[{"data":1,"prerenderedAt":1293},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":9,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":512,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":585,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":732,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":757,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":809,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":850,"$f4t0PgkRBHh-XzVzPPFHQgIN-x_HrZGOu6TIDedZumKY":891},{"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":511},[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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Instead of navigating three lines across three days, she receives everything she needs during a single clinic visit. This is care that feels seamless, efficient, dignified, and centered on her life, not the health system.",{"blockName":899,"attrs":967,"innerHtml":968},{"content":968,"dropCap":902,"id":314,"tagName":903},"This is the promise of integrated care: health systems organized around people, not programs.",{"blockName":970,"attrs":971,"innerHtml":972},"core/heading",{"content":972,"id":314,"level":536,"tagName":973},"\u003Cstrong>The Challenge: Systems Built for Programs, Not People\u003C/strong>","h3",{"blockName":899,"attrs":975,"innerHtml":976},{"content":976,"dropCap":902,"id":314,"tagName":903},"For two decades, HIV programs have saved millions of lives. They have enabled the rapid scale-up of testing, treatment, and prevention and built robust supply chains and data systems that transformed HIV from a fatal diagnosis into a manageable condition.",{"blockName":899,"attrs":978,"innerHtml":979},{"content":979,"dropCap":902,"id":314,"tagName":903},"But these gains came with trade-offs. HIV services were often delivered through vertical systems. These systems were specialized, externally resourced, and operated in parallel with broader health systems. Over time, this approach created fragmentation, inefficiency, and significant administrative burdens for frontline providers. The result? Systems that worked for programs but not always for people.",{"blockName":970,"attrs":981,"innerHtml":982},{"content":982,"id":314,"level":536,"tagName":973},"\u003Cstrong>Why Now?\u003C/strong>",{"blockName":899,"attrs":984,"innerHtml":985},{"content":985,"dropCap":902,"id":314,"tagName":903},"Today, that legacy is meeting a changing reality. Donor financing is shifting toward government-led approaches. Global reforms emphasize alignment, efficiency, and sustainability. The push for country ownership reinforces \"one plan, one budget\" thinking.",{"blockName":899,"attrs":987,"innerHtml":988},{"content":988,"dropCap":902,"id":314,"tagName":903},"These shifts reflect deeper transitions from externally driven, program-specific priorities to integrated, country-led health systems. Integration is no longer merely conceptual; it is becoming a practical necessity.",{"blockName":970,"attrs":990,"innerHtml":991},{"content":991,"id":314,"level":536,"tagName":973},"\u003Cstrong>Integration in Practice: Progress and Gaps\u003C/strong>",{"blockName":899,"attrs":993,"innerHtml":994},{"content":994,"dropCap":902,"id":314,"tagName":903},"In many settings, integrated care is already taking shape.",{"blockName":996,"attrs":997,"innerHtml":999,"innerBlocks":1000},"core/quote",{"citation":314,"id":314,"tagName":998,"value":20},"blockquote","\n\u003Cp>\"I receive the services I need all on the same day. It saves me so much time. And I don't feel stigmatized because the clinic doesn't only offer ART. It feels like I'm just coming for my health, like anyone else.\" —Health facility client, Botswana\u003C/p>\n",[1001],{"blockName":899,"attrs":1002,"innerHtml":1003},{"content":1003,"dropCap":902,"id":314,"tagName":903},"\"I receive the services I need all on the same day. It saves me so much time. And I don't feel stigmatized because the clinic doesn't only offer ART. It feels like I'm just coming for my health, like anyone else.\" —Health facility client, Botswana",{"blockName":996,"attrs":1005,"innerHtml":1006,"innerBlocks":1007},{"citation":314,"id":314,"tagName":998,"value":20},"\n\u003Cp>\"I can now offer my clients a whole range of services. When I go out for HIV testing, I also screen for hypertension and diabetes. Clients, especially our older ones, become far more interested when we offer a variety of services.\" —Community health worker, Botswana\u003C/p>\n",[1008],{"blockName":899,"attrs":1009,"innerHtml":1010},{"content":1010,"dropCap":902,"id":314,"tagName":903},"\"I can now offer my clients a whole range of services. When I go out for HIV testing, I also screen for hypertension and diabetes. Clients, especially our older ones, become far more interested when we offer a variety of services.\" —Community health worker, Botswana",{"blockName":899,"attrs":1012,"innerHtml":1013},{"content":1013,"dropCap":902,"id":314,"tagName":903},"These experiences show what works: fewer visits, reduced stigma, and more holistic care. But progress remains uneven. In many facilities, clients still navigate multiple clinics on different days. Providers deliver multiple services yet remain bound by siloed workflows, separate registers, and fragmented funding streams.",{"blockName":899,"attrs":1015,"innerHtml":1016},{"content":1016,"dropCap":902,"id":314,"tagName":903},"This is the tension today. Integration is visible, but it remains inconsistent.",{"blockName":970,"attrs":1018,"innerHtml":1019},{"content":1019,"id":314,"level":536,"tagName":973},"\u003Cstrong>How Do We Ensure Integration Works?\u003C/strong>",{"blockName":899,"attrs":1021,"innerHtml":1022},{"content":1022,"dropCap":902,"id":314,"tagName":903},"Jhpiego's experience across more than 40 countries suggests that integration often emerges not from explicit strategies but from investments in quality, capacity, and coordination that create the right conditions. Three approaches have proven particularly effective:",{"blockName":1024,"attrs":1025,"innerHtml":1028,"innerBlocks":1029},"core/list",{"id":314,"ordered":387,"start":517,"tagName":1026,"values":1027},"ol","\n\n\n\n","\n\u003Cli>\u003Cstrong>Build provider capacity for integrated care.\u003C/strong> Multiskilled providers are foundational. When an antenatal nurse can conduct HIV testing, screen for tuberculosis and sexually transmitted infections (STIs), provide malaria prevention, and offer nutrition counseling during a single visit, integration becomes real. Sustainable mentorship and peer-learning networks ensure that providers are supported, not isolated.\u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Use data to drive continuous improvement. \u003C/strong>Integration succeeds when gaps are visible and teams can act together. Quality improvement teams are powerful not because they were designed for integration but because they enable cross-cutting problem-solving. A team working to improve maternal outcomes naturally encounters issues that span multiple programs.\u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Create governance that enables coordination.\u003C/strong> Effective governance uses existing authority to convene siloed programs under unified coordination. When HIV, tuberculosis, malaria, and nutrition managers participate in shared planning discussions, vertical programs shift from parallel implementation to collaborative problem-solving.\u003C/li>\n",[1030,1035,1038],{"blockName":1031,"attrs":1032,"innerHtml":1033},"core/list-item",{"content":1033,"id":314,"tagName":1034},"\u003Cstrong>Build provider capacity for integrated care.\u003C/strong> Multiskilled providers are foundational. When an antenatal nurse can conduct HIV testing, screen for tuberculosis and sexually transmitted infections (STIs), provide malaria prevention, and offer nutrition counseling during a single visit, integration becomes real. Sustainable mentorship and peer-learning networks ensure that providers are supported, not isolated.","li",{"blockName":1031,"attrs":1036,"innerHtml":1037},{"content":1037,"id":314,"tagName":1034},"\u003Cstrong>Use data to drive continuous improvement. \u003C/strong>Integration succeeds when gaps are visible and teams can act together. Quality improvement teams are powerful not because they were designed for integration but because they enable cross-cutting problem-solving. A team working to improve maternal outcomes naturally encounters issues that span multiple programs.",{"blockName":1031,"attrs":1039,"innerHtml":1040},{"content":1040,"id":314,"tagName":1034},"\u003Cstrong>Create governance that enables coordination.\u003C/strong> Effective governance uses existing authority to convene siloed programs under unified coordination. When HIV, tuberculosis, malaria, and nutrition managers participate in shared planning discussions, vertical programs shift from parallel implementation to collaborative problem-solving.",{"blockName":970,"attrs":1042,"innerHtml":1043},{"content":1043,"id":314,"level":536,"tagName":973},"\u003Cstrong>Building Better Care Together\u003C/strong>",{"blockName":899,"attrs":1045,"innerHtml":1046},{"content":1046,"dropCap":902,"id":314,"tagName":903},"The purpose of integration is not integration itself; it is better care for people.",{"blockName":899,"attrs":1048,"innerHtml":1049},{"content":1049,"dropCap":902,"id":314,"tagName":903},"When health systems align financing, governance, data, and workforce capacity around shared goals, providers gain the flexibility to organize services around patients' needs. People receive more comprehensive, coordinated care with fewer missed opportunities.",{"blockName":899,"attrs":1051,"innerHtml":1052},{"content":1052,"dropCap":902,"id":314,"tagName":903},"The challenge for policymakers, donors, and health system leaders is clear: invest in and strengthen the system capabilities that enable integration to thrive. Build systems that facilitate collaboration and continuous improvement, and providers will do what they do best: organize care around the people they serve.",{"blockName":899,"attrs":1054,"innerHtml":1055},{"content":1055,"dropCap":902,"id":314,"tagName":903},"Success should ultimately be measured by whether people experience care that is seamless, person-centered, and responsive to their lives.",{"blockName":899,"attrs":1057,"innerHtml":1058},{"content":1058,"dropCap":902,"id":314,"tagName":903},"\u003Cem>Chantelle Allen is the senior principal technical advisor for primary health care at Jhpiego. Amon Marwiro is the country director for Jhpiego in Botswana. Silvia Kelbert\u003C/em> \u003Cem>is the technical director for HIV and infectious diseases at Jhpiego.\u003C/em>","Three Strategies for Sustainable Health System Integration",{"category":1061,"postTag":1073,"postFormat":314,"areaOfExpertiseTax":1089,"expertsTag":314},[1062,1067],{"id":1063,"name":1064,"slug":1065,"parent":314,"uri":1066,"to":1066},21,"Africa","africa","/our-stories/c/africa/",{"id":1068,"name":1069,"slug":1070,"parent":1071,"uri":1072,"to":1072},265,"Botswana","botswana",{"id":1063,"name":1064,"slug":1065,"parent":314,"uri":1066,"to":1066},"/our-stories/c/africa/botswana/",[1074,1079,1083,1086],{"id":1075,"name":1076,"slug":1077,"parent":314,"uri":1078,"to":1078},241,"Care Focus Area","care-focus-area","/our-stories/c/care-focus-area/",{"id":1080,"name":629,"slug":1081,"parent":314,"uri":1082,"to":1082},84,"hiv","/our-stories/c/hiv/",{"id":1084,"name":707,"slug":1085,"parent":314,"uri":712,"to":712},94,"primary-health-care",{"id":1087,"name":735,"slug":1088,"parent":314,"uri":739,"to":739},123,"thought-leadership",[1090,1093],{"id":1091,"name":629,"slug":1092,"parent":314,"uri":633,"to":633},87,"hiv-tb",{"id":1094,"name":707,"slug":1085,"parent":314,"uri":712,"to":712},86,"2026-07-16T16:53:08",{"id":913,"src":914,"width":18,"height":915,"alt":20,"caption":916,"title":917,"description":20,"mimeType":23,"html":918,"srcset":919,"sizes":26,"meta":1097,"acf":1112},{"width":18,"height":915,"file":921,"filesize":922,"sizes":1098,"imageMeta":1110},{"medium":1099,"large":1100,"thumbnail":1101,"mediumLarge":1102,"1536x1536":1103,"postThumbnail":1104,"socialPreview":1105,"smallPreview":1106,"mediumPreview":1107,"largePreview":1108,"fullscreenSmall":1109},{"file":925,"width":33,"height":34,"mimeType":23,"filesize":926},{"file":928,"width":38,"height":265,"mimeType":23,"filesize":929},{"file":931,"width":43,"height":43,"mimeType":23,"filesize":932},{"file":934,"width":47,"height":272,"mimeType":23,"filesize":935},{"file":937,"width":52,"height":38,"mimeType":23,"filesize":938},{"file":940,"width":283,"height":58,"mimeType":23,"filesize":941},{"file":943,"width":62,"height":63,"mimeType":23,"filesize":944},{"file":946,"width":67,"height":68,"mimeType":23,"filesize":947},{"file":949,"width":72,"height":293,"mimeType":23,"filesize":950},{"file":952,"width":77,"height":953,"mimeType":23,"filesize":954},{"file":956,"width":82,"height":77,"mimeType":23,"filesize":957},{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1111},[],{"primaryColor":961,"blurhash":962,"videoUrl":20,"focalPointX":20,"focalPointY":20},{"id":1114,"guid":1115,"title":1116,"content":1117,"excerpt":1118,"excerptRaw":1118,"slug":1119,"url":1120,"uri":1121,"to":1121,"status":325,"date":1122,"modified":1123,"type":328,"authorId":545,"featuredMedia":1124,"terms":1161,"acf":1190},3411,"https://jhpiego.netlify.app/?p=3411","Three Births, Three Complications, Three Lives Saved","\n\u003Cp>\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>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>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>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>\u003C/div>\n\n\n\u003Cp>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>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>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>\u003C/div>\n\n\n\u003Cp class=\"has-text-align-left\"> 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>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>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>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":1125,"src":1126,"width":1127,"height":1128,"alt":20,"caption":20,"title":1129,"description":20,"mimeType":23,"html":1130,"srcset":1131,"sizes":1132,"meta":1133,"acf":1158},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":1127,"height":1128,"file":1134,"filesize":1135,"sizes":1136,"imageMeta":1156},"2025/08/Story-three-births-Feature-Image.jpg",51099,{"medium":1137,"thumbnail":1141,"mediumLarge":1144,"postThumbnail":1148,"smallPreview":1152},{"file":1138,"width":33,"height":1139,"mimeType":23,"filesize":1140},"Story-three-births-Feature-Image-300x242.jpg",242,15239,{"file":1142,"width":43,"height":43,"mimeType":23,"filesize":1143},"Story-three-births-Feature-Image-150x150.jpg",6625,{"file":1145,"width":47,"height":1146,"mimeType":23,"filesize":1147},"Story-three-births-Feature-Image-768x619.jpg",619,69307,{"file":1149,"width":1150,"height":58,"mimeType":23,"filesize":1151},"Story-three-births-Feature-Image-670x540.jpg",670,56239,{"file":1153,"width":67,"height":1154,"mimeType":23,"filesize":1155},"Story-three-births-Feature-Image-375x302.jpg",302,21649,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1157},[],{"primaryColor":1159,"blurhash":1160},"#6c6f65","UJHK?=%$0rTH0q$x~3IW%fE2wd$4.6a$Icxp",{"category":1162,"postTag":1174,"postFormat":314,"areaOfExpertiseTax":1183,"expertsTag":314},[1163,1168],{"id":1164,"name":1165,"slug":1166,"parent":314,"uri":1167,"to":1167},20,"Asia","asia","/our-stories/c/asia/",{"id":1169,"name":1170,"slug":1171,"parent":1172,"uri":1173,"to":1173},115,"Indonesia","indonesia",{"id":1164,"name":1165,"slug":1166,"parent":314,"uri":1167,"to":1167},"/our-stories/c/asia/indonesia/",[1175,1180,1181],{"id":1176,"name":1177,"slug":1178,"parent":314,"uri":1179,"to":1179},99,"Maternal Health","maternal-health","/our-stories/c/maternal-health/",{"id":1084,"name":707,"slug":1085,"parent":314,"uri":712,"to":712},{"id":43,"name":751,"slug":1182,"parent":314,"uri":755,"to":755},"story",[1184,1187],{"id":1185,"name":605,"slug":1186,"parent":314,"uri":609,"to":609},141,"family-planning-reproductive-health",{"id":1188,"name":680,"slug":1189,"parent":314,"uri":685,"to":685},181,"maternal-newborn-and-child-health",{"credits":1191},[1192],{"role":1193,"name":1194},"Author","Syane Luntungan",{"id":1196,"guid":1197,"title":1198,"content":1199,"excerpt":1200,"excerptRaw":1200,"slug":1201,"url":1202,"uri":1203,"to":1203,"status":325,"date":1204,"modified":1205,"type":328,"authorId":329,"featuredMedia":1206,"terms":1254,"acf":1286},9417,"https://jhpiego.org/?p=9417","Bridging Health and Education Through Digital Innovation: HPV Vaccination in Nepal","\n\u003Ch1 class=\"wp-block-heading\">\u003C/h1>\n\n\n\n\u003Cp>The human papillomavirus (HPV) vaccine is a proven intervention for protecting girls against cervical cancer. But ensuring that every eligible girl is reached, recorded, and protected requires a health system that works for everyone.\u003C/p>\n\n\n\n\u003Cp>Across many countries, HPV vaccination programs rely heavily on schools to provide data. Yet health and education departments often do not coordinate effectively. In addition, paper-based reporting makes tracking vaccinations and following up with patients difficult. The result? Missed doses, incomplete records, and vulnerable girls falling through the cracks.\u003C/p>\n\n\n\n\u003Cp>Historically, Nepal fit that description. Vaccination data were collected primarily through campaign registers and vaccine cards. Although functional, these systems offered limited visibility, delayed follow-up, and made it difficult to reach every eligible girl.\u003C/p>\n\n\n\n\u003Cp>With approximately 350,000 school-age girls eligible for HPV vaccination, even small gaps in tracking could translate into tens of thousands of missed opportunities.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">The Missing Link in HPV Vaccination Programs\u003C/h2>\n\n\n\n\u003Cp>The HPV vaccine is highly effective at preventing cervical cancer, but scaling the vaccination—especially among adolescent girls—requires a unique approach. Unlike routine childhood immunization programs, HPV vaccination campaigns depend on education systems as key partners. Schools help identify eligible girls, organize vaccine delivery, and track coverage. However, with paper records, girls who change schools or are out of school can be missed entirely. Health workers then lack reliable ways to track vaccination status, and policymakers have limited access to real-time data for planning.\u003C/p>\n\n\n\n\u003Cp>The solution? Digital immunization systems.\u003C/p>\n\n\n\n\u003Cp>To address this challenge, Jhpiego, with support from Gavi, the Vaccine Alliance, helped establish a technical task team that brought together experts from across government departments. The Ministry of Health and Population (MoHP), the Family Welfare Division (FWD), the Ministry of Education, Science and Technology (MoEST), the Center for Education and Human Resource Development (CEHRD), and key development partners—including the World Health Organization and UNICEF—worked together to integrate HPV vaccination data into Nepal’s Integrated Education Management Information System (IEMIS). In February 2026, Nepal operationalized this vision by launching a digital platform within IEMIS that allows schools to record HPV vaccination data directly.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“For the very first time, the education and health sectors are joining hands to digitalize school immunization records, starting with HPV,” said Salina Dangol, MoEST’s IT officer. “This collaboration is a critical step forward.”\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>This advancement ensures more accurate records, improves coordination between sectors, and supports the long-term vision of a digitally enabled, equitable, and adolescent-centered immunization system. It also strengthens future immunization efforts by positioning schools as key partners in identifying missed and zero-dose children.\u003C/p>\n\n\n\n\u003Cp>Since the rollout in February and March 2026, 287,650 girls in grades 6 through 10 have received the HPV vaccine. Reaching 82 percent of the approximately 350,000 eligible girls represents a significant achievement.\u003C/p>\n\n\n\n\u003Cp>Following orientation sessions, municipal health teams, teachers, school nurses, and school leaders now serve as HPV immunization focal points. They enter, verify, and update vaccination records in real time. Schools have also begun incorporating routine immunization records into student profiles during enrollment, creating longitudinal health records that can support continuity of care.\u003C/p>\n\n\n\n\u003Cp>Provincial leadership is reinforcing this shift. Koshi Province has made it mandatory for schools to collect and digitize immunization data during enrollment, aligning policy with practice under Nepal’s Immunization Act.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">Jhpiego Nepal’s Broader Digital Health Vision\u003C/h2>\n\n\n\n\u003Cp>This milestone reflects Jhpiego’s broader commitment to harnessing digital technologies to strengthen Nepal’s health system. Following the successful IEMIS rollout, the platform will also support ongoing tracking and follow-up, helping ensure that all eligible girls receive the HPV vaccine.\u003C/p>\n\n\n\n\u003Cp>Beyond HPV, Jhpiego supports the Government of Nepal in advancing digital solutions across maternal, newborn, and child health. These efforts strengthen data-driven decision-making, improve service quality, and enhance frontline health worker performance. Jhpiego’s approach to digital technology shares a common goal: bridging gaps across policy, service delivery, and community-level outcomes to build stronger health systems that deliver high-quality, timely care for the people of Nepal.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Suresh Shah is Senior Quality Improvement–Measurement and Evaluation Officer for Health Systems Development for Jhpiego in Nepal.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Parag Bhamare is the Global Technical Lead for Women’s Cancers at Jhpiego.\u003Cbr>\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>The HPV vaccine is highly effective at preventing cervical cancer, but scaling vaccination requires a unique approach. that depends on both a country’s education and health care systems. These vaccination campaigns depend paper records, which can often be unreliable. The solution? Digital immunization systems.\u003C/p>\n","bridging-health-and-education-in-nepal","https://jhpiego.org/our-stories/p/bridging-health-and-education-in-nepal/","/our-stories/p/bridging-health-and-education-in-nepal/","2026-07-12T18:36:22","2026-07-15T13:21:22",{"id":1207,"src":1208,"width":18,"height":915,"alt":20,"caption":20,"title":1209,"description":20,"mimeType":23,"html":1210,"srcset":1211,"sizes":26,"meta":1212,"acf":1251},9421,"https://api.jhpiego.org/wp-content/uploads/2026/07/Vaccine_2022.jpg","Vaccine_2022","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/07/Vaccine_2022.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/07/Vaccine_2022.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/07/Vaccine_2022-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/07/Vaccine_2022-1024x683.jpg 1024w, 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