[{"data":1,"prerenderedAt":1373},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":10,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":492,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":565,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":712,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":737,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":796,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":837,"$fheVU_UQCwf6MeDigVJW-wy-AVNncx2t487tmXgjANGc":878},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8,"fuxtApiVersion":9},"Jhpiego","We start with women&#039;s health, but we don&#039;t stop there.","https://api.jhpiego.org","https://jhpiego.org","https://api.jhpiego.org/wp-content/themes/fuxt-backend/screenshot.png","0.1.5",{"googleAnalytics":11,"socialSharedImage":16,"footerText":109,"footerEmail":110,"footerPhone":111,"footerImage":112,"introVideoBg":193,"searchHeaderImage":248,"":315,"hideFeaturedNewsPost":316,"featuredNewsPost":317,"menuFeaturedNews":374,"showCustomMenuItem":388,"menuFeaturedItem":389,"featuredBanner":455,"emailRecipients":491},[12,14],{"code":13},"G-MN8NG7QBCQ",{"code":15},"G-RNH48Z0R08",{"id":17,"src":18,"width":19,"height":20,"alt":21,"caption":22,"title":23,"description":21,"mimeType":24,"html":25,"srcset":26,"sizes":27,"meta":28,"acf":104},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",[96,97,98,99,100,101,102,103],"Bebedja","Chad","clinic nurse","farming","health volunteer","malaria","village","water",{"primaryColor":105,"blurhash":106,"videoUrl":21,"focalPointX":107,"focalPointY":108},"#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":34,"src":113,"width":114,"height":115,"alt":21,"caption":116,"title":117,"description":21,"mimeType":24,"html":118,"srcset":119,"sizes":120,"meta":121,"acf":189},"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":163,"height":251,"file":258,"filesize":259,"sizes":260,"imageMeta":302},"2025/04/Search-Header.jpeg",652939,{"medium":261,"large":264,"thumbnail":268,"mediumLarge":271,"1536x1536":275,"2048x2048":278,"postThumbnail":282,"socialPreview":286,"smallPreview":289,"mediumPreview":292,"largePreview":296,"fullscreenSmall":299},{"file":262,"width":34,"height":35,"mimeType":24,"filesize":263},"Search-Header-300x200.jpeg",40805,{"file":265,"width":39,"height":266,"mimeType":24,"filesize":267},"Search-Header-1024x683.jpeg",683,164502,{"file":269,"width":44,"height":44,"mimeType":24,"filesize":270},"Search-Header-150x150.jpeg",31471,{"file":272,"width":48,"height":273,"mimeType":24,"filesize":274},"Search-Header-768x512.jpeg",512,110463,{"file":276,"width":53,"height":39,"mimeType":24,"filesize":277},"Search-Header-1536x1024.jpeg",295479,{"file":279,"width":19,"height":280,"mimeType":24,"filesize":281},"Search-Header-2048x1366.jpeg",1366,451818,{"file":283,"width":284,"height":59,"mimeType":24,"filesize":285},"Search-Header-810x540.jpeg",810,119505,{"file":287,"width":63,"height":64,"mimeType":24,"filesize":288},"Search-Header-1200x630.jpeg",167119,{"file":290,"width":68,"height":69,"mimeType":24,"filesize":291},"Search-Header-375x250.jpeg",49537,{"file":293,"width":73,"height":294,"mimeType":24,"filesize":295},"Search-Header-960x640.jpeg",640,149615,{"file":297,"width":78,"height":79,"mimeType":24,"filesize":298},"Search-Header-1280x854.jpeg",225514,{"file":300,"width":83,"height":78,"mimeType":24,"filesize":301},"Search-Header-1920x1280.jpeg",410619,{"aperture":303,"credit":304,"camera":305,"caption":252,"createdTimestamp":306,"copyright":304,"focalLength":307,"iso":308,"shutterSpeed":309,"title":253,"orientation":310,"keywords":311},"4.5","KATE HOLT","Canon EOS 5D Mark III","1519805981","35","250","0.033333333333333","1",[],{"primaryColor":313,"blurhash":314},"#997c55","UNIgu,9a?bMy~UR,NfoLx@NfE2%Lt5E2M|Se",null,"true",{"id":318,"guid":319,"title":320,"content":321,"excerpt":322,"excerptRaw":322,"slug":323,"url":324,"uri":325,"to":325,"status":326,"date":327,"modified":328,"type":329,"authorId":330,"featuredMedia":331},8406,"https://jhpiego.org/?p=8406","Dr. Allyson Bear to Lead Jhpiego as New President and CEO","\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>Baltimore, MD\u003C/strong> &#8211; 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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">“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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">“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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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":332,"src":333,"width":63,"height":334,"alt":21,"caption":21,"title":335,"description":21,"mimeType":24,"html":336,"srcset":337,"sizes":338,"meta":339,"acf":369},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/",[21],"/policies-and-statements/",[],{"acf":879,"blocks":887,"title":1045,"terms":1046,"date":1091,"featuredMedia":1092,"next":1107,"prev":1184,"excerpt":1279,"seo":1280},{"credits":880},[881,884],{"role":882,"name":883},"By","Mohamed Dauda Kamara",{"role":885,"name":886},"Technical review by","Laura Fitzgerald",[888,894,950,953,956,959,962,965,968,971,974,977,980,983,1018,1021,1024,1027,1030,1033,1036,1039,1042],{"blockName":889,"attrs":890,"innerHtml":891},"core/paragraph",{"content":891,"dropCap":892,"id":315,"tagName":893},"\u003Cem>At Lungi Government Hospital, a shift in how maternity care is delivered is helping more women give birth safely.\u003C/em>",false,"p",{"blockName":895,"attrs":896,"innerHtml":902,"embed":903},"core/image",{"alt":21,"caption":897,"href":315,"id":315,"isDecorative":892,"linkClass":315,"linkDestination":898,"linkTarget":315,"rel":315,"sizeSlug":899,"tagName":900,"title":315,"url":901},"Dr. Alusine Yillah, Medical Superintendent, Lungi Government Hospital. Photo by Mohamed Dauda Kamara for Jhpiego.","none","large","figure","https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1024x682.jpg","\u003Cimg src=\"https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1024x682.jpg\" alt=\"\" class=\"wp-image-10348\">\u003Cfigcaption class=\"wp-element-caption\">Dr. Alusine Yillah, Medical Superintendent, Lungi Government Hospital. Photo by Mohamed Dauda Kamara for Jhpiego.\u003C/figcaption>",{"id":904,"src":905,"width":906,"height":907,"alt":21,"caption":897,"title":908,"description":21,"mimeType":24,"html":909,"srcset":910,"sizes":911,"meta":912,"acf":947},10348,"https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara.jpg",1379,919,"Dr. Alusine Yillah_Sierra Leone_2026_Mohamed Kamara","\u003Cimg width=\"1379\" height=\"919\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara.jpg 1379w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1024x682.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1280x853.jpg 1280w\" sizes=\"auto, (max-width: 1379px) 100vw, 1379px\" />","https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara.jpg 1379w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1024x682.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1280x853.jpg 1280w","(max-width: 1379px) 100vw, 1379px",{"width":906,"height":907,"file":913,"filesize":914,"sizes":915,"imageMeta":945},"2026/11/Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara.jpg",219293,{"medium":916,"large":919,"thumbnail":923,"mediumLarge":926,"postThumbnail":929,"socialPreview":932,"smallPreview":935,"mediumPreview":938,"largePreview":941},{"file":917,"width":34,"height":35,"mimeType":24,"filesize":918},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-300x200.jpg",11657,{"file":920,"width":39,"height":921,"mimeType":24,"filesize":922},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1024x682.jpg",682,71846,{"file":924,"width":44,"height":44,"mimeType":24,"filesize":925},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-150x150.jpg",5968,{"file":927,"width":48,"height":273,"mimeType":24,"filesize":928},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-768x512.jpg",45310,{"file":930,"width":284,"height":59,"mimeType":24,"filesize":931},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-810x540.jpg",49597,{"file":933,"width":63,"height":64,"mimeType":24,"filesize":934},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1200x630.jpg",75333,{"file":936,"width":68,"height":69,"mimeType":24,"filesize":937},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-375x250.jpg",16213,{"file":939,"width":73,"height":294,"mimeType":24,"filesize":940},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-960x640.jpg",64278,{"file":942,"width":78,"height":943,"mimeType":24,"filesize":944},"Dr.-Alusine-Yillah_Sierra-Leone_2026_Mohamed-Kamara-1280x853.jpg",853,106156,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":946,"alt":21},[],{"primaryColor":948,"blurhash":949},"#b5aaa1","UEH.1p00?v%2+rx]IpRi%LafIBWB_ND%RPR+",{"blockName":889,"attrs":951,"innerHtml":952},{"content":952,"dropCap":892,"id":315,"tagName":893},"Established in 1954, Lungi Government Hospital serves the coastal town of Lungi and surrounding communities in Sierra Leone's lower Port Loko region. The facility provides essential medical and emergency services and conducts more than 80 deliveries each month.",{"blockName":889,"attrs":954,"innerHtml":955},{"content":955,"dropCap":892,"id":315,"tagName":893},"For nearly a decade, Dr. Alusine Yillah, the hospital's medical superintendent, spent much of his day in the operating room, responding to patients who needed cesarean sections.",{"blockName":889,"attrs":957,"innerHtml":958},{"content":958,"dropCap":892,"id":315,"tagName":893},"\"Most times, we were blind to what was happening in the maternity ward because we just cared about performing cesarean sections,\" said Dr. Yillah. \"We were always in the operating room.\"",{"blockName":889,"attrs":960,"innerHtml":961},{"content":961,"dropCap":892,"id":315,"tagName":893},"As a result, there was limited coordination and shared decision-making between Dr. Yillah and the midwives in the maternity ward.",{"blockName":889,"attrs":963,"innerHtml":964},{"content":964,"dropCap":892,"id":315,"tagName":893},"The maternity ward relied on a partograph to monitor labor progress. While useful, the tool focused heavily on cervical dilation and offered limited guidance on other aspects of maternal and fetal well-being. As a result, health care workers sometimes missed early warning signs of complications and found themselves responding to emergencies rather than preventing them.",{"blockName":889,"attrs":966,"innerHtml":967},{"content":967,"dropCap":892,"id":315,"tagName":893},"That began to change in November 2025, when Dr. Yillah participated in a six-day national maternal and newborn health training for doctors, organized by the U.S. Department of State-funded\u003Ca href=\"https://jhpiego.org/areas-of-expertise/momentum-country-and-global-leadership/\" data-type=\"link\" data-id=\"https://jhpiego.org/areas-of-expertise/momentum-country-and-global-leadership/\"> MOMENTUM Country and Global Leadership\u003C/a> project. Through practical sessions on obstetric emergency management and essential newborn care, Dr. Yillah and 16 other doctors strengthened their skills in managing labor, responding to obstetric emergencies, and providing quality care for newborns.",{"blockName":889,"attrs":969,"innerHtml":970},{"content":970,"dropCap":892,"id":315,"tagName":893},"As part of the training, they were introduced to the Labor Care Guide, an updated tool recommended by the World Health Organization. Building on the traditional partograph, the Labor Care Guide helps skilled birth attendants monitor labor, recognize potential complications, and coordinate care around the needs of each mother and newborn.",{"blockName":889,"attrs":972,"innerHtml":973},{"content":973,"dropCap":892,"id":315,"tagName":893},"\"I find the use of the Labor Care Guide brings quality to delivery,” said Dr. Yillah. “It enhances team coordination and brings everyone together.”",{"blockName":889,"attrs":975,"innerHtml":976},{"content":976,"dropCap":892,"id":315,"tagName":893},"The training also reinforced the importance of coordinated care during labor, clearly defined responsibilities among health care providers, early recognition of complications, and respectful maternity care—all essential to safer deliveries for mothers and their newborns.",{"blockName":889,"attrs":978,"innerHtml":979},{"content":979,"dropCap":892,"id":315,"tagName":893},"After the training, Dr. Yillah returned to Lungi Government Hospital and championed the introduction and adoption of the Labor Care Guide. He worked closely with midwives, nurses, and clinicians through mentorship and on-the-job coaching to support its effective use.",{"blockName":889,"attrs":981,"innerHtml":982},{"content":982,"dropCap":892,"id":315,"tagName":893},"“The training improved my knowledge not only in conducting deliveries but also in properly managing obstetric emergencies,\" Dr. Yillah said. \"It has changed how we support women during labor and helped us make better clinical decisions.\"",{"blockName":895,"attrs":984,"innerHtml":987,"embed":988},{"alt":21,"caption":315,"href":315,"id":315,"isDecorative":892,"linkClass":315,"linkDestination":898,"linkTarget":315,"rel":315,"sizeSlug":985,"tagName":900,"title":315,"url":986},"full","https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara.jpg","\u003Cimg src=\"https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara.jpg\" alt=\"\" class=\"wp-image-10349\">",{"id":989,"src":986,"width":990,"height":991,"alt":21,"caption":992,"title":993,"description":21,"mimeType":24,"html":994,"srcset":995,"sizes":996,"meta":997,"acf":1015},10349,602,452,"Dr. Yillah mentors health care workers on using the Labor Care Guide in the maternity ward at Lungi Government Hospital. Photo by Mohamed Dauda Kamara for Jhpiego.","Dr. Alusine Yillah Mentoring_Sierra Leone_2026_Mohamed Kamara","\u003Cimg width=\"602\" height=\"452\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara.jpg 602w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara-374x281.jpg 374w\" sizes=\"auto, (max-width: 602px) 100vw, 602px\" />","https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara.jpg 602w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara-374x281.jpg 374w","(max-width: 602px) 100vw, 602px",{"width":990,"height":991,"file":998,"filesize":999,"sizes":1000,"imageMeta":1013},"2026/11/Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara.jpg",84448,{"thumbnail":1001,"medium":1004,"smallPreview":1008},{"width":44,"height":44,"file":1002,"mimeType":24,"filesize":1003},"Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara-150x150.jpg",8132,{"width":34,"height":1005,"file":1006,"mimeType":24,"filesize":1007},225,"Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara-300x225.jpg",19419,{"width":1009,"height":1010,"file":1011,"mimeType":24,"filesize":1012},374,281,"Dr.-Alusine-Yillah-Mentoring_Sierra-Leone_2026_Mohamed-Kamara-374x281.jpg",27655,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1014,"alt":21},[],{"primaryColor":1016,"blurhash":1017,"videoUrl":21,"focalPointX":21,"focalPointY":21},"#c4b6a4","UXH-=AD+t6og~oE1M{o#xt%MW=RPjZt6W?WA",{"blockName":889,"attrs":1019,"innerHtml":1020},{"content":1020,"dropCap":892,"id":315,"tagName":893},"Today, Dr. Yillah and his fellow surgeons are more actively involved in the maternity ward. Rather than waiting in the operating room to respond to emergencies, they work alongside midwives and other health care providers to monitor labor progress and support clinical decision-making.",{"blockName":889,"attrs":1022,"innerHtml":1023},{"content":1023,"dropCap":892,"id":315,"tagName":893},"The team meets regularly to discuss challenges and opportunities for improvement. Weekly maternal and newborn health mentorship sessions have strengthened providers' ability to recognize complications early and respond appropriately. Through the Labor Care Guide and clearly defined roles and responsibilities, the team is improving coordination and ensuring women receive timely, appropriate care throughout labor and delivery.",{"blockName":889,"attrs":1025,"innerHtml":1026},{"content":1026,"dropCap":892,"id":315,"tagName":893},"With stronger provider capacity and routine use of the Labor Care Guide, the cesarean section rate fell from 47.5 percent to 25.9 percent between January and August 2026, while spontaneous vaginal deliveries increased from 52.5 percent to 74.1 percent. These improvements in clinical decision-making and labor management came even as the number of deliveries increased from 611 to 718.",{"blockName":889,"attrs":1028,"innerHtml":1029},{"content":1029,"dropCap":892,"id":315,"tagName":893},"The hospital also demonstrated improvements in newborn outcomes. Live births increased from 184 in early 2025 to 493 in the Spring of 2026, while the stillbirth rate declined from 6 percent to 3 percent.",{"blockName":889,"attrs":1031,"innerHtml":1032},{"content":1032,"dropCap":892,"id":315,"tagName":893},"With support from the MOMENTUM Country and Global Leadership project, the Lungi Government Hospital is demonstrating the power of investments in health worker capacity building and proven clinical tools in improving maternal and newborn care. Frontline health workers like Dr. Yillah are gaining the lifesaving skills, confidence, and leadership needed to deliver safer, higher-quality maternal and newborn health services and support Sierra Leone's efforts to reduce preventable maternal and newborn deaths.",{"blockName":889,"attrs":1034,"innerHtml":1035},{"content":1035,"dropCap":892,"id":315,"tagName":893},"--",{"blockName":889,"attrs":1037,"innerHtml":1038},{"content":1038,"dropCap":892,"id":315,"tagName":893},"\u003Cem>Implemented by Jhpiego, the MOMENTUM Country and Global Leadership project is funded by the U.S. Department of State. It works with Sierra Leone's Ministry of Health and other national and district partners to strengthen health systems and improve maternal, newborn, and child health and nutrition outcomes.\u003C/em>",{"blockName":889,"attrs":1040,"innerHtml":1041},{"content":1041,"dropCap":892,"id":315,"tagName":893},"\u003Cem>Between October 2025 and September 2026, the project reached 209,254 women, newborns, and children with improved, lifesaving services across supported facilities in Bo, Koinadugu, Pujehun, Port Loko, and Karene districts. During this period, 38,390 women were protected from life-threatening pregnancy and childbirth complications, and 38,348 newborns were saved from life-threatening conditions.\u003C/em>",{"blockName":889,"attrs":1043,"innerHtml":1044},{"content":1044,"dropCap":892,"id":315,"tagName":893},"\u003Cem>Mohamed Dauda Kamara is a Communications Knowledge Management Officer for Jhpiego Sierra Leone.\u003C/em> \u003Cem>Laura Fitzgerald is a Principal Technical Advisor for the MOMENTUM Country and Global Leadership project.\u003Cbr>\u003C/em>","From Reactive Care to Safer Births: Transforming Maternal Health in Sierra Leone",{"category":1047,"postTag":1059,"postFormat":315,"areaOfExpertiseTax":1082,"expertsTag":1086},[1048,1053],{"id":1049,"name":1050,"slug":1051,"parent":315,"uri":1052,"to":1052},21,"Africa","africa","/our-stories/c/africa/",{"id":1054,"name":1055,"slug":1056,"parent":1057,"uri":1058,"to":1058},54,"Sierra Leone","sierra-leone",{"id":1049,"name":1050,"slug":1051,"parent":315,"uri":1052,"to":1052},"/our-stories/c/africa/sierra-leone/",[1060,1065,1070,1075,1080],{"id":1061,"name":1062,"slug":1063,"parent":315,"uri":1064,"to":1064},241,"Care Focus Area","care-focus-area","/our-stories/c/care-focus-area/",{"id":1066,"name":1067,"slug":1068,"parent":315,"uri":1069,"to":1069},297,"Labor Care Guide","labor-care-guide","/our-stories/c/labor-care-guide/",{"id":1071,"name":1072,"slug":1073,"parent":315,"uri":1074,"to":1074},99,"Maternal Health","maternal-health","/our-stories/c/maternal-health/",{"id":1076,"name":1077,"slug":1078,"parent":315,"uri":1079,"to":1079},296,"MOMENTUM","momentum","/our-stories/c/momentum/",{"id":44,"name":731,"slug":1081,"parent":315,"uri":735,"to":735},"story",[1083],{"id":1084,"name":660,"slug":1085,"parent":315,"uri":665,"to":665},181,"maternal-newborn-and-child-health",[1087],{"id":1088,"name":886,"slug":1089,"parent":315,"uri":1090,"to":1090},298,"laura-fitzgerald","/our-stories/p/our-stories/c/laura-fitzgerald/","2026-11-13T18:06:32",{"id":904,"src":905,"width":906,"height":907,"alt":21,"caption":897,"title":908,"description":21,"mimeType":24,"html":909,"srcset":910,"sizes":911,"meta":1093,"acf":1106},{"width":906,"height":907,"file":913,"filesize":914,"sizes":1094,"imageMeta":1104},{"medium":1095,"large":1096,"thumbnail":1097,"mediumLarge":1098,"postThumbnail":1099,"socialPreview":1100,"smallPreview":1101,"mediumPreview":1102,"largePreview":1103},{"file":917,"width":34,"height":35,"mimeType":24,"filesize":918},{"file":920,"width":39,"height":921,"mimeType":24,"filesize":922},{"file":924,"width":44,"height":44,"mimeType":24,"filesize":925},{"file":927,"width":48,"height":273,"mimeType":24,"filesize":928},{"file":930,"width":284,"height":59,"mimeType":24,"filesize":931},{"file":933,"width":63,"height":64,"mimeType":24,"filesize":934},{"file":936,"width":68,"height":69,"mimeType":24,"filesize":937},{"file":939,"width":73,"height":294,"mimeType":24,"filesize":940},{"file":942,"width":78,"height":943,"mimeType":24,"filesize":944},{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1105,"alt":21},[],{"primaryColor":948,"blurhash":949},{"id":1108,"guid":1109,"title":1110,"content":1111,"excerpt":1112,"excerptRaw":1112,"slug":1113,"url":1114,"uri":1115,"to":1115,"status":326,"date":1116,"modified":1117,"type":329,"authorId":525,"featuredMedia":1118,"terms":1155,"acf":1179},3411,"https://jhpiego.netlify.app/?p=3411","Three Births, Three Complications, Three Lives Saved","\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>Jakarta, Indonesia—\u003C/strong>Restiani was just 28 weeks pregnant when she went into labor. Her husband, Martudilah, drove her by motorbike on the 30-minute journey to their public hospital where she gave birth to a premature, underweight boy, Edgar.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Hamriani was much further along—38 weeks. She awoke one night with a throbbing headache and realized she was having contractions. In a borrowed car, her husband took her to their health center where midwives quickly identified the warning signs for pre-eclampsia, a life-threatening hypertensive disorder.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Desi was 40 weeks pregnant and ready to have her baby. But after delivering her son, the placenta failed to follow, and Desi began bleeding heavily.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Three births. Three serious complications. Three opportunities to ensure a pregnant woman survived childbirth.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1365\" height=\"2048\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k.jpg\" alt=\"\" class=\"wp-image-3420\" style=\"width:508px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k.jpg 1365w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-200x300.jpg 200w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-683x1024.jpg 683w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-768x1152.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-1024x1536.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-360x540.jpg 360w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-375x563.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-960x1440.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-1280x1920.jpg 1280w\" sizes=\"auto, (max-width: 1365px) 100vw, 1365px\" />\u003Cfigcaption class=\"wp-element-caption\">Restiani swaddled her newborn son to her chest, adopting a skin-to-skin contact method that helps premature babies thrive.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">The experiences of Restiani, Hamriani and Desi are not unique. Throughout Indonesia, complications at birth continue to threaten the lives of women and their babies. The number of maternal and newborn deaths in Indonesia remains unacceptably high and, by some indications, has increased. From 2007 to 2012, for example, Indonesia’s estimated maternal mortality ratio increased from 228 to 359 deaths for every 100,000 births.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">These three women, fortunately, survived pregnancy and childbirth with the help of the Expanding Maternal and Neonatal Survival (EMAS) program that was launched by the government of Indonesia through the support of the U.S. Agency for International Development (USAID). EMAS, a program led by Jhpiego, works across the health system from village center to hospital to strengthen business practices, supervision and oversight of health service providers and the skills of individual midwives.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The EMAS program helps train health workers to recognize and manage complicated labors like those Desi and Hamriani experienced. Twice a month, the midwives and nurses at Hamriani’s health center practice emergency drills to ensure that they’re always confident and ready to take action when the need arises. In fact, the very same day that Hamriani arrived at her health center with pre-eclampsia, midwives there had just completed a skill-building session on addressing pregnancy-related high blood pressure and its impact on mother and child. With skills fresh on their minds, the midwives worked together as a team, each managing a different aspect of Hamriani’s difficult labor. An hour later, she gave birth to a healthy baby.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-683x1024.jpg\" alt=\"\" class=\"wp-image-3422\" style=\"width:508px\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-683x1024.jpg 683w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-200x300.jpg 200w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-768x1152.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-1024x1536.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-360x540.jpg 360w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-375x563.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-960x1440.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-1280x1920.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k.jpg 1365w\" sizes=\"auto, (max-width: 683px) 100vw, 683px\" />\u003Cfigcaption class=\"wp-element-caption\">An EMAS-supported emergency text messaging referral system got Desi the help she needed to survive severe bleeding after birth.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"has-text-align-left wp-block-paragraph\"> For Desi, even those skills weren’t enough—she needed to be referred to the nearby public hospital. Through EMAS, an emergency text message-based referral system was in place, so the staff of the referral hospital was ready with the right blood type for transfusion, key supplies and the necessary intervention for Desi when she arrived.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Restiani’s case, her newborn son Edgar needed attention. He was taken into intensive care immediately after birth and stabilized. Midwives showed Restiani how to hold him skin-to-skin to transfer body warmth—an intervention called kangaroo mother care, which has been shown to increase a baby’s weight, prevent hypothermia and create a bond between parents and their newborn. Every day, Restiani swaddled Edgar against her chest. Today, they’re both safe and healthy.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">USAID’s EMAS program works in 30 districts and cities, which include 150 hospitals and 300 health centers, to ensure that pregnant women like Hamriani, Desi and Restiani survive childbirth and deliver healthy babies.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">From encouraging expectant mothers to give birth at a health facility to ensuring that health workers have the skills and confidence to manage complicated births, EMAS is helping build bright futures for mothers, newborns and families across Indonesia.\u003C/p>\n","\u003Cp>Three births. Three serious complications. Three opportunities to ensure a pregnant woman survived childbirth.\u003C/p>\n","three-births-three-complications-three-lives-saved","https://jhpiego.org/our-stories/p/three-births-three-complications-three-lives-saved/","/our-stories/p/three-births-three-complications-three-lives-saved/","2016-01-21T19:09:58","2025-08-21T13:34:07",{"id":1119,"src":1120,"width":1121,"height":1122,"alt":21,"caption":21,"title":1123,"description":21,"mimeType":24,"html":1124,"srcset":1125,"sizes":1126,"meta":1127,"acf":1152},3700,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg",773,623,"Story-three births-Feature Image","\u003Cimg width=\"773\" height=\"623\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg 773w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-300x242.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-768x619.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-670x540.jpg 670w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-375x302.jpg 375w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg 773w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-300x242.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-768x619.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-670x540.jpg 670w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-375x302.jpg 375w","(max-width: 773px) 100vw, 773px",{"width":1121,"height":1122,"file":1128,"filesize":1129,"sizes":1130,"imageMeta":1150},"2025/08/Story-three-births-Feature-Image.jpg",51099,{"medium":1131,"thumbnail":1135,"mediumLarge":1138,"postThumbnail":1142,"smallPreview":1146},{"file":1132,"width":34,"height":1133,"mimeType":24,"filesize":1134},"Story-three-births-Feature-Image-300x242.jpg",242,15239,{"file":1136,"width":44,"height":44,"mimeType":24,"filesize":1137},"Story-three-births-Feature-Image-150x150.jpg",6625,{"file":1139,"width":48,"height":1140,"mimeType":24,"filesize":1141},"Story-three-births-Feature-Image-768x619.jpg",619,69307,{"file":1143,"width":1144,"height":59,"mimeType":24,"filesize":1145},"Story-three-births-Feature-Image-670x540.jpg",670,56239,{"file":1147,"width":68,"height":1148,"mimeType":24,"filesize":1149},"Story-three-births-Feature-Image-375x302.jpg",302,21649,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1151},[],{"primaryColor":1153,"blurhash":1154},"#6c6f65","UJHK?=%$0rTH0q$x~3IW%fE2wd$4.6a$Icxp",{"category":1156,"postTag":1168,"postFormat":315,"areaOfExpertiseTax":1174,"expertsTag":315},[1157,1162],{"id":1158,"name":1159,"slug":1160,"parent":315,"uri":1161,"to":1161},20,"Asia","asia","/our-stories/c/asia/",{"id":1163,"name":1164,"slug":1165,"parent":1166,"uri":1167,"to":1167},115,"Indonesia","indonesia",{"id":1158,"name":1159,"slug":1160,"parent":315,"uri":1161,"to":1161},"/our-stories/c/asia/indonesia/",[1169,1170,1173],{"id":1071,"name":1072,"slug":1073,"parent":315,"uri":1074,"to":1074},{"id":1171,"name":687,"slug":1172,"parent":315,"uri":692,"to":692},94,"primary-health-care",{"id":44,"name":731,"slug":1081,"parent":315,"uri":735,"to":735},[1175,1178],{"id":1176,"name":585,"slug":1177,"parent":315,"uri":589,"to":589},141,"family-planning-reproductive-health",{"id":1084,"name":660,"slug":1085,"parent":315,"uri":665,"to":665},{"credits":1180},[1181],{"role":1182,"name":1183},"Author","Syane Luntungan",{"id":1185,"guid":1186,"title":1187,"content":1188,"excerpt":1189,"excerptRaw":1189,"slug":1190,"url":1191,"uri":1192,"to":1192,"status":326,"date":1193,"modified":1194,"type":329,"authorId":330,"featuredMedia":1195,"terms":1229,"acf":1271},10185,"https://jhpiego.org/?p=10185","Who pays for impact? A candid conversation about healthtech business models ","\n\u003Cp class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">\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.&nbsp;\u003C/em>&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Many high-level organizational characteristics such as legal structure, leadership background, and earned income share did not predict greater financial stability.\u003C/em>&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">\u003Cem>This conversation has been condensed and edited for clarity.\u003C/em>&nbsp;\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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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-8f761849 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 height=\"720\" style=\"aspect-ratio: 1280 / 720;\" width=\"1280\" 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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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-8f761849 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 height=\"720\" style=\"aspect-ratio: 1280 / 720;\" width=\"1280\" 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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">Working with government guarantees scale, but has its own significant pitfalls.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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-8f761849 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 height=\"720\" style=\"aspect-ratio: 1280 / 720;\" width=\"1280\" 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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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-8f761849 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 height=\"720\" style=\"aspect-ratio: 1280 / 720;\" width=\"1280\" 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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\u003Cstrong>Folake:\u003C/strong> I agree 100%. The Bible says, &#8220;love covers over a multitude of sins,&#8221; 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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\u003Cstrong>Folake:\u003C/strong> What we’ve learned, and we’re still learning, is how to simplify.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">\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 class=\"wp-block-paragraph\">\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":1196,"src":1197,"width":63,"height":334,"alt":21,"caption":21,"title":1198,"description":21,"mimeType":24,"html":1199,"srcset":1200,"sizes":338,"meta":1201,"acf":1226},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, 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