm where they grow peanuts, maze as well as other stuff.  But she had two children, baby, Denelelem Prudence, 1 and a half and Carla Nekouanodi, 8.  She is separated from her husband who is in N'Djamena.  Her father is the village chief.  She has to walk back and forth to the farm from the village.","Chad-CountryLandingPage","image/jpeg","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1024x684.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-768x513.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1536x1025.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-809x540.jpeg 809w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-375x250.jpeg 375w, 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Kasmauski","NIKON D750","1473510651","2016 Karen Kasmauski","24","800","0.003125",[95,96,97,98,99,100,101,102],"Bebedja","Chad","clinic nurse","farming","health volunteer","malaria","village","water",{"primaryColor":104,"blurhash":105,"videoUrl":20,"focalPointX":106,"focalPointY":107},"#423f2b","UYD0JtWBWUoJ_4R*axay-=azjGay%MWCaxof","53.4","17.6","\u003Cp>\u003Cstrong>Johns Hopkins\u003Cbr />\nUniversity Affiliate\u003C/strong>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/oSrmwL2C1hKzPDuEA\" target=\"_blank\">1615 Thames Street\u003Cbr />\nBaltimore, Maryland 21231, USA\u003C/a>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/5dbU6KnxynaKwqnk8\" target=\"_blank\">1875 I St NW, 6th Floor\u003Cbr />\nWashington, DC 20006, USA\u003C/a>\u003C/p>\n","info@jhpiego.org","410-537-1800",{"id":33,"src":112,"width":113,"height":114,"alt":20,"caption":115,"title":116,"description":20,"mimeType":23,"html":117,"srcset":118,"sizes":119,"meta":120,"acf":188},"https://api.jhpiego.org/wp-content/uploads/2025/02/80b63f8648129e2500d8baebd7036984.jpeg",4000,2670,"Maichew Town, Lemlem Karl Hospital (built 1991)in the Tigray region of Ethiopia. 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Elyse says ÒI have four children with these two, the others are 11 and 8. My children are spaced because I am using family planning. Before I started using family planning I had two children very close together and both died because I couln't look after them. The midwife in the Health Centre explained to my husband and I then benefits of using family planning so we stared. I am happy that we can now look after the four children we have properlyÓJhpiego has been working in Burkina Faso for the last 22 years, transforming maternal and child healthcare for women and children.","JHPIEGO_BURKINA FASO","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w","(max-width: 2560px) 100vw, 2560px",{"width":162,"height":250,"file":257,"filesize":258,"sizes":259,"imageMeta":301},"2025/04/Search-Header.jpeg",652939,{"medium":260,"large":263,"thumbnail":267,"mediumLarge":270,"1536x1536":274,"2048x2048":277,"postThumbnail":281,"socialPreview":285,"smallPreview":288,"mediumPreview":291,"largePreview":295,"fullscreenSmall":298},{"file":261,"width":33,"height":34,"mimeType":23,"filesize":262},"Search-Header-300x200.jpeg",40805,{"file":264,"width":38,"height":265,"mimeType":23,"filesize":266},"Search-Header-1024x683.jpeg",683,164502,{"file":268,"width":43,"height":43,"mimeType":23,"filesize":269},"Search-Header-150x150.jpeg",31471,{"file":271,"width":47,"height":272,"mimeType":23,"filesize":273},"Search-Header-768x512.jpeg",512,110463,{"file":275,"width":52,"height":38,"mimeType":23,"filesize":276},"Search-Header-1536x1024.jpeg",295479,{"file":278,"width":18,"height":279,"mimeType":23,"filesize":280},"Search-Header-2048x1366.jpeg",1366,451818,{"file":282,"width":283,"height":58,"mimeType":23,"filesize":284},"Search-Header-810x540.jpeg",810,119505,{"file":286,"width":62,"height":63,"mimeType":23,"filesize":287},"Search-Header-1200x630.jpeg",167119,{"file":289,"width":67,"height":68,"mimeType":23,"filesize":290},"Search-Header-375x250.jpeg",49537,{"file":292,"width":72,"height":293,"mimeType":23,"filesize":294},"Search-Header-960x640.jpeg",640,149615,{"file":296,"width":77,"height":78,"mimeType":23,"filesize":297},"Search-Header-1280x854.jpeg",225514,{"file":299,"width":82,"height":77,"mimeType":23,"filesize":300},"Search-Header-1920x1280.jpeg",410619,{"aperture":302,"credit":303,"camera":304,"caption":251,"createdTimestamp":305,"copyright":303,"focalLength":306,"iso":307,"shutterSpeed":308,"title":252,"orientation":309,"keywords":310},"4.5","KATE HOLT","Canon EOS 5D Mark III","1519805981","35","250","0.033333333333333","1",[],{"primaryColor":312,"blurhash":313},"#997c55","UNIgu,9a?bMy~UR,NfoLx@NfE2%Lt5E2M|Se",null,"true",{"id":317,"guid":318,"title":319,"content":320,"excerpt":321,"excerptRaw":321,"slug":322,"url":323,"uri":324,"to":324,"status":325,"date":326,"modified":327,"type":328,"authorId":329,"featuredMedia":330},8406,"https://jhpiego.org/?p=8406","Dr. Allyson Bear to Lead Jhpiego as New President and CEO","\n\u003Cp>\u003Cstrong>Baltimore, MD\u003C/strong> – Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n\n\n\n\u003Cp>Dr. Bear joins Jhpiego with 25 years of experience in the global health sector, most recently serving as founder and CEO of the Baltimore-based public health consultancy Vennhealth. Throughout her career, she has led strategic and evaluative initiatives that have shaped major global health programs and investments. Notable achievements include revising USAID’s maternal and child health investment frameworks to align with the Sustainable Development Goals, evaluating USAID’s flagship maternal and child health program, and designing a $1 billion successor strategy. In addition, she led the evaluation of the $3.5 billion Feed the Future nutrition portfolio, providing evidence that informed its Congressional reauthorization.\u003C/p>\n\n\n\n\u003Cp>“The throughline of Allyson’s professional trajectory has been a profound commitment to alleviating human suffering and promoting human dignity and health for all—a background that aligns deeply with Jhpiego’s longstanding mission to provide access to lifesaving health care where it is needed most,” said Johns Hopkins University President Ron Daniels in an email to the Johns Hopkins University community. “She brings a proven track record in strategic growth, innovation, and resource mobilization across the global health, economic development, and humanitarian sectors.”\u003C/p>\n\n\n\n\u003Cp>Dr. Bear began her career focused on global market shaping and scale-up efforts, starting with Gavi’s PneumoADIP and Hib Initiative, where she provided technical assistance to Ministries of Health for vaccine rollout and impact evaluations. From 2009 to 2015, she worked at USAID, leading the development of flagship U.S. Government health initiatives. She has also held leadership positions at Corus International and Abt Associates, managing global health and economic development portfolios across West Africa, francophone Central Africa, North Africa, and the Middle East. Dr. Bear has worked in more than 45 countries worldwide, including 11 years of residence in multiple countries throughout Africa and Asia.\u003C/p>\n\n\n\n\u003Cp>“It has been a privilege to lead Jhpiego over the last 25 years, and I could not be more confident as I pass the baton to Dr. Allyson Bear,” said Dr. Leslie Mancuso, outgoing president and CEO of Jhpiego. “Her commitment to improving global health and her thoughtful, values-driven leadership give me great optimism for the future of the organization.”\u003C/p>\n\n\n\n\u003Cp>Dr. Bear will succeed Dr. Leslie Mancuso, who has led Jhpiego since 2001 and announced her planned retirement in 2024. Under Dr. Mancuso’s leadership, Jhpiego has evolved from an organization with four core programs focused on family planning and cervical cancer prevention into one of the world’s most respected global health entities, now operating in 39 countries.\u003C/p>\n\n\n\n\u003Cp>To learn more about Dr. Bear, \u003Cstrong>\u003Ca href=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\" data-type=\"link\" data-id=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\">read the Johns Hopkins University Hub article here.\u003C/a>\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n","allyson-bear-to-lead-jhpiego-as-new-president-and-ceo","https://jhpiego.org/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","publish","2026-03-23T12:01:00","2026-04-20T20:35:51","post",5,{"id":331,"src":332,"width":62,"height":333,"alt":20,"caption":20,"title":334,"description":20,"mimeType":23,"html":335,"srcset":336,"sizes":337,"meta":338,"acf":368},8456,"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg",627,"Allyson Bear Announcement_Landscape","\u003Cimg width=\"1200\" height=\"627\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-375x196.jpg 375w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" />","https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, 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Statements","1896","https://jhpiego.org/policies-and-statements/",[20],"/policies-and-statements/",[],[878],{"id":879,"guid":880,"title":881,"content":882,"excerpt":883,"excerptRaw":883,"slug":884,"url":885,"uri":886,"to":886,"status":325,"date":887,"modified":888,"type":328,"authorId":329,"featuredMedia":889,"terms":951,"acf":975},3040,"https://jhpiego.netlify.app/?p=3040","Midwives Support Self-Care","\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care.jpg\" alt=\"\" class=\"wp-image-3041\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care.jpg 1000w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care-960x640.jpg 960w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" />\u003C/figure>\n\n\n\n\u003Cp>Devoted to partnering with women—to being “with women,” which is the very meaning of midwife—midwives are keen to showcase the ways in which their role upholds and promotes self-care.\u003C/p>\n\n\n\n\u003Cp>The connection between health care providers, such as midwives, and self-care may not be immediately apparent if one sees self-care as separate or in opposition to health care services. But this is just one of many misconceptions about self-care that exist: that midwives and other health care providers are opposed to individuals, families and communities preventing disease and coping with illness with \u003Cem>or without\u003C/em> their support. Not true. And neither are a whole host of \u003Cstrong>common misconceptions\u003C/strong>, such as:\u003C/p>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Self-care is just for patients.\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp>\u003Cstrong>The facts:\u003C/strong> More than half of midwives surveyed in Rwanda reported that self-care is for patients—and not for them. The mindset that says, “I should be able to cope. . . I don’t have time for self-care. . . I need to do other things first” comes at a cost. A review of care providers in sub-Saharan Africa reveals midwives experience high rates of burnout, along with emotional exhaustion and other physical issues.\u003C/p>\n\n\n\n\u003Cp>Health care providers need to take their own health off the backburner and walk the talk by practicing self-care in addition to promoting it to patients. Self-care should be integrated with occupational health and safety in workplaces. Employee wellness programs can also address self-care by health care providers.\u003C/p>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Taking care of ourselves is selfish and takes too much time.\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp>\u003Cstrong>The facts:\u003C/strong> The survey of Rwandan midwives reveals that 79% of respondents don’t have time to take care of themselves. In a typical week, self-care is almost nonexistent, not just the practice of it, but even discussions about it among providers who worry, “What will others think about us if we’re practicing self-care when we have patients who are in pain?”\u003C/p>\n\n\n\n\u003Cp>A midwife’s busy schedule does not negate the need for self-care. Even short breaks can help prevent poor health and exhaustion—ultimately resulting in better patient care.\u003C/p>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Self-care diminishes the provider’s role.\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp>\u003Cstrong>The facts:\u003C/strong> The majority of health care happens \u003Cem>outside\u003C/em> of the health system. In fact, helping patients to learn and practice self-care improves the quality of antenatal, delivery, postpartum and newborn care.\u003C/p>\n\n\n\n\u003Cp>Midwives partner with patients to ensure that they know about and have access to evidence-based self-care strategies such as digital health apps. As patients take ownership of their health, midwives can better focus time and attention on patients’ greatest needs.\u003C/p>\n\n\n\n\u003Cp>The \u003Ca href=\"https://www.who.int/\">World Health Organization \u003C/a>defines self-care as “the ability of individuals, families and communities to promote health, prevent disease, maintain health, and to cope with illness and disability with or without the support of a healthcare provider.” According to this definition, self-care includes “health promotion; disease preventions and control; self medication; providing care to dependent persons; seeking hospital/specialist care if necessary; and rehabilitation including palliative care.”\u003C/p>\n\n\n\n\u003Chr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"/>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care_2.jpg\" alt=\"\" class=\"wp-image-3042\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care_2.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care_2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care_2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care_2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care_2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Midwives-Support-Self-Care_2-960x640.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Self-care is a substitute for the health system.\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp>\u003Cstrong>The facts: \u003C/strong>Self-care is not an “either or” proposition, and not a default mode, where patients either have access to the full services of a health system or have to practice self-care. Self-care is not a work-around.\u003C/p>\n\n\n\n\u003Cp>Strong health systems recognize that self-care is an essential part of the system. Strong health systems support providers to ensure that their patients have the knowledge, tools and resources to promote and maintain their physical and mental health, prevent illness and continue to care for themselves before and after they’ve left the facility.\u003C/p>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Self-care is whatever makes you feel better.\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp>\u003Cstrong>The facts:\u003C/strong> Not all ways of relaxing qualify as self-care, which, by definition, has to have a positive impact on one’s health. For example, studies reveal that some countries have a high percentage of cigarette smoking among health care workers, even higher than the general population. Smoking or drinking to relieve stress or to feel less anxious may bring short-term relief but aren’t self-care.\u003C/p>\n\n\n\n\u003Cp>Unwinding with healthy behaviors, such as yoga and physical exercise, is self-care and has been shown to prevent emotional exhaustion and depersonalization, two chief components of burnout.\u003C/p>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Self-care is free.\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp>\u003Cstrong>The facts: \u003C/strong>While some interventions, such as performing a breast self-exam, are free, or help to cut health care costs, that’s not true for all self-care measures. Approaches such as self-sampling for the human papillomavirus that causes cervical cancer have costs associated with the sampling kit and the time it takes midwives to instruct patients about its proper use.\u003C/p>\n\n\n\n\u003Cp>It’s important that the costs of self-care are not shifted to patients and that health care providers’ time is compensated. Self-care can help health systems to save money, but the approaches DO have costs that need to be included in health budgets.\u003C/p>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Self-care is important, but only during the pandemic.\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp>\u003Cstrong>The facts:\u003C/strong> Thanks to COVID-19, there’s a big buzz about self-care, as in hand washing, monitoring symptoms and using digital platforms during lockdowns to minimize the need to visit facilities. The pandemic has demonstrated that patients can safely practice self-care in the privacy of their homes by using evidence-based tools and approaches, thus reducing their risk of infection.\u003C/p>\n\n\n\n\u003Cp>Self-care, which has existed for millennia and will continue to exist after the pandemic ends, is for everyone at all times. COVID-19 has created a critical opportunity to chart a new frontier in health care. Midwives can take what we’ve learned about the benefits of self-care and strengthen the policy and regulatory environment for self-care interventions.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Now that you know the facts\u003C/strong>, midwives invite you to join them in a \u003Ca href=\"https://www.psi.org/project/self-care/\">global self-care movement\u003C/a> that aims to educate people about the benefits of self-care, bridge the gap between the knowledge and practice of self-care, champion government policies that integrate self-care approaches into health programming and call for increased funding from governments and donors for self-care interventions.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Excerpted and adapted from \u003Ca href=\"https://www.psi.org/project/self-care/midwives-dispel-common-myths-about-self-care/\">an article \u003C/a>originally written for the Self-Care Trailblazer Group by Angelique Mugirente, Program Officer, Jhpiego; Nanuka Thapa, Senior Program Officer, Jhpiego; Vusi 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Joseph Brown/globalhealthph",[],{"primaryColor":949,"blurhash":950,"videoUrl":20,"focalPointX":20,"focalPointY":20},"#373c34","UUGlL:%2D%s.~W%NRPNFaws:n~M_t7xaNGM{",{"category":952,"postTag":957,"postFormat":314,"areaOfExpertiseTax":968,"expertsTag":314},[953],{"id":496,"name":954,"slug":955,"parent":314,"uri":956,"to":956},"Uncategorized","uncategorized","/our-stories/c/uncategorized/",[958,963],{"id":959,"name":960,"slug":961,"parent":314,"uri":962,"to":962},165,"Midwives","midwives","/our-stories/c/midwives/",{"id":964,"name":965,"slug":966,"parent":314,"uri":967,"to":967},164,"Self Care","self-care","/our-stories/c/self-care/",[969,972],{"id":970,"name":632,"slug":971,"parent":314,"uri":637,"to":637},74,"innovations",{"id":973,"name":677,"slug":974,"parent":314,"uri":682,"to":682},73,"nursing-midwifery",{"credits":976},[977],{"role":978,"name":979},"By","Jhpiego Staff",[981,1026,1095,1183,1243,1305,1373,1433,1498,1571,1633,1673,1716,1776,1858,1918],{"id":982,"guid":983,"title":984,"content":985,"excerpt":986,"excerptRaw":986,"slug":987,"url":988,"uri":989,"to":989,"status":325,"date":990,"modified":991,"type":328,"authorId":329,"featuredMedia":992},10185,"https://jhpiego.org/?p=10185","Who pays for impact? A candid conversation about healthtech business models ","\n\u003Cp>\u003Cem>Jhpiego, Villgro Africa and Grand Challenges Canada have partnered to explore the factors underpinning the financial sustainability of digital health organizations in low- and middle-income settings, particularly in Africa. Fifty-five organizations representing a mix of for-profits and not-for-profits with different business models and at different stages of maturity responded to a digital survey. \u003C/em> \u003C/p>\n\n\n\n\u003Cp>\u003Cem>The findings were sobering: the overall picture was one of financial fragility, with roughly 3 in 4 organizations reporting financial runway of under a year and negative or tight working capital. Less than 1 in 4 organizations had capital available to invest in growth. \u003C/em> \u003C/p>\n\n\n\n\u003Cp>\u003Cem>Many high-level organizational characteristics such as legal structure, leadership background, and earned income share did not predict greater financial stability.\u003C/em> \u003C/p>\n\n\n\n\u003Cp>\u003Cem>Instead, organizations cited the importance of trusted customers, fiscal discipline, managing receivables, and diversification. Recurring, predictable revenue streams, even if small, were associated with longer financial runway. Government contracts were rare overall, and were not associated with longer runway. While 96% of respondents identified as social impact organizations, almost half described making trade-offs between social impact and financial returns. \u003C/em> \u003C/p>\n\n\n\n\u003Cp>\u003Cem>We sat down with \u003Cstrong>Temie Giwa-Tubosun\u003C/strong> of LifeBank, \u003Cstrong>Folake Owodunni\u003C/strong> of Emergency Response Africa, and \u003Cstrong>Pulkit Aggrwal\u003C/strong> of Grand Challenges Canada to explore what those tensions look like in practice. \u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>This conversation has been condensed and edited for clarity.\u003C/em> \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large is-resized\">\u003Ca href=\"https://www.youtube.com/watch?v=xpntDcqnzg8\" target=\"_blank\" rel=\" noreferrer noopener\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"535\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-With-Speakers-V2-1024x535.jpg\" alt=\"\" class=\"wp-image-10206\" style=\"width:618px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-With-Speakers-V2-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-With-Speakers-V2-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-With-Speakers-V2-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-With-Speakers-V2-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-With-Speakers-V2-375x196.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-With-Speakers-V2.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/a>\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>What did building your organizations teach you about who would pay?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>\u003Cstrong>Folake:\u003C/strong> Initially we found that individuals were actually the easiest set of customers to acquire. You run some ads, you convert some sales…it was attractive in the sense that it did not require a lot from us as a business. We could be small and serve them.\u003C/p>\n\n\n\n\u003Cp>But we very quickly saw that the cost of acquisition far outweighed the revenue that you could get from those individual transactions.\u003C/p>\n\n\n\n\u003Cp>That pushed us to lay the foundation for moving toward a business-to-business model, or reaching individuals through businesses. For us, that meant having a stronger operational base and meeting certain regulatory requirements so that we could service corporations. That has continued to serve us for the long haul.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Temie:\u003C/strong> At LifeBank, we started with a commercial model (revenue-paying private institutions) to build the foundation of a business and raise capital that allows us to scale.\u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n\u003Cfigure class=\"wp-block-video\">\u003Cvideo controls src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Temie-Clip-2.mp4\">\u003C/video>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>For the first four years of the business, we really focused on the pure commercial play and rejected grant capital. We raised venture capital before we started looking to scale to the impact market. I think that foundation, that discipline, made our operational efficiencies stronger. Our commercial model allowed us to have a foundation we can come back to when the government market is not as liquid as we want it to be, or when there is an inevitable change in grant processes.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Talking of government, what has your experience with government partnership been?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>\u003Cstrong>Folake:\u003C/strong> One of our early expectations was that, at the end of the day, we were going to need to work with government. In order to truly scale, government was a critical part of that.\u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-2 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n\u003Cfigure class=\"wp-block-video\">\u003Cvideo controls src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Folake-Clip-1.mp4\">\u003C/video>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>We spent probably about two-and-a-half years piloting and engaging with government. Engaging means generating evidence, communicating that, advising, supporting. All of that pointed in the direction of: ultimately government is going to be the payer, or a major payer, for this service – but that didn’t happen.\u003C/p>\n\n\n\n\u003Cp>If you have not been particularly experienced with working with government before founding a company, you don’t necessarily have the skills to appropriately cost what it takes to serve that type of transaction, or to secure the working capital you need to manage the payment risks.\u003C/p>\n\n\n\n\u003Cp>Government offers scale and impact, but I would say they’re a better channel than customer in your early days.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Temie:\u003C/strong> We all come to this work because of our commitment to impact, our commitment to our community, our commitment to solving this problem at scale.\u003C/p>\n\n\n\n\u003Cp>I think anyone who’s innovating understands that, getting to scale, you are going to have to work with government.\u003C/p>\n\n\n\n\u003Cp>When you do, you have to listen to their procurement cycles. You have to build with that procurement cycle in your mind. You have to understand the politics of what they need to do and you have to be patient to get on the formal budget.\u003C/p>\n\n\n\n\u003Cp>Working with government guarantees scale, but has its own significant pitfalls.\u003C/p>\n\n\n\n\u003Cp>One of the smartest ways to build a more robust business is to diversify, diversify, diversify. Even diversifying in terms of the type of product that you’re operating, the type of market that you’re operating. It’s not even enough to be in one country; you must be in multiple countries … having that diversified market helps you improve the core business.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Can you balance commercial sustainability with reaching people who cannot afford care?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>\u003Cstrong>Folake:\u003C/strong> The cost of a standard ambulance is maybe US$60. The reality is there are many people who simply cannot afford it. However you swing it, it is unaffordable to many.\u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-3 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n\u003Cfigure class=\"wp-block-video\">\u003Cvideo controls src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Folake-Clip-2.mp4\">\u003C/video>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>We know what we’re committed to from an impact perspective, but much as we want to continue to be in that space and serve, we have to find who can pay, and who can pay consistently. So we’ve tried to say – is there a different way to do it that does not rely on the traditional model of ambulance services? That’s where the innovation comes into play.\u003C/p>\n\n\n\n\u003Cp>For us, that has looked like: can we leverage individuals in communities and train them, and have maybe not the same effect, but a similar effect? Rapid transportation, timely first aid, but at a much lower cost?\u003C/p>\n\n\n\n\u003Cp>Where it can be possible is when we actually innovate on the model of service delivery to make it cheaper and closer to what people can afford.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Pulkit:\u003C/strong> From a funder perspective we do recognize that there are certain areas where the customer will not be able to pay, and that’s where the greatest need for innovation is. We try and solve for it by deploying blended instruments.\u003C/p>\n\n\n\n\u003Cp>For example, for a US $500,000 ticket size, we can do a 50% grant and a 50% debt or equity instrument. The grant instrument can go toward catering to underserved, underreached populations, and the debt or equity portion can go toward serving paying customers.\u003C/p>\n\n\n\n\u003Cp>The revenue generated from paying customers can ultimately be used for cross-subsidizing non-paying customers, or customers who are in most need of those services.\u003C/p>\n\n\n\n\u003Cp>We encourage innovators to think about different types of revenue lines, if possible. Grant capital is available for them to test and validate those pathways.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Temie:\u003C/strong> In designing your business, a lot of times we founders pay a lot of attention to the product. We innovate around the product.\u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-4 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n\u003Cfigure class=\"wp-block-video\">\u003Cvideo controls src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Temie-Clip-1.mp4\">\u003C/video>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>What is really critical is that you must actually innovate within your business model. You must test business model assumptions. You must create something agile that allows you to drive impact and returns for capital at the same time. That makes you attractive to funders looking for a more blended, dual bottom-line organization.\u003C/p>\n\n\n\n\u003Cp>A lot of us focus on product-market fit, but I think sometimes you have to do business model-market fit.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>When does grant funding still make sense, and when does it not?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>\u003Cstrong>Pulkit:\u003C/strong> When we’re looking for early stage innovations trying to demonstrate proof of concept, or generate evidence to show that an innovation works in a limited clinical or non-clinical setting, we deploy grants. I think grants make most sense.\u003C/p>\n\n\n\n\u003Cp>When you’re serving underserved populations that don’t have the ability to pay for a service, and that doesn’t produce revenue in the near term for an organization, a grant or catalytic capital is really helpful.\u003C/p>\n\n\n\n\u003Cp>When an organization has passed proof of concept, generated the evidence, and knows there’s a paying customer or revenue-generating options, we can explore other types of instruments in collaboration with the organization.\u003C/p>\n\n\n\n\u003Cp>It depends on the customer or area the organization is targeting, but also the organization’s level of maturity. There’s a need for grants. There’s a utility for grants. But that’s not the be-all, end-all. You need to be able to look for other types of capital as well.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Temie:\u003C/strong> I really believe that starting on the commercial side will give you the confidence you need to build a business. There is something so clear about somebody willing to hand over revenue to you in order to get value back.\u003C/p>\n\n\n\n\u003Cp>When you start with grants, you might not learn good habits when that massive amount of capital enters your business. You could also get to a position where you’re not quite sure whether your business model fits the market, or whether your product is actually valuable.\u003C/p>\n\n\n\n\u003Cp>I always advise: start with the business model first. Iron out the business model, build that self-confidence and discipline, and then scale and expand and build relationships with organizations who are happy to pay on behalf of last-mile customers or bottom-of-the-pyramid customers who can’t afford to pay out of pocket.\u003C/p>\n\n\n\n\u003Cp>When you start with that self-confidence, even when you get meetings with funders, you can push back a little bit, because you have the facts and you have that self-confidence.\u003C/p>\n\n\n\n\u003Cp>I think that’s what gives payers the confidence in your capacity to actually build and scale. When you start with the business model first, you have a better chance of actually scaling well.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Folake:\u003C/strong> I agree 100%. The Bible says, “love covers over a multitude of sins,” but money also covers over a multitude of sins! When you have a bunch of cash in the bank, it’s very easy to do all of the wrong things and not know it.\u003C/p>\n\n\n\n\u003Cp>There is one case to be made for grants at an early stage: very specifically, when you’re doing something truly innovative and there’s really not a lot of evidence as to whether it can work. You’re taking a grant for the specific purpose of generating that evidence.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Any closing advice for founders?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>\u003Cstrong>Pulkit:\u003C/strong> Innovators need to really understand who is going to pay for impact at scale. What is the payer interested in? What are the impact indicators they are willing to buy at scale?\u003C/p>\n\n\n\n\u003Cp>As a funder, we recognize that if an innovation is serving a greatest area of need in global health, and there’s no paying customer, then we are doing that initial seeding and market-shaping work. That’s where philanthropic capital is okay, and we are willing to underwrite that risk.\u003C/p>\n\n\n\n\u003Cp>But eventually we want to see some traction over the course of the funding period, or in 18 to 24 months, which will give us enough signals to say: yes, this is working, and this is getting traction, for us to consider reinvestment.\u003C/p>\n\n\n\n\u003Cp>Innovators and organizations need to continuously try to test, innovate, try different business models and approaches, and then see what works for them in the medium to long term.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Folake:\u003C/strong> What we’ve learned, and we’re still learning, is how to simplify.\u003C/p>\n\n\n\n\u003Cp>If you had to sum it up in a sentence, what is the value that you are creating? Who is most likely to buy that value? What is the problem that you’re solving? What is the price that you’ve put on that? How much are they actually paying?\u003C/p>\n\n\n\n\u003Cp>One of the challenges that impact-focused businesses often have is that we tend to lead with the impact in those conversations. There’s a lot of good there, but depending on who you’re talking to, that may not necessarily be enough.\u003C/p>\n\n\n\n\u003Cp>Being able to start with a simple story that clearly shows the value and how that value gets paid for, and then show how that creates impact and will ultimately scale, has been one of the hardest but also most valuable lessons.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Temie:\u003C/strong> One of the critical insights that I have come to learn is that you have to trust your market and you have to trust what they’re telling you.\u003C/p>\n\n\n\n\u003Cp>Those of us with dual bottom-lines, we are technically orphans – sometimes we’re too impact-first for pure-play business capital, and sometimes our business models offend organizations who write checks for grants.\u003C/p>\n\n\n\n\u003Cp>We’re orphans in that we don’t have a natural home. What that means is that ultimately your home is your market. Your customers. They are the ones who are going to dictate the terms of this relationship. Listening to your customers is your primary duty, and building for them.\u003C/p>\n\n\n\n\u003Cp>\u003Ca href=\"https://www.youtube.com/watch?v=xpntDcqnzg8\" data-type=\"link\" data-id=\"https://www.youtube.com/watch?v=xpntDcqnzg8\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cstrong>Watch the full webinar on YouTube here.\u003C/strong>\u003C/a>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Jackson Mwatha is the Head of Investments and Transaction Services at Villgro Africa.\u003C/em> \u003Cem>Joanne Peter is Director of the Innovation Hub at Jhpiego.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Two founders and a funder discuss the realities behind sustainable digital health: finding paying customers, working with government, and reaching people who cannot afford care.\u003C/p>\n","who-pays-for-impact","https://jhpiego.org/our-stories/p/who-pays-for-impact/","/our-stories/p/who-pays-for-impact/","2026-10-27T16:42:41","2026-10-28T15:02:45",{"id":993,"src":994,"width":62,"height":333,"alt":20,"caption":20,"title":995,"description":20,"mimeType":23,"html":996,"srcset":997,"sizes":337,"meta":998,"acf":1023},10228,"https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card.jpg","Beyond the Grant Webinar Card","\u003Cimg width=\"1200\" height=\"627\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-375x196.jpg 375w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" />","https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/Beyond-the-Grant-Webinar-Card-375x196.jpg 375w",{"width":62,"height":333,"file":999,"filesize":1000,"sizes":1001,"imageMeta":1021},"2026/10/Beyond-the-Grant-Webinar-Card.jpg",67737,{"medium":1002,"large":1005,"thumbnail":1008,"mediumLarge":1011,"postThumbnail":1014,"smallPreview":1017,"mediumPreview":1020},{"file":1003,"width":33,"height":344,"mimeType":23,"filesize":1004},"Beyond-the-Grant-Webinar-Card-300x157.jpg",7564,{"file":1006,"width":38,"height":348,"mimeType":23,"filesize":1007},"Beyond-the-Grant-Webinar-Card-1024x535.jpg",41188,{"file":1009,"width":43,"height":43,"mimeType":23,"filesize":1010},"Beyond-the-Grant-Webinar-Card-150x150.jpg",5749,{"file":1012,"width":47,"height":355,"mimeType":23,"filesize":1013},"Beyond-the-Grant-Webinar-Card-768x401.jpg",29006,{"file":1015,"width":72,"height":359,"mimeType":23,"filesize":1016},"Beyond-the-Grant-Webinar-Card-960x502.jpg",37146,{"file":1018,"width":67,"height":363,"mimeType":23,"filesize":1019},"Beyond-the-Grant-Webinar-Card-375x196.jpg",9927,{"file":1015,"width":72,"height":359,"mimeType":23,"filesize":1016},{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1022},[],{"primaryColor":1024,"blurhash":1025},"#ebfbfb","URO#D-%N-:_3XpbHkCkCESt7IUIVyZkDV@ay",{"id":1027,"guid":1028,"title":1029,"content":1030,"excerpt":1031,"excerptRaw":1031,"slug":1032,"url":1033,"uri":1034,"to":1034,"status":325,"date":1035,"modified":1036,"type":328,"authorId":329,"featuredMedia":1037},10095,"https://jhpiego.org/?p=10095","Catalyzing Innovations for a World Against Antimicrobial Resistance","\n\u003Cp>\u003Cem>The link between a backyard pig shed, a premature baby, and a £1 million grand prize\u003C/em>.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1024x768.jpg\" alt=\"\" class=\"wp-image-10098\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1536x1152.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-2048x1536.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1280x960.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1920x1440.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Farm2vet learning about pig production.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>A pig stops eating outside Hanoi. The farmer has a dozen pigs and no idea what is wrong. The nearest vet is a long drive away and charges a fee that she would rather not pay. So, she does what her neighbors do—she buys antibiotics from the pharmacy down the road and gives a preventive dose to the whole pen, sick and healthy alike.\u003C/p>\n\n\n\n\u003Cp>The trouble is, it works. At least, it works well enough in the short term that nobody senses the longer-term harm. Across Vietnam and several places around the world, millions of decisions like this are made every day, silently feeding the beast of AMR.\u003C/p>\n\n\n\n\u003Cp>AMR is a major global health threat. In 2021, an \u003Ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01867-1/fulltext\">estimated 4.7 million deaths were associated with AMR globally\u003C/a>. Antibiotic misuse and overuse drive the development and spread of drug-resistant pathogens, making infections difficult to treat and increasing the risk of disease spread, severe illness, disability, and death. Drug-resistant infections can spread from animals to people through contact, food, or the environment if animals carry microbes that are resistant to antibiotics.\u003C/p>\n\n\n\n\u003Cp>Eighty-nine percent of Vietnamese farmers work in small family holdings. The small country, with only about 1.2% of the world’s population, ranks eleventh globally for antibiotic consumption. Livestock health in these backyard pens rarely appears in national statistics, making it easy to miss an outbreak until it spreads.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">A PERSONAL EXPERIENCE INSPIRED A PROFESSOR TO TAKE ON AMR IN VIETNAM\u003C/h3>\n\n\n\n\u003Cp>Professor Helen Nguyen has been mindful of AMR for over 20 years, though her interest did not start with animal farms.\u003C/p>\n\n\n\n\u003Cp>An environmental engineering professor at the University of Illinois for almost two decades, she was born and raised in Vietnam and became interested in infectious disease through a nonacademic route.\u003C/p>\n\n\n\n\u003Cp>It was when her son was born three months premature and Nguyen had to spend three months beside an incubator, watching him “fighting for his life.”\u003C/p>\n\n\n\n\u003Cp>“I literally Googled the (main) cause of infant death,” she says. “And it popped up. It is actually enteric infections. I decided on that day that I was going to work on that.” Enteric infections are gastrointestinal illnesses caused by bacteria, viruses, or parasites that spread through contaminated food or water.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-1024x768.jpg\" alt=\"\" class=\"wp-image-10099\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-1536x1152.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-2048x1536.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-1280x960.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-1920x1440.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-2560x1920.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists-3840x2880.jpg 3840w, https://api.jhpiego.org/wp-content/uploads/2026/10/learning-from-vet-pharmacists.jpg 4032w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>Two decades on, Nguyen can point to progress against viral and bacterial infections but cannot vouch for the same with AMR. “AMR is one of the problems we have made no progress whatsoever for the last few decades,” she says. “That shows me that what we have been doing is not enough, and we need to go to the root cause of the problem.”\u003C/p>\n\n\n\n\u003Cp>That root cause, she concluded after returning to Vietnam post-COVID, is disease moving through livestock, spreading because farmers lack biosecurity knowledge and the country lacks enough veterinarians. Antibiotics, she feels, are the symptoms. Fear, money, and distance are the disease.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">GLOBAL AMBITION, LOCAL INSIGHT, COLLECTIVE ACTION\u003C/h3>\n\n\n\n\u003Cp>As Nguyen searched for a way to tackle the problem at its roots, The Trinity Challenge was looking for innovative ways to tackle AMR.\u003C/p>\n\n\n\n\u003Cp>The Trinity Challenge is a small British charity with a huge impact. Founded amid COVID-19 under Dame Sally Davies, former Chief Medical Officer for England and Global AMR Advocate, the charity is small but ambitious and has committed over £11 million across 26 countries since 2021.\u003C/p>\n\n\n\n\u003Cp>“The Trinity Challenge is a testimony to Dame Sally Davies’ leadership in the global health space,” says Lars Hartenstein, Director of Healthy Longevity at the McKinsey Health Institute and Partner with McKinsey & Co., which served as one of the founding members and helped build the first challenge. “It’s a particular kind of cross-sectoral ownership as opposed to something owned by a big grant giver,” he says. Associated with this charity from its very start, he says the first sign of The Trinity Challenge’s success was the number of applications it received, remembering how “it was global immediately.” The Challenge received 340 applications from 60 countries.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/working-with-users-HCMCAug25a-1024x576.jpg\" alt=\"\" class=\"wp-image-10101\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/working-with-users-HCMCAug25a-1024x576.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/working-with-users-HCMCAug25a-300x169.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/working-with-users-HCMCAug25a-768x432.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/working-with-users-HCMCAug25a-960x540.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/working-with-users-HCMCAug25a-375x211.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/10/working-with-users-HCMCAug25a.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>Getting the Challenge question right is critical to its success. “It takes a village,” says Trinity Challenge Chief Operations Officer (COO) Louise Gough, describing the intense process. A hypothesis goes to experts with local as well as global knowledge, who “pull it apart, stress test it. Will this work in low-and middle-income countries?” The Challenge ensures that prize recipients live or work in regions with the greatest needs.\u003C/p>\n\n\n\n\u003Cp>Divleen Jeji, Clinical Specialist at Google for Health and Co-Chair of the Judging Panel, sat in on one of those sessions and calls it “a very participatory process.” Speaking of the 20-member judging panel, with people from as diverse backgrounds as infectious disease clinicians and cloud computing experts, she says, “The solutions the Challenge funds are executed by diverse consortia. Therefore, it is very important to have experts with diverse experience to provide an unbiased opinion on whether someone’s going to go ahead or not.”\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">FROM 285 APPLICATIONS TO ONE GRAND PRIZE WINNER\u003C/h3>\n\n\n\n\u003Cp>When the AMR Challenge launched in 2024, Nguyen assembled colleagues from VinUniversity and the Vietnam University of Agriculture and applied. Their proposal was one of 285 applications from 57 countries.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-1024x768.jpg\" alt=\"\" class=\"wp-image-10100\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-1536x1152.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-2048x1536.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-1280x960.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company-1920x1440.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/10/team-photo-infront-of-veterinary-technology-company.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>Since 2021, MIT Solve, a global engine that moves capital to innovators solving humanity’s greatest challenges, has collaborated with The Trinity Challenge. Noel Shaskan, Program Lead, Health, at MIT Solve, explains the rigorous process the applications go through to find the winner. After an initial screening by MIT Solve, a volunteer review group shortlists the applications; then 20 judges score and rescore and hold live interviews with the shortlisted candidates. “We really try to focus on the meat of the application and not the decoration,” says Shaskan.\u003C/p>\n\n\n\n\u003Cp>Farm2Vet, an initiative led by Professor Helen Nguyen to tackle the critical threat of antibiotic overuse in livestock farming in Vietnam, won the £1 million grand prize in 2024.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">WHAT HAPPENS AFTER THE CHECK?\u003C/h3>\n\n\n\n\u003Cp>Many other grantors stop at funding. As Shaskan puts it, they usually identify the team, give the funding, and that marks the end of the relationship. That is where, she says, The Trinity Challenge becomes unique.\u003C/p>\n\n\n\n\u003Cp>Jhpiego is a partner with The Trinity Challenge and delivers strategic support, monitors awards, and helps post-award acceleration for the Challenge winners. “It’s not a matter of just cutting a check and walking away,” said Joanne Peter, Jhpiego’s Director of the Innovations Hub. What follows is bespoke support, including three years of check-ins, coaching, a strategic advisory board, an innovative showcase, and access to the rich Trinity Challenge ecosystem.\u003C/p>\n\n\n\n\u003Cp>For Farm2Vet, that support proved as valuable as the funding itself.\u003C/p>\n\n\n\n\u003Cp>“The key contribution of The Trinity Challenge is allowing us to get everyone to work together to solve the problem,” says Nguyen. This included scientists, veterinarians, app developers, and, most importantly, livestock farmers themselves.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">AMR IS NOTHING IF NOT LOCAL\u003C/h3>\n\n\n\n\u003Cp>Working with the consortium at the hyper-local level transformed the idea. They started by building an AI vet. When they took it to the farmers, they realized the farmers wanted something else.\u003C/p>\n\n\n\n\u003Cp>“They could talk about their difficulties,” Nguyen says, “but they liked to talk a lot more about their success.” They did not want textbook advice, but local successes from people like them. So, the team built one-minute lessons scripted from real farmers’ good practices, in the form of audio, video, cartoons, and even TikTok. Then, while trying to collect data, they found that farmers had no way to record anything, so they built a voice-input notebook to feed data back to the model.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"478\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-1024x478.jpg\" alt=\"\" class=\"wp-image-10102\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-1024x478.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-300x140.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-768x359.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-1536x717.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-2048x956.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-960x448.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-375x175.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-1280x598.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2-1920x896.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/10/VirtualVet2.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>“At the beginning, our idea was an AI-driven virtual assistant,” she says. “But we’ve learned it actually has to be a human-driven, AI-assisted intelligence system. Because if humans don’t drive this thing, it’s not going to work.”\u003C/p>\n\n\n\n\u003Cp>The frontier models are powerful, she notes, but they hold no hyper-local data, and AMR is nothing if not local.\u003C/p>\n\n\n\n\u003Cp>Eighteen months in, with support from Jhpiego, the Farm2Vet team has now formed a social enterprise as a limited liability company to anchor long-term sustainability. After building the self-learning AI platform that translates field data into hyper-local veterinary guidance for livestock keepers, the team has expanded field validation from 30 to around 100 frontline users and earned recognition as a case study in a World Economic Forum report on AMR in Asia.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">A CATALYZER FOR SUSTAINABLE CHANGE\u003C/h3>\n\n\n\n\u003Cp>Gough sums up the ethos of The Trinity Challenge in what she feels best describes it. “We’re a catalyzer,” she says. “We’re not the ones that deliver on the ground, but we can bring the right people, the funding, the networks, and the opportunity together to help solve pervasive health challenges.”\u003C/p>\n\n\n\n\u003Cp>Ask her what success looks like, and she talks about stories that change lives, rich data where none existed before, and winners securing follow-on funding to sustain and scale their innovations.\u003C/p>\n\n\n\n\u003Cp>Back in Hanoi, Nguyen believes winning The Trinity Challenge gave Farm2Vet the footing it needed to work beyond Hanoi and toward a viable model that can reach farmers across Vietnam.\u003C/p>\n\n\n\n\u003Cp>“With infectious disease, no one is safe until everyone is safe.”\u003C/p>\n\n\n\n\u003Cp>Her ambition is simple: The next time a pig goes off its feed on a small farm outside Hanoi, the farmer will not have to guess. She will simply open Farm2Vet on her phone and get the advice she needs from a vet for free.\u003C/p>\n\n\n\n\u003Cp>Find out more about The Trinity Challenge \u003Ca href=\"https://thetrinitychallenge.org/\">here\u003C/a>.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>An article by Indrani Kashyap, Associate Director of Regional Communications, Jhpiego\u003C/em>\u003C/p>\n","\u003Cp>The link between a backyard pig shed, a premature baby, and a £1 million grand prize.\u003C/p>\n","catalyzing-innovations","https://jhpiego.org/our-stories/p/catalyzing-innovations/","/our-stories/p/catalyzing-innovations/","2026-10-12T13:56:22","2026-10-28T13:28:48",{"id":1038,"src":1039,"width":162,"height":82,"alt":20,"caption":1040,"title":1041,"description":20,"mimeType":23,"html":1042,"srcset":1043,"sizes":255,"meta":1044,"acf":1092},10098,"https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026.jpg","Farm2Vet learning about pig production. Photo by Farm2Vet.","Farm2vet learning about pig production_Vietnam_TTC_2026","\u003Cimg width=\"2560\" height=\"1920\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1536x1152.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-2048x1536.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1280x960.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2026/10/Farm2vet-learning-about-pig-production_Vietname_TTC_2026.jpg 2560w, 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Pop-Up Ad and a New Choice: How Digital Health Is Bringing Family Planning Within Reach","\n\u003Ch1 class=\"wp-block-heading\">\u003C/h1>\n\n\n\n\u003Cp>When a busy lawyer in Nairobi logged onto MYDAWA to purchase skincare products, family planning was the last thing on her mind. A regular customer of the digital health platform, she was browsing for beauty and wellness products when a pop-up advertisement promoting family planning consultations caught her attention.\u003C/p>\n\n\n\n\u003Cp>She was intrigued but skeptical.\u003C/p>\n\n\n\n\u003Cp>“She thought it was a hoax. She called to find out whether it was true,” said Mercy Waithera Maina, a clinical officer at MYDAWA.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"742\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-1024x742.jpg\" alt=\"\" class=\"wp-image-9179\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-1024x742.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-300x217.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-768x556.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-1536x1113.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-2048x1483.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-746x540.jpg 746w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-375x272.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-960x695.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-1280x927.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-1920x1391.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-2560x1854.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-3840x2781.jpg 3840w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE.jpg 5481w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>The lawyer had been looking for a contraceptive method that suited her needs. Specifically, she wanted a combined oral contraceptive that could also help manage her acne. In the past, she might have purchased a family planning product over the counter with little guidance, relying largely on her own judgment.\u003C/p>\n\n\n\n\u003Cp>Instead, she found herself in an extensive phone consultation with Mercy, discussing her reproductive health needs, medical history, lifestyle, and skin concerns.\u003C/p>\n\n\n\n\u003Cp>“We had an extensive consultation and identified a combined oral contraceptive that could work for her and help with her acne,” Mercy said.\u003C/p>\n\n\n\n\u003Cp>For the lawyer, the consultation was eye-opening. She had not known that MYDAWA offered family planning services, let alone access to a clinician who could discuss her individual needs and recommend an appropriate method. She was equally pleased to learn that, after the consultation, her medication could be delivered directly to her office, sparing her the need to leave work or schedule a visit to a health facility.\u003C/p>\n\n\n\n\u003Cp>It was more than a convenient purchase; it was health care tailored to her circumstances and delivered on her terms.\u003C/p>\n\n\n\n\u003Cp>This is the subtle revolution that the Jhpiego-supported E-Pharmacy for Family Planning project is enabling across Kenya.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Breaking Down Barriers\u003C/h3>\n\n\n\n\u003Cp>For many Kenyan women, accessing family planning services remains challenging. Concerns about privacy, stigma, limited information, and the competing demands of work and family life often shape how and where women seek contraceptive services. In urban settings, barriers may be less about distance and more about time, discretion, and convenience.\u003C/p>\n\n\n\n\u003Cp>Jhpiego’s partnership with MYDAWA was designed to address these barriers. Through an integrated digital platform, clients can initiate consultations through MYDAWA’s website, social media channels, WhatsApp, or mobile application; speak with trained clinicians at a time that suits them; and receive family planning products at their preferred location, often within hours.\u003C/p>\n\n\n\n\u003Cp>“E-pharmacy offers a discreet, convenient, and trusted platform where users can access information, consult providers, get products delivered to their location of choice, and receive follow-up support from anywhere, at any time,” said Agnes Ngure, Jhpiego’s technical advisor for commerce, design, and demand generation. “It was designed to address barriers that traditional channels have never fully solved: stigma, privacy, convenience, and limited information.”\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"816\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-1024x816.jpg\" alt=\"\" class=\"wp-image-9181\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-1024x816.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-300x239.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-768x612.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-1536x1225.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-677x540.jpg 677w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-375x299.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-960x765.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-1280x1020.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k-1920x1531.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/06/55339042575_5e6d60ef01_k.jpg 2047w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A MYDAWA pharmacist fills a prescription. Photo by Frank Kimaro for Jhpiego.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Where Information Becomes Empowerment\u003C/h3>\n\n\n\n\u003Cp>Mercy notes that many clients value the opportunity to discuss sensitive issues in a private setting and appreciate having a clinician guide them through the available options.\u003C/p>\n\n\n\n\u003Cp>“Clients value having someone take the time to understand their needs,” she said. “Rather than choosing a product on their own, they can speak to a clinician who helps them identify a method that works for their lifestyle, health profile, and personal preferences.”\u003C/p>\n\n\n\n\u003Cp>For the Nairobi lawyer, this guidance made all the difference. Instead of selecting a contraceptive without understanding which option best suited her circumstances, she received professional advice that addressed both her contraceptive needs and her concerns about acne.\u003C/p>\n\n\n\n\u003Cp>Since 2024, the MYDAWA e-pharmacy platform has reached 8,622 clients across all 47 counties in Kenya and facilitated 4,788 unique digital family planning counseling sessions. Of those who received counseling, about 63 percent were first-time family planning clients, demonstrating the platform’s ability to expand access to reproductive health information and services. The remaining 37 percent used the telehealth platform to continue their current contraceptive method or switch to an alternative option with greater convenience and privacy.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">The Evidence for Scale\u003C/h3>\n\n\n\n\u003Cp>Early signs from the project suggest strong demand for digital family planning services, particularly among younger and urban populations already accustomed to managing many aspects of their lives online.\u003C/p>\n\n\n\n\u003Cp>“Digital health can play a transformative role in expanding family planning access by making services more accessible, personalized, and client-centered,” said Agnes. “It has the potential to reach underserved populations, reduce barriers to care, and complement—not replace—the public health system.”\u003C/p>\n\n\n\n\u003Cp>For one lawyer in Nairobi, what began as a routine search for skincare products became an introduction to a different kind of health care experience—one in which a simple pop-up advertisement led not just to a purchase but to a conversation, expert guidance, and a family planning choice made with confidence.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Lisa Wagethi Kamau is a Communications Officer for Jhpiego Kenya.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Megan Christofield is the Principal Technical Advisor for Family Planning and Reproductive Health at Jhpiego.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Jhpiego’s partnership with MYDAWA was designed to address barriers to family planning services. Through an integrated digital platform, clients can initiate consultations through MYDAWA’s website, social media channels, WhatsApp, or mobile application; speak with trained clinicians at a time that suits them; and receive family planning products at their preferred location, often within hours.\u003C/p>\n","family-planning-within-reach","https://jhpiego.org/our-stories/p/family-planning-within-reach/","/our-stories/p/family-planning-within-reach/","2026-06-22T19:58:00","2026-10-13T13:56:39",{"id":1107,"src":1108,"width":1109,"height":1110,"alt":20,"caption":20,"title":1111,"description":20,"mimeType":23,"html":1112,"srcset":1113,"sizes":1114,"meta":1115,"acf":1180},9178,"https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8.jpg",5083,3671,"MY DAWA - KE-8","\u003Cimg width=\"5083\" height=\"3671\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8.jpg 5083w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-300x217.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-1024x740.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-768x555.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-1536x1109.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-2048x1479.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-748x540.jpg 748w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-375x271.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-960x693.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-1280x924.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-1920x1387.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/06/MY-DAWA-KE-8-2560x1849.jpg 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EOS 5D Mark IV","1750260013","50","1600",[],{"primaryColor":1181,"blurhash":1182,"videoUrl":20,"focalPointX":20,"focalPointY":20},"#d2ceba","UAKB8Z0000E,5EjX%K_N00xYsq?v_N%MD%9Z",{"id":1184,"guid":1185,"title":1186,"content":1187,"excerpt":1188,"excerptRaw":1188,"slug":1189,"url":1190,"uri":1191,"to":1191,"status":325,"date":1192,"modified":1193,"type":328,"authorId":329,"featuredMedia":1194},8291,"https://jhpiego.org/?p=8291","From Routine to Revolutionary: How BloodCounts! Is Set to Transform Global Health","\n\u003Cp>Imagine a world where the most common and routine blood test, the Complete Blood Count (CBC), could do far more than flag an infection. What if this test, performed about 3.6 billion times every year, could predict disease outbreaks, diagnose health conditions early, and save millions of lives at minimal cost? That is the vision driving \u003Ca href=\"https://www.bloodcounts.org/\" data-type=\"link\" data-id=\"https://www.bloodcounts.org/\">BloodCounts!\u003C/a>, an international consortium that began during the COVID-19 pandemic to help detect outbreaks early and is now set to enable early diagnosis of non-infectious conditions across three continents.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Demystifying the potential of the CBC\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>The CBC is the most commonly performed medical test for decision-making in clinical and community settings worldwide. During the test, a blood sample is collected and placed in an automated machine called a hematology analyzer (e.g., Sysmex XN-2000), which uses a laser to measure hundreds of cell characteristics. In current medical practice, only a limited number of these measurements are considered, while the raw laser measurements are discarded. That is where BloodCounts! saw an opportunity to mine rich, unused data and use generative artificial intelligence models, advancing biomedical research to predict and diagnose pervasive health conditions.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"684\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-1024x684.jpg\" alt=\"\" class=\"wp-image-8297\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya-1920x1282.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/02/Dried-blood-cards-used-for-testing-HIV-at-the-labratory-at-the-Maragua-Sub-County-hospital-in-Maragua-Kenya.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>“The machine actually measures thousands of characteristics for every cell, but we’ve only been distilling it down to 18 numbers,” explains Dr. Joseph Taylor, a hematology consultant at Barts Health NHS Trust, a consortium partner. “BloodCounts! goes back to the raw measurements, revealing signatures that have always been there.”\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The Trinity Challenge: Catalyzing individual efforts into a global consortium\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>In 2021, BloodCounts! won the prestigious Trinity Challenge Prize for its AI-driven approach to outbreak\u003Cbr>detection. The award galvanized individual efforts by Cambridge mathematicians, such as Michael Roberts, Professor of Applied AI in the Department of Applied Mathematics and Theoretical Physics and the Department of Medicine at the University of Cambridge. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“I’d say winning the Trinity Challenge put a rocket trip under the idea that we can develop data-driven approaches for the CBC. Before that, we’d done a lot of stuff on top of our regular day jobs. But this prize allowed us to recruit an entire team and gain the credibility to attract many people from around the world to join this consortium. It allowed us to really invest in the governance as well” says Michael, a founding member of BloodCounts! and a Chair of the consortium’s steering committee.\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>Members of the consortium include Amsterdam University Medical Centers (the Netherlands), Apollo Hospitals (India), Barts Health NHS Trust (UK), Cambridge University Hospitals NHS Foundation Trust (UK), Digital Environment Research Institute (UK), Health Services Authority (Singapore), KU Leuven (Belgium), MRC Unit The Gambia at the London School of Hygiene and Tropical Medicine (The Gambia), Maastricht University Medical Centre (the Netherlands), NHS Blood and Transplant (UK), St George’s University Hospitals NHS Foundation Trust (UK), UZ Leuven (Belgium), University College London (UK), University College London Hospitals NHS Foundation Trust (UK), University of Cambridge (UK), VU Amsterdam (the Netherlands), West African Centre for Cell Biology of Infectious Pathogens (Ghana), and Zuyderland Medical Centre (the Netherlands).\u003C/p>\n\n\n\n\u003Cp>Since its initial work in detecting public health emergencies like COVID-19 without any prior knowledge of the underlying virus, BloodCounts! has today vastly expanded its scope to examine how CBC tests can be used to identify patients with heart and brain diseases earlier, how the rich CBC data can be used to improve the diagnosis of blood disorders and early detection and response to sepsis; whether the algorithms can be applied to other infectious diseases, such as malaria, or detect high risk pregnancies early, or identify individuals at high risk of renal cell carcinoma. The consortium is also implementing a test for iron deficiency using the rich CBC data.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"684\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-1024x684.jpg\" alt=\"\" class=\"wp-image-8314\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya-1920x1282.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/02/Rose-Ever-Musieka-tested-for-HIV-in-Kenya.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Anemia: A global priority\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>Anemia is a major public health concern that has a disproportionate impact on young girls and childbearing women in low and middle-income countries. Anemia caused 50 million years of healthy life lost due to disability in 2019.\u003C/p>\n\n\n\n\u003Cp>Iron deficiency is the leading cause of anemia worldwide, but not the only cause. Dr. Joseph Taylor explains. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“Many people make a false equivalence—they think anemia equals iron and iron equals anemia. But that is not true. That’s a misunderstanding. Anemia is not a diagnosis. Anemia is more like a symptom. It just tells you that you don’t have enough hemoglobin or red blood cells to carry your oxygen, but it doesn’t tell you why.” \u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>One of the barriers to tackling iron deficiency is the limited sensitivity of current screening tests and the complexity of the diagnostic pathway, which increases the risk of missed diagnosis. BloodCounts! aims to change that. By analyzing the full spectrum of CBC data, its models can distinguish between iron deficiency, thalassemia, sickle cell disease, and other causes—at the first point of care. \u003C/p>\n\n\n\n\u003Cp>“If we can tell a clinician, ‘This looks like iron deficiency’ or ‘This does not,’ that’s transformative,” says Taylor. “It means the first treatment is more likely to be right, which matters enormously when healthcare access is limited.”\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The hematology analyzer and the need for robust data\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>Central to BloodCounts! is the hematology analyzer, in this case, Sysmex. Norbert de Wit, a Laboratory\u003Cbr>Specialist in Clinical Chemistry, works at the Maastricht University Medical Centre, a consortium partner of BloodCounts! He specializes in hemato-oncology and hemocytometry and explains the importance of this machine. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“It’s the machine that measures the complete blood count that we use to train the foundation model. So, for every patient that we measure, we get a file. It’s what we call raw CBC data. And that file and data can be used to train the foundational models being developed,” he explains and adds, “You need a lot of data. And you need data from all over the world to make this model applicable to everybody—data from people of different ancestries. And that’s what the consortium contributes.”\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>The consortium partnered with Umberto D’Alessandro, Professor of Epidemiology at the MRC Unit in Banjul, The Gambia. Affiliated with the London School of Hygiene and Tropical Medicine, the Unit provides rich CBC data to BloodCounts! as part of the consortium. “The African population is the most diverse in the world in terms of genetic variation. We are excited to include more African countries, more centers in this initiative,” says Umberto.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Protecting Client Privacy While Saving Lives\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>With data coming in from three continents, BloodCounts! took special care to ensure patient privacy. Instead of sending sensitive data to one central location, BloodCounts! uses federated learning – a breakthrough approach that lets hospitals collaborate without sharing patient data. Each hospital trains the AI model on its own rich CBC data and securely communicates only the encrypted model back. These updates are combined to make the global model smarter and then shared back with all participants. This means the system learns from millions of blood tests globally while keeping personal data safe. \u003C/p>\n\n\n\n\u003Cp>“No one’s done it before, using a federated learning infrastructure in real-world hospitals at scale across three continents. We train our models in an ethically compliant manner using real patient data, whilst hospitals always retain control of their sensitive data,” said Professor Roberts.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>A hopeful future\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>From its roots during a global crisis, BloodCounts! is now shaping a future in which a routine blood test could transform healthcare worldwide. By unlocking previously unused signatures in the CBC and combining them with cutting-edge AI, the consortium is building the ability to diagnose health conditions earlier, faster, and more equitably. Excited about what the future holds, Professor Michael Roberts concludes, “What excites me most is the translational side—that we’re going to get real digital diagnostics into these CBC machines, changing practice globally. All of these tools we’re developing have a route to market, a route to getting into clinics and making a difference to people around the world.”\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Indrani Kashyap is the Associate Director for Regional Communications at Jhpiego.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Joanne Peter is the Director of the Innovation Hub at Jhpiego.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>BloodCounts! is an international consortium that began during the COVID-19 pandemic to help detect outbreaks early. It is now set to enable early diagnosis of non-infectious conditions across three continents.\u003C/p>\n","from-routine-to-revolutionary-how-bloodcounts-is-set-to-transform-global-health","https://jhpiego.org/our-stories/p/from-routine-to-revolutionary-how-bloodcounts-is-set-to-transform-global-health/","/our-stories/p/from-routine-to-revolutionary-how-bloodcounts-is-set-to-transform-global-health/","2026-02-26T18:42:08","2026-03-02T16:14:37",{"id":1195,"src":1196,"width":18,"height":19,"alt":20,"caption":20,"title":1197,"description":20,"mimeType":23,"html":1198,"srcset":1199,"sizes":26,"meta":1200,"acf":1240},8295,"https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo.jpg","BloodCounts Feature Photo","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1920x1282.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/02/BloodCounts-Feature-Photo-1920x1282.jpg 1920w",{"width":18,"height":19,"file":1201,"filesize":1202,"sizes":1203,"imageMeta":1237},"2026/02/BloodCounts-Feature-Photo.jpg",698312,{"medium":1204,"large":1207,"thumbnail":1210,"mediumLarge":1213,"1536x1536":1216,"postThumbnail":1219,"socialPreview":1222,"smallPreview":1225,"mediumPreview":1228,"largePreview":1231,"fullscreenSmall":1234},{"file":1205,"width":33,"height":34,"mimeType":23,"filesize":1206},"BloodCounts-Feature-Photo-300x200.jpg",23148,{"file":1208,"width":38,"height":39,"mimeType":23,"filesize":1209},"BloodCounts-Feature-Photo-1024x684.jpg",132656,{"file":1211,"width":43,"height":43,"mimeType":23,"filesize":1212},"BloodCounts-Feature-Photo-150x150.jpg",12141,{"file":1214,"width":47,"height":48,"mimeType":23,"filesize":1215},"BloodCounts-Feature-Photo-768x513.jpg",86805,{"file":1217,"width":52,"height":53,"mimeType":23,"filesize":1218},"BloodCounts-Feature-Photo-1536x1025.jpg",254797,{"file":1220,"width":57,"height":58,"mimeType":23,"filesize":1221},"BloodCounts-Feature-Photo-809x540.jpg",93789,{"file":1223,"width":62,"height":63,"mimeType":23,"filesize":1224},"BloodCounts-Feature-Photo-1200x630.jpg",137927,{"file":1226,"width":67,"height":68,"mimeType":23,"filesize":1227},"BloodCounts-Feature-Photo-375x250.jpg",31378,{"file":1229,"width":72,"height":73,"mimeType":23,"filesize":1230},"BloodCounts-Feature-Photo-960x641.jpg",121137,{"file":1232,"width":77,"height":78,"mimeType":23,"filesize":1233},"BloodCounts-Feature-Photo-1280x854.jpg",188658,{"file":1235,"width":82,"height":83,"mimeType":23,"filesize":1236},"BloodCounts-Feature-Photo-1920x1282.jpg",375985,{"aperture":86,"credit":1238,"camera":20,"caption":20,"createdTimestamp":86,"copyright":1238,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1239},"KC Nwakalor /  Arete/ Jhpiego",[],{"primaryColor":1241,"blurhash":1242},"#c2c0b5","UCIE%]RPS6~U~U.S.8_200%~Ej%2R4b_tl$%",{"id":1244,"guid":1245,"title":1246,"content":1247,"excerpt":1248,"excerptRaw":1248,"slug":1249,"url":1250,"uri":1251,"to":1251,"status":325,"date":1252,"modified":1253,"type":328,"authorId":329,"featuredMedia":1254},8047,"https://jhpiego.org/?p=8047","The Broken Narrative About Nonprofit Sustainability at Scale ","\n\u003Cp>Many social innovation funders aspire to be “catalytic” in their grantmaking, supporting social enterprises to unlock future revenue streams that will allow them to be financially sustainable at scale, without an ongoing dependence on philanthropy. In a challenging fundraising environment, the imperative for nonprofits to diversify their revenues has become even more urgent than ever. However, the dominant narratives about sustainable financing at scale can leave nonprofits questioning many of their foundational decisions.  \u003C/p>\n\n\n\n\u003Cp>\u003Ca href=\"https://phr.org/\" target=\"_blank\" rel=\"noreferrer noopener\">Physicians for Human Rights\u003C/a> (PHR) is a global nonprofit organization active in Kenya and the DRC, among other countries. It built a simple but powerful software tool, \u003Ca href=\"https://phr.org/issues/sexual-violence/medicapt/\" target=\"_blank\" rel=\"noreferrer noopener\">MediCapt\u003C/a>, that helps frontline health workers document cases of sexual violence with rigor, ensuring survivors have stronger evidence in court. The theory of change was clear—better documentation would increase the likelihood of prosecution, deter future crimes, and bring survivors closer to justice. \u003C/p>\n\n\n\n\u003Cp>The solution has been widely lauded and has \u003Ca href=\"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0278312\" target=\"_blank\" rel=\"noreferrer noopener\">proven its ability\u003C/a> to improve data quality. But when PHR sought to take it to scale, the business model problem emerged with brutal clarity. Expecting survivors to pay was ethically indefensible. Health workers and clinics were overstretched and unwilling to take on new costs. Governments, juggling countless priorities, often treated gender-based violence as too sensitive or politically fraught—particularly in fragile and conflict settings. The solution fell between two ministries, health and justice, neither eager nor equipped to take ownership. And yet donors pressed: find a way to “wean off philanthropy” and secure a new payer at scale. \u003C/p>\n\n\n\n\u003Cp>While PHR is working hard to navigate these challenges, their situation is not unique. Another nonprofit developed an electronic medical record (EMR) for low-income primary care settings. Their donors pushed them to establish an earned revenue stream. They knew that health facilities and health workers could not pay, so their idea was to scale by partnering with other NGOs through sub-contracts. Too soon, it became all too clear that other NGOs rarely have predictable money to pay either. Worse, governments—who held the keys to long-term adoption—demanded endless customization and implementation support, consuming the nonprofit’s bandwidth without offering funding in return. Saying no risked alienating ministries and abandoning health workers already using the tool. Saying yes meant mission drift, exhausted staff, and unfunded obligations. \u003C/p>\n\n\n\n\u003Cp>A third group experimented with “co-funding” alongside government: donors covered software and training, while ministries promised to fund salaries and equipment. On paper, this looked like “transitioning to government ownership,” the holy grail many donors prize. In reality, without full control over implementation (and in particular the ability to replace under-performing staff), the nonprofit’s carefully honed model broke down. Quality declined and impact data faltered. Ironically, the very donors who encouraged government adoption began to question continued funding because outcomes were slipping. \u003C/p>\n\n\n\n\u003Cp>These are not failures of vision or execution. They are symptoms of a structural bind that mission-first organizations face. They are caught in what might be called \u003Cem>the nonprofit scaling trap\u003C/em>: told that reliance on grants is unsustainable over the long term, urged to find a revenue model or encouraged to hand over ownership to governments—while the very nature of their work makes those pathways deeply fraught. \u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Why the Trap Persists\u003C/strong> \u003C/h2>\n\n\n\n\u003Cp>Over the past decade, landmark articles and frameworks within the social innovation literature have explored the topic of nonprofit scaling.  \u003Ca href=\"https://ssir.org/articles/entry/strategy_go_big_or_go_oh_just_go_big\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>Go Big or Go… Oh, Just Go Big\u003C/em>\u003C/a> taught us to ask who will ultimately pay. \u003Ca href=\"https://ssir.org/articles/entry/why_proven_solutions_struggle_to_scale_up\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>Why Proven Solutions Struggle to Scale Up\u003C/em>\u003C/a> explored gaps in financing, talent and ecosystem coordination.  \u003Ca href=\"https://ssir.org/articles/entry/whats_your_endgame\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>What’s Your Endgame?\u003C/em>\u003C/a> posited different pathways to ‘scale’ through replication by others, government adoption or market mechanisms. The underlying ideas remain sound: scale matters, and philanthropy alone cannot sustain most interventions. But as I’ve worked with nonprofits across Africa, particularly in health and adjacent sectors, I’ve seen the disconnect between this theory and their lived reality. \u003C/p>\n\n\n\n\u003Cp>Today’s nonprofits operate in a more challenging environment than ever before. Reductions in foreign aid mean that organizations are competing for the same pool of philanthropic funds, while governments in low-resource settings have even less fiscal space than usual. Nonprofits are scrambling to diversify revenue away from philanthropy, but the options are limited to three paths: i) earned revenues through a market-linked business model; ii) government adoption or contracts; or iii) sub-contracts from other nonprofits. \u003C/p>\n\n\n\n\u003Cp>Each of these pathways is constrained—by low ability to pay, fiscal crises, and the fragility of peer organizations—leaving nonprofits with few viable alternatives. \u003C/p>\n\n\n\n\u003Cp>Seven recurring barriers stand out: \u003C/p>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>\u003Cstrong>Mission–market tension.\u003C/strong> Many nonprofits intentionally opt to serve the poorest or most vulnerable, in contexts where ability to pay is negligible. Designing for impact, not revenue, is in their DNA. Asking them to pivot to a market-linked business model with paying customers can distort or dilute the mission by requiring them to shift away from those who need their services the most. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Open-source requirements.\u003C/strong> Grant agreements often require nonprofits to open-source their intellectual property. While laudable for diffusion, this strips away the very protections that might enable monetization. Without IP, nonprofits can only charge for set-up or consulting services, meaning a “sustainable business model” is often out of reach. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Market failures.\u003C/strong> Many nonprofits are addressing \u003Cem>market failures\u003C/em>, where the social benefits of their solutions exceed private demand, or where their solution is a public good that should be funded through the public purse. When governments can’t (or won’t) invest in these public goods, the nonprofit ends up plugging holes without a viable payer. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Capacity gaps.\u003C/strong> Commercial skills in financial planning, marketing, pricing, and customer acquisition can be foreign to organizations built in a grant-driven world. Even if opportunities exist, many teams lack the internal know-how and systems to pursue them. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Cultural resistance.\u003C/strong> Boards, staff, and communities may view “commercial” activities as mission drift, creating internal conflict. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Brand identity risk.\u003C/strong> Pursuing revenue can undermine donor, community or government trust, making organizations seem less altruistic or even exploitative and jeopardizing their seat at the table as an honest broker. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Access to capital.\u003C/strong> Nonprofits cannot raise equity. And most lack the flexible funds needed to invest in testing or scaling new models with uncertain success. \u003C/li>\n\u003C/ul>\n\n\n\n\u003Cp>Together, these barriers lock nonprofits into a cycle: pressured to “transition” from catalytic grant funding towards long-term government financing or earned revenue, but without viable options to do so. \u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The Donor Double Bind\u003C/strong> \u003C/h2>\n\n\n\n\u003Cp>What makes this especially pernicious is the varied messaging from donors. On one hand, funders frequently ask nonprofits how they are planning for long-term sustainability. On the other, those same funders hold expectations that keep organizations dependent and fragile. \u003C/p>\n\n\n\n\u003Cp>Take the push for government adoption or procurement. For funders, this is the ultimate proof of sustainability. Yet governments in many low- and middle-income countries face fiscal crises, arrears in supplier payments, and heavy donor dependency themselves. Procurement processes are opaque, timelines long, and payment cycles erratic. Ministries often demand co-creation and customization—reasonable from their perspective—but punishing for lean nonprofits with scarce staff, especially after they have spent years honing and proving their model to be responsive to their early innovation funders. \u003C/p>\n\n\n\n\u003Cp>The result is a cruel irony: the very pathway touted as “the endgame” often drains capacity, dilutes quality, and jeopardizes impact. Non-profits get trapped instead in “perpetual fundraising,” which was \u003Cem>explicitly flagged as the deadliest non-endgame.\u003C/em> The theory makes sense, but in practice, the structural conditions for an endgame simply don’t exist for many non-profits. \u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Toward a More Realistic Endgame\u003C/strong> \u003C/h2>\n\n\n\n\u003Cp>Many nonprofits remain trapped between idealized pathways and practical constraints. They are asked to solve market failures, but told to act like businesses. They are asked to serve the most vulnerable, but told to become self-sustaining. They are asked to hand solutions to government, but without patient subsidy to bridge the political and fiscal realities of public systems. \u003C/p>\n\n\n\n\u003Cp>If donors want NGOs to earn revenue, they must accept hard trade-offs between impact and commercial returns. To generate income, nonprofits will need to prioritize audiences with ability to pay—often not the most vulnerable. Only after establishing a revenue base might they create cross-subsidies to serve those who cannot pay. This shift can take years, require significant investment, and may involve a departure from the original mission. Pushing for revenue without acknowledging these realities risks setting nonprofits up for failure—or forcing them into compromises that erode their impact. \u003C/p>\n\n\n\n\u003Cp>If we want proven solutions to scale, we must move beyond slogans about “sustainability” and reckon with the structural barriers nonprofits face. That means funders accepting that some public goods will always require subsidy. It means creating capital vehicles designed to invest in the growth of nonprofits, not just startups. It means questioning the requirement to place all intellectual property in the public domain and considering a conversation about access pricing instead.  \u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>A Checklist for Donors: Before You Push for “Sustainability,” Ask—\u003C/strong> \u003C/h2>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>\u003Cstrong>Is this a public good?\u003C/strong> If so, ongoing subsidy may be appropriate. Don’t force a revenue model where none can exist. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Who is the natural payer?\u003C/strong> Is there a viable customer base (individuals, institutions, governments) with both ability \u003Cem>and\u003C/em> willingness to pay? If not, be realistic. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>What’s the fiscal reality?\u003C/strong> Even if government is the logical payer, does fiscal space, procurement capacity, and payment reliability exist?  \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Does the nonprofit have monetizable assets?\u003C/strong> Is there protected IP, brand value, or a service offering that can be sold—without undermining mission? What options are you asking the organization to give up by requiring everything to be placed in the public domain? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>What transition costs are required?\u003C/strong> Are you providing flexible risk capital for market analysis, early pilots of revenue models, and new talent acquisition to help organizations genuinely test models without jeopardizing their core mission? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>What is a realistic timeline?\u003C/strong> Building a revenue-generating arm or transitioning to government ownership can take years. Are you prepared to provide patient capital and support during this period without penalizing the organization for slow progress? \u003C/li>\n\u003C/ul>\n\n\n\n\u003Cp>Nonprofits exist because some needs are too urgent, too unprofitable, or too politically sensitive for markets and governments to meet. Yet in the rush to declare philanthropy unsustainable, we’ve forgotten why these organizations emerged in the first place. We act as if they are broken when they cannot scale through market mechanisms or government procurement—but this is precisely the gap they were created to fill. Something has to give: either we accept that certain solutions will always require subsidy, or we risk losing the very innovations designed for those who need them most. \u003C/p>\n\n\n\n\u003Cp>\u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.linkedin.com%2Fin%2Fjoanne-peter-9b42b183%2F&data=05%7C02%7CJoanne.Peter%40jhpiego.org%7Cc5249bc0c3e84cdf3d7508de3295255b%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C639003813325702196%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=o3Tehb5kZo1%2B3auv5g1ZrP36QG0FngVhG9nuUtmJkXY%3D&reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>Dr. Joanne Peter\u003C/em>\u003C/a>\u003Cem> oversees \u003C/em>\u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjhpiego.org%2Fareas-of-expertise%2Fwish%2F&data=05%7C02%7CJoanne.Peter%40jhpiego.org%7Cc5249bc0c3e84cdf3d7508de3295255b%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C639003813325727752%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=DSgFvRKuPmwBLbqXt0UhWxEp9phWd8xW9aUpyFdy%2FpM%3D&reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>Jhpiego’s Worldwide Innovation Support Hub (WISH)\u003C/em>\u003C/a>\u003Cem>, an accelerator program that harnesses Jhpiego’s know-how and networks to support local innovators to scale their solutions within public health systems. Since 2022 – in partnership with \u003C/em>\u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fthetrinitychallenge.org%2F&data=05%7C02%7CJoanne.Peter%40jhpiego.org%7Cc5249bc0c3e84cdf3d7508de3295255b%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C639003813325754161%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=M6R92Q7YX0D36jEP5TZeA%2FmjE4AsIHiY%2FQDswwzb6WA%3D&reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>The Trinity Challenge\u003C/em>\u003C/a>\u003Cem>, \u003C/em>\u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.grandchallenges.ca%2F&data=05%7C02%7CJoanne.Peter%40jhpiego.org%7Cc5249bc0c3e84cdf3d7508de3295255b%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C639003813325780585%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=vaOhhRYl%2FcjCTQabtKZMRdnU%2BvRsoUDkC7ud3nz2TIA%3D&reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>Grand Challenges Canada\u003C/em>\u003C/a>\u003Cem>, and \u003C/em>\u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fthehealthtech.org%2F&data=05%7C02%7CJoanne.Peter%40jhpiego.org%7Cc5249bc0c3e84cdf3d7508de3295255b%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C639003813325801817%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=2p5fD%2FeXpQZGrsqjn64f22mniqYr6x282pyORNTVWIY%3D&reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cem>HealthTech Hub Africa\u003C/em>\u003C/a>\u003Cem> – WISH has worked with over 100 innovators across Africa, Asia and Latin America as they tackle health challenges in global health security and antimicrobial resistance, maternal and newborn health, community health and primary health care, digital health, and more.\u003C/em> \u003C/p>\n","\u003Cp>Joanne Peter talks about the imperative for nonprofits to diversify their revenues. However, the dominant narratives about sustainable financing at scale can leave nonprofits questioning many of their foundational decisions.  \u003C/p>\n","the-broken-narrative-about-nonprofit-sustainability-at-scale","https://jhpiego.org/our-stories/p/the-broken-narrative-about-nonprofit-sustainability-at-scale/","/our-stories/p/the-broken-narrative-about-nonprofit-sustainability-at-scale/","2026-02-18T11:43:56","2026-02-18T19:42:15",{"id":1255,"src":1256,"width":18,"height":19,"alt":20,"caption":20,"title":1257,"description":1258,"mimeType":23,"html":1259,"srcset":1260,"sizes":26,"meta":1261,"acf":1300},8208,"https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo.jpg","Nonprofit Scaling Trap_Feature Photo","\u003Cp>Cameroon 2016_Day one Kribi, Cameroon where  Jhpiego has a Malaria and maternal and child care clinic, also funds part of the District Hospital of Kribi\u003C/p>\n\u003Cp>Mom Gaelle Eko with her baby who has both anemia and malaria.  Anemia probably developed because she waited to bring baby in. She didn’t have money so she waited but unfortunately not the baby has to have a blood transfusion and that will cost them money. She hadn’t realized the medication for children under 5 with malaria was free. Nurse Gustena Mbwanyongu treating the baby.\u003C/p>\n","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1920x1282.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/02/Sustainability-Trap_Feature-Photo-1920x1282.jpg 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and Viamo Partner to Improve Global Health Outcomes through Generative AI Solutions","\n\u003Cp>\u003Cstrong>Baltimore, USA and ​​Saskatoon, CANADA\u003C/strong>—Jhpiego, a global leader in health care solutions, and Viamo Inc., a trailblazer in mobile phone engagement in emerging markets, have announced a strategic partnership aimed at co-creating and scaling Generative AI-powered solutions over voice calls to improve health outcomes around the world. With a focus on strengthening accessibility, inclusiveness, and efficiency, Jhpiego and Viamo are taking a bold step to democratize access to care. They are reaching communities and health workers beyond the digital frontier and expanding access to timely, trusted health information while enhancing health workers skills.  \u003C/p>\n\n\n\n\u003Cp>Together, Jhpiego and Viamo will develop accessible solutions that are toll-free, without requiring smartphones, internet, or even literacy. This empowers people to take control of their health journeys while providing community health workers with real-time support and continuous learning.   \u003C/p>\n\n\n\n\u003Cp>“This partnership is a bold step in democratizing access to health information by combining Viamo’s voice-first GenAI technology with Jhpiego’s technical and programmatic health expertise,” said Debora Bossemeyer, Senior Vice President for Global Programs and Technical Excellence at Jhpiego. “Together, we are going beyond information delivery; we will strengthen self-care, support governments with real-time data, and reach offline populations often excluded from digital solutions. This will increase access with quality and efficiency.” \u003C/p>\n\n\n\n\u003Cp>Together, the two organizations will co-develop prioritized Generative AI solutions, including a health provider assistant and community self-care and triage assistant. These tools will improve access to accurate health information and generate real-time, population-level insights – giving health systems and policymakers a social-listening-like window into emerging needs, trends, and challenges. The partnership will focus on key health areas such as HIV prevention, care and treatment, maternal and child health, primary health care, and community engagement across all emerging markets. \u003C/p>\n\n\n\n\u003Cp>“AI dominates global conversation, yet practical applications for the nearly three billion people who remain offline are still rare. Together with Jhpiego, we’re laser-focused on harnessing AI responsibly to bridge the world’s widest and most persistent digital divides,” said Kellen Eilerts, Chief Partnerships Officer at Viamo. “With AI delivered over a simple voice call, even the most basic phones become a bridge to the sum of human knowledge, unlocking health, opportunity, and agency for the world’s most underserved populations.” \u003C/p>\n\n\n\n\u003Cp>​​​Leveraging an 11-year collaboration, Jhpiego and Viamo are now pioneering a Generative AI hotline in Mozambique. This innovative tool will provide critical, on-demand support to caregivers of Orphans and Vulnerable Children living with HIV, building on their long-standing work to strengthen health systems. \u003C/p>\n\n\n\n\u003Cp>Viamo will leverage its extensive expertise in driving behavior change over voice calls, its existing Viamo Platform with 8 million monthly active users run in partnership with leading mobile network providers, and ongoing innovation in voice-first Generative AI to develop the technology to give communities agency with personalized advice at scale. Jhpiego will contribute its deep technical knowledge of health systems, relationships with Ministries of Health, and insights gleaned from field-level programmatic innovations to co-develop impactful content and policies. \u003C/p>\n\n\n\n\u003Cp>Their partnership also commits to joint research, evidence generation, and shared learning initiatives to strengthen the effectiveness and scalability. Both organizations aim to leverage Generative AI to support approaches such as self- and family-led care, improving the timeliness and quality of diagnosis, treatment, and care. \u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>About Jhpiego\u003C/strong> \u003C/p>\n\n\n\n\u003Cp>Jhpiego is a global non-governmental organization active in approximately 37 countries, dedicated to creating and delivering transformative health care solutions that save lives. Partnering with national governments, health experts, and local communities, Jhpiego redesigns how and where care is delivered, prepares a future-ready workforce for a more equitable caregiving, and strengthens the care ecosystem.  \u003C/p>\n\n\n\n\u003Cp>\u003Ca href=\"http://www.jhpiego.org/\" target=\"_blank\" rel=\"noreferrer noopener\">www.jhpiego.org\u003C/a>  \u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>About Viamo\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>Viamo is on a mission to make the world’s information accessible to the next billion people in Africa and Asia who rely on basic mobile phones and have limited or no access to the internet. By bridging mobile network operators, the development sector, and the private sector, Viamo reaches more than 27 million people through automated voice calls, interactive hotlines, and local-language engagement. The Viamo Platform (nationwide toll-free hotlines) delivers personalized, cost-effective solutions that connect individuals with vital information, products, and services – improving health, livelihoods, and opportunity at scale.\u003C/p>\n\n\n\n\u003Cp>\u003Ca href=\"https://viamo.io/\">https://viamo.io/\u003C/a>\u003C/p>\n","\u003Cp>Jhpiego and Viamo Inc. have announced a strategic partnership aimed at co-creating and scaling Generative AI-powered solutions over voice calls to improve health outcomes around the world. \u003C/p>\n","jhpiego-and-viamo","https://jhpiego.org/our-stories/p/jhpiego-and-viamo/","/our-stories/p/jhpiego-and-viamo/","2025-10-02T09:28:00","2025-10-02T13:03:38",{"id":1317,"src":1318,"width":18,"height":1319,"alt":20,"caption":20,"title":1320,"description":20,"mimeType":23,"html":1321,"srcset":1322,"sizes":26,"meta":1323,"acf":1370},6875,"https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria.jpg",1363,"Viamo Jhpiego Featured Image_Nigeria","\u003Cimg width=\"2048\" height=\"1363\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-1024x682.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-768x511.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-1536x1022.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-811x540.jpg 811w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-375x250.jpg 375w, 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https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-811x540.jpg 811w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-960x639.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-1280x852.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/10/Viamo-Jhpiego-Featured-Image_Nigeria-1920x1278.jpg 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Karen Kasmauski",[],{"primaryColor":1371,"blurhash":1372,"videoUrl":20,"focalPointX":20,"focalPointY":20},"#25252b","U7ByU01i00_#0dVZ-=Xm0en3$%t-pK-oR59Z",{"id":1374,"guid":1375,"title":1376,"content":1377,"excerpt":1378,"excerptRaw":1378,"slug":1379,"url":1380,"uri":1381,"to":1381,"status":325,"date":1382,"modified":1383,"type":328,"authorId":329,"featuredMedia":1384},6691,"https://jhpiego.org/?p=6691","From Pilot to Public Scale: Fixing the Missing Pathway for Digital Health Innovation ","\n\u003Cp>When we think about how new medical innovations make their way to patients, the pathways feel familiar and (relatively) well defined. A new drug molecule moves from laboratory discovery, through phased clinical trials, to regulatory approval, and eventually into public procurement mechanisms that stock hospitals and pharmacies. Vaccines and diagnostics follow similarly structured stage-gates—rigorous evidence generation, regulatory oversight, pooled procurement, and policy inclusion. \u003C/p>\n\n\n\n\u003Cp>For \u003Cstrong>digital health innovations\u003C/strong>, however, the story is very different. Whether it’s a referral app connecting rural clinics to hospitals, a tele-counseling chatbot for adolescents, or an emergency transport dispatch platform, innovators often find themselves in uncharted waters. There is no universally recognized pathway to navigate from promising pilot to public sector adoption at scale. The result is a frustrating cycle: countless promising tools launch as pilots, only to stall when it comes to public sector adoption. \u003C/p>\n\n\n\n\u003Cp>At Jhpiego, we’ve seen this problem repeat in our own work over the years. Now, in our role as lead operator of the \u003Ca href=\"https://thehealthtech.org/\" target=\"_blank\" rel=\"noreferrer noopener\">HealthTech Hub Africa\u003C/a> – along with partners \u003Ca href=\"https://villgroafrica.org/\" target=\"_blank\" rel=\"noreferrer noopener\">Villgro Africa\u003C/a> and \u003Ca href=\"https://helina.africa/\" target=\"_blank\" rel=\"noreferrer noopener\">HELINA\u003C/a> – we’ve heard it echoed by countless startup founders. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Why does this matter?\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp>African health systems are under extraordinary pressure. Adolescents need confidential and trustworthy health information. Clinicians need tools to reduce administrative burden. Patients need faster referrals, reliable emergency transport, and continuity of care. Digital solutions can and do help. But unless they scale through the public system—still the major provider of care in most African markets—they remain a patchwork of isolated pilots, duplicating effort and leaving many communities behind. \u003C/p>\n\n\n\n\u003Cp>Governments, innovators, and funders all sense the potential, but governments hesitate to procure because the rules of the game are unclear. Innovators hesitate to invest in growth because they can’t see a pathway to long-term sustainability. Funders hesitate to back scale because they lack confidence in what the system will ultimately buy. Everyone is stuck. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Learning from “gold-standard” pathways\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp>Contrast this with traditional medical innovation. For \u003Cstrong>drugs, vaccines, and diagnostics\u003C/strong>, the journey is well defined: \u003C/p>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>\u003Cstrong>Stage-gates:\u003C/strong> Discovery → Proof of concept → Clinical trials → Regulatory approval → Policy inclusion → Procurement → Post-market monitoring. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Oversight: \u003C/strong>National drug regulators, ethics boards, Ministries of Health, the World Health Organization (WHO), UNICEF, the Global Fund. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Funding instruments: \u003C/strong>Research and development grants, trial financing, pooled procurement mechanisms. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Monitoring and accountability:\u003C/strong> Pharmacovigilance, lot testing, ongoing safety surveillance.\u003C/li>\n\u003C/ul>\n\n\n\n\u003Cp>The clarity of this pathway allows innovators to plan, investors to support, and governments to adopt. No one would dream of rolling out a new vaccine nationally without these checks in place. \u003C/p>\n\n\n\n\u003Cp>Digital health innovations, which increasingly shape patient care and population health, deserve the same predictability. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Toward a stage-gate for digital health\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp>Drawing inspiration from these established pathways, we can imagine a \u003Cstrong>nine-stage universal pathway\u003C/strong> for digital health solutions: \u003C/p>\n\n\n\n\u003Col start=\"1\" class=\"wp-block-list\">\n\u003Cli>\u003Cstrong>Prototype & Concept\u003C/strong> – minimum viable product aligned with national health priorities, user needs, and local context. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Early Field Validation\u003C/strong> – small-scale pilots demonstrating usability and feasibility. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Evidence & Impact Data\u003C/strong> – outcomes, cost-effectiveness, and equity impacts. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Regulatory & Compliance\u003C/strong> – oversight from health regulators, ICT authorities, and data protection commissions. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Interoperability & Standards\u003C/strong> – readiness to integrate with national health information systems. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Policy & Clinical Endorsement\u003C/strong> – alignment with digital health strategies, inclusion in clinical workflows. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Business model & Procurement Readiness\u003C/strong> – target payers, revenue models, distribution channels, model contracts, service-level agreements, pricing, and licensing frameworks. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Operational Capacity\u003C/strong> – demonstrated ability to provide support, training, and ongoing maintenance. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Monitoring & Sustainability\u003C/strong> – dashboards, reporting mechanisms, and financial planning for long-term use. \u003C/li>\n\u003C/ol>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-1024x683.jpg\" alt=\"\" class=\"wp-image-6694\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/09/From-Pilot-to-Public-Scale-Secondary-Image.jpg 2047w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Where digital health lags behind\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp>When we hold digital health against this framework, several challenges and gaps become clear: \u003C/p>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>\u003Cstrong>Stakeholder alignment: \u003C/strong>Scaling digital health solutions requires buy-in from multiple different actors (patients, clinicians, health systems, insurers, employers, regulators), each with their own incentives and adoption criteria. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Regulation: \u003C/strong>Many countries have not yet defined whether digital health apps, AI-driven tools, or SMS-based interventions fall under health regulators, ICT authorities, or a hybrid. The pace of change outstrips regulators ability to keep up. Innovators face uncertainty around what sorts of evidence and analyses they need to provide, and ministries may delay decisions for fear of risk. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Procurement systems:\u003C/strong> Government procurement was designed for tangible goods—drugs, hospital beds, vehicles. Service contracts for a cloud-based chatbot don’t fit neatly into those templates. This leaves ministries improvising, often without legal comfort. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Budgeting:\u003C/strong> Few health budgets include line items for digital solutions. Even if a tool is approved, there is often no mechanism to pay for it sustainably. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Post-market monitoring:\u003C/strong> We have well-established systems for pharmacovigilance, but very few countries track algorithm drift, privacy breaches, or digital equity in uptake. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Integration and standards:\u003C/strong> While some countries have invested in national digital health architectures, many still lack robust interoperability frameworks, making it difficult to integrate new tools.\u003C/li>\n\u003C/ul>\n\n\n\n\u003Cp>These gaps explain why pilots flourish but scaling stalls. Unlike vaccines or diagnostics, digital solutions are often left in limbo, neither fully approved nor fully rejected. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>How do we fix it?\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp>Closing these gaps does not require reinventing the wheel. Much of the infrastructure already exists in other domains of health innovation. A few targeted steps could radically accelerate digital health scaling: \u003C/p>\n\n\n\n\u003Col class=\"wp-block-list\">\n\u003Cli>\u003Cstrong>Publish digital health readiness roadmaps. \u003C/strong>Ministries of Health could set out expectations for evidence, interoperability, compliance, and procurement readiness—just as drug regulators publish trial requirements. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Pilot regulatory and procurement sandboxes.\u003C/strong> Governments could create structured environments where digital solutions are trialed with clear terms, allowing risk-managed experimentation without bypassing procurement law. HealthTech Hub Africa is already creating a  Standards & Interoperability Lab for interoperability testing and certification of solutions.  \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Adapt procurement and budgeting models.\u003C/strong> Ministries could adjust templates to handle software licenses, recurring service contracts, and operational expenditure for digital services. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Invest in “bridge institutions.” \u003C/strong>Digital health units, independent evaluators, or standards-setting bodies can play the role of arbiters, much like ethics boards or pharmacopoeias in traditional health innovation. \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Strengthen post-market oversight.\u003C/strong> Build mechanisms for monitoring data security, usability, and equity, so governments can have confidence in solutions even after adoption.\u003C/li>\n\u003C/ol>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\u003C/blockquote>\n\n\n\n\u003Cp>These are not radical reforms. They are practical steps—borrowed from pathways that already work for other innovations—that can bring predictability to digital health. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>A practical tool: the innovator’s checklist\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp>As a practical first step, here’s a \u003Cstrong>stage-gate checklist for innovators\u003C/strong>. Before approaching governments, ask: \u003C/p>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>\u003Cstrong>Strategy and policy alignment: \u003C/strong>Have we aligned with relevant strategies, policies and stated government priorities? Is our value proposition for governments clear? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Evidence: \u003C/strong>Do we have credible data showing strong adoption, improved client and/or health system outcomes, and value for money? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Compliance:\u003C/strong> Have we mapped and ensured compliance with regulatory, ICT, and data protection requirements? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Integration & Interoperability: \u003C/strong>Can we integrate with existing service delivery workflows and health information systems? Are we compliant with national and international data standards? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Procurement readiness: \u003C/strong>Do we have pricing models, service-level agreements, and contracts that a ministry could sign? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Operational readiness:\u003C/strong> Can we deliver at scale—training, support, ongoing maintenance? Have we engaged the right local stakeholders and appointed dedicated liaisons to work with any government champions? \u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Sustainability: \u003C/strong>Do we have a plan for financing maintenance, upgrades, and monitoring?\u003C/li>\n\u003C/ul>\n\n\n\n\u003Cp>Innovators who can confidently answer these questions will find themselves far better positioned when engaging ministries and funders. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>The opportunity ahead\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp>If we build this clarity, Africa’s digital health innovators can finally move beyond fragmented pilots. Governments will gain confidence to procure solutions that meet clear criteria. Funders will know precisely where their catalytic support makes a difference. And most importantly—patients, health workers, and young people will gain sustained access to digital tools that improve care and save lives. \u003C/p>\n\n\n\n\u003Cp>We’ve solved this before, with drugs, vaccines, and diagnostics. It took decades to refine those pathways, but they now make possible the rapid introduction of lifesaving tools around the world. It’s time to do the same for digital health—building predictable, trusted stage-gates that allow innovation to scale safely and sustainably. \u003C/p>\n\n\n\n\u003Cp>Because in the end, \u003Cstrong>innovation doesn’t save lives until it scales\u003C/strong> \u003C/p>\n\n\n\n\u003Cp>\u003Cem>—\u003C/em> \u003C/p>\n\n\n\n\u003Cp>\u003Cem>Joanne Peter is Senior Advisor to the HealthTech Hub Africa, operated by Jhpiego. With thanks to Pulkit Aggrwal (Grand Challenges Canada) and Rob Beyer (Villgro Africa and Senior Advisor to HealthTech Hub Africa) for their useful contributions. \u003C/em> \u003C/p>\n","\u003Cp>There is no universally recognized pathway to navigate from promising pilot to public sector adoption at scale. That’s why Jhpiego is building predictable, trusted stage-gates that allow innovation to scale safely and sustainably. \u003C/p>\n","from-pilot-to-public-scale-fixing-the-missing-pathway-for-digital-health-innovation","https://jhpiego.org/our-stories/p/from-pilot-to-public-scale-fixing-the-missing-pathway-for-digital-health-innovation/","/our-stories/p/from-pilot-to-public-scale-fixing-the-missing-pathway-for-digital-health-innovation/","2025-09-23T16:06:22","2025-09-30T20:21:32",{"id":1385,"src":1386,"width":18,"height":1387,"alt":20,"caption":20,"title":1388,"description":20,"mimeType":23,"html":1389,"srcset":1390,"sizes":26,"meta":1391,"acf":1430},6693,"https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image.jpg",1365,"From Pilot to Public Scale Feature Image","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/09/Innovations-Feature-Image-1920x1280.jpg 1920w",{"width":18,"height":1387,"file":1392,"filesize":1393,"sizes":1394,"imageMeta":1428},"2025/09/Innovations-Feature-Image.jpg",392462,{"medium":1395,"large":1398,"thumbnail":1401,"mediumLarge":1404,"1536x1536":1407,"postThumbnail":1410,"socialPreview":1413,"smallPreview":1416,"mediumPreview":1419,"largePreview":1422,"fullscreenSmall":1425},{"file":1396,"width":33,"height":34,"mimeType":23,"filesize":1397},"Innovations-Feature-Image-300x200.jpg",13557,{"file":1399,"width":38,"height":265,"mimeType":23,"filesize":1400},"Innovations-Feature-Image-1024x683.jpg",77651,{"file":1402,"width":43,"height":43,"mimeType":23,"filesize":1403},"Innovations-Feature-Image-150x150.jpg",7554,{"file":1405,"width":47,"height":272,"mimeType":23,"filesize":1406},"Innovations-Feature-Image-768x512.jpg",50431,{"file":1408,"width":52,"height":38,"mimeType":23,"filesize":1409},"Innovations-Feature-Image-1536x1024.jpg",145922,{"file":1411,"width":283,"height":58,"mimeType":23,"filesize":1412},"Innovations-Feature-Image-810x540.jpg",54899,{"file":1414,"width":62,"height":63,"mimeType":23,"filesize":1415},"Innovations-Feature-Image-1200x630.jpg",81938,{"file":1417,"width":67,"height":68,"mimeType":23,"filesize":1418},"Innovations-Feature-Image-375x250.jpg",18500,{"file":1420,"width":72,"height":293,"mimeType":23,"filesize":1421},"Innovations-Feature-Image-960x640.jpg",70337,{"file":1423,"width":77,"height":934,"mimeType":23,"filesize":1424},"Innovations-Feature-Image-1280x853.jpg",109652,{"file":1426,"width":82,"height":77,"mimeType":23,"filesize":1427},"Innovations-Feature-Image-1920x1280.jpg",210676,{"aperture":86,"credit":303,"camera":20,"caption":20,"createdTimestamp":86,"copyright":303,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1429},[],{"primaryColor":1431,"blurhash":1432},"#141a15","U38NhC00L4AT00_4MxFs0K?vH=-==|9tKPVY",{"id":1434,"guid":1435,"title":1436,"content":1437,"excerpt":1438,"excerptRaw":20,"slug":1439,"url":1440,"uri":1441,"to":1441,"status":325,"date":1442,"modified":1443,"type":328,"authorId":329,"featuredMedia":1444},6088,"https://jhpiego.netlify.app/?p=6088","Building Public Sector Partnerships: Insights from African Policymakers at the HealthTech Hub Africa Policy Summit","\n\u003Cp>Last week, \u003Cstrong>HealthTech Hub Africa (HTHA)\u003C/strong> hosted its annual \u003Cstrong>Policy Summit\u003C/strong> in Addis Ababa, Ethiopia—a vibrant gathering that brought together representatives from Ministries of Health, Innovation, and ICT across 17 African countries. These policymakers form part of an Intergovernmental Working Group committed to advancing forward-looking policies and regulations that support healthtech innovation across the continent.\u003C/p>\n\n\n\n\u003Cp>I was fortunate to facilitate one of the most enriching conversations at the Summit, which focused on how innovators can build effective partnerships with the public sector to integrate and scale their solutions. Policymakers from Kenya, Ethiopia, Malawi, and Rwanda shared candid reflections and practical advice drawn from their own experiences. Here are some of the key themes that emerged:\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Understanding Power and Influence in Government\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>One of the first insights shared was about the importance of identifying the right people within government—those who have the influence to make things happen. These “champions” or “change agents” are not always the most senior officials. Often, they are individuals who are deeply connected to the flow of information and who understand the priorities of their ministries.\u003C/p>\n\n\n\n\u003Cp>In many cases, Directors General (DGs) play a pivotal role, as they are often the custodians of ministry priorities. Innovators were encouraged to engage widely, build relationships, and be mindful of the high turnover in government staff. Relying on a single contact can be risky, especially if that person holds a political appointment. Instead, look for those who offer continuity and are embedded in the system.\u003C/p>\n\n\n\n\u003Cp>As one policymaker put it, governments can sometimes feel like “structured chaos.” But it’s important to remember that they are tasked with the enormous responsibility of running a country. Their political processes deserve respect and thoughtful engagement.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Co-Creation Over Consultation\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>A strong and consistent message from the Summit was the importance of \u003Cstrong>co-creating solutions with government\u003C/strong>, rather than simply presenting ready-made products. When governments are involved from the outset, they are more likely to feel ownership and commit to long-term support.\u003C/p>\n\n\n\n\u003Cp>Encouragingly, many governments are actively working to create environments that welcome innovation. Ethiopia, for example, has launched a state-of-the-art innovation space within its Ministry of Health. This includes a co-working area, an ideation room, a design and prototyping lab (complete with a 3D printer), and a fully equipped meeting room. They also run an innovation accelerator program, designed to support solutions they are committed to co-funding over time.\u003C/p>\n\n\n\n\u003Cp>In Malawi, the creation of a \u003Cstrong>Department of Innovation and Creativity\u003C/strong> under the Office of the President signals a high-level commitment to fostering innovation. The department offers a range of incentives, including tax benefits and guidance on intellectual property protection, all aimed at creating a conducive environment for innovators.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Aligning with Government Priorities\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>Governments often have clearly articulated strategies and priorities that can serve as valuable guideposts for innovators. In Ethiopia, the Ministry of Health’s Innovation Center displays its eight strategic priorities on a whiteboard in the ideation room—an ever-present reminder of where innovators should focus their efforts.\u003C/p>\n\n\n\n\u003Cp>Rwanda’s \u003Cstrong>Health Sector Strategic Plan\u003C/strong> outlines five key priorities: strengthening the health workforce, improving infrastructure, enhancing primary health care, pandemic preparedness, and promoting innovation and digitization. These priorities are not just bureaucratic documents—they are active prompts for innovators seeking to align their work with national goals.\u003C/p>\n\n\n\n\u003Cp>Even if a solution hasn’t been co-created with government, it may still be considered if it aligns with these stated priorities.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"495\" src=\"https://jhpiego.org/wp-content/uploads/2025/09/HTHA-Priority-Areas.png\" alt=\"\" class=\"wp-image-6090\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/09/HTHA-Priority-Areas.png 1024w, https://api.jhpiego.org/wp-content/uploads/2025/09/HTHA-Priority-Areas-300x145.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/09/HTHA-Priority-Areas-768x371.png 768w, https://api.jhpiego.org/wp-content/uploads/2025/09/HTHA-Priority-Areas-960x464.png 960w, https://api.jhpiego.org/wp-content/uploads/2025/09/HTHA-Priority-Areas-375x181.png 375w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Navigating Policies and Regulations\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>Governments typically have a range of policies that form the framework for healthtech innovation. Innovators were encouraged to review these documents—often available on ministry websites—to understand the parameters within which they must operate.\u003C/p>\n\n\n\n\u003Cp>In fast-evolving areas where formal policies may not yet exist, \u003Cstrong>technical working groups\u003C/strong> often play a key role. These groups bring together diverse experts, including innovators and academics, to shape government thinking. Participating in these groups can be a valuable way to contribute to policy development and gain credibility.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>The Role of Research in Innovation\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>Policymakers were adamant that “Innovation can never be separated from research”, emphasizing the need to rigorously test solutions to ensure they address the problems they were designed to solve. Partnering with academic institutions can lend credibility and open doors to technical working groups.\u003C/p>\n\n\n\n\u003Cp>While there has been some recent skepticism around pilot projects, policymakers stressed that \u003Cstrong>pilots are still necessary\u003C/strong>—provided they are designed with clear research questions and intended outcomes. As one participant noted, “…to policymakers, data speaks louder than passion.” Evidence is key to convincing governments of a solution’s value.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Enablers of Innovation: Leadership, Trust, and Regulation\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>What makes Rwanda a top performer for its level of development on the \u003Ca href=\"https://www.wipo.int/en/web/global-innovation-index\" target=\"_blank\" rel=\"noreferrer noopener\">Global Innovation Index\u003C/a>? Why has Murang’a County in Kenya emerged as a champion of innovation? The answer lies in \u003Cstrong>strong leadership\u003C/strong>—leaders who are accessible, accountable, willing to listen, and committed to reducing bureaucracy.\u003C/p>\n\n\n\n\u003Cp>Trust also plays a critical role. Policymakers acknowledged a common skepticism toward the private sector, rooted in concerns about profit-driven motives. But they also recognized that seeking profit isn’t inherently wrong, as all actors in the health system want to be fairly compensated. The key is to find areas of alignment, shared values, and opportunities for mutual benefit.\u003C/p>\n\n\n\n\u003Cp>Regulation, often seen as a bottleneck, can also be reframed as an \u003Cstrong>enabler\u003C/strong>—a set of guardrails that allow innovation to flourish while ensuring safety and accountability to society.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>The Role of Intermediaries\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>Finally, the Summit highlighted the importance of intermediaries—organizations that can help broker relationships between governments and innovators. \u003Cstrong>HTHA\u003C/strong> aims to be one of these intermediaries, creating platforms for engagement, fostering trust, and facilitating conversations that lead to meaningful collaboration.\u003C/p>\n\n\n\n\u003Cp>When governments and innovators come together to co-create solutions that serve health workers and communities, the result is not just a win-win—it’s a win for the continent too.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>This post originally appeared on the HealthTech Hub Africa blog on August 20, 2025. \u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Joanne Peter is the Director of the Innovation Hub at Jhpiego.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Last week, HealthTech Hub Africa (HTHA) hosted its annual Policy Summit in Addis Ababa, Ethiopia—a vibrant gathering that brought together representatives from Ministries of…\u003C/p>\n","building-public-sector-partnerships-insights-from-african-policymakers-at-the-healthtech-hub-africa-policy-summit","https://jhpiego.org/our-stories/p/building-public-sector-partnerships-insights-from-african-policymakers-at-the-healthtech-hub-africa-policy-summit/","/our-stories/p/building-public-sector-partnerships-insights-from-african-policymakers-at-the-healthtech-hub-africa-policy-summit/","2025-08-20T15:15:00","2025-09-04T15:22:09",{"id":1445,"src":1446,"width":1447,"height":1448,"alt":20,"caption":20,"title":1449,"description":20,"mimeType":23,"html":1450,"srcset":1451,"sizes":1452,"meta":1453,"acf":1495},6089,"https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo.jpg",1847,1020,"Building Public Sector Partnerships Feature Photo","\u003Cimg width=\"1847\" height=\"1020\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo.jpg 1847w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-300x166.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-1024x566.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-768x424.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-1536x848.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-960x530.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-375x207.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-1280x707.jpg 1280w\" sizes=\"auto, (max-width: 1847px) 100vw, 1847px\" />","https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo.jpg 1847w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-300x166.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-1024x566.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-768x424.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-1536x848.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-960x530.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-375x207.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/09/Building-Public-Sector-Partnerships-Feature-Photo-1280x707.jpg 1280w","(max-width: 1847px) 100vw, 1847px",{"width":1447,"height":1448,"file":1454,"filesize":1455,"sizes":1456,"imageMeta":1492},"2025/09/Building-Public-Sector-Partnerships-Feature-Photo.jpg",452111,{"medium":1457,"large":1461,"thumbnail":1465,"mediumLarge":1468,"1536x1536":1472,"postThumbnail":1476,"socialPreview":1480,"smallPreview":1483,"mediumPreview":1487,"largePreview":1488},{"file":1458,"width":33,"height":1459,"mimeType":23,"filesize":1460},"Building-Public-Sector-Partnerships-Feature-Photo-300x166.jpg",166,20700,{"file":1462,"width":38,"height":1463,"mimeType":23,"filesize":1464},"Building-Public-Sector-Partnerships-Feature-Photo-1024x566.jpg",566,114717,{"file":1466,"width":43,"height":43,"mimeType":23,"filesize":1467},"Building-Public-Sector-Partnerships-Feature-Photo-150x150.jpg",14290,{"file":1469,"width":47,"height":1470,"mimeType":23,"filesize":1471},"Building-Public-Sector-Partnerships-Feature-Photo-768x424.jpg",424,72911,{"file":1473,"width":52,"height":1474,"mimeType":23,"filesize":1475},"Building-Public-Sector-Partnerships-Feature-Photo-1536x848.jpg",848,220227,{"file":1477,"width":72,"height":1478,"mimeType":23,"filesize":1479},"Building-Public-Sector-Partnerships-Feature-Photo-960x530.jpg",530,104015,{"file":1481,"width":62,"height":63,"mimeType":23,"filesize":1482},"Building-Public-Sector-Partnerships-Feature-Photo-1200x630.jpg",143471,{"file":1484,"width":67,"height":1485,"mimeType":23,"filesize":1486},"Building-Public-Sector-Partnerships-Feature-Photo-375x207.jpg",207,26791,{"file":1477,"width":72,"height":1478,"mimeType":23,"filesize":1479},{"file":1489,"width":77,"height":1490,"mimeType":23,"filesize":1491},"Building-Public-Sector-Partnerships-Feature-Photo-1280x707.jpg",707,164613,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":1493,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1494},"1755084759",[],{"primaryColor":1496,"blurhash":1497},"#8d6244","UcHnmR.6kWtl~Bx[tlx^Z$ogx]kCn#tRn+Io",{"id":1499,"guid":1500,"title":1501,"content":1502,"excerpt":1503,"excerptRaw":1503,"slug":1504,"url":1505,"uri":1506,"to":1506,"status":325,"date":1507,"modified":1508,"type":328,"authorId":329,"featuredMedia":1509},2191,"https://jhpiego.netlify.app/?p=2191","Private, Convenient, and Effective: Tailoring HIV Prevention with ePrEP","\n\u003Cp>Imagine a world where protecting yourself from HIV is as simple as visiting an online pharmacy or using your phone. For thousands in Kenya, an innovative ePrEP model is making this a reality, delivering stigma-free and accessible HIV prevention that meets people where they are. At its core, ePrEP is transforming HIV prevention by prioritizing privacy, convenience, and client-centered care.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-1024x683.jpg\" alt=\"\" class=\"wp-image-2195\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-at-Kenyas-online-pharmaceutical-platform-MYDAWA-confers-with-clients-virtually.-Photos-taken-by-Lameck-Ododo.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A pharmaceutical provider at Kenya’s online pharmaceutical platform, MYDAWA, confers with clients virtually. Photos taken by Lameck Ododo.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>A pill that’s saving lives\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>Consistent pre-exposure prophylaxis (PrEP) has proven to be a game-changer in the fight against HIV, reducing the risk of infection by up to 95%. Together with other preventive tools, PrEP has contributed to a 60% drop in global infections since the epidemic’s peak in 1995.\u003C/p>\n\n\n\n\u003Cp>But there’s still work to be done. While millions stand to benefit, fewer than 8 million people worldwide are currently on PrEP. High-risk groups—like young people in Eastern and Southern Africa—continue to face obstacles, including stigma, long waiting time at clinics, and limited access to services due to long distance to facilities and high transport costs.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Breaking barriers with ePrEP\u003C/strong> \u003Cstrong>and PEP\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>ePrEP addresses these challenges by providing prevention options through e-pharmacies and telemedicine, offering clients a private, judgment-free way to access care—particularly those facing societal stigma or logistical barriers. Developed collaboratively with \u003Ca href=\"https://mydawa.com/\">MyDAWA\u003C/a>, a Kenyan online pharmacy and telehealth provider, and Audere and the University of Washington, this innovative model ensures accessible and equitable care.\u003C/p>\n\n\n\n\u003Cp>“A young girl may be more concerned about preventing pregnancy than HIV. Bundling emergency contraception with HIV preventive tools ensures we address her needs holistically,” says Dr. Daniel Were, Jhpiego’s project director of the e-PrEP Kenya Project.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-1024x683.jpg\" alt=\"\" class=\"wp-image-2194\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-packs-medicine-and-tests-ordered-through-the-online-platform-MYDAWA.-Photos-taken-by-Lameck-Ododo.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A pharmaceutical provider packs medicine and tests ordered through the online platform MYDAWA. Photos taken by Lameck Ododo.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>By addressing stigma and tailoring services to clients’ realities, ePrEP isn’t just a new way to deliver care—it’s an enabler for individuals to take control of their health.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The role of private-sector partnerships\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>Platforms like \u003Ca href=\"https://mydawa.com/\">MyDAWA\u003C/a> are revolutionizing HIV prevention, making PrEP more accessible through private-sector partnerships. Online pharmacies are becoming vital touchpoints for people who avoid traditional clinics; they can complement public health systems and ensure more equitable access to prevention tools.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-1024x683.jpg\" alt=\"\" class=\"wp-image-2193\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/05/A-pharmaceutical-provider-demonstrates-how-clients-can-order-HIV-preventive-medicine-online.-Photos-taken-by-Lameck-Ododo.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A pharmaceutical provider demonstrates how clients can order HIV preventive medicine online. Photos taken by Lameck Ododo.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Accessibility is key: the convenience factor\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>Lessons from online PrEP delivery underscore one critical insight: convenience drives engagement. A study from the PharmPrEP project highlights that convenience is key to engagement—nearly 80% of individuals referred to public health facilities for PrEP and post-exposure prophylaxis did not follow through, whereas 90% opted for pharmacy-based services when given the choice. These findings emphasize the effectiveness of pharmacies in improving access and adherence.\u003C/p>\n\n\n\n\u003Cp>“When care is stigma-free, easy, and comprehensive, people engage,” Dr. Were emphasizes.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Scaling up for impact\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>The potential for ePrEP to transform HIV prevention is immense. To scale this solution, Jhpiego is collaborating with governments and private-sector partners to recognize pharmacy-based and telehealth models as essential pathways to care.\u003C/p>\n\n\n\n\u003Cp>“It’s about bridging gaps and creating sustainable systems,” says Dr. Were. “When public and private sectors collaborate, prevention tools can reach everyone, everywhere.”\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>A future with zero new HIV infections\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>For decades, innovation and progress have defined the global HIV response. Effective options such as ePrEP, supported by bold partnerships, offer a renewed hope for ending the epidemic. Together, with sustained action and collaboration, the vision of a world free from HIV can become a reality.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>\u003Ca href=\"https://www.jhpiego.org/feature-story/with-prep-i-am-in-control/\" target=\"_blank\" rel=\"noreferrer noopener\">Read More About ePrEP’s Transformative Impact.\u003C/a>\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Joan Nduta is Jhpiego’s Senior Communications Manager, Africa Region.\u003C/em>\u003C/p>\n","\u003Cp>For thousands in Kenya, an innovative ePrEP model is making this a reality, delivering stigma-free and accessible HIV prevention that meets people where they are. \u003C/p>\n","private-convenient-and-effective-tailoring-hiv-prevention-with-eprep","https://jhpiego.org/our-stories/p/private-convenient-and-effective-tailoring-hiv-prevention-with-eprep/","/our-stories/p/private-convenient-and-effective-tailoring-hiv-prevention-with-eprep/","2024-12-05T19:06:00","2026-10-13T13:54:46",{"id":1510,"src":1511,"width":1512,"height":1513,"alt":20,"caption":20,"title":1514,"description":20,"mimeType":23,"html":1515,"srcset":1516,"sizes":1517,"meta":1518,"acf":1568},2197,"https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo.jpg",2949,1966,"Kenya_MyDawa_LameckOdodo","\u003Cimg width=\"2949\" height=\"1966\" src=\"https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo.jpg 2949w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-2048x1365.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-2560x1707.jpg 2560w\" sizes=\"auto, (max-width: 2949px) 100vw, 2949px\" />","https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo.jpg 2949w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-2048x1365.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2024/12/Kenya_MyDawa_LameckOdodo-2560x1707.jpg 2560w","(max-width: 2949px) 100vw, 2949px",{"width":1512,"height":1513,"file":1519,"filesize":1520,"sizes":1521,"imageMeta":1561},"2024/12/Kenya_MyDawa_LameckOdodo.jpg",985392,{"medium":1522,"large":1525,"thumbnail":1528,"mediumLarge":1531,"1536x1536":1534,"2048x2048":1537,"postThumbnail":1540,"socialPreview":1543,"smallPreview":1546,"mediumPreview":1549,"largePreview":1552,"fullscreenSmall":1555,"fullscreen":1558},{"file":1523,"width":33,"height":34,"mimeType":23,"filesize":1524},"Kenya_MyDawa_LameckOdodo-300x200.jpg",32053,{"file":1526,"width":38,"height":265,"mimeType":23,"filesize":1527},"Kenya_MyDawa_LameckOdodo-1024x683.jpg",95671,{"file":1529,"width":43,"height":43,"mimeType":23,"filesize":1530},"Kenya_MyDawa_LameckOdodo-150x150.jpg",26357,{"file":1532,"width":47,"height":272,"mimeType":23,"filesize":1533},"Kenya_MyDawa_LameckOdodo-768x512.jpg",68513,{"file":1535,"width":52,"height":38,"mimeType":23,"filesize":1536},"Kenya_MyDawa_LameckOdodo-1536x1024.jpg",161583,{"file":1538,"width":18,"height":1387,"mimeType":23,"filesize":1539},"Kenya_MyDawa_LameckOdodo-2048x1365.jpg",242411,{"file":1541,"width":283,"height":58,"mimeType":23,"filesize":1542},"Kenya_MyDawa_LameckOdodo-810x540.jpg",72954,{"file":1544,"width":62,"height":63,"mimeType":23,"filesize":1545},"Kenya_MyDawa_LameckOdodo-1200x630.jpg",103929,{"file":1547,"width":67,"height":68,"mimeType":23,"filesize":1548},"Kenya_MyDawa_LameckOdodo-375x250.jpg",36814,{"file":1550,"width":72,"height":293,"mimeType":23,"filesize":1551},"Kenya_MyDawa_LameckOdodo-960x640.jpg",88266,{"file":1553,"width":77,"height":934,"mimeType":23,"filesize":1554},"Kenya_MyDawa_LameckOdodo-1280x853.jpg",127202,{"file":1556,"width":82,"height":77,"mimeType":23,"filesize":1557},"Kenya_MyDawa_LameckOdodo-1920x1280.jpg",220244,{"file":1559,"width":162,"height":250,"mimeType":23,"filesize":1560},"Kenya_MyDawa_LameckOdodo-2560x1707.jpg",338780,{"aperture":1174,"credit":1562,"camera":1563,"caption":20,"createdTimestamp":1564,"copyright":20,"focalLength":306,"iso":1565,"shutterSpeed":1566,"title":20,"orientation":309,"keywords":1567},"Ododo Lameck","Canon EOS R5 C","1718998201","160","0.008",[],{"primaryColor":1569,"blurhash":1570},"#23212a","U7Eo#;0000L4?a9aQ-=?:gGbrt%1L#u5w?IU",{"id":1572,"guid":1573,"title":1574,"content":1575,"excerpt":1576,"excerptRaw":1576,"slug":1577,"url":1578,"uri":1579,"to":1579,"status":325,"date":1580,"modified":1581,"type":328,"authorId":329,"featuredMedia":1582},4253,"https://jhpiego.netlify.app/?p=4253","Strengthening Decision-Making During Public Health Emergencies","\n\u003Cp>With eight Public Health Emergencies of International Concern declared in the last 15 years, timely and effective public health decision-making can save lives and limit disease spread. However, as we all experienced with COVID-19, decision-makers must use predictive models to make challenging choices with significant societal trade-offs. This work is not easy, particularly in the face of incomplete data and rampant misinformation.\u003C/p>\n\n\n\n\u003Cp>A \u003Ca href=\"https://thetrinitychallenge.org/news-and-stories/strengthening-decision-making-during-public-health-emergencies/\">recently published blog\u003C/a> shares insights from a diverse group of innovators who were selected as winners of the inaugural Trinity Challenge on pandemic preparedness. Collectively they are working to use data and analytics to better predict, detect and respond to pandemic threats. Jhpiego has been providing support to the cohort since 2022, and facilitated an in-person conversation earlier this year. \u003C/p>\n\n\n\n\u003Cp>The Trinity Challenge winners explored some of the factors that enable and impede the use of data models for informed decision-making during health emergencies. Drawing upon their diverse perspectives as academics, nonprofits and for-profits working in different regions around the world, they highlighted the critical—and oft neglected—role of frontline health workers in generating the data that underpins all models, the importance of centering the needs and priorities of decision-makers, and the power of storytelling for translating complex data insights into practical action.\u003C/p>\n","\u003Cp>Insights from a diverse group of innovators who were selected as winners of the inaugural Trinity Challenge on pandemic preparedness. \u003C/p>\n","strengthening-decision-making-during-public-health-emergencies","https://jhpiego.org/our-stories/p/strengthening-decision-making-during-public-health-emergencies/","/our-stories/p/strengthening-decision-making-during-public-health-emergencies/","2024-09-11T20:22:00","2025-08-18T20:26:36",{"id":1583,"src":1584,"width":162,"height":250,"alt":20,"caption":20,"title":1585,"description":20,"mimeType":23,"html":1586,"srcset":1587,"sizes":255,"meta":1588,"acf":1630},4254,"https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1.jpg","TTC_Jhpiego_Skoll_meeting-scaled","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1-1920x1280.jpg 1920w",{"width":162,"height":250,"file":1589,"filesize":1590,"sizes":1591,"imageMeta":1628},"2025/08/TTC_Jhpiego_Skoll_meeting-scaled-1.jpg",867146,{"medium":1592,"large":1595,"thumbnail":1598,"mediumLarge":1601,"1536x1536":1604,"2048x2048":1607,"postThumbnail":1610,"socialPreview":1613,"smallPreview":1616,"mediumPreview":1619,"largePreview":1622,"fullscreenSmall":1625},{"file":1593,"width":33,"height":34,"mimeType":23,"filesize":1594},"TTC_Jhpiego_Skoll_meeting-scaled-1-300x200.jpg",19833,{"file":1596,"width":38,"height":265,"mimeType":23,"filesize":1597},"TTC_Jhpiego_Skoll_meeting-scaled-1-1024x683.jpg",178082,{"file":1599,"width":43,"height":43,"mimeType":23,"filesize":1600},"TTC_Jhpiego_Skoll_meeting-scaled-1-150x150.jpg",8395,{"file":1602,"width":47,"height":272,"mimeType":23,"filesize":1603},"TTC_Jhpiego_Skoll_meeting-scaled-1-768x512.jpg",106184,{"file":1605,"width":52,"height":38,"mimeType":23,"filesize":1606},"TTC_Jhpiego_Skoll_meeting-scaled-1-1536x1024.jpg",357671,{"file":1608,"width":18,"height":279,"mimeType":23,"filesize":1609},"TTC_Jhpiego_Skoll_meeting-scaled-1-2048x1366.jpg",572016,{"file":1611,"width":283,"height":58,"mimeType":23,"filesize":1612},"TTC_Jhpiego_Skoll_meeting-scaled-1-810x540.jpg",117806,{"file":1614,"width":62,"height":63,"mimeType":23,"filesize":1615},"TTC_Jhpiego_Skoll_meeting-scaled-1-1200x630.jpg",190053,{"file":1617,"width":67,"height":68,"mimeType":23,"filesize":1618},"TTC_Jhpiego_Skoll_meeting-scaled-1-375x250.jpg",29748,{"file":1620,"width":72,"height":293,"mimeType":23,"filesize":1621},"TTC_Jhpiego_Skoll_meeting-scaled-1-960x640.jpg",158113,{"file":1623,"width":77,"height":78,"mimeType":23,"filesize":1624},"TTC_Jhpiego_Skoll_meeting-scaled-1-1280x854.jpg",260834,{"file":1626,"width":82,"height":77,"mimeType":23,"filesize":1627},"TTC_Jhpiego_Skoll_meeting-scaled-1-1920x1280.jpg",515174,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1629},[],{"primaryColor":1631,"blurhash":1632},"#353838","USG[=$I;ROxu~W9GIUo#^+VsIU%MOZxtRPof",{"id":1634,"guid":1635,"title":1636,"content":1637,"excerpt":1638,"excerptRaw":1638,"slug":1639,"url":1640,"uri":1641,"to":1641,"status":325,"date":1642,"modified":1643,"type":328,"authorId":524,"featuredMedia":1644},3461,"https://jhpiego.netlify.app/?p=3461","Changing attitudes in Nigeria about what it means to be a husband, a father","\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"554\" height=\"339\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01.jpg\" alt=\"\" class=\"wp-image-3463\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01.jpg 554w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01-300x184.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01-375x229.jpg 375w\" sizes=\"auto, (max-width: 554px) 100vw, 554px\" />\u003C/figure>\n\n\n\n\u003Cp>Adamu and his wife Lami hold hands in a loving display of affection. Gestures such as this, along with a willingness to listen to his wife’s concerns or participate in household chores, signal a shift in attitude by the 43-year-old farmer. A recognition that wielding power like a hammer over his wife and children undermines the family he has pledged to support.\u003C/p>\n\n\n\n\u003Cp>Adamu’s newfound understanding is the result of his participation in SASA! Together, a community mobilization intervention that seeks to address the drivers of gender-based violence against women and girls.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"564\" height=\"373\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-02.jpg\" alt=\"\" class=\"wp-image-3464\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-02.jpg 564w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-02-300x198.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-02-375x248.jpg 375w\" sizes=\"auto, (max-width: 564px) 100vw, 564px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>“My husband has demonstrated genuine concern for both my well-being and the health of our three children,” says Lami.\u003C/em>\u003Cbr>\u003Cem>Photo Credit: Farouk Bello, RUWOID\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>The Jhpiego-led MOMENTUM Country and Global Leadership, which is funded by the U.S. Government, supported local partner, Rural Women and Youth Development (RUWOYD), to introduce the program in nine communities across Nigeria’s Ebonyi and Sokoto states. Once a month, Adamu and his wife joined other couples in an intense discussion session where topics such as equality, violence, and financial empowerment were addressed.\u003C/p>\n\n\n\n\u003Cp>The couple is among 39,247 community members reached through MOMENTUM’s efforts to prevent gender-based violence in these states. \u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>In rural Nigeria, one farmer’s journey from control to compassion is transforming his marriage and family life. See how a community program is reshaping ideas of equality, respect, and partnership among thousands of couples.\u003C/p>\n","changing-attitudes-in-nigeria-about-what-it-means-to-be-a-husband-a-father","https://jhpiego.org/our-stories/p/changing-attitudes-in-nigeria-about-what-it-means-to-be-a-husband-a-father/","/our-stories/p/changing-attitudes-in-nigeria-about-what-it-means-to-be-a-husband-a-father/","2024-08-21T00:23:00","2025-08-08T00:29:22",{"id":1645,"src":1646,"width":1647,"height":1648,"alt":20,"caption":20,"title":1649,"description":20,"mimeType":23,"html":1650,"srcset":1651,"sizes":1652,"meta":1653,"acf":1670},3463,"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01.jpg",554,339,"Jhpiego-Blog-Innovations-08-21-2024-01","\u003Cimg width=\"554\" height=\"339\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01.jpg 554w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01-300x184.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01-375x229.jpg 375w\" sizes=\"auto, (max-width: 554px) 100vw, 554px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01.jpg 554w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01-300x184.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Innovations-08-21-2024-01-375x229.jpg 375w","(max-width: 554px) 100vw, 554px",{"width":1647,"height":1648,"file":1654,"filesize":1655,"sizes":1656,"imageMeta":1668},"2025/08/Jhpiego-Blog-Innovations-08-21-2024-01.jpg",56269,{"medium":1657,"thumbnail":1661,"smallPreview":1664},{"file":1658,"width":33,"height":1659,"mimeType":23,"filesize":1660},"Jhpiego-Blog-Innovations-08-21-2024-01-300x184.jpg",184,13937,{"file":1662,"width":43,"height":43,"mimeType":23,"filesize":1663},"Jhpiego-Blog-Innovations-08-21-2024-01-150x150.jpg",6659,{"file":1665,"width":67,"height":1666,"mimeType":23,"filesize":1667},"Jhpiego-Blog-Innovations-08-21-2024-01-375x229.jpg",229,20074,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1669},[],{"primaryColor":1671,"blurhash":1672},"#451e22","UBG?#j_l1I389W7KkE+b9sOs#ksr=MRmo{I.",{"id":1674,"guid":1675,"title":1676,"content":1677,"excerpt":1678,"excerptRaw":1678,"slug":1679,"url":1680,"uri":1681,"to":1681,"status":325,"date":1682,"modified":1683,"type":328,"authorId":524,"featuredMedia":1684},4097,"https://jhpiego.netlify.app/?p=4097","RISE Oxygen Infrastructure Project","\n\u003Ch2 class=\"wp-block-heading\">How clinicians saved baby Hudheifa’s life\u003C/h2>\n\n\n\n\u003Cp>During the 32\u003Csup>nd\u003C/sup> week of her pregnancy, Halima Mohammed went into labor and was rushed to the Garissa Level 5 Hospital where she delivered a son. Hudheifa, whose name means “Companion of the Prophet” in Arabic, developed severe Respiratory Distress Syndrome. The condition arises in premature babies whose lungs have not fully developed and cannot provide enough oxygen for them. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"591\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1.jpg\" alt=\"\" class=\"wp-image-4099\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-300x231.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-702x540.jpg 702w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-375x289.jpg 375w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" />\u003C/figure>\u003C/div>\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>\u003Cem>“I started crying because I was not sure he would live. He was so small and could not suckle; but Dr Abdirahman and the nurses assured me that he would be okay\u003C/em>.” — Halima Mohammed\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>The nurses and Abdirahman Adnan, a pediatric clinician at Garissa´s Neonatal Intensive Care Unit (NICU), prescribed medical oxygen as a fundamental component of the treatment to save Hudheifa’s life. The clinicians assured the distraught mother that the hospital had a steady, uninterrupted supply of oxygen and that the health providers in the newborn unit had been trained to properly administer the oxygen and basic emergency care. Garissa is one of the five hospitals in Kenya that received support from the US Agency for International Development (USAID) in response to the COVID-19 pandemic, including the donation of a Pressure Swing Adsorption (PSA) oxygen production plant and technical assistance on the management and provision of oxygen therapy by the \u003Ca href=\"https://jhpiego.org/wp-content/uploads/2025/08/RISE-COVID-Briefer_March-2022.pdf\" data-type=\"link\" data-id=\"https://jhpiego.org/wp-content/uploads/2025/08/RISE-COVID-Briefer_March-2022.pdf\">Reaching Impact, Saturation and Epidemic Control (RISE)\u003C/a> project, implemented by Jhpiego, in partnership with PSM/Chemonics. USAID also provided the facilities with\u003C/p>\n\n\n\n\u003Cp>commodities for both oxygen delivery to patients and maintenance of the plant for effective response to COVID-19 among other emergencies that require oxygen supplementation. \u003C/p>\n\n\n\n\u003Cp>The PSA oxygen generating plant can provide 283 litres of oxygen per minute, which is able to fill 10 cylinders of 50kg in 24 hours and serve patients like baby Hudheifa who represent \u003Ca href=\"https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(09)70071-4/fulltext\">10 to 15% of all pediatric admissions\u003C/a> in healthcare facilities. With the installation of the plant, the facility has been able to adequately meet its oxygen needs. Additionally, the facility shares the filled cylinders with other health facilities whose patients need oxygen.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>“With the knowledge gained from the Basic Emergency Care course, it was easy. Hudheifa was treated with Continuous Positive Airway Pressure, (CPAP), where the steady flow of air with oxygen coming in through the tubes from the machines keeps enough pressure in the lungs to prevent the air sacs from collapsing after each breath, until Hudheifa could breathe on his own,” \u003C/em>Mr. Abdirahman explained.\u003C/p>\n\n\n\n\u003Cp>\u003Ca>\u003C/a>Eleven days later, Hudheifa was weaned off oxygen and could be fed by the mother with expressed breast milk using a cup and spoon.\u003C/p>\n\n\n\n\u003Cp>Garissa, an expansive county of 45,000 square kilometers—almost the size of the state of New York— did not have a source of oxygen, an essential medicine used to care for severely ill patients at all levels of the healthcare system, including: surgery, trauma, asthma, pneumonia, critical care and/or maternity and pediatric wards. This deficiency contributes to the county’s maternal mortality of \u003Ca href=\"https://www.knbs.or.ke/wp-content/uploads/2022/05/2022-Economic-Survey1.pdf\">642 deaths per 100,000 live births\u003C/a>, the highest in Kenya. Apart from the county’s 1 million population, it also holds the highest number of refugees in Kenya. The County’s Executive Committee Member (CEC) in charge of health, Ahmednadhir Omar, said the county spent as much as KSH 6,000,000 or $42,254 annually and KSH 500,00 or $3,521 monthly purchasing oxygen from a source in Nairobi, more than 300 kilometers away. This created a financial strain on the cash-strapped county as builds its health infrastructure.\u003C/p>\n\n\n\n\u003Cp>Severe respiratory distress, and other forms of hypoxia, can be difficult to treat if providers are not trained on the best techniques and proper oxygen dosing. Evidence-based oxygen titration and weaning need to be mastered to ensure proper dosage for a patient’s age and weight. As an example, over-administration of oxygen can lead to oxygen toxicity and organ damage, including blindness. To address this gap in clinician knowledge, RISE trained 12 medical officers, nurses, and anesthetists from Garissa County Referral Hospital in Basic Emergency Care (BEC) and rational use of oxygen.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"928\" height=\"604\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-2.jpg\" alt=\"\" class=\"wp-image-4102\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-2.jpg 928w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-2-300x195.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-2-768x500.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-2-830x540.jpg 830w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-2-375x244.jpg 375w\" sizes=\"auto, (max-width: 928px) 100vw, 928px\" />\u003C/figure>\u003C/div>\n\n\n\u003Cp>Before the training in BEC, nurses always had to wait until a doctor was available to intubate a severely sick child, losing valuable time that the child didn’t have to spare. The neonatal period – the first 28 days of life – is the most vulnerable time for a child’s survival. According to KDHS 2022, neonatal deaths account for 66% of infant deaths, partly due to the delicate care that neonates need. Rithwan Yusug, a nurse at the Garissa facility who received the RISE training and took care of Hudheifa, said, \u003Cem>“I have learned to intubate, resuscitate and administer oxygen to neonates, and that is really important.”\u003C/em>\u003C/p>\n\n\n\n\u003Cp>Through the COVID-19 technical assistance, Nurse Rithwan said that she also learned how to use equipment to administer oxygen. She acquired knowledge on various instruments, including a pulse oximeter, which is a non-invasive tool. This device is attached to the patient’s finger using a clip and effectively calculates the blood oxygen saturation level, indicating the percentage of oxygenated hemoglobin in the blood. The results are shown on a monitor along with the patient’s pulse rate. The device emits an audible beep at concentrations below 94% which signals the healthcare providers to action, shortening the turn-around time. The correct use and interpretation of the results is of most importance as a third of the neonates who die in the facility present with asphyxia— when a child is deprived of oxygen during birth or immediately after. To save these children, the clinicians need to administer oxygen immediately after birth in an evidence-based manner and need to interpret the oxygen level results obtained precisely.\u003C/p>\n\n\n\n\u003Cp>Through the COVID-19 response, RISE has supported the strengthening of the oxygen ecosystem by working with PSM in the installation and operation of five PSA oxygen production plants and building capacity in 98 health facilities. The life-saving training in BEC and the rational use of oxygen has been delivered to 223 additional health care providers in 13 counties across the country.\u003C/p>\n","\u003Cp>During the 32nd week of her pregnancy, Halima Mohammed went into labor and was rushed to Hospital where she delivered a son who developed severe Respiratory Distress Syndrome and was in need of oxygen.\u003C/p>\n","rise-oxygen-infrastructure-project","https://jhpiego.org/our-stories/p/rise-oxygen-infrastructure-project/","/our-stories/p/rise-oxygen-infrastructure-project/","2024-07-01T17:53:00","2025-08-17T15:12:44",{"id":1685,"src":1686,"width":47,"height":1687,"alt":20,"caption":20,"title":1688,"description":20,"mimeType":23,"html":1689,"srcset":1690,"sizes":1691,"meta":1692,"acf":1713},4099,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1.jpg",591,"Story-Rise oxygen-Image 1","\u003Cimg width=\"768\" height=\"591\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-300x231.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-702x540.jpg 702w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-375x289.jpg 375w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-300x231.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-702x540.jpg 702w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rise-oxygen-Image-1-375x289.jpg 375w","(max-width: 768px) 100vw, 768px",{"width":47,"height":1687,"file":1693,"filesize":1694,"sizes":1695,"imageMeta":1711},"2025/08/Story-Rise-oxygen-Image-1.jpg",78289,{"medium":1696,"thumbnail":1700,"postThumbnail":1703,"smallPreview":1707},{"file":1697,"width":33,"height":1698,"mimeType":23,"filesize":1699},"Story-Rise-oxygen-Image-1-300x231.jpg",231,15617,{"file":1701,"width":43,"height":43,"mimeType":23,"filesize":1702},"Story-Rise-oxygen-Image-1-150x150.jpg",6276,{"file":1704,"width":1705,"height":58,"mimeType":23,"filesize":1706},"Story-Rise-oxygen-Image-1-702x540.jpg",702,58455,{"file":1708,"width":67,"height":1709,"mimeType":23,"filesize":1710},"Story-Rise-oxygen-Image-1-375x289.jpg",289,22410,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1712},[],{"primaryColor":1714,"blurhash":1715},"#232d52","UNEV~l~W_2S7-QWXIUIUD%RiM_ogt8xaxukD",{"id":1717,"guid":1718,"title":1719,"content":1720,"excerpt":1721,"excerptRaw":1721,"slug":1722,"url":1723,"uri":1724,"to":1724,"status":325,"date":1725,"modified":1726,"type":328,"authorId":524,"featuredMedia":1727},3495,"https://jhpiego.netlify.app/?p=3495","Necessity Is the Mother of Invention in Kilifi County, Kenya","\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1024x683.jpg\" alt=\"\" class=\"wp-image-3496\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>Every year, 14 million women experience postpartum hemorrhage, with one dying every six minutes, says the World Health Organization. For three years, Jhpiego staff participated in an international study that evaluated a new approach, called E-MOTIVE, to identify when a woman is losing too much blood following delivery and take action.\u003C/p>\n\n\n\n\u003Cp>The approach uses a bundle of interventions to stop the bleeding, including a plastic drape that collects blood into a volume-marked pouch, so health workers can see how much blood a client has lost. However, these drapes aren’t easily available.\u003C/p>\n\n\n\n\u003Cp>That didn’t stop a group of nurses and midwives at the Malindi Sub-County Hospital – \u003Ca href=\"https://bhekisisa.org/article/2024-02-08-a-plastic-sheet-can-save-70-000-lives-a-year-heres-how/\">they invented their own version of the drape\u003C/a>, says Isabella Ochieng, a nurse midwife and maternal and newborn technical advisor for Jhpiego who has supported the health providers there.\u003C/p>\n\n\n\n\u003Cp>Learn how these entrepreneurial health providers fashioned a solution to a real problem and help save lives: \u003Ca href=\"https://bhekisisa.org/article/2024-02-08-a-plastic-sheet-can-save-70-000-lives-a-year-heres-how/\">https://bhekisisa.org/article/2024-02-08-pc-e-c-v-70-000-v—-/\u003C/a>\u003C/p>\n","\u003Cp>In Kenya’s Kilifi County, innovative nurses and midwives created their own blood-collection drape to quickly detect dangerous bleeding after childbirth, proving that lifesaving solutions can start with local ingenuity.\u003C/p>\n","necessity-is-the-mother-of-invention-in-kilifi-county-kenya","https://jhpiego.org/our-stories/p/necessity-is-the-mother-of-invention-in-kilifi-county-kenya/","/our-stories/p/necessity-is-the-mother-of-invention-in-kilifi-county-kenya/","2024-03-04T01:27:00","2025-08-08T20:21:04",{"id":1728,"src":1729,"width":18,"height":1387,"alt":20,"caption":20,"title":1730,"description":20,"mimeType":23,"html":1731,"srcset":1732,"sizes":26,"meta":1733,"acf":1773},3496,"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024.jpg","Jhpiego-Blog-MNH-03-04-2024","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-MNH-03-04-2024-1920x1280.jpg 1920w",{"width":18,"height":1387,"file":1734,"filesize":1735,"sizes":1736,"imageMeta":1770},"2025/08/Jhpiego-Blog-MNH-03-04-2024.jpg",751974,{"medium":1737,"large":1740,"thumbnail":1743,"mediumLarge":1746,"1536x1536":1749,"postThumbnail":1752,"socialPreview":1755,"smallPreview":1758,"mediumPreview":1761,"largePreview":1764,"fullscreenSmall":1767},{"file":1738,"width":33,"height":34,"mimeType":23,"filesize":1739},"Jhpiego-Blog-MNH-03-04-2024-300x200.jpg",15083,{"file":1741,"width":38,"height":265,"mimeType":23,"filesize":1742},"Jhpiego-Blog-MNH-03-04-2024-1024x683.jpg",104826,{"file":1744,"width":43,"height":43,"mimeType":23,"filesize":1745},"Jhpiego-Blog-MNH-03-04-2024-150x150.jpg",7634,{"file":1747,"width":47,"height":272,"mimeType":23,"filesize":1748},"Jhpiego-Blog-MNH-03-04-2024-768x512.jpg",64500,{"file":1750,"width":52,"height":38,"mimeType":23,"filesize":1751},"Jhpiego-Blog-MNH-03-04-2024-1536x1024.jpg",223308,{"file":1753,"width":283,"height":58,"mimeType":23,"filesize":1754},"Jhpiego-Blog-MNH-03-04-2024-810x540.jpg",70957,{"file":1756,"width":62,"height":63,"mimeType":23,"filesize":1757},"Jhpiego-Blog-MNH-03-04-2024-1200x630.jpg",116476,{"file":1759,"width":67,"height":68,"mimeType":23,"filesize":1760},"Jhpiego-Blog-MNH-03-04-2024-375x250.jpg",21238,{"file":1762,"width":72,"height":293,"mimeType":23,"filesize":1763},"Jhpiego-Blog-MNH-03-04-2024-960x640.jpg",94051,{"file":1765,"width":77,"height":934,"mimeType":23,"filesize":1766},"Jhpiego-Blog-MNH-03-04-2024-1280x853.jpg",156649,{"file":1768,"width":82,"height":77,"mimeType":23,"filesize":1769},"Jhpiego-Blog-MNH-03-04-2024-1920x1280.jpg",358333,{"aperture":86,"credit":87,"camera":20,"caption":20,"createdTimestamp":86,"copyright":1771,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1772},"© 2018 Karen Kasmauski",[],{"primaryColor":1774,"blurhash":1775},"#383732","UAA0wEI;9Gs;~nM|E1tR-mM{Rkoyt7a#s;ad",{"id":1777,"guid":1778,"title":1779,"content":1780,"excerpt":1781,"excerptRaw":1781,"slug":1782,"url":1783,"uri":1784,"to":1784,"status":325,"date":1785,"modified":1786,"type":328,"authorId":329,"featuredMedia":1787},2204,"https://jhpiego.netlify.app/?p=2204","Nurse-midwives Use Ultrasounds to Improve Maternal Care in Rural Malawi","\n\u003Cp>Blantyre, Malawi — “Fifteen years on the job and I still cannot get over the joy upon hearing that first cry of a newborn baby followed by the relief from a mother and jubilation from family members after a successful delivery,” says Pauline Jalisi, a nurse-midwife in Malawi. \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https://jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi-helps-provide-high-quality-care-to-pregnant-women.-Photos-by-Jhpiego_Sarah-Sakanda.jpg\" alt=\"\" class=\"wp-image-2207\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi-helps-provide-high-quality-care-to-pregnant-women.-Photos-by-Jhpiego_Sarah-Sakanda.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi-helps-provide-high-quality-care-to-pregnant-women.-Photos-by-Jhpiego_Sarah-Sakanda-300x169.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi-helps-provide-high-quality-care-to-pregnant-women.-Photos-by-Jhpiego_Sarah-Sakanda-768x432.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi-helps-provide-high-quality-care-to-pregnant-women.-Photos-by-Jhpiego_Sarah-Sakanda-960x540.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi-helps-provide-high-quality-care-to-pregnant-women.-Photos-by-Jhpiego_Sarah-Sakanda-375x211.jpg 375w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Nurse-midwife Pauline Jalisi helps provide high-quality care to pregnant women. Photos by Jhpiego/Sarah Sakanda.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>But the journey to jubilation is often long. Safe motherhood begins with high-quality maternal health services, which are often challenging to provide in Malawi. Although maternal deaths have been steadily decreasing, there are still \u003Ca href=\"https://data.worldbank.org/indicator/SH.STA.MMRT?locations=MW\">349 deaths per 100,000 deliveries\u003C/a> in the country. To ensure a happy and healthy delivery day, the Government of Malawi recommends that pregnant women attend eight antenatal visits at a health facility, in line with World Health Organization (WHO) recommendations. But few pregnant women meet this target, due to a range of barriers to care. \u003C/p>\n\n\n\n\u003Cp>Like Pauline, health workers in Malawi’s Blantyre region struggle to provide comprehensive high-quality care to pregnant women, due to gaps in staffing, skills and equipment. Pauline works at the only government health center in Zingwangwa, Malawi, which serves almost 140,000 people. Her day at the facility starts as early as 7 a.m., when she is welcomed by a waiting queue of pregnant women. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“\u003Cstrong>Every day, I serve at least 20 pregnant women and we have a minimum of five births. Even though we have hectic days, we make sure to provide dignified, human-centered care to any woman who arrives at the facility.”\u003C/strong> – Pauline Jalisi, a nurse-midwife in Malawi\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>Several years ago, Malawi adopted guidelines to provide at least one ultrasound scan to every pregnant woman to help detect maternal and fetal complications. This seemed to be a \u003Ca href=\"https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(21)00314-X/fulltext\">hard-to-realize dream for most health centers\u003C/a>, including the one where Pauline works, because ultrasounds aren’t routinely available at the health center level, and health workers don’t have the skills to use them. \u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-5 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"727\" height=\"1024\" src=\"https://jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi.-Photos-by-Jhpiego_Sarah-Sakanda.jpg\" alt=\"\" class=\"wp-image-2206\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi.-Photos-by-Jhpiego_Sarah-Sakanda.jpg 727w, https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi.-Photos-by-Jhpiego_Sarah-Sakanda-213x300.jpg 213w, https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi.-Photos-by-Jhpiego_Sarah-Sakanda-383x540.jpg 383w, https://api.jhpiego.org/wp-content/uploads/2025/05/Nurse-midwife-Pauline-Jalisi.-Photos-by-Jhpiego_Sarah-Sakanda-375x528.jpg 375w\" sizes=\"auto, (max-width: 727px) 100vw, 727px\" />\u003Cfigcaption class=\"wp-element-caption\">Nurse-midwife Pauline Jalisi. Photos by Jhpiego/Sarah Sakanda.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n\u003Cp>“Not so long ago, I was at pains every time I failed to timely assist women who had complications and had to be referred to our referral hospital at the eleventh hour because I was not able to detect the complications in good time,” Pauline says. “I had no skills or equipment to do an ultrasound for the pregnant women. This made me feel that I was failing the women because we have had a few cases where a woman would die on the way to the referral hospital.”\u003C/p>\n\n\n\n\u003Cp>But Pauline’s feeling that she’s failed these women was about to lessen. Through a collaboration between Jhpiego and Johns Hopkins Research Project – Blantyre as part of the \u003Ca href=\"https://hcdformnh.jhpiego.org/?_ga=2.250216902.1981109581.1682343483-1248103199.1680641302\">Antenatal/Postnatal Research Collective\u003C/a> (ARC), and in partnership with the Ministry of Health in Malawi, Pauline and two other midwives from the Zingwangwa Health Center joined 41 other midwives at a training on new service delivery technologies to increase continuity of care and improve quality of care. \u003C/p>\n\n\n\n\u003Cp>ARC collaborated with hundreds of women, their families, providers and community members in Ethiopia, Kenya, Malawi and Mali to explore service delivery approaches that provide safe, respectful and valuable experiences for women and their health care providers. In Malawi, ARC designed a study to explore the use of a portable ultrasound device called Butterfly iQ during antenatal care (ANC) services at the health facility and whether midwives could be trained efficiently to use the device.\u003C/p>\n\n\n\n\u003Cp>“This is the most extensive study of feasibility of ultrasound introduction in Malawi to date,” says Dr. Lisa Noguchi, Jhpiego’s Director of Maternal Health. “The study directly addresses WHO’s call for further implementation research on introduction of ultrasound in ANC.” \u003C/p>\n\n\n\n\u003Cp>The Butterfly iQ study was implemented in partnership with the Malawi Ministry of Health in 2021–2022 and the University of Malawi College of Medicine with funding from the Bill & Melinda Gates Foundation. \u003C/p>\n\n\n\n\u003Cp>Now, Pauline can conduct ultrasounds for pregnant women and her work has contributed to more effective collaboration with the local hospital. She is happy she can provide a more positive pregnancy experience for the many women from her area. \u003C/p>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>“Our quality of care at this community facility has been enhanced through the provision of ultrasound scanning to all pregnant women that come for the antenatal clinic,” she says. “Ever since I was trained, I have scanned over 100 women and referred those with complications to the referral hospital in good time. It brings so much joy to see the women happy to see their unborn babies and even hear their heartbeat. It’s something they have never experienced before.”\u003C/p>\n\n\n\n\u003Cp>At least 44 midwives from 10 health centers within Blantyre City and surrounding areas were trained to use the Butterfly iQ device by seven medical doctors from the Queen Elizabeth Central Hospital’s obstetrics and gynecology department. Over the course of the study, the health centers conducted 1,500 ultrasounds, and continue to offer them today. \u003C/p>\n\n\n\n\u003Cp>“I’m so happy that all centers managed to do successfully offer ultrasound scans, says Pauline. “[Even after the ARC study] midwives continue to provide ultrasounds to pregnant women in their health centers.”\u003C/p>\n\n\n\n\u003Cp>“We are delighted to see that the midwives have made a difference in the lives of over a thousand women in this short time and will continue to do so,” said Fidelis Sindani, Jhpiego’s Monitoring and Evaluation Director in Malawi. “The study has underscored the role of midwives in offering comprehensive, high-quality maternal health services.” Through this work, ARC is also contributing to learning around expanded scope of practice for midwives. \u003C/p>\n\n\n\n\u003Cp>\u003Cem>Sarah Sakanda is the knowledge and communication specialist in the Jhpiego Malawi office.\u003C/em>\u003C/p>\n","\u003Cp>In partnership with the Ministry of Health in Malawi, midwives learned how to use new service delivery technologies to increase continuity of care and improve quality of care. \u003C/p>\n","nurse-midwives-use-ultrasounds-to-improve-maternal-care-in-rural-malawi","https://jhpiego.org/our-stories/p/nurse-midwives-use-ultrasounds-to-improve-maternal-care-in-rural-malawi/","/our-stories/p/nurse-midwives-use-ultrasounds-to-improve-maternal-care-in-rural-malawi/","2023-05-24T20:16:00","2025-08-08T20:21:12",{"id":1788,"src":1789,"width":1790,"height":1791,"alt":20,"caption":20,"title":1792,"description":20,"mimeType":23,"html":1793,"srcset":1794,"sizes":1795,"meta":1796,"acf":1855},2205,"https://api.jhpiego.org/wp-content/uploads/2025/05/Pauline-Jalisi-using-an-ultrasound-on-a-patient_Malawi_Sarah-Sakanda.jpg",6240,4160,"Pauline Jalisi using an ultrasound on a patient_Malawi_Sarah Sakanda","\u003Cimg width=\"6240\" height=\"4160\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/05/Pauline-Jalisi-using-an-ultrasound-on-a-patient_Malawi_Sarah-Sakanda.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/05/Pauline-Jalisi-using-an-ultrasound-on-a-patient_Malawi_Sarah-Sakanda.jpg 6240w, https://api.jhpiego.org/wp-content/uploads/2025/05/Pauline-Jalisi-using-an-ultrasound-on-a-patient_Malawi_Sarah-Sakanda-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/05/Pauline-Jalisi-using-an-ultrasound-on-a-patient_Malawi_Sarah-Sakanda-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/05/Pauline-Jalisi-using-an-ultrasound-on-a-patient_Malawi_Sarah-Sakanda-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/05/Pauline-Jalisi-using-an-ultrasound-on-a-patient_Malawi_Sarah-Sakanda-1536x1024.jpg 1536w, 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FERGUSON PHOTOGRAPHY","Canon EOS 6D Mark II","1679310497","SANDRA FERGUSON PHOTOGRAPHY     COPYRIGHT AND USAGE RIGHTS","85",[],{"primaryColor":1856,"blurhash":1857},"#b7aeb9","UjJ@zr%$WCxayZR.V@NI%MRiemt6t8j[aybc",{"id":1859,"guid":1860,"title":1861,"content":1862,"excerpt":1863,"excerptRaw":1863,"slug":1864,"url":1865,"uri":1866,"to":1866,"status":325,"date":1867,"modified":1868,"type":328,"authorId":329,"featuredMedia":1869},4222,"https://jhpiego.netlify.app/?p=4222","Using Artificial Intelligence to Ensure the Right People Receive Malaria Meds","\n\u003Cp>Community health workers in Rwanda are on the front lines of testing women and their families for malaria. But there’s no reliable way to ensure health workers properly administer rapid diagnostic tests (RDTs) or read the results accurately. This can lead to a person receiving antimalarial medicine when they don’t actually need it.\u003C/p>\n\n\n\n\u003Cp id=\"09d7\">Complicating the situation is the fact that World Health Organization’s quality control guidelines offer limited guidance on administering RDTs in communities and on quality assurance standards. Additionally, country standards of care don’t yet offer consistent protocols to ensure that people who are treated for malaria truly have malaria and that they are first confirmed by a positive test before being treated.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"620\" height=\"1024\" src=\"https://jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-620x1024.png\" alt=\"\" class=\"wp-image-4226\" style=\"width:401px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-620x1024.png 620w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-182x300.png 182w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-327x540.png 327w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-375x620.png 375w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture.png 720w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" />\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\" id=\"aebb\">\u003Cstrong>How are we ensuring malaria tests are accurately performed before treatment is given?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp id=\"d72b\">\u003Ca href=\"http://www.jhpiego.org/\" rel=\"noreferrer noopener\" target=\"_blank\">Jhpiego\u003C/a> has partnered with \u003Ca href=\"https://www.linkedin.com/company/auderenow/\" rel=\"noreferrer noopener\" target=\"_blank\">Audere\u003C/a> and the \u003Ca href=\"https://rbc.gov.rw/index.php?id=188\" rel=\"noreferrer noopener\" target=\"_blank\">Malaria and Other Parasitic Diseases Division of the Rwanda Biomedical Center\u003C/a> to implement an evidence-based mobile app, \u003Ca href=\"https://healthpulsenow.org/\" rel=\"noreferrer noopener\" target=\"_blank\">HealthPulse\u003C/a> AI, with community health workers in Rwanda. The goal of the app is to facilitate high-quality administration of malaria tests in the community and generate real-time surveillance data of testing results. The digital app is currently being evaluated and used by leveraging existing community-based testing efforts in programs led by the government of Rwanda, and in some areas funded by the \u003Ca href=\"https://www.pmi.gov/\" rel=\"noreferrer noopener\" target=\"_blank\">President’s Malaria Initiative\u003C/a>. This Jhpiego/Audere/MOPDD project will assess both the feasibility and usability of the technology by community health workers in their daily routine, the impact of the collected data, and insights from use of the app.\u003C/p>\n\n\n\n\u003Cp id=\"bf2e\">Here’s how it works: A community health worker uses the app (whether online or offline) on the mobile device to take a photo of each RDT. Artificial intelligence (AI) in the app interprets the RDT result, allowing for a comparison between the health worker’s recorded interpretation and the AI interpretation, therefore illuminating the true positive rate of malaria cases. Shedding light onto the true positive rate will help identify issues and where additional training or quality improvement interventions are needed.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Why is this solution innovative?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp id=\"2512\">Digitally enhanced rapid malaria testing provides transparency into the number of malaria cases identified and treated and insight on how to improve the process. With this information, teams can improve program components in a timely fashion with a focus on improving treatment outcomes.\u003C/p>\n\n\n\n\u003Cp id=\"4d33\">This project is being supported through Jhpiego’s funding for new innovative and catalytic projects. While this project is focused on malaria, other disease-specific programs that use RDTs, including HIV, COVID-19, and sexually transmitted infections, could benefit from similar digital tools. Results will be shared after the project concludes in July 2023.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\" id=\"bab6\">\u003Cstrong>How will this project help catalyze global efforts towards malaria elimination?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp id=\"09ba\">The global health community is acutely aware and focused on the value of quality surveillance data to support the aim of ensuring that community health workers perform malaria tests before treating patients. Over-prescription of antimalarials continues to be a global concern, especially in malaria endemic countries with issues of emerging partial antimalarial drug resistance, prohibitive costs of medicines, and interrupted stock supply.\u003C/p>\n\n\n\n\u003Cp id=\"d593\">Solutions that support health workers to accurately administer RDTs, using AI to check on results, could increase access to services for patients by reducing the strain on overburdened health care resources by reducing costs for medication.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\" id=\"fc69\">\u003Cstrong>Conclusion\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp id=\"2800\">Empowering health workers to conduct diagnostic testing within their communities has been shown to effectively support underserved populations. Our project aims to optimize their efforts through timely feedback, efficient supervision, and transparent data, providing valuable insights for stakeholders.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>This story was originally published on Medium.com. \u003Ca href=\"https://medium.com/@Jhpiego/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds-f403ef66a97b\" data-type=\"link\" data-id=\"https://medium.com/@Jhpiego/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds-f403ef66a97b\">Read it here.\u003C/a>\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Financial support for Audere’s work was provided by the Bill & Melinda Gates Foundation, grant numbers INV-007492 and INV-054895.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Digitally enhanced malaria testing offers a measure of quality control.\u003C/p>\n","using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds","https://jhpiego.org/our-stories/p/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds/","/our-stories/p/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds/","2023-03-30T18:41:00","2025-08-18T18:56:46",{"id":1870,"src":1871,"width":18,"height":1387,"alt":20,"caption":20,"title":1872,"description":1873,"mimeType":23,"html":1874,"srcset":1875,"sizes":26,"meta":1876,"acf":1915},4230,"https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k.jpg","Malaria Medication_BurkinaFaso_2018","\u003Cp>Jacqueline Tiendrebeogo who is 35 years old and pregnant with her fourth child takes her malaria prevention tablets at  Kaounde Health Center Kaounde,  Burkina Faso\u003C/p>\n","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-1280x853.jpg 1280w, 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