[{"data":1,"prerenderedAt":1298},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":10,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":492,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":565,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":712,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":737,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":796,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":837,"$frRLRgCYP-hLdUVaaE6N9TyiEmCnsQk60mvnLtiPDMz8":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":1297},[880,966,1042,1132,1215],{"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":525,"featuredMedia":891,"terms":936,"acf":961},3936,"https://jhpiego.netlify.app/?p=3936","Noticing Needs of Undernourished Children","\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"755\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1-1024x755.jpg\" alt=\"\" class=\"wp-image-3937\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1-1024x755.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1-300x221.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1-768x566.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1-733x540.jpg 733w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1-375x276.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1-960x708.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-1.jpg 1069w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Neema plays with her two older sisters.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">At 21 months, Neema is the picture of health, bright-eyed and toddling around her family’s home.  She plays hide and seek with her two older sisters and laughs with glee. It’s a relief to her mother, who just three months ago, sat with her very sick daughter in the local hospital, trying to comfort the frail and sleepless child.    \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">During a home visit in early January 2023, a community health worker recognized the signs of malnutrition in Neema. The toddler was listless, underweight and her skin was cracked and dry. She urged Neema’s mother, 23-year-old Regina Samson, to take the child to the nearest health facility.    \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\">“We did not know why she was always crying. I was worried because she could not sleep at daytime or at night. We tried everything. Even if you bathed her, she would not sleep.” — Regina\u003C/p>\n\u003C/blockquote>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2-1024x683.jpg\" alt=\"\" class=\"wp-image-3938\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-2.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Regina Samson and Neema at the local health facility.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">At the health facility, Neema was checked and found to have a severe form of malnutrition. Both mother and baby were admitted.      \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“First, they gave her a nutritious supplement to treat the severe malnutrition. Then later gave her milk and soft food. Her appetite and weight improved day after day,” says Regina. During Neema’s treatment, Regina attended nutrition education sessions that highlighted the importance of feeding young children with nutritious, well-balanced food.    \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Awareness of malnutrition is not common in Bunda and many caregivers like Regina don’t know how to recognize the signs. Through the support and engagement of community health workers, the U.S. Agency for International Development (USAID)-funded Afya Yangu-Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) project aims to increase treatment of malnourished children. Community health workers can reach a far larger number of children in a much more cost-effective way than health facilities. They also offer basic treatment and support to families and refer the more serious cases to the local health facility.    \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3-1024x683.jpg\" alt=\"\" class=\"wp-image-3940\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-3.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Neema’s mother, 23-year-old Regina Samson outside of the local health facility.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">In partnership with the Ministry of Health, Jhpiego leads the USAID Afya Yangu (“My Health”) project, which seeks to improve access to quality, client-centered health services at facility and community levels in 11 regions of Tanzania. The project team includes organizations from Tanzania (Tanzania Communication and Development Center, Benjamin Mkapa Foundation, and Amani Girls Home), Kenya (AI-Fluence) and the U.S. (Manoff Group and D-tree International).    \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">One of the ways  the project is improving health services is by holding educational sessions for facility-based health care providers on identifying and handling malnutrition cases and educating families on preparing locally available nutritious food, including therapeutic food to manage severe malnutrition.    \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"497\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-4-1024x497.jpg\" alt=\"\" class=\"wp-image-3942\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-4-1024x497.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-4-300x146.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-4-768x372.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-4-960x466.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-4-375x182.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-4.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Neema playing outside of her home.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Lucy Mwaluwyo, a nutrition district officer at Bunda Town Council, says that, “Before the training, I had limited information in handling malnutrition cases.” Now, she trains other health care providers.    \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Children with acute malnutrition are referred to the regional hospital several kilometers away. But, for families who could not afford the cost of medical nutritional supplements, there was a risk they’d leave the hospital before their child was treated. “It was serious,” says Lucy. “Learning how to prepare local nutritious food removed this barrier. When the supplementary feed is not available, we teach caregivers how to prepare local nutritious food, which has the same impact and is readily available.”    \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"555\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-5-1-1024x555.jpg\" alt=\"\" class=\"wp-image-3944\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-5-1-1024x555.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-5-1-300x163.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-5-1-768x416.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-5-1-960x520.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-5-1-375x203.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-Image-5-1.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Neema playing with her older sisters.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">In the first four months of the project, USAID Afya Yangu-RMNCAH project trained 27 health care providers who have reached 102 caregivers and treated 76 children in the Mara region. Children like Neema. “As a mother, I’m happy to see my child’s health has improved,” says Regina. “Her health gives my heart peace and that makes me satisfied and fulfilled. My desire now is to work hard and see my child succeed in life—free from malnutrition.”    \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Bina Valsangkar, MD MPH FAAP, Principal Technical Advisor, Maternal Newborn Health, reviewed this article.\u003C/em> \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Dominic Fortunatus is a Communications Officer in Jhpiego’s office in Tanzania.\u003C/em>  \u003C/p>\n","\u003Cp>At 21 months, Neema is the picture of health, bright-eyed and toddling around her family’s home.  She plays hide and…\u003C/p>\n","noticing-needs-of-undernourished-children","https://jhpiego.org/our-stories/p/noticing-needs-of-undernourished-children/","/our-stories/p/noticing-needs-of-undernourished-children/","2023-08-22T20:49:00","2025-08-13T21:03:36",{"id":892,"src":893,"width":63,"height":894,"alt":21,"caption":21,"title":895,"description":21,"mimeType":24,"html":896,"srcset":897,"sizes":338,"meta":898,"acf":933},3945,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-feature-Image.jpg",800,"Story-Noticing Needs-feature Image","\u003Cimg width=\"1200\" height=\"800\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-feature-Image.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Noticing-Needs-feature-Image-300x200.jpg 300w, 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Fortunatus ",{"id":967,"guid":968,"title":969,"content":970,"excerpt":971,"excerptRaw":21,"slug":972,"url":973,"uri":974,"to":974,"status":326,"date":975,"modified":976,"type":329,"authorId":525,"featuredMedia":977,"terms":1017,"acf":1038},3686,"https://jhpiego.netlify.app/?p=3686","Strengthening India’s Labs","\n\u003Ch2 class=\"wp-block-heading\">A first line of defense for detecting diseases and preventing future pandemics\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To prepare for and help prevent the next pandemic, global health leaders assert that countries need well-equipped laboratories and experts who are capable of detecting dangerous pathogens and new variants in time to respond. These labs need to be capable of genome sequencing—a technology that determines the DNA or RNA sequence of an organism, enabling its identification. Genome sequencing plays a crucial role in pandemic preparedness and response by providing valuable insights into the nature and spread of infectious diseases. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"323\" height=\"204\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-India-test-Aug-2025-Image-1.png\" alt=\"\" class=\"wp-image-3687\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-India-test-Aug-2025-Image-1.png 323w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-India-test-Aug-2025-Image-1-300x189.png 300w\" sizes=\"auto, (max-width: 323px) 100vw, 323px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Lab technicians take part in a RISE-support next-generation sequencing workshop at the SCB Medical College Hospital in Cuttack, India. \u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">In India, the government recognized the need to enhance its genome sequencing capacity during the second wave of COVID-19 when only 28 next-generation sequencing (NGS) labs across the country were testing for new variants of the coronavirus in a country of 1.4 billion people. These 28 labs were not sufficient to accommodate all of India’s states and territories. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Genome sequencing labs are able to identify different pathogens that cause disease by analyzing their genetic code. By decoding the complete genetic information of a virus or pathogen, scientists can identify its unique characteristics, including how it spreads, mutates and interacts with human hosts. With this critical information, health officials can identify an organism that has potential to spread rapidly, endangering a community, and mobilize for an early response. But with COVID-19 cases rising during the COVID surges, the specialized labs couldn’t keep pace with the demand. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In partnership with the Ministry of Health, the U.S. Agency for International Development’s Reaching Impact, Saturation and Epidemic Control (RISE) project, led by Jhpiego, supported the government by rapidly establishing 11 new NGS labs across key locations in India. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Setting up such a lab takes a lot,” says Dr. Rashmi Pillai, a microbiologist at Viral Research Diagnostic Laboratory at the All India Institute of Medical Sciences in Nagpur, Maharashtra, where one of the 11 NGS labs was established by RISE. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Earlier, we were a basic lab, conducting RT-PCR tests and giving positive or negative results for COVID-19. The RISE team came in and gave us the necessary equipment. But beyond just the equipment, the team trained us from scratch, provided us with checklists, laboratory manuals, standard operating procedures and protocols that helped us set up the lab and made our team proficient in bioinformatics analysis [using computer technology to collect, store, analyze and disseminate genome sequencing results]. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Now, our lab is sequencing samples, and we are getting very good coverage. This has been possible because of the regular training from RISE. If any of us face a problem, we call the RISE team, and they help us right away. Our reporting mechanisms for genome sequencing have also been strengthened by the RISE team.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The RISE project views COVID-19 mitigation work as, ideally, serving two purposes: addressing the immediate needs of the COVID-19 emergency and, simultaneously, preparing national health systems for future health emergencies. In India, the project works across 22 states, with the public and private sectors, to strengthen health systems through key intervention areas—delivery of critical care, vaccine coverage, access to medical oxygen and laboratory services. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego’s Dr. Prashant Singh, who led the efforts to establish the NGS labs, believes that COVID-19 was not the first and will certainly not be the last pandemic the world will face. “Diagnostics is always the starting point for screening and managing any disease,” he says. “Therefore, these labs are critical, not just today but well into the future.” He explains further, “next-generation sequencing … has the capability of sequencing any disease-causing pathogen. We now have infrastructure in place and trained staff. We have the methodology. So, these labs can be used for testing any other new outbreak or disease—be it cancer, tuberculosis or other viral diseases. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Singh points to another big advantage of genome sequencing, the ability to track the emergence of antimicrobial resistance (AMR), which the World Health Organization defines as a microorganism’s resistance to a drug that was once able to treat an infection by that microorganism. India is becoming an epicenter of AMR, causing an estimated 700,000 deaths a year.\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\">“With the rapid increase in AMR, one fears the day when even a simple bacterial infection will become untreatable. NGS can help identify and discover antibiotic resistant genes in bacteria, which allows providers to choose the right antibiotic treatment, analogous to precision medicine.” — Dr. Singh\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Creating this awareness about the long-term benefits of these labs is key, states Dr. Singh. “We are conducting consultative workshops, bringing state administrators, key opinion leaders, technical experts, and public health officials to deliberate on the importance of genome sequencing,” he says. “By disseminating sequencing best practices across RISE-supported states and providing guidance on the use of sequencing labs to detect other pathogens post COVID-19, our hope is that public sector laboratories will be quick to detect and manage any future surges of infectious diseases.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Both Doctors Singh and Pillai share a common vision for the future. In the words of Dr. Pillai, “We look forward to a day when genome sequencing facilities, just like point-of-care diagnostics, can reach every corner of our country, so that diseases can be caught early, even from the most remote and hard-to-reach areas. This will save many, many lives.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Dr. Bhakti Hansoti, MBChB, PhD, MPH, RISE Technical Director, provided technical review on this article.\u003C/em> \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Indrani Kashyap is Jhpiego’s Associate Director, Regional Communications; she is based in India.\u003C/em> \u003Cem>Pankhuri Shukla, a Communications and Documentation Officer in Jhpiego’s India office, also contributed to this article.\u003C/em>\u003C/p>\n","\u003Cp>A first line of defense for detecting diseases and preventing future pandemics To prepare for and help prevent the next…\u003C/p>\n","strengthening-indias-labs","https://jhpiego.org/our-stories/p/strengthening-indias-labs/","/our-stories/p/strengthening-indias-labs/","2023-08-22T17:27:50","2025-08-12T14:38:56",{"id":978,"src":979,"width":39,"height":980,"alt":21,"caption":21,"title":981,"description":21,"mimeType":24,"html":982,"srcset":983,"sizes":984,"meta":985,"acf":1014},3694,"https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1.jpeg",611,"Story-India Labs-Aug 2025-Feature Image","\u003Cimg width=\"1024\" height=\"611\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-300x179.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-768x458.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-905x540.jpeg 905w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-375x224.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-960x573.jpeg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-300x179.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-768x458.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-905x540.jpeg 905w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-375x224.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/nurse-1024x611-1-960x573.jpeg 960w","(max-width: 1024px) 100vw, 1024px",{"width":39,"height":980,"file":986,"filesize":987,"sizes":988,"imageMeta":1012},"2025/08/nurse-1024x611-1.jpeg",72457,{"medium":989,"thumbnail":993,"mediumLarge":996,"postThumbnail":1000,"smallPreview":1004,"mediumPreview":1008},{"file":990,"width":34,"height":991,"mimeType":24,"filesize":992},"nurse-1024x611-1-300x179.jpeg",179,8755,{"file":994,"width":44,"height":44,"mimeType":24,"filesize":995},"nurse-1024x611-1-150x150.jpeg",5183,{"file":997,"width":48,"height":998,"mimeType":24,"filesize":999},"nurse-1024x611-1-768x458.jpeg",458,38455,{"file":1001,"width":1002,"height":59,"mimeType":24,"filesize":1003},"nurse-1024x611-1-905x540.jpeg",905,50735,{"file":1005,"width":68,"height":1006,"mimeType":24,"filesize":1007},"nurse-1024x611-1-375x224.jpeg",224,12210,{"file":1009,"width":73,"height":1010,"mimeType":24,"filesize":1011},"nurse-1024x611-1-960x573.jpeg",573,55874,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1013},[],{"primaryColor":1015,"blurhash":1016},"#334847","UGEfj3%200M{00Rj?bof0KR%-;oM~qt7D%WA",{"category":1018,"postTag":1030,"postFormat":315,"areaOfExpertiseTax":1035,"expertsTag":315},[1019,1024],{"id":1020,"name":1021,"slug":1022,"parent":315,"uri":1023,"to":1023},20,"Asia","asia","/our-stories/c/asia/",{"id":1025,"name":1026,"slug":1027,"parent":1028,"uri":1029,"to":1029},69,"India","india",{"id":1020,"name":1021,"slug":1022,"parent":315,"uri":1023,"to":1023},"/our-stories/c/asia/india/",[1031,1034],{"id":1032,"name":687,"slug":1033,"parent":315,"uri":692,"to":692},94,"primary-health-care",{"id":44,"name":731,"slug":956,"parent":315,"uri":735,"to":735},[1036],{"id":1037,"name":687,"slug":1033,"parent":315,"uri":692,"to":692},86,{"credits":1039},[1040],{"role":964,"name":1041},"Indrani Kashyap",{"id":1043,"guid":1044,"title":1045,"content":1046,"excerpt":1047,"excerptRaw":21,"slug":1048,"url":1049,"uri":1050,"to":1050,"status":326,"date":1051,"modified":1052,"type":329,"authorId":525,"featuredMedia":1053,"terms":1111,"acf":1128},3932,"https://jhpiego.netlify.app/?p=3932","India’s historic step to strengthen nursing, midwifery workforce","\n\u003Ch2 class=\"wp-block-heading\">A comprehensive effort to reform and regulate nursing and midwifery education\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The Indian parliament recently passed the National Nursing and Midwifery Commission Bill as part of a comprehensive reform to strengthen and regulate the quality of nursing education and practice to benefit the health of  Indian families.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The introduction of the National Nursing and Midwifery Commission Bill is a significant milestone in bolstering nursing and midwifery education, skills, and services in India. The Bill introduces numerous vital clauses to elevate the quality of nursing education and services, enhance professional conduct, and ensure increased openness and responsibility.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“We welcome this landmark step towards building a more transformative ecosystem of quality health education and skilled health workforce of nursing and midwifery cadre in India,” said Dr. Somesh Kumar, Country Director, Jhpiego India.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The Bill aims to establish the National Nursing and Midwifery Commission (NNMC) as a critical entity proposing comprehensive reforms in the nursing sector.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The National Commission will consist of three distinct boards and a national advisory council providing state-territory representation and guidance on nursing-related areas.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>Read the release\u003C/strong> – \u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpib.gov.in%2FPressReleseDetailm.aspx%3FPRID%3D1946877&data=05%7C01%7CAnn.Lolordo%40jhpiego.org%7C044d6851d35c446c9fe308db9a8bc3dd%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C638273697309216912%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=zRQWIwt8mWEaOygYyZjTdLR65YgeyEKS16OWAS5KsuA%3D&reserved=0\">https://pib.gov.in/PressReleseDetailm.aspx?PRID=1946877\u003C/a>\u003C/p>\n","\u003Cp>A comprehensive effort to reform and regulate nursing and midwifery education The Indian parliament recently passed the National Nursing and…\u003C/p>\n","indias-historic-step-to-strengthen-nursing-midwifery-workforce","https://jhpiego.org/our-stories/p/indias-historic-step-to-strengthen-nursing-midwifery-workforce/","/our-stories/p/indias-historic-step-to-strengthen-nursing-midwifery-workforce/","2023-08-11T20:44:00","2025-08-13T20:48:57",{"id":1054,"src":1055,"width":163,"height":251,"alt":21,"caption":1056,"title":1057,"description":21,"mimeType":24,"html":1058,"srcset":1059,"sizes":256,"meta":1060,"acf":1108},3933,"https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image.jpg","A trainee midwife, who is attending the midwifery trainee college that has been rehabilitated with the help of MCHIP stands next to a poster of Florence Nightingale that is at the entrance of the the training college in   Ranchi, India Saturday, May 31, 2014. (Kate Holt/ MCHIP Photo/)","JHPIEGO_INDIA","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/News-India-historic-step-Feature-Image-1920x1280.jpg 1920w",{"width":163,"height":251,"file":1061,"filesize":1062,"sizes":1063,"imageMeta":1100},"2025/08/News-India-historic-step-Feature-Image.jpg",454666,{"medium":1064,"large":1067,"thumbnail":1070,"mediumLarge":1073,"1536x1536":1076,"2048x2048":1079,"postThumbnail":1082,"socialPreview":1085,"smallPreview":1088,"mediumPreview":1091,"largePreview":1094,"fullscreenSmall":1097},{"file":1065,"width":34,"height":35,"mimeType":24,"filesize":1066},"News-India-historic-step-Feature-Image-300x200.jpg",32834,{"file":1068,"width":39,"height":266,"mimeType":24,"filesize":1069},"News-India-historic-step-Feature-Image-1024x683.jpg",117617,{"file":1071,"width":44,"height":44,"mimeType":24,"filesize":1072},"News-India-historic-step-Feature-Image-150x150.jpg",23935,{"file":1074,"width":48,"height":273,"mimeType":24,"filesize":1075},"News-India-historic-step-Feature-Image-768x512.jpg",81463,{"file":1077,"width":53,"height":39,"mimeType":24,"filesize":1078},"News-India-historic-step-Feature-Image-1536x1024.jpg",204335,{"file":1080,"width":19,"height":280,"mimeType":24,"filesize":1081},"News-India-historic-step-Feature-Image-2048x1366.jpg",313420,{"file":1083,"width":284,"height":59,"mimeType":24,"filesize":1084},"News-India-historic-step-Feature-Image-810x540.jpg",87736,{"file":1086,"width":63,"height":64,"mimeType":24,"filesize":1087},"News-India-historic-step-Feature-Image-1200x630.jpg",121683,{"file":1089,"width":68,"height":69,"mimeType":24,"filesize":1090},"News-India-historic-step-Feature-Image-375x250.jpg",39253,{"file":1092,"width":73,"height":294,"mimeType":24,"filesize":1093},"News-India-historic-step-Feature-Image-960x640.jpg",107885,{"file":1095,"width":78,"height":79,"mimeType":24,"filesize":1096},"News-India-historic-step-Feature-Image-1280x854.jpg",158143,{"file":1098,"width":83,"height":78,"mimeType":24,"filesize":1099},"News-India-historic-step-Feature-Image-1920x1280.jpg",283848,{"aperture":1101,"credit":1102,"camera":305,"caption":1056,"createdTimestamp":1103,"copyright":304,"focalLength":1104,"iso":1105,"shutterSpeed":1106,"title":1057,"orientation":310,"keywords":1107},"2.8","Kate Holt/ MCHIP","1401508329","70","400","0.016666666666667",[],{"primaryColor":1109,"blurhash":1110},"#332d1f","U8FFc~000Y~p=mEUM}jCMuN*Mu%M%MRjR*xv",{"category":1112,"postTag":1116,"postFormat":315,"areaOfExpertiseTax":1124,"expertsTag":315},[1113,1114],{"id":1020,"name":1021,"slug":1022,"parent":315,"uri":1023,"to":1023},{"id":1025,"name":1026,"slug":1027,"parent":1115,"uri":1029,"to":1029},{"id":1020,"name":1021,"slug":1022,"parent":315,"uri":1023,"to":1023},[1117,1120],{"id":1118,"name":723,"slug":1119,"parent":315,"uri":727,"to":727},152,"news",{"id":1121,"name":678,"slug":1122,"parent":315,"uri":1123,"to":1123},192,"nursing-and-midwifery","/our-stories/c/nursing-and-midwifery/",[1125],{"id":1126,"name":678,"slug":1127,"parent":315,"uri":683,"to":683},73,"nursing-midwifery",{"credits":1129},[1130],{"role":964,"name":1131},"Jhpiego Staff",{"id":1133,"guid":1134,"title":1135,"content":1136,"excerpt":1137,"excerptRaw":1137,"slug":1138,"url":1139,"uri":1140,"to":1140,"status":326,"date":1141,"modified":1142,"type":329,"authorId":330,"featuredMedia":1143,"terms":1188,"acf":1210},3535,"https://jhpiego.netlify.app/?p=3535","Nurse Practitioner Midwives Make Maternity Care a Positive Experience for India’s Women ","\n\u003Ch3 class=\"wp-block-heading\">\u003Cem>Inhale. Exhale. Inhale. Exhale. \u003C/em> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Midwife Monali Thulu, 32, guides Sonali Bhoykar, a second-time mother, as she readies to give birth at the midwifery-led care unit (MLCU) of Mahatma Gandhi Institute of Medical Sciences Hospital in Maharashtra, India. Beside Sonali and her midwife, Sonali’s husband, a supportive birth companion, holds his wife’s hand and breathes with her. The trio, guided by the midwife, works as a cohesive team to make Sonali’s birthing experience as positive and comfortable as possible. \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"970\" height=\"620\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023.jpg\" alt=\"\" class=\"wp-image-3536\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023.jpg 970w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023-300x192.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023-768x491.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023-845x540.jpg 845w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023-375x240.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023-960x614.jpg 960w\" sizes=\"auto, (max-width: 970px) 100vw, 970px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">This MLCU is part of a landmark Government of India initiative to ensure high-quality, dignified and respectful care for women and newborns. A professional cadre of midwives—\u003Ca href=\"https://nhm.gov.in/New_Updates_2018/NHM_Components/RMNCHA/MH/Guidelines/Guidelines_on_Midwifery_Services_in_India.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">nurse practitioner midwive\u003C/a>s (NPMs)—who are educated according to international standards, are the first point of contact at these units. In a country where around 25 million babies are born every year, establishing a cadre of professional midwives is the way to move beyond improving access to facility-based birth to ensuring that all women and their babies receive high-quality maternal and newborn care. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">According to \u003Ca href=\"https://www.thelancet.com/series/midwifery\" target=\"_blank\" rel=\"noreferrer noopener\">the 2014 Lancet Midwifery series,\u003C/a> a complete package of high-quality midwifery services can avert 83 percent of all maternal deaths, stillbirths and newborn deaths. Further, \u003Ca href=\"https://www.thelancet.com/series/midwifery\" target=\"_blank\" rel=\"noreferrer noopener\">evidence\u003C/a> suggests that high-quality midwifery services result in reduced interventions during labor, decreased need for pain relief medication and improved psychosocial outcomes for women and newborns. Mindful of this evidence, and the fact that \u003Ca href=\"https://www.unfpa.org/sites/default/files/pub-pdf/21-038-UNFPA-SoWMy2021-Report-ENv4302_0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">midwives can meet nearly 90 percent\u003C/a> of the need for essential sexual, reproductive, maternal, newborn and adolescent health interventions, the Government of India prioritized investment in developing the NPM cadre through its landmark 2018 policy decision.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego, a global health leader and Johns Hopkins University affiliate, is a key partner to the Indian government in this initiative. With support from the Bill & Melinda Gates Foundation, Jhpiego is assisting in the development of a comprehensive midwife education system, which includes establishing training institutes at the national and state levels and developing technical resources for rolling out the educational process. Three national midwifery training institutes (NMTIs) have been established in Maharashtra, Uttar Pradesh and Madhya Pradesh and one state midwifery training institute in Patna, Bihar. These training institutes are linked to MLCUs that function as clinical practice sites for the NPM learners and provide maternity care in communities. These MLCUs offer antenatal, labor, birth and postnatal care to healthy pregnant women and newborns.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">As this is a first-of-its-kind effort in the country, nurse practitioner midwife educators (NPMEs) are also being prepared by handpicked faculty from India and from countries with well-established midwifery-led systems.  \u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-1024x768.jpg\" alt=\"\" class=\"wp-image-3537\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Midwifery-led care unit (MLCU) of Mahatma Gandhi Institute of Medical Sciences Hospital in Maharashtra, India.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Midwife Monali is among the initial NPME learner cohort who will prepare the new NPMs. A robust 18-month specialization course is helping Monali understand the profound significance of several techniques that assist women during childbirth, such as controlled breathing, support from a birth companion, and the freedom to choose the birthing position that is most comfortable for her. As part of her education, Monali is undergoing an intense six-month residential training at the NMTI in Maharashtra. She will then be placed at a state midwifery training institute, where she will teach and train NPMs. More than 50 NPMEs have already received training from Jhpiego, and their mentorship continues. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In the MLCU, Sonali’s contractions were growing stronger. Midwife Monali reminded her of the various birthing positions she could try. The mother decided to sit in a warm bath to ease her pain. With midwife Monali’s patient and expert guidance, Sonali soon gave birth to a healthy baby boy. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\"> “The incredible emotional support I received from Monali \u003Cem>didi\u003C/em> [sister] has made this birthing experience much more special,” said Sonali smiling, with her newborn in her arms and husband by her side. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">For midwife Monali, helping women feel supported and cared for while giving birth to healthy, thriving babies in a comfortable environment reminds her why she chose this profession. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>“I come from a small village in Maharashtra, where I have seen how a negative birth experience can adversely impact a person for life, making one averse to seeking health care for the rest of one’s life. I wanted to change this through my work. I want to teach others that to be an effective midwife, one must constantly learn and grow, and strive to provide the best possible care to mothers and newborns. This is not just a job. It is a calling.” \u003C/strong>– Monali Thulu\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>This story was written by Dr. Geeta Chhibber, Senior Technical Advisor, and Nabanita Das, Communications Officer, with reporting by Cathy Reeve-Jones, International Midwifery Educator\u003C/em>. \u003Cem>Kanika Khanna, National Communications Officer for Jhpiego-India, and Indrani Kashyap, Associate Director, Regional Communications, also contributed to this article. Photos courtesy of Charu, Staff Nurse, MGIMS\u003C/em>.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>This article was reviewed by Laura Fitzgerald, MSN, Midwife and\u003Cstrong> \u003C/strong>Senior Program Advisor, and Frances Ganges, Midwife and Sr. Maternal Newborn Health Technical Advisor.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n","\u003Cp>Jhpiego is preparing educators to lead this new cohort to provide high-quality, respectful care to women and newborns.\u003C/p>\n","nurse-practitioner-midwives-make-maternity-care-a-positive-experience-for-indias-women","https://jhpiego.org/our-stories/p/nurse-practitioner-midwives-make-maternity-care-a-positive-experience-for-indias-women/","/our-stories/p/nurse-practitioner-midwives-make-maternity-care-a-positive-experience-for-indias-women/","2023-07-24T17:19:18","2025-08-08T20:17:54",{"id":1144,"src":1145,"width":78,"height":73,"alt":21,"caption":1146,"title":1147,"description":21,"mimeType":24,"html":1148,"srcset":1149,"sizes":1150,"meta":1151,"acf":1185},3537,"https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2.jpg","Midwifery-led care unit (MLCU) of Mahatma Gandhi Institute of Medical Sciences Hospital in Maharashtra, India.","Nurse_Practitioner_India_Story_2023_2","\u003Cimg width=\"1280\" height=\"960\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-960x720.jpg 960w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Nurse_Practitioner_India_Story_2023_2-960x720.jpg 960w","(max-width: 1280px) 100vw, 1280px",{"width":78,"height":73,"file":1152,"filesize":1153,"sizes":1154,"imageMeta":1183},"2025/08/Nurse_Practitioner_India_Story_2023_2.jpg",617209,{"medium":1155,"large":1159,"thumbnail":1162,"mediumLarge":1165,"postThumbnail":1169,"socialPreview":1173,"smallPreview":1176,"mediumPreview":1180},{"file":1156,"width":34,"height":1157,"mimeType":24,"filesize":1158},"Nurse_Practitioner_India_Story_2023_2-300x225.jpg",225,36683,{"file":1160,"width":39,"height":48,"mimeType":24,"filesize":1161},"Nurse_Practitioner_India_Story_2023_2-1024x768.jpg",193815,{"file":1163,"width":44,"height":44,"mimeType":24,"filesize":1164},"Nurse_Practitioner_India_Story_2023_2-150x150.jpg",22313,{"file":1166,"width":48,"height":1167,"mimeType":24,"filesize":1168},"Nurse_Practitioner_India_Story_2023_2-768x576.jpg",576,127334,{"file":1170,"width":1171,"height":59,"mimeType":24,"filesize":1172},"Nurse_Practitioner_India_Story_2023_2-720x540.jpg",720,115823,{"file":1174,"width":63,"height":64,"mimeType":24,"filesize":1175},"Nurse_Practitioner_India_Story_2023_2-1200x630.jpg",193395,{"file":1177,"width":68,"height":1178,"mimeType":24,"filesize":1179},"Nurse_Practitioner_India_Story_2023_2-375x281.jpg",281,47444,{"file":1181,"width":73,"height":1171,"mimeType":24,"filesize":1182},"Nurse_Practitioner_India_Story_2023_2-960x720.jpg",175021,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":310,"keywords":1184},[],{"primaryColor":1186,"blurhash":1187},"#cbbfac","UWK12Zb_W@t9~q%Lxb-;.6jGoyWB-nRjoJn%",{"category":1189,"postTag":1193,"postFormat":315,"areaOfExpertiseTax":1208,"expertsTag":315},[1190,1191],{"id":1020,"name":1021,"slug":1022,"parent":315,"uri":1023,"to":1023},{"id":1025,"name":1026,"slug":1027,"parent":1192,"uri":1029,"to":1029},{"id":1020,"name":1021,"slug":1022,"parent":315,"uri":1023,"to":1023},[1194,1197,1202,1207],{"id":1195,"name":1026,"slug":1027,"parent":315,"uri":1196,"to":1196},90,"/our-stories/c/india/",{"id":1198,"name":1199,"slug":1200,"parent":315,"uri":1201,"to":1201},113,"Maternal and Child Health","maternal-and-child-health","/our-stories/c/maternal-and-child-health/",{"id":1203,"name":1204,"slug":1205,"parent":315,"uri":1206,"to":1206},165,"Midwives","midwives","/our-stories/c/midwives/",{"id":44,"name":731,"slug":956,"parent":315,"uri":735,"to":735},[1209],{"id":1126,"name":678,"slug":1127,"parent":315,"uri":683,"to":683},{"credits":1211},[1212],{"role":1213,"name":1214},"By","Dr. Geeta Chhibber, Nabanita Das, and Cathy Reeve-Jones",{"id":1216,"guid":1217,"title":1218,"content":1219,"excerpt":1220,"excerptRaw":1220,"slug":1221,"url":1222,"uri":1223,"to":1223,"status":326,"date":1224,"modified":1225,"type":329,"authorId":525,"featuredMedia":1226,"terms":1282,"acf":1293},3919,"https://jhpiego.netlify.app/?p=3919","Obstetric Safe Surgery in Kenya’s Makueni County: Locally Owned and Sustainable ","\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"573\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-1024x573.jpg\" alt=\"\" class=\"wp-image-3920\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-1024x573.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-300x168.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-768x429.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-1536x859.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-960x537.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-375x210.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-1280x716.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1-1920x1073.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-1.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Surgical team helping a patient at the Makueni County Referral Hospital.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Doris Mbithi, one of just three obstetrician-gynecologist surgeons serving the entirety of Kenya’s Makueni County, was on her way to a morning meeting at the Mother and Child Hospital, the maternity section of the county’s largest referral facility, when she was alerted about an incoming patient. The woman, several weeks post-delivery, was bleeding profusely.  \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 thought, let me just pass by the labor ward and see the patient, then go for the meeting.” — Dr. Mbithi\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Mbithi encountered a 40-year-old new mother who was hemorrhaging after a cesarean section, performed elsewhere by a medical officer, as is common throughout Kenya, where specialists are few in number. Makueni County Referral Hospital averages 300 deliveries every month, and about a third of them require cesarean section.  \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-1024x683.jpg\" alt=\"\" class=\"wp-image-3921\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-2.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Surgical team at Makueni County Referral Hospital using the Obstetric Safe Surgery (OSS) strategy to treat a mother.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Mbithi’s examination found blood clots in the woman’s uterus. She promptly treated her and then prescribed medication.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Before long, however, the woman started bleeding again. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Her condition was deteriorating very fast,” Dr. Mbithi says, “so we had to take the patient to (the operating) theater.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">With Mother and Child’s operating theater situated next to the labor ward, there was no delay. Dr. Mbithi knew she could count on a capable team who had embraced a new strategy known as Obstetric Safe Surgery, or OSS.  \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"661\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-1024x661.jpg\" alt=\"\" class=\"wp-image-3923\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-1024x661.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-300x194.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-768x495.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-1536x991.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-837x540.jpg 837w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-375x242.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-960x619.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-1280x826.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3-1920x1238.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-3.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Hospital staff provide lifesaving treatment using the Surgical Safety Checklist developed by the World Health Organization.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Using the World Health Organization’s \u003Ca href=\"https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery\" target=\"_blank\" rel=\"noreferrer noopener\">Surgical Safety Checklist\u003C/a> and adhering to infection prevention measures—two of the behind-the-scenes reasons why this county referral hospital is in the spotlight across Kenya as well as internationally—the team quickly and competently set to work.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">An enthusiastic commitment to lifesaving and cost-effective surgical strategies drives the obstetricians, anesthetists, medical officers, nurses and midwives whose team approach to patient care has transformed this operating theater—and beyond, says Dr. Daisy Ruto, an ob-gyn and technical director for Jhpiego in Kenya who oversaw the OSS project. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“It actually led to [others] saying, ‘Yes, this is something that we would want to adopt. It is something doable and we are willing to further this,’” Dr. Ruto says, referring to government officials and medical professionals from other counties who visited Mother and Child Hospital, all curious to learn from and eager to emulate the Makueni model. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Just prior to the COVID-19 pandemic, Jhpiego began partnering on OSS at Mother and Child and four other facilities. The strategy’s success prompted Makueni County to fund its expansion countywide. OSS is now in all 10 facilities where cesarean sections are performed. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-1024x683.jpg\" alt=\"\" class=\"wp-image-3924\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-4.jpg 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Mother meeting her healthy newborn after emergency surgery.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Back inside the operating theater at the Mother and Child Hospital, Dr. Mbithi traced her patient’s bleeding to a uterus that would not contract. She then performed an emergency surgery to remove the uterus while leaving the cervix intact. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Once the woman was resting in the post-anesthesia recovery unit, Dr. Mbithi set out to resume her daily schedule. Within 30 minutes, another call summoned her back to the operating theater. Her patient was bleeding again and required a full hysterectomy. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">“Within five days, she was fit for discharge”. — Dr. Mbithi\u003C/p>\n\u003C/blockquote>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Mbithi attributes the good outcome to the availability of functioning monitors and blood products, both of which are often lacking, and a spirit of teamwork by a well-trained, enthusiastic surgical team.  \u003Cbr>\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-1024x683.jpg\" alt=\"\" class=\"wp-image-3926\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-5.jpg 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Medical personnel attending to a newborn delivered via cesarean section.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">As the number of medical officers able to confidently handle complications has increased, the number of patients who need emergency surgery for bleeding after cesarean section—a major contributor to maternal death in Kenya—has decreased, Dr. Mbithi observes.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">As teams follow Jhpiego Safe Surgery’s infection prevention approach and adapt World Health Organization recommendations on antibiotics to prevent infection for women undergoing cesarean section, they have reduced the use of prophylactic antibiotics by 60 percent, and surgical site infections by 50 percent.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. John E. Varallo, former global director of Jhpiego’s Safe Surgery program who now works for the Global Surgery Foundation, credits the success of OSS in Makueni County to “an incredible team of specialists and non-specialists, of mentors and mentees, who have embraced evidence-based best practices, patient safety, teamwork and communication.” \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"655\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-1024x655.jpg\" alt=\"\" class=\"wp-image-3927\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-1024x655.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-300x192.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-768x492.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-844x540.jpg 844w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-375x240.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-960x614.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6-1280x819.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-6.jpg 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Weighing and measuring a healthy newborn.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">There’s no disputing a direct cause and effect, he says, between use of the OSS approach with its emphasis on participatory decision-making, and improved maternal and newborn outcomes following cesarean section, including a significant reduction in life-threatening surgical infections among women.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The OSS approach is built on Jhpiego’s decade-long experience and work in strengthening both technical and nontechnical skills—communication and teamwork—and improving access and quality of health care, says Dr. Tigistu Adamu Ashengo, Jhpiego’s Chief Medical Officer.  \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\">If other surgical teams can incorporate the lessons of Makueni County into their clinical practice, we can move closer to ensuring patients, wherever they live, receive the right surgical care at the right time.” — Dr. Ashengo\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Testing the OSS strategy at the county level, and then iterating, improving and adapting is key. The aim is to scale the approach regionally and ultimately disseminate it nationally. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-1024x683.jpg\" alt=\"\" class=\"wp-image-3928\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-7.jpg 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>As the team finishes surgery, mother and daughter bond.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">With the OSS foundation in place, five facilities recently instituted \u003Ca href=\"https://www.proximie.com/?gclid=EAIaIQobChMIxLu7n82OgAMVy9DICh3KSg6gEAAYASAAEgKGb_D_BwE\" target=\"_blank\" rel=\"noreferrer noopener\">Proximie, an interactive, augmented reality too\u003C/a>l that “has taken mentorship to a new level,” says Dr. Mbithi.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Proximie requires relatively low bandwidth and allows for virtual participation in the operating theater, from scrubbing in and opening up to stitching closed. A number of cameras give close-up views of the surgical site, as well as broader pictures of the team at work.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Mbithi values Proximie for allowing real-time consultation and instruction during live surgeries, as well as review of skills and discussion of simulations of everything from postpartum hemorrhage to newborn resuscitation. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Before her hospital implemented the Proximie technology, bleeding after cesarean section was a major cause of death among women. “When you train [medical officers] how to handle complications [of cesarean section]—which Proximie and OSS have achieved—you reduce the number of patients with complications, so you would expect mortality to also go down,” she says. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-1024x683.jpg\" alt=\"\" class=\"wp-image-3929\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-Image-8.jpg 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>The surgical team at Makueni County Referral Hospital averages 300 deliveries every month, and about a third of them require cesarean section. \u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Important for its sustainability, Makueni is now fully funding and managing the OSS initiative, while collaborating with national and subcounty governments, local stakeholders and medical teaching institutions, Dr. Ruto adds.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Even without (external) financial support,” she says, “the program is still quite strong!” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">This story was reviewed by Dr. John E. Varallo, MD, MPH, FACOG.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Verah Okeyo, Communications Manager in Jhpiego’s Kenya office, contributed to this story.\u003C/em> \u003C/p>\n","\u003Cp>To strengthen surgical outcomes, hospitals in Kenya adopt a team-based approach and use Proximie, an interactive, augmented reality tool.\u003C/p>\n","obstetric-safe-surgery-in-kenyas-makueni-county-locally-owned-and-sustainable","https://jhpiego.org/our-stories/p/obstetric-safe-surgery-in-kenyas-makueni-county-locally-owned-and-sustainable/","/our-stories/p/obstetric-safe-surgery-in-kenyas-makueni-county-locally-owned-and-sustainable/","2023-07-21T20:34:00","2025-08-18T19:05:13",{"id":1227,"src":1228,"width":163,"height":251,"alt":21,"caption":21,"title":1229,"description":21,"mimeType":24,"html":1230,"srcset":1231,"sizes":256,"meta":1232,"acf":1279},3931,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Obstetric-Safe-Surgery-feature-Image.jpg","Story-Obstetric Safe 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