[{"data":1,"prerenderedAt":1332},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":10,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":492,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":565,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":712,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":737,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":796,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":837,"$frq9u1UcDu3ojM1A1q9cMfoxcT0ihEDC5_jFKm-cbudM":878},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8,"fuxtApiVersion":9},"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","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> – 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/",[],{"posts":879,"totalPages":1331},[880,998,1096,1184,1248],{"id":881,"guid":882,"title":883,"content":884,"excerpt":885,"excerptRaw":21,"slug":886,"url":887,"uri":888,"to":888,"status":326,"date":889,"modified":890,"type":329,"authorId":330,"featuredMedia":891,"terms":961,"acf":993},5725,"https://jhpiego.netlify.app/?p=5725","Navigating the Waters of Resilience","\n\u003Cp class=\"wp-block-paragraph\">The introduction of the Family Planning Logistics Management Information System (FPLMIS) by the Government of India marks a groundbreaking initiative aimed at enhancing the supply chain and monitoring of family planning (FP) Commodities across all levels, from the national level down to the grassroots ASHA level. This innovative application provides service providers with immediate access to stock information, allowing for the seamless initiation and tracking of requests or issuances of any FP commodity. Its versatility is evident as it can be operated from any location through web browsers or mobile applications, significantly reducing reliance on physical records and paperwork. The FPLMIS thus represents a significant leap forward in promoting efficiency and transparency within the Family Planning supply chain management system.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In the face of annual flood threats, the resilient community in the vulnerable blocks of Lakhimpur district, Assam, has embarked on a proactive journey to safeguard contraceptive security during climate crises. This year, the stakes were higher than ever, with a staggering 147% increase in rainfall, elevating the risk of flooding to unprecedented levels.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Identifying two blocks as highly susceptible, a targeted and comprehensive initiative was launched to fortify emergency preparedness. Engaging 62 health sub-centres and mobilizing 405 ASHAs, the intervention became a community-wide effort. Anticipating the imminent flood, all essential FP commodities were strategically positioned in the district warehouse, laying the groundwork for a swift and effective response.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"771\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Feature-Photo.jpg\" alt=\"\" class=\"wp-image-5726\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Feature-Photo.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Feature-Photo-300x226.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Feature-Photo-768x578.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Feature-Photo-717x540.jpg 717w, https://api.jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Feature-Photo-375x282.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Feature-Photo-960x723.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">As the flood alert echoed, a meticulous review involving block storekeepers, CHO/ANMs, and ASHAs ensued, assessing the availability of FP commodities. Over 90% of ASHAs utilized the FPLMIS application for requisitioning and ensuring timely dispatch of requested commodities before the floodwaters surged. Facilitated by USAID’s MOMENTUM Country and Global Leadership: India-Yash, the proactive measures not only facilitated the seamless flow of FP commodities but also highlighted the efficiency of the existing FPLMIS application in streamlining emergency response.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The success of these measures is a testament to the robust and resilient system that emerged during unforeseen disasters. This story unfolds the narrative of a community’s adaptability, unity, and unwavering commitment to ensuring reproductive health despite nature’s formidable challenges.\u003C/p>\n","\u003Cp>The introduction of the Family Planning Logistics Management Information System (FPLMIS) by the Government of India marks a groundbreaking initiative…\u003C/p>\n","navigating-the-waters-of-resilience","https://jhpiego.org/our-stories/p/navigating-the-waters-of-resilience/","/our-stories/p/navigating-the-waters-of-resilience/","2024-06-21T17:07:00","2025-08-30T17:11:46",{"id":892,"src":893,"width":114,"height":894,"alt":21,"caption":21,"title":895,"description":21,"mimeType":24,"html":896,"srcset":897,"sizes":120,"meta":898,"acf":958},5727,"https://api.jhpiego.org/wp-content/uploads/2025/08/Navigating-the-Waters-of-Resistance-Secondary-Photo.jpg",3011,"Navigating the Waters of Resistance - Secondary Photo","\u003Cimg width=\"4000\" height=\"3011\" 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Planning","family-planning","/our-stories/c/family-planning/",{"id":985,"name":970,"slug":971,"parent":315,"uri":986,"to":986},90,"/our-stories/c/india/",{"id":44,"name":731,"slug":988,"parent":315,"uri":735,"to":735},"story",[990],{"id":991,"name":601,"slug":992,"parent":315,"uri":605,"to":605},75,"global-health-security",{"credits":994},[995],{"role":996,"name":997},"By","Jhpiego Staff",{"id":999,"guid":1000,"title":1001,"content":1002,"excerpt":1003,"excerptRaw":1003,"slug":1004,"url":1005,"uri":1006,"to":1006,"status":326,"date":1007,"modified":1008,"type":329,"authorId":497,"featuredMedia":1009,"terms":1064,"acf":1094},580,"https://jhpiego.netlify.app/?p=580","Facing Obstacles, Women Living with HIV Find Support and Strength in their Local Health Facilities in Burundi","\n\u003Cp class=\"wp-block-paragraph\">Odette lives in the Gitega province of Burundi. A mother of two, she used to make a living by selling avocadoes. But after her husband abandoned the family, it became difficult to make ends meet. So, Odette turned to sex work. Shortly after doing so, she learned she was HIV-positive.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"679\" src=\"https://jhpiego.org/wp-content/uploads/2025/02/mentor-moms-1024x679.jpg\" alt=\"\" class=\"wp-image-1332\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms-1024x679.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms-300x199.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms-768x509.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms-814x540.jpg 814w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms-375x249.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms-960x637.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms-1280x849.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms.jpg 1500w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Two mentor mothers from Gitega province hold a group meeting to discuss ART adherence.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">“Life became more and more difficult because I had nowhere to turn for help. I thought my life was over. I didn’t know what to do.”\u003C/p>\n\u003Ccite>Odette\u003C/cite>\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Odette sought care at the Association Nationale de soutien aux Séropositifs et malades du Sida – ANSS Santé PLUS HIV Clinic – where she initiated anti-retroviral treatment (ART). After she met her now husband and became pregnant with her third child, ANSS Santé PLUS linked Odette to a mentor mother who helped guide her through treatment adherence, continuity of treatment, and monitoring her viral load. Odette’s child was born HIV-negative.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">ANSS Santé PLUS is one of 188 health facilities supported by the Reaching Impact, Saturation, and Epidemic Control (RISE) project, a Jhpiego-led consortium funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development (USAID). Through RISE, ICAP at Columbia University supports health facilities like ANSS Santé PLUS to provide recipients of care with such services as HIV testing, ART, adherence counselling and psychosocial support, prevention of vertical transmission services, and access to mentor mother groups, among others.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In 2023, the RISE-supported mentor mother program was established at 25 health facilities in Burundi, engaging 473 pregnant and breastfeeding women. The program pairs mentor mothers – mothers living with HIV who have received vertical transmission services – with pregnant or lactating women living with HIV. Mentor mothers are trained by nurses and midwives to provide peer support to pregnant and breastfeeding women living with HIV on the importance of adherence to ART, continuity of treatment, viral load monitoring, and early infant HIV diagnosis. They regularly visit the homes of pregnant women living with HIV – given that obstacles such as stigma often stand in the way of visiting a health facility in-person – to provide this support. In addition, they follow up with mothers who have interrupted ART, provide HIV testing for sexual contacts and biological children of mothers living with HIV, and follow up with HIV-infected infants for early initiation of ART.\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-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"670\" src=\"https://jhpiego.org/wp-content/uploads/2025/02/mentor2-1024x670.jpg\" alt=\"\" class=\"wp-image-1331\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/02/mentor2-1024x670.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor2-300x196.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor2-768x502.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor2-825x540.jpg 825w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor2-375x245.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor2-960x628.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/02/mentor2.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Perpetue (left) meets with mentor mother Belyse (right) at SWAA Clinic.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n\u003Cp class=\"wp-block-paragraph\">“Person-centered care is essential to reaching HIV epidemic control in Burundi,” said Bonaparte Nijirazana, MD, MPH, country director of ICAP in Burundi. “It’s important that we implement programs that recognize the unique experiences of an individual so that health services are context-appropriate and will ultimately lead to improved long-term health outcomes. The mentor mother program is a perfect example of one of these successful programs – women living with HIV can feel safe and supported in accessing the care they need.”\u003C/p>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Perpetue is another mother from Gitega province, who, similarly to Odette, faced a number of challenges that affected her ability to seek consistent health care. Leaving home at an early age, Perpetue became pregnant at 12 and faced violence perpetrated by her partner. A few months into her pregnancy, she began to feel ill. She visited a local health facility where she was diagnosed with HIV.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Perpetue sought treatment for HIV through the RISE-supported Society for Women and AIDS in Africa (SWAA) clinic in Gitega, which provides comprehensive HIV prevention, care, and treatment support for persons living with HIV. At the SWAA clinic, Perpetue worked with a mentor mother, Belyse, in an effort to prevent vertical transmission of HIV – but she gained much more. Perpetue trusted Belyse and confided in her that she did not feel safe at home.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">“I left a letter for the mentor mother so they can help me. And they did. I could never thank the mother mentor enough for watching over me and my children. They helped me a lot – followed me regularly, supported me, and never missed an appointment to take me to the hospital so that I can take my medication or to bring it to me at home.”\u003C/p>\n\u003Ccite>Perpetue\u003C/cite>\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">RISE works to help build the capacity of health care workers and community workers, like Belyse, on gender-based violence (GBV) and intimate-partner violence (IPV) identification, management, and reporting, specifically in conducting assessments and counselling of those who experience GBV or IPV.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In 2023, 416 individuals received post-GBV clinical care in six RISE-supported districts, including HIV testing, treatment for sexually transmitted infections, and provision of HIV post-exposure prophylaxis.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Individuals who report a history of intimate-partner violence or gender-based violence are more likely than those who do not report such incidents to be at increased risk of acquiring HIV and facing difficulties in treatment adherence,” said Ruby Fayorsey, MD, MPH, deputy director of ICAP’s Clinical and Laboratory Unit and global technical director of RISE. “It’s important that our programs recognize this increased risk so that care can be tailored to the individual.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">RISE’s mentor mother program, endorsed by Burundi’s National HIV/AIDS Program (PNLS), is being scaled up across all 18 provinces in Burundi.\u003C/p>\n","\u003Cp>Odette lives in the Gitega province of Burundi. A mother of two, she used to make a living by selling avocadoes.\u003C/p>\n","facing-obstacles-women-living-with-hiv-find-support-and-strength-in-their-local-health-facilities-in-burundi","https://jhpiego.org/our-stories/p/facing-obstacles-women-living-with-hiv-find-support-and-strength-in-their-local-health-facilities-in-burundi/","/our-stories/p/facing-obstacles-women-living-with-hiv-find-support-and-strength-in-their-local-health-facilities-in-burundi/","2024-06-17T16:55:00","2025-06-16T19:54:52",{"id":1010,"src":1011,"width":1012,"height":1013,"alt":21,"caption":1014,"title":1015,"description":21,"mimeType":24,"html":1016,"srcset":1017,"sizes":1018,"meta":1019,"acf":1059},1332,"https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms.jpg",1500,995,"Two mentor mothers from Gitega province hold a group meeting to discuss ART adherence.","mentor-moms","\u003Cimg width=\"1500\" height=\"995\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/02/mentor-moms.jpg\" 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the Storm: Prepared for Public Health Emergencies","\n\u003Ch2 class=\"wp-block-heading\">Rumblings of a brewing storm\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">At a morning meeting in early September 2022, as department heads at Mubende Regional Referral Hospital in central Uganda reported out, it became clear that something was very wrong. Patients from each unit were showing up with similar symptoms: high fever, convulsions, diarrhea and blood-stained vomit. And all of the patients were from the same location.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A surveillance team of 12 from the Ministry of Health (MOH) was sent to the area to gather more information. There, the team discovered that seven people had died showing the same symptoms as those at the hospital. They collected samples that were transported to the Uganda Virus Research Institute in Entebbe for testing, more than a three-hour drive from Mubende Regional Referral Hospital. The samples tested positive for Ebola virus disease.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">On September 23, 2022, the government officially declared an outbreak of Ebola virus disease in Mubende District. The district would be the initial epicenter of this outbreak, the first Ebola outbreak the country had seen in a decade.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">In the thick of the storm: Quick actions and steps taken\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Swift action followed. The MOH set up a coordination center at Mubende Regional Referral Hospital, reassigned medical teams to the hospital and immediately issued personal protective equipment, handwashing stations, medicines and supplies. Mubende town was locked down.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Nurse Halima Adam was working at the accidents and emergencies unit when she was moved to the Ebola treatment unit (ETU), a temporary canvas structure set up within the Mubende Regional Referral Hospital compound. “As soon as the outbreak was declared, I called in six nurses to work fully at the ETU. A duty roster was made, and we coordinated procurement of medical items,” she said.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">By the second day, eight patients presenting with Ebola symptoms were isolated at the ETU.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">One evening as her shift ended, Juliet Nayiga, a laboratory technician at the hospital, was called to collect blood samples from the patients in the ETU, a daunting task under the circumstances. “I remember it was dark and the lights had not been set up at the ETU. I was panicking. With minimal protective gear and a torchlight, I went in and took samples,” says Juliet.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Out of the eight patients in the ETU, six tested positive for Ebola.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"715\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-1024x715.jpg\" alt=\"\" class=\"wp-image-4087\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-1024x715.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-300x210.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-768x536.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-773x540.jpg 773w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-375x262.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-960x671.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1-1280x894.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-1.jpg 1373w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Juliet Nayiga, a laboratory technician, at work in the Mubende Regional Referral Hospital.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Ch3 class=\"wp-block-heading\">Prepared and equipped: Galvanizing the team to weather the storm\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Back at the ETU, Halima’s team had grown to 30 nurses—providing supportive care to patients around the clock.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Partners such as the World Health Organization and Jhpiego stepped in to help us. We created storage areas for the personal protective equipment and handwashing items. We learned how to set up the red and green zones to manage and treat confirmed cases,” Halima said.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Hospital staff later joined emergency medical teams and responders from various regions at a training conducted by the MOH, Doctors Without Borders, World Health Organization (WHO), UNICEF and Jhpiego to strengthen the skills of health workers. Halima lauded the importance of the training, saying: “It equipped us with skills in site layout, triaging, emergency care and management, donning and doffing, sanitation and hygiene procedures.”\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"731\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-2.png\" alt=\"\" class=\"wp-image-4088\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-2.png 975w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-2-300x225.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-2-768x576.png 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-2-720x540.png 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-2-375x281.png 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Braving-the-storm-image-2-960x720.png 960w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Nurse Halima Adam supervises nurses in the accident and emergency unit at Mubende Regional Referral Hospital a year after the Ebola outbreak.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego provided the technical component of the training on infection prevention and control and coordinated with the MOH to identify the responders who had previously been trained by WHO during the COVID-19 crisis. Jhpiego-trained staff were part of the responders seconded to the national incident management team, which was responsible for oversight during the Ebola outbreak, as pillar administrators to cover logistics, surveillance, risk communication, laboratory work, strategic information research and innovation.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A total of 168 health workers were identified from three regional hospitals—Mubende, Gulu and Naguru—to be part of the training on infection prevention and control procedures, clinical care and psychosocial support. All affected districts enhanced their surveillance systems to ensure that all contacts would be identified, documented and followed up with for 21 days.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“It was tough at the beginning, but as time went by, it got better. Building on our previous experience from COVID-19 and the training by WHO, infection prevention and control processes became easier,” Halima said.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Uganda had a total of 164 Ebola patients in nine districts (142 confirmed cases and 22 probable), with 55 confirmed deaths. Mubende District reported the highest numbers, with 64 confirmed cases and 29 deaths due to Ebola virus disease. The last confirmed case was reported on November 14—exactly 56 days after the first confirmed case.\u003C/p>\n\n\n\n\u003Ch4 class=\"wp-block-heading\">\u003Cstrong>Calm after the storm\u003C/strong>\u003C/h4>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Working as a team—the health care workers at the hospital, MOH and partners—was a critical aspect that contributed to managing the Ebola outbreak in Uganda,” says Deogratius Kamulegeya, Jhpiego’s technical officer in Uganda and part of the Mubende response team.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Today, Jhpiego is working with the MOH through the Enhancing Global Health Security project, funded by the U.S. Centers for Disease Control and Prevention, to develop an outbreak management support manual and set up a central data warehouse for all surveillance data for epidemic intelligence to support quick detection of outbreaks in Uganda,” said Peter Muwereza, Jhpiego’s Program Manager for the Enhancing Global Health Security project in Uganda.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To this end, Jhpiego seconded six staff members to the MOH and is supporting the MOH and other implementing partners to develop tools such as data visualization and analytics, ensuring operationalization of the data warehouse and integrating data with the electronic medical records system.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Reflecting on the outbreak, Halima said: “I would have left when it got worse. But I stayed because of my experience working in the emergency unit for 11 years and responding to COVID-19. We admitted 64 patients and I had 30 nurses looking up to me. I mastered the courage to stay on because we were prepared and equipped to respond.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Joan Nduta is Jhpiego’s Senior Communications Manager, Africa Region. Alisha Horowitz is a Senior Editor for Jhpiego. Josephine Watuulo, Knowledge Management Coordinator for Jhpiego Uganda, contributed to this story. Photo by Peter Caton for Jhpiego\u003C/em>.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Aleisha Rosario, Director of the Enhancing Global Health Security project, provided a technical review of this story.\u003C/em>\u003C/p>\n","\u003Cp>On September 23, 2022, the government of Uganda officially declared an outbreak of Ebola virus disease in Mubende District. The district would be the initial epicenter of this outbreak, the first Ebola outbreak the country had seen in a decade.\u003C/p>\n","braving-the-storm-prepared-for-public-health-emergencies","https://jhpiego.org/our-stories/p/braving-the-storm-prepared-for-public-health-emergencies/","/our-stories/p/braving-the-storm-prepared-for-public-health-emergencies/","2024-06-13T17:44:00","2025-08-15T01:48:23",{"id":1108,"src":1109,"width":19,"height":1110,"alt":21,"caption":21,"title":1111,"description":21,"mimeType":24,"html":1112,"srcset":1113,"sizes":27,"meta":1114,"acf":1161},4164,"https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto.jpg",1535,"Braving the Storm_Uganda_FeaturePhoto","\u003Cimg width=\"2048\" height=\"1535\" src=\"https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-1536x1151.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2024/06/Braving-the-Storm_Uganda_FeaturePhoto-1280x959.jpg 1280w, 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Caton/Jhpiego",[],{"primaryColor":1162,"blurhash":1163,"videoUrl":21,"focalPointX":21,"focalPointY":21},"#23221e","UE9@YM9F00_N4Tt8?vITRjt7a|M{%MaxMxt8",{"category":1165,"postTag":1173,"postFormat":315,"areaOfExpertiseTax":1177,"expertsTag":315},[1166,1167],{"id":1067,"name":1068,"slug":1069,"parent":315,"uri":1070,"to":1070},{"id":1168,"name":1169,"slug":1170,"parent":1171,"uri":1172,"to":1172},60,"Uganda","uganda",{"id":1067,"name":1068,"slug":1069,"parent":315,"uri":1070,"to":1070},"/our-stories/c/africa/uganda/",[1174,1176],{"id":1175,"name":601,"slug":992,"parent":315,"uri":605,"to":605},176,{"id":44,"name":731,"slug":988,"parent":315,"uri":735,"to":735},[1178],{"id":991,"name":601,"slug":992,"parent":315,"uri":605,"to":605},{"credits":1180},[1181],{"role":1182,"name":1183},"Authors","Joan Nduta and Alisha Horowitz",{"id":1185,"guid":1186,"title":1187,"content":1188,"excerpt":1189,"excerptRaw":21,"slug":1190,"url":1191,"uri":1192,"to":1192,"status":326,"date":1193,"modified":1194,"type":329,"authorId":525,"featuredMedia":1195,"terms":1232,"acf":1244},4082,"https://jhpiego.netlify.app/?p=4082","A Tick, Tea and IPC","\n\u003Ch2 class=\"wp-block-heading\">Jhpiego and the Pakistan Ministry of Health helped control an outbreak of a deadly infectious disease\u003C/h2>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">A tick\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A Pakistani cattle herder, too sick to mind his livestock, went to a hospital in Balochistan, the country’s largest but least populated province located in the southwest, bordering Afghanistan. The medical staff initially suspected a snake bite; the herder was vomiting, had a high fever and an abnormal blood clotting profile. The health care provider tending to the herder didn’t wear goggles, a mask or gloves. Having been exposed to the patient’s bodily fluids, he rinsed his hands with just water and then sat down for dinner with his colleagues. Within days, that health care provider and others began suffering with shuddering chills and other severe symptoms of viral infection; one started bleeding from the nose and various mucous membranes.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Misdiagnoses and ineffective treatment complicated the situation. The cattle herder recovered but a week later, three health care workers died, including a doctor who had dined with colleagues and friends.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Now, two of the deceased doctor’s colleagues are sick. Although described as a disease of unknown origin at the start, there is new confirmation by the Provincial Public Health Laboratory of Crimean-Congo hemorrhagic fever (CCHF), an endemic viral illness transmitted to humans by ticks or by infected animals, such as livestock. Human-to-human transmission occurs through direct contact with the blood and other body fluids of infected persons.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">This is where I come in. A Pakistani infection prevention and control (IPC) specialist working closely with the Ministry of Health on global health security issues, I was summoned to investigate and support the management of this outbreak. My charge is to help prevent the further spread of an illness that already has claimed the lives of three Pakistanis after it crossed the Pakistan-Afghanistan border and jumped from cattle to humans. A possible mutation in CCHF is rumored.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">I am, of course, completely outfitted with personal protective equipment (PPE) when I enter the isolation room occupied by the two doctors infected with CCHF.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"679\" height=\"448\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-1.jpg\" alt=\"\" class=\"wp-image-4083\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-1.jpg 679w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-1-300x198.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-1-375x247.jpg 375w\" sizes=\"auto, (max-width: 679px) 100vw, 679px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Dr. Sobhan Qadir (left) supports the Ministry of Health in implementing the national IPC program.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Ch3 class=\"wp-block-heading\">Tea\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Inside are a half-dozen doctors. Some sit on a sofa sandwiched between the two hospital beds occupied by their sick colleagues. All had eaten and socialized with the doctor who died the previous day from massively severe bleeding.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">They sip tea and share fruit.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">“I think I am in the wrong room,” I apologize.” — \u003Cem>Dr. Sobhan Qadir\u003C/em>\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“No, No,” they insist, welcoming me to enter. “This is the room of the doctors [who are now patients with CCHF] and we are here to have fruit with them.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">They offer me tea. No one wears gloves.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">They smile. No one wears a mask.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“I’m OK,” I say. “I’m good.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Actually, what I am is shocked. Even after losing their friend, a fellow doctor, basic transmission-based precautions are not being followed.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">IPC\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">I realized then the core reason behind this outbreak: Even if there was adequate PPE for everyone to wear routinely, at all times, they wouldn’t be wearing it here and now. And they plan to leave this “isolation” room soon and head back to their patients and families. As a former member of the Young Doctor Association in Pakistan from this same region, I can assure you that neither ignorance nor arrogance nor denial are at issue. Rather, this scene I’m witnessing reveals a dire need for advocacy, refresher training and attention to a specific cultural context where health care providers’ roles are highly prescribed and kinship and hospitality are paramount.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">It shows just how dangerous it is for all of us when IPC diligence wanes.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-768x1024.jpg\" alt=\"\" class=\"wp-image-4084\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-768x1024.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-225x300.jpg 225w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-405x540.jpg 405w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-375x500.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2.jpg 960w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Dr. Qadir visits hospital departments.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">In a calm, measured voice, I ask the visitors to please leave this “isolation” room and sequester in another room nearby.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“It’s OK,” one doctor says, attempting to assuage my concerns. “We are using our own cups of tea.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Lax attitudes about PPE can thwart even the most innovative policies and evidence-based strategies to safeguard global health security. Doctors and surgeons in traditional hierarchical health care roles risk mistaking the implementation of IPC as someone else’s concern; notably as the duty of nurses who provide direct patient care. Providers in health care facilities and communities too often lack an understanding of the importance of the basics of preventing and controlling infections.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">More than Ebola, Zika and MERS (Middle East Respiratory Syndrome), COVID-19 showed us how failing to change a seemingly simple behavior can have alarming results. Not washing hands, not masking and not isolating caused preventable illness, suffering, death and economic havoc.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Certain diseases, like CCHF and COVID-19, require specific IPC responses that relate to the mode of transmission. There also are standard precautions that always apply, such as simple hand hygiene, protective equipment and waste management.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In this case, the Provincial Health Department took a systematic approach to control the outbreak with Jhpiego’s technical guidance and recommendations. Awareness, education, contact tracing, isolation measures and IPC precautions were instituted in the health care facility. But the lesson was clear: Be proactive in preventing infections and have at the ready a robust response by coordinating agencies, including those monitoring animal health. Don’t wait until a public health outbreak occurs.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Infection prevention and control is the cornerstone of global health security. Necessary as national documents and global guidelines are, all is for naught if proper implementation of IPC and related measures aren’t happening on the ground, not only in tertiary hospitals but also in provincial country hospitals and clinics.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">I’ve seen firsthand how a tiny tick and a sip of tea stand to challenge our most sophisticated data-led measures to ensure global health security. That’s why we need enough equipment and enhanced education and training, cultural awareness and regulations and a commitment to use them. The goal is to have PPE in place and IPC practices operational before we discover that a disease variant is just waiting for someone—anyone—to offer a cup of tea, believing using one’s own cup is protection enough against the next pandemic.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Enhancing Global Health Security, implemented by Jhpiego in 21 countries, strengthens IPC, diagnostics, surveillance and responses to public health threats by supporting nations’ health care systems. Funded by the U.S. Centers for Disease Control and Prevention, the project addresses policy change at the national level and implementation of strategies in health care facilities and in communities. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Dr. Sobhan Qadir, a physician, IPC specialist and health care system management expert, is the Global Gealth Security Program Lead and IPC Technical Advisor with Jhpiego Pakistan. He supports the Ministry of Health in implementing the national IPC program and Enhancing Global Health Security.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Maryalice Yakutchik is a senior writer with Jhpiego.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Aleisha Rozario, Director of Jhpiego’s Enhancing Global Health Security project, provided technical review.\u003C/em>\u003C/p>\n","\u003Cp>Jhpiego and the Pakistan Ministry of Health helped control an outbreak of a deadly infectious disease A tick A Pakistani…\u003C/p>\n","a-tick-tea-and-ipc","https://jhpiego.org/our-stories/p/a-tick-tea-and-ipc/","/our-stories/p/a-tick-tea-and-ipc/","2024-06-12T17:36:00","2025-08-14T17:41:12",{"id":1196,"src":1197,"width":73,"height":78,"alt":21,"caption":21,"title":1198,"description":21,"mimeType":24,"html":1199,"srcset":1200,"sizes":1201,"meta":1202,"acf":1229},4084,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2.jpg","Story-Tick Tea-Image 2","\u003Cimg width=\"960\" height=\"1280\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-225x300.jpg 225w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-768x1024.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-405x540.jpg 405w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-375x500.jpg 375w\" sizes=\"auto, (max-width: 960px) 100vw, 960px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-225x300.jpg 225w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-768x1024.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-405x540.jpg 405w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Tick-Tea-Image-2-375x500.jpg 375w","(max-width: 960px) 100vw, 960px",{"width":73,"height":78,"file":1203,"filesize":1204,"sizes":1205,"imageMeta":1227},"2025/08/Story-Tick-Tea-Image-2.jpg",144845,{"medium":1206,"large":1209,"thumbnail":1212,"mediumLarge":1215,"postThumbnail":1216,"socialPreview":1220,"smallPreview":1223},{"file":1207,"width":1120,"height":34,"mimeType":24,"filesize":1208},"Story-Tick-Tea-Image-2-225x300.jpg",12870,{"file":1210,"width":48,"height":39,"mimeType":24,"filesize":1211},"Story-Tick-Tea-Image-2-768x1024.jpg",111250,{"file":1213,"width":44,"height":44,"mimeType":24,"filesize":1214},"Story-Tick-Tea-Image-2-150x150.jpg",5069,{"file":1210,"width":48,"height":39,"mimeType":24,"filesize":1211},{"file":1217,"width":1218,"height":59,"mimeType":24,"filesize":1219},"Story-Tick-Tea-Image-2-405x540.jpg",405,36246,{"file":1221,"width":73,"height":64,"mimeType":24,"filesize":1222},"Story-Tick-Tea-Image-2-960x630.jpg",88121,{"file":1224,"width":68,"height":1225,"mimeType":24,"filesize":1226},"Story-Tick-Tea-Image-2-375x500.jpg",500,31607,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1228},[],{"primaryColor":1230,"blurhash":1231},"#a7a095","UEJt||~q8w-;JE_3%MMx8_aJ?cWrr;E1%M%M",{"category":1233,"postTag":1239,"postFormat":315,"areaOfExpertiseTax":1242,"expertsTag":315},[1234,1235],{"id":964,"name":965,"slug":966,"parent":315,"uri":967,"to":967},{"id":497,"name":1236,"slug":1237,"parent":315,"uri":1238,"to":1238},"Uncategorized","uncategorized","/our-stories/c/uncategorized/",[1240,1241],{"id":1175,"name":601,"slug":992,"parent":315,"uri":605,"to":605},{"id":44,"name":731,"slug":988,"parent":315,"uri":735,"to":735},[1243],{"id":991,"name":601,"slug":992,"parent":315,"uri":605,"to":605},{"credits":1245},[1246],{"role":21,"name":1247},"Sobhan Qadir as told to Maryalice Yakutchik",{"id":1249,"guid":1250,"title":1251,"content":1252,"excerpt":1253,"excerptRaw":1253,"slug":1254,"url":1255,"uri":1256,"to":1256,"status":326,"date":1257,"modified":1258,"type":329,"authorId":525,"featuredMedia":1259,"terms":1310,"acf":1326},3472,"https://jhpiego.netlify.app/?p=3472","Biobanks: A Crucial Component to Improve Global Health Security","\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"580\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-1024x580.jpg\" alt=\"\" class=\"wp-image-4140\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-1024x580.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-300x170.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-768x435.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-954x540.jpg 954w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-375x212.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-960x544.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch-1280x725.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch.jpg 1471w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The biobank. It’s an essential concept for our global health security systems and preventing the next disease outbreak. Unfortunately, it’s overlooked in most health care systems as disease response has become the primary focus over the past few years.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A repository or collection of biological samples, a biobank aims to preserve biological resources—from humans, plants, animals and other aspects of nature—in optimal condition so they are available to the scientific community for the advancement of research and knowledge worldwide. This helps facilitate the development of innovative medicines, vaccines and diagnostic tests, which strengthens epidemiological surveillance and advances genomic research, such as discovering treatments for different types of cancer.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Samples donated by clients with breast cancer, for example, have been used to identify therapeutic targets and help predict which groups of people would (or would not) benefit from a particular treatment, thus providing critical information for the development of a treatment strategy. These client samples are an indispensable resource for cancer research and an unparalleled asset for the development of more effective personalized treatments for many diseases.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Biological specimens have been collected in biobanks for decades, but it was only in the 1990s that biobanks were established more systematically, predominantly in high-income countries. Today, despite being the second most populous continent with incredible biodiversity, Africa contributes very little to the advancement of research for treatment solutions. Biological data banks would help make scientific research more inclusive and wider reaching. The \u003Ca href=\"https://bbsa.org.za/\">Biodiversity Biobanks South Africa\u003C/a> project, for example, has more than half a million items in various biobanks across the country, but it is \u003Ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31614-9/fulltext\">one of only a few country-based biobanks\u003C/a> on the continent, all of which contribute only \u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.esmo.org%2Foncology-news%2Fthe-establishment-of-pan-africa-s-first-biobank&data=05%7C02%7CKatherine.Seaton%40jhpiego.org%7Cb4f086b3f8ff48ffc97908dc76958083%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C638515631968696047%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=othCbg4eQhmhCuxMySSPszDhj3%2F66uXw6zfZi9b2B8g%3D&reserved=0\">2% of the data used in genome-wide studies\u003C/a>.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Burkina Faso, local capacity for the conservation of biological samples has been weak. It has been hard for the country to conserve biological resources at both the technical and biosecurity levels in the regions because of inadequate conditions. Burkina Faso is left to export large quantities of these samples to high-income countries with biobanks that have more diagnostic tools and meet international technical standards.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">But that is about to change.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">When COVID-19 spread around the world, it highlighted the importance of the biobank as a tool to prevent future public health emergencies. In February 2022, Burkina Faso initiated the creation of a national biobank using their virtual electronic pathogen registry, a database of biological resources stored in the country’s nine national reference laboratories (tuberculosis, antimicrobial resistance, meningitis, HIV, human papillomavirus, hemorrhagic fever, measles, rotavirus and influenza). But setting up the physical biobank has not been easy. Jhpiego has been supporting Burkina Faso’s National Lab service since 2018 through a project funded by the U.S. Centers for Disease Control and Prevention. This includes training staff, conducting assessments, drafting procedures, monitoring virtual data and purchasing and installing equipment according to standards. In June 2024, Burkina Faso inaugurated a physical biobank structure on a temporary site, with plans to move it to a permanent location once funds are secured.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Successfully setting up a central biobank requires overcoming financial, infrastructural, organizational and documentation difficulties. One of the first requirements is for all academic institutions, research institutes and reference laboratories in the country to establish a centralized inventory system for samples of interest. If resources are limited, electronic pathogen registries, with a focus on supervision and the development of a virtual biobank interface, can replace a physical biobank until a permanent, physical one can be completed.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Biobanks play a crucial role in the development of many health care approaches and treatments. They inform ways to reduce behaviors that put one’s health at risk, ensure universal access to medical coverage and health services, support research and development of vaccines and medicines and improve management of health risks. This underscores the importance of biobanks to global health systems and their lifesaving potential. Their time in Africa is now.\u003Cbr>\u003C/p>\n","\u003Cp>Burkina Faso is building its first national biobank, a vital step toward strengthening global health security, advancing research, and ensuring Africa’s biodiversity contributes to lifesaving medical breakthroughs.\u003C/p>\n","biobanks-global-health-security","https://jhpiego.org/our-stories/p/biobanks-global-health-security/","/our-stories/p/biobanks-global-health-security/","2024-06-12T00:48:00","2025-08-14T18:34:22",{"id":1260,"src":1261,"width":1262,"height":1263,"alt":21,"caption":21,"title":1264,"description":21,"mimeType":24,"html":1265,"srcset":1266,"sizes":1267,"meta":1268,"acf":1307},4140,"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch.jpg",1471,833,"Jhpiego-Blog-Burkina-Central-Reference-Laboratory-plus-Biobank_Sketch","\u003Cimg width=\"1471\" height=\"833\" 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