[{"data":1,"prerenderedAt":1296},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":10,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":492,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":565,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":712,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":737,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":796,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":837,"$fVYCNFXVZOl07SW22e20BLpqhhHY61vviFbhiSfBKGLY":878},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8,"fuxtApiVersion":9},"Jhpiego","We start with women&#039;s health, but we don&#039;t stop there.","https://api.jhpiego.org","https://jhpiego.org","https://api.jhpiego.org/wp-content/themes/fuxt-backend/screenshot.png","0.1.5",{"googleAnalytics":11,"socialSharedImage":16,"footerText":109,"footerEmail":110,"footerPhone":111,"footerImage":112,"introVideoBg":193,"searchHeaderImage":248,"":315,"hideFeaturedNewsPost":316,"featuredNewsPost":317,"menuFeaturedNews":374,"showCustomMenuItem":388,"menuFeaturedItem":389,"featuredBanner":455,"emailRecipients":491},[12,14],{"code":13},"G-MN8NG7QBCQ",{"code":15},"G-RNH48Z0R08",{"id":17,"src":18,"width":19,"height":20,"alt":21,"caption":22,"title":23,"description":21,"mimeType":24,"html":25,"srcset":26,"sizes":27,"meta":28,"acf":104},1113,"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg",2048,1367,"","Met the health volunteer Mamadjibeye Sarah, 26, at the Miandoum ACT health clinic to follow her home to work with Sarah who is hoping to go to college and be a nurse. 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She has to walk back and forth to the farm from the village.","Chad-CountryLandingPage","image/jpeg","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1024x684.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-768x513.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1536x1025.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-809x540.jpeg 809w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-375x250.jpeg 375w, 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Kasmauski","NIKON D750","1473510651","2016 Karen Kasmauski","24","800","0.003125",[96,97,98,99,100,101,102,103],"Bebedja","Chad","clinic nurse","farming","health volunteer","malaria","village","water",{"primaryColor":105,"blurhash":106,"videoUrl":21,"focalPointX":107,"focalPointY":108},"#423f2b","UYD0JtWBWUoJ_4R*axay-=azjGay%MWCaxof","53.4","17.6","\u003Cp>\u003Cstrong>Johns Hopkins\u003Cbr />\nUniversity Affiliate\u003C/strong>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/oSrmwL2C1hKzPDuEA\" target=\"_blank\">1615 Thames Street\u003Cbr />\nBaltimore, Maryland 21231, USA\u003C/a>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/5dbU6KnxynaKwqnk8\" target=\"_blank\">1875 I St NW, 6th Floor\u003Cbr />\nWashington, DC 20006, USA\u003C/a>\u003C/p>\n","info@jhpiego.org","410-537-1800",{"id":34,"src":113,"width":114,"height":115,"alt":21,"caption":116,"title":117,"description":21,"mimeType":24,"html":118,"srcset":119,"sizes":120,"meta":121,"acf":189},"https://api.jhpiego.org/wp-content/uploads/2025/02/80b63f8648129e2500d8baebd7036984.jpeg",4000,2670,"Maichew Town, Lemlem Karl Hospital (built 1991)in the Tigray region of Ethiopia. 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Elyse says ÒI have four children with these two, the others are 11 and 8. My children are spaced because I am using family planning. Before I started using family planning I had two children very close together and both died because I couln't look after them. The midwife in the Health Centre explained to my husband and I then benefits of using family planning so we stared. I am happy that we can now look after the four children we have properlyÓJhpiego has been working in Burkina Faso for the last 22 years, transforming maternal and child healthcare for women and children.","JHPIEGO_BURKINA FASO","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w","(max-width: 2560px) 100vw, 2560px",{"width":163,"height":251,"file":258,"filesize":259,"sizes":260,"imageMeta":302},"2025/04/Search-Header.jpeg",652939,{"medium":261,"large":264,"thumbnail":268,"mediumLarge":271,"1536x1536":275,"2048x2048":278,"postThumbnail":282,"socialPreview":286,"smallPreview":289,"mediumPreview":292,"largePreview":296,"fullscreenSmall":299},{"file":262,"width":34,"height":35,"mimeType":24,"filesize":263},"Search-Header-300x200.jpeg",40805,{"file":265,"width":39,"height":266,"mimeType":24,"filesize":267},"Search-Header-1024x683.jpeg",683,164502,{"file":269,"width":44,"height":44,"mimeType":24,"filesize":270},"Search-Header-150x150.jpeg",31471,{"file":272,"width":48,"height":273,"mimeType":24,"filesize":274},"Search-Header-768x512.jpeg",512,110463,{"file":276,"width":53,"height":39,"mimeType":24,"filesize":277},"Search-Header-1536x1024.jpeg",295479,{"file":279,"width":19,"height":280,"mimeType":24,"filesize":281},"Search-Header-2048x1366.jpeg",1366,451818,{"file":283,"width":284,"height":59,"mimeType":24,"filesize":285},"Search-Header-810x540.jpeg",810,119505,{"file":287,"width":63,"height":64,"mimeType":24,"filesize":288},"Search-Header-1200x630.jpeg",167119,{"file":290,"width":68,"height":69,"mimeType":24,"filesize":291},"Search-Header-375x250.jpeg",49537,{"file":293,"width":73,"height":294,"mimeType":24,"filesize":295},"Search-Header-960x640.jpeg",640,149615,{"file":297,"width":78,"height":79,"mimeType":24,"filesize":298},"Search-Header-1280x854.jpeg",225514,{"file":300,"width":83,"height":78,"mimeType":24,"filesize":301},"Search-Header-1920x1280.jpeg",410619,{"aperture":303,"credit":304,"camera":305,"caption":252,"createdTimestamp":306,"copyright":304,"focalLength":307,"iso":308,"shutterSpeed":309,"title":253,"orientation":310,"keywords":311},"4.5","KATE HOLT","Canon EOS 5D Mark III","1519805981","35","250","0.033333333333333","1",[],{"primaryColor":313,"blurhash":314},"#997c55","UNIgu,9a?bMy~UR,NfoLx@NfE2%Lt5E2M|Se",null,"true",{"id":318,"guid":319,"title":320,"content":321,"excerpt":322,"excerptRaw":322,"slug":323,"url":324,"uri":325,"to":325,"status":326,"date":327,"modified":328,"type":329,"authorId":330,"featuredMedia":331},8406,"https://jhpiego.org/?p=8406","Dr. Allyson Bear to Lead Jhpiego as New President and CEO","\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>Baltimore, MD\u003C/strong> &#8211; Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Bear joins Jhpiego with 25 years of experience in the global health sector, most recently serving as founder and CEO of the Baltimore-based public health consultancy Vennhealth. Throughout her career, she has led strategic and evaluative initiatives that have shaped major global health programs and investments. Notable achievements include revising USAID’s maternal and child health investment frameworks to align with the Sustainable Development Goals, evaluating USAID’s flagship maternal and child health program, and designing a $1 billion successor strategy. In addition, she led the evaluation of the $3.5 billion Feed the Future nutrition portfolio, providing evidence that informed its Congressional reauthorization.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“The throughline of Allyson’s professional trajectory has been a profound commitment to alleviating human suffering and promoting human dignity and health for all—a background that aligns deeply with Jhpiego’s longstanding mission to provide access to lifesaving health care where it is needed most,” said Johns Hopkins University President Ron Daniels in an email to the Johns Hopkins University community. “She brings a proven track record in strategic growth, innovation, and resource mobilization across the global health, economic development, and humanitarian sectors.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Bear began her career focused on global market shaping and scale-up efforts, starting with Gavi’s PneumoADIP and Hib Initiative, where she provided technical assistance to Ministries of Health for vaccine rollout and impact evaluations. From 2009 to 2015, she worked at USAID, leading the development of flagship U.S. Government health initiatives. She has also held leadership positions at Corus International and Abt Associates, managing global health and economic development portfolios across West Africa, francophone Central Africa, North Africa, and the Middle East. Dr. Bear has worked in more than 45 countries worldwide, including 11 years of residence in multiple countries throughout Africa and Asia.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“It has been a privilege to lead Jhpiego over the last 25 years, and I could not be more confident as I pass the baton to Dr. Allyson Bear,” said Dr. Leslie Mancuso, outgoing president and CEO of Jhpiego. “Her commitment to improving global health and her thoughtful, values-driven leadership give me great optimism for the future of the organization.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Bear will succeed Dr. Leslie Mancuso, who has led Jhpiego since 2001 and announced her planned retirement in 2024. Under Dr. Mancuso’s leadership, Jhpiego has evolved from an organization with four core programs focused on family planning and cervical cancer prevention into one of the world’s most respected global health entities, now operating in 39 countries.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To learn more about Dr. Bear, \u003Cstrong>\u003Ca href=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\" data-type=\"link\" data-id=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\">read the Johns Hopkins University Hub article here.\u003C/a>\u003C/strong>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n","\u003Cp>Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n","allyson-bear-to-lead-jhpiego-as-new-president-and-ceo","https://jhpiego.org/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","publish","2026-03-23T12:01:00","2026-04-20T20:35:51","post",5,{"id":332,"src":333,"width":63,"height":334,"alt":21,"caption":21,"title":335,"description":21,"mimeType":24,"html":336,"srcset":337,"sizes":338,"meta":339,"acf":369},8456,"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg",627,"Allyson Bear Announcement_Landscape","\u003Cimg width=\"1200\" height=\"627\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-375x196.jpg 375w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" />","https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, 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Reports","320","https://jhpiego.org/annual-reports/",[21],"/annual-reports/",[],{"id":855,"title":856,"label":21,"slug":857,"menuOrder":516,"url":858,"target":21,"attrTitle":21,"description":21,"classes":859,"xfn":21,"parentId":87,"type":500,"uri":860,"to":860,"children":861},319,"Work With Us","319","https://jhpiego.org/work-with-us/",[21],"/work-with-us/",[],{"id":863,"title":864,"label":21,"slug":865,"menuOrder":525,"url":866,"target":21,"attrTitle":21,"description":21,"classes":867,"xfn":21,"parentId":87,"type":500,"uri":868,"to":868,"children":869},1893,"Privacy Policy","1893","https://jhpiego.org/privacy-policy/",[21],"/privacy-policy/",[],{"id":871,"title":872,"label":21,"slug":873,"menuOrder":330,"url":874,"target":21,"attrTitle":21,"description":21,"classes":875,"xfn":21,"parentId":87,"type":500,"uri":876,"to":876,"children":877},1896,"Policies and Statements","1896","https://jhpiego.org/policies-and-statements/",[21],"/policies-and-statements/",[],{"posts":879,"totalPages":1295},[880,983,1076,1151,1215],{"id":881,"guid":882,"title":883,"content":884,"excerpt":885,"excerptRaw":885,"slug":886,"url":887,"uri":888,"to":888,"status":326,"date":889,"modified":890,"type":329,"authorId":330,"featuredMedia":891,"terms":942,"acf":978},4222,"https://jhpiego.netlify.app/?p=4222","Using Artificial Intelligence to Ensure the Right People Receive Malaria Meds","\n\u003Cp class=\"wp-block-paragraph\">Community health workers in Rwanda are on the front lines of testing women and their families for malaria. But there’s no reliable way to ensure health workers properly administer rapid diagnostic tests (RDTs) or read the results accurately. This can lead to a person receiving antimalarial medicine when they don’t actually need it.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"09d7\">Complicating the situation is the fact that World Health Organization’s quality control guidelines offer limited guidance on administering RDTs in communities and on quality assurance standards. Additionally, country standards of care don’t yet offer consistent protocols to ensure that people who are treated for malaria truly have malaria and that they are first confirmed by a positive test before being treated.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"620\" height=\"1024\" src=\"https://jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-620x1024.png\" alt=\"\" class=\"wp-image-4226\" style=\"width:401px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-620x1024.png 620w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-182x300.png 182w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-327x540.png 327w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture-375x620.png 375w, https://api.jhpiego.org/wp-content/uploads/2023/03/Audere-Medium-Post-Picture.png 720w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" />\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\" id=\"aebb\">\u003Cstrong>How are we ensuring malaria tests are accurately performed before treatment is given?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"d72b\">\u003Ca href=\"http://www.jhpiego.org/\" rel=\"noreferrer noopener\" target=\"_blank\">Jhpiego\u003C/a>&nbsp;has partnered with&nbsp;\u003Ca href=\"https://www.linkedin.com/company/auderenow/\" rel=\"noreferrer noopener\" target=\"_blank\">Audere\u003C/a>&nbsp;and the&nbsp;\u003Ca href=\"https://rbc.gov.rw/index.php?id=188\" rel=\"noreferrer noopener\" target=\"_blank\">Malaria and Other Parasitic Diseases Division of the Rwanda Biomedical Center\u003C/a>&nbsp;to implement an evidence-based mobile app,&nbsp;\u003Ca href=\"https://healthpulsenow.org/\" rel=\"noreferrer noopener\" target=\"_blank\">HealthPulse\u003C/a>&nbsp;AI, with community health workers in Rwanda. The goal of the app is to facilitate high-quality administration of malaria tests in the community and generate real-time surveillance data of testing results. The digital app is currently being evaluated and used by leveraging existing community-based testing efforts in programs led by the government of Rwanda, and in some areas funded by the&nbsp;\u003Ca href=\"https://www.pmi.gov/\" rel=\"noreferrer noopener\" target=\"_blank\">President’s Malaria Initiative\u003C/a>. This Jhpiego/Audere/MOPDD project will assess both the feasibility and usability of the technology by community health workers in their daily routine, the impact of the collected data, and insights from use of the app.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"bf2e\">Here’s how it works: A community health worker uses the app (whether online or offline) on the mobile device to take a photo of each RDT. Artificial intelligence (AI) in the app interprets the RDT result, allowing for a comparison between the health worker’s recorded interpretation and the AI interpretation, therefore illuminating the true positive rate of malaria cases. Shedding light onto the true positive rate will help identify issues and where additional training or quality improvement interventions are needed.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Why is this solution innovative?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"2512\">Digitally enhanced rapid malaria testing provides transparency into the number of malaria cases identified and treated and insight on how to improve the process. With this information, teams can improve program components in a timely fashion with a focus on improving treatment outcomes.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"4d33\">This project is being supported through Jhpiego’s funding for new innovative and catalytic projects. While this project is focused on malaria, other disease-specific programs that use RDTs, including HIV, COVID-19, and sexually transmitted infections, could benefit from similar digital tools. Results will be shared after the project concludes in July 2023.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\" id=\"bab6\">\u003Cstrong>How will this project help catalyze global efforts towards malaria elimination?\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"09ba\">The global health community is acutely aware and focused on the value of quality surveillance data to support the aim of ensuring that community health workers perform malaria tests before treating patients. Over-prescription of antimalarials continues to be a global concern, especially in malaria endemic countries with issues of emerging partial antimalarial drug resistance, prohibitive costs of medicines, and interrupted stock supply.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"d593\">Solutions that support health workers to accurately administer RDTs, using AI to check on results, could increase access to services for patients by reducing the strain on overburdened health care resources by reducing costs for medication.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\" id=\"fc69\">\u003Cstrong>Conclusion\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\" id=\"2800\">Empowering health workers to conduct diagnostic testing within their communities has been shown to effectively support underserved populations. Our project aims to optimize their efforts through timely feedback, efficient supervision, and transparent data, providing valuable insights for stakeholders.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>This story was originally published on Medium.com. \u003Ca href=\"https://medium.com/@Jhpiego/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds-f403ef66a97b\" data-type=\"link\" data-id=\"https://medium.com/@Jhpiego/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds-f403ef66a97b\">Read it here.\u003C/a>\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Financial support for Audere’s work was provided by the Bill &amp; Melinda Gates Foundation, grant numbers INV-007492 and INV-054895.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n","\u003Cp>Digitally enhanced malaria testing offers a measure of quality control.\u003C/p>\n","using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds","https://jhpiego.org/our-stories/p/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds/","/our-stories/p/using-artificial-intelligence-to-ensure-the-right-people-receive-malaria-meds/","2023-03-30T18:41:00","2025-08-18T18:56:46",{"id":892,"src":893,"width":19,"height":894,"alt":21,"caption":21,"title":895,"description":896,"mimeType":24,"html":897,"srcset":898,"sizes":27,"meta":899,"acf":939},4230,"https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k.jpg",1365,"Malaria Medication_BurkinaFaso_2018","\u003Cp>Jacqueline Tiendrebeogo who is 35 years old and pregnant with her fourth child takes her malaria prevention tablets at  Kaounde Health Center Kaounde,  Burkina Faso\u003C/p>\n","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k.jpg\" class=\"attachment-full 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https://api.jhpiego.org/wp-content/uploads/2023/03/40914523652_5337b19b2d_k-1920x1280.jpg 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App","mobile-app","/our-stories/c/mobile-app/",[969,972,975],{"id":970,"name":577,"slug":971,"parent":315,"uri":581,"to":581},202,"ai-integration",{"id":973,"name":633,"slug":974,"parent":315,"uri":638,"to":638},74,"innovations",{"id":976,"name":651,"slug":977,"parent":315,"uri":656,"to":656},76,"malaria-prevention-treatment",{"credits":979},[980],{"role":981,"name":982},"By","Erica Troncoso, Noella Umulisa, Shawna Cooper, Natalie Maricich, Eliab Mwiseneza, and Gladys Tetteh",{"id":984,"guid":985,"title":986,"content":987,"excerpt":988,"excerptRaw":21,"slug":989,"url":990,"uri":991,"to":991,"status":326,"date":992,"modified":993,"type":329,"authorId":525,"featuredMedia":994,"terms":1051,"acf":1069},3714,"https://jhpiego.netlify.app/?p=3714","Peers Partner to Use Data to Solve Problems, Improve Health Care in Northern Nigeria","\n\u003Ch2 class=\"wp-block-heading\">Data review identifies variations in prescribing antibiotics\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Poor quality of care is killing people. Conventional approaches to improve care have not been effective. To reverse this,&nbsp;Jhpiego is working with ministries of health in five countries in Africa&nbsp;through the Global Fund’s&nbsp;Quality Improvement and Leadership and Management project&nbsp;so that health workers have the skills to provide the right care to the right people at the right time.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Nigeria, Jhpiego collaborates with the government from the national to the local level in Jigawa state, where we support 30 project facilities and organize peer-to-peer quality improvement meetings among facilities working on similar problems. We also focus on building the leadership&nbsp;and management capacity of government officials so that the Ministry of Health&nbsp;will be able to oversee, advocate for and scale up quality improvement approaches after the project ends.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"284\" height=\"254\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-1.jpg\" alt=\"\" class=\"wp-image-3715\"/>\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Jhpiego is working in Jigawa state, Nigeria, (starred) through the Global Fund Quality Improvement and Leadership and Management project (blue countries) to improve HIV, TB and malaria care. \u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Identifying overuse of antibiotics in malaria patients in Nigeria\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">As part of the peer-to-peer quality improvement process in Jigawa, in April 2022, our team reviewed malaria care data with health workers and local government area staff in each of the 30 facilities. January to March 2022 data showed that, on average, 98% of clients who had a positive test for malaria received first-line treatment. Of these clients, 55% also received antibiotics—a shockingly high number. Overall, the prevalence of severe bacterial co-infection among people with malaria is \u003Ca href=\"https://doi.org/10.3390/tropicalmed7090243\">around 10%\u003C/a>—and only clients with severe bacterial co-infection should receive an antibiotic.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Digging deeper into the data, we found significant variations in practice between the 30 facilities (Figure 1). Twelve health facilities prescribed antibiotics to 100% of people with a positive malaria test. Seven facilities did not prescribe antibiotics to any malaria clients, meaning that people who needed an antibiotic may not have received one. Both over- and under-prescription pose a challenge to the quality of care people receive.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2.jpg\" alt=\"\" class=\"wp-image-3716\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2-300x300.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2-150x150.jpg 150w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2-768x768.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2-540x540.jpg 540w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2-375x375.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-2-960x960.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Figure 1. Out of 30 facilities, 12 were prescribing antibiotics to all clients who tested positive for malaria and seven were not prescribing to any clients with malaria.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Using variation in data to encourage reflection and change practices\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Variations in practice indicate a problem—if facilities vary in their provision of care, then some facilities may be providing poor care. Used correctly, variations can be a source of learning and a powerful driver of behavior change. So, instead of using conventional training approaches—providing feedback on the consequences of over- or under-prescribing antibiotics—we organized meetings for health workers from different facilities in each of the three local government areas. Using&nbsp;\u003Ca href=\"https://apps.who.int/iris/handle/10665/336661\" target=\"_blank\" rel=\"noreferrer noopener\">peer-to-peer learning\u003C/a>, we shared data from all the facilities and&nbsp;encouraged participants to reflect on their practice, compare it to others and learn from their peers.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Initially, the health workers justified their practices. But, as the discussions went on, they agreed that the amount of variation in the data could not be due to differences in clients. It must be a difference in the care they were providing. They decided to return to their facilities and determine what was driving their practices and address any problems they found.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"485\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-3.jpg\" alt=\"\" class=\"wp-image-3717\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-3.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-3-300x142.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-3-768x364.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-3-960x455.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-3-375x178.jpg 375w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Box 1. Four-step approach to group-based problem-solving\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Back at the facilities, Jhpiego and the Ministry of Health supported health workers to use a&nbsp;\u003Ca href=\"https://apps.who.int/iris/handle/10665/259859\" target=\"_blank\" rel=\"noreferrer noopener\">four-step group problem-solving approach\u003C/a>&nbsp;(Box 1) to analyze their practices and improve care of people with malaria.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In the following months, during data reviews we saw that\u003Cstrong>,&nbsp;\u003C/strong>overall, facilities were improving their use of antibiotics (Figure 2). In November, the average had dropped to 18%—well below the baseline average of 55%. All 12 of the facilities that had been prescribing antibiotics to 100% of clients reduced their use of antibiotics. Five of the seven that never prescribed antibiotics started identifying clients with bacterial infections and prescribing antibiotics.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Looking at the bigger picture\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">If prescriptions of antibiotics in November had been the same as the baseline, then 6,074 people would have received antibiotics compared to the 1,975 who did receive them. As a result of the peer-to-peer quality improvement work, 4,099 people who didn’t need treatment were not prescribed antibiotics. This saved the system $5,000 per month. It also reduced the risk of adverse events, work for pharmacists and pressure leading to \u003Ca href=\"https://express.adobe.com/page/puYm8lBmi0xbS/\" target=\"_blank\" rel=\"noreferrer noopener\">antimicrobial resistance\u003C/a>. It also reduced costs for clients—antibiotics cost about $1.20, the average daily income of most people in rural communities in Nigeria. \u003Cbr>\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"558\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-4.jpg\" alt=\"\" class=\"wp-image-3718\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-4.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-4-300x163.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-4-768x419.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-4-960x523.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-Image-4-375x204.jpg 375w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Figure 2. After peer-to-peer problem-solving, prescriptions of antibiotics dropped from the baseline of 55% to 18%.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Nigeria has roughly 50 million cases of malaria each year. If management of malaria nationally is comparable to the January–March baseline, then roughly 25 million people are receiving antibiotics unnecessarily, at a cost of tens of millions of dollars per year. Increased use of group-based problem-solving and peer-to-peer support to highlight variations in practice could help reduce unnecessary antibiotic use and help ensure that those who need treatment will receive it—the right people get the right care at the right time\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\">&#8220;This evidence-based approach to thoughtfully consider the true problem, identify solutions, test changes and measure success led to direct improvements in quality of care for clients and significant cost savings for the health system. It is exciting to see the use of simple, yet evidence-based approaches improving outcomes for those we serve.” — Julia Bluestone, Jhpiego’s Health Workforce Team Lead\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Yemisi Ogundare is Jhpiego’s Project Lead for the Global Fund Quality Improvement and Leadership and Management project in Nigeria. Nigel Livesley is Jhpiego’s Technical Director for the Global Fund Quality Improvement and Leadership and Management project.\u003C/em>\u003C/p>\n","\u003Cp>Data review identifies variations in prescribing antibiotics Poor quality of care is killing people. Conventional approaches to improve care have&#8230;\u003C/p>\n","peers-partner-to-use-data-to-solve-problems-improve-health-care-in-northern-nigeria-2","https://jhpiego.org/our-stories/p/peers-partner-to-use-data-to-solve-problems-improve-health-care-in-northern-nigeria-2/","/our-stories/p/peers-partner-to-use-data-to-solve-problems-improve-health-care-in-northern-nigeria-2/","2023-03-20T18:34:31","2025-08-12T14:37:00",{"id":995,"src":996,"width":997,"height":998,"alt":21,"caption":21,"title":999,"description":21,"mimeType":24,"html":1000,"srcset":1001,"sizes":1002,"meta":1003,"acf":1048},3720,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image.jpg",1727,1031,"Story-Peers Partner-Aug 2025-feature Image","\u003Cimg width=\"1727\" height=\"1031\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image.jpg 1727w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-300x179.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-1024x611.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-768x458.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-1536x917.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-905x540.jpg 905w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-375x224.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-960x573.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-1280x764.jpg 1280w\" sizes=\"auto, (max-width: 1727px) 100vw, 1727px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image.jpg 1727w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-300x179.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-1024x611.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-768x458.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-1536x917.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-905x540.jpg 905w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Peers-Partner-Aug-2025-feature-Image-375x224.jpg 375w, 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2018 Karen Kasmauski",[],{"primaryColor":1049,"blurhash":1050},"#413834","UUDcBpNGD%s+~WWXIUV@xaogM{WAofofRjof",{"category":1052,"postTag":1060,"postFormat":315,"areaOfExpertiseTax":1064,"expertsTag":315},[1053,1054],{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},{"id":1055,"name":1056,"slug":1057,"parent":1058,"uri":1059,"to":1059},68,"Nigeria","nigeria",{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},"/our-stories/c/africa/nigeria/",[1061,1062],{"id":557,"name":961,"slug":101,"parent":315,"uri":962,"to":962},{"id":44,"name":731,"slug":1063,"parent":315,"uri":735,"to":735},"story",[1065,1066],{"id":976,"name":651,"slug":977,"parent":315,"uri":656,"to":656},{"id":1067,"name":687,"slug":1068,"parent":315,"uri":692,"to":692},86,"primary-health-care",{"credits":1070},[1071,1074],{"role":1072,"name":1073},"Author","Yemisi Ogunar",{"role":1072,"name":1075},"Nigel Livesley",{"id":1077,"guid":1078,"title":1079,"content":1080,"excerpt":1081,"excerptRaw":21,"slug":1082,"url":1083,"uri":1084,"to":1084,"status":326,"date":1085,"modified":1086,"type":329,"authorId":525,"featuredMedia":1087,"terms":1124,"acf":1147},3703,"https://jhpiego.netlify.app/?p=3703","What Good is a Pill, If There is No Will?","\n\u003Ch2 class=\"wp-block-heading\">Frontline health workers in Uganda detect and treat mental health problems among people living with HIV\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Health records revealed that Roger* had been missing his appointments at the clinic in Fort Portal in western Uganda, a region with high HIV prevalence.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">His mood, which was beyond sad, hinted as to why Roger was not showing up for antiretroviral therapy. If taken regularly, the medication can suppress HIV to an undetectable level in his blood, which will prevent him from becoming sick and spreading the virus to others. Lacking the will to live, Roger had become less than vigilant about taking his therapy, a lifesaving medication, the benefits of which extend to his family, community and beyond.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Roger’s distant demeanor attracted the attention of Racheal Ahurra, a medical social worker at the clinic who had recently received training in&nbsp;\u003Ca href=\"https://www.jhsph.edu/research/centers-and-institutes/global-mental-health/talk-therapies/common-elements-treatment-approach/\" target=\"_blank\" rel=\"noreferrer noopener\">The Common Elements Treatment Approach (CETA),\u003C/a>&nbsp;a proven initiative developed by specialists at the Johns Hopkins Bloomberg School of Public Health, Department of Mental Health. The approach is designed for frontline health workers to integrate HIV care and treatment for depression, anxiety, substance use, trauma and stress-related disorders.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The CETA model, developed for use by non-mental health professionals working in low-and middle-income settings, allowed Racheal to competently screen Roger using a brief, multi-purpose tool designed with locally validated assessment measures.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Roger disclosed that he was not sleeping and was feeling helpless. Alarmingly, he also had separated from his family and attempted suicide three times. His grave condition warranted a greater level of care than group education/therapy, a CETA service offered to all clients visiting the clinic. After setting up a safety watch, with the support of Roger’s brother, Racheal instituted follow-up calls and referred Roger for individualized counseling for eight to 12 sessions over the course of several months.&nbsp;&nbsp;\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"894\" height=\"619\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1.jpg\" alt=\"\" class=\"wp-image-3705\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1.jpg 894w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-300x208.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-768x532.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-780x540.jpg 780w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-375x260.jpg 375w\" sizes=\"auto, (max-width: 894px) 100vw, 894px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>A counselor (left) conducting Mental Health screening at Fort Portal Hospital, Uganda.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">“This has been a missing link in our work, and we hope that Jhpiego will [help us] increase the number of people trained to offer CETA services in our clinic,” said Dr. Anitah Bigirwa, clinical lead in the HIV clinic at the Fort Portal Regional Referral Hospital in western Uganda.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego’s work to collaboratively integrate mental health into primary health care aims to benefit those who are underserved, including displaced persons, migrants and refugees living with HIV in Uganda, a country that, in 2023, continues to host refugees&nbsp;\u003Ca href=\"https://reliefweb.int/report/uganda/uganda-refugee-operation-impact-underfunding-2023#:~:text=The%20country%20continues%20to%20host,continue%20to%20arrive%20each%20day.\" target=\"_blank\" rel=\"noreferrer noopener\">at an unprecedented scale.\u003C/a>&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>CETA behavioral health programming and interventions, implemented over the past year in Uganda by Jhpiego, received support through the American Rescue Plan Act funding from the U.S. Health Resources and Services Administration in partnership with the Uganda Ministry of Health, Mental Health and Substance Abuse Division. Mental health services were included in the 2022\u003Cem> Consolidated Guidelines for the Prevention and Treatment of HIV in Uganda\u003C/em> to enhance adherence to antiretroviral therapy, retention and viral suppression. \u003C/strong>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">By combining treatments for multiple health problems, the CETA approach helps health workers assess symptom severity and create a precise treatment plan to deliver evidence-based, efficient care that ranges from prevention and wellness to treatment and recovery.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Mental health issues are standing in the way of reaching the global 95-95-95 goals,” said Martin Ndifuna, Jhpiego’s Country Director in Uganda, referring to worldwide efforts to provide persons at risk of HIV with screening and treatment services to reach viral suppression.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Ndifuna said the NCD approach was first used to help frontline health workers impacted by the strain of the COVID-19 pandemic:\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\">&#8220;We saw that healthier and happier health care workers were better able to address the issues of people living with HIV who are unseen or not showing up for appointments due to their mental health status.” — Martin Ndifuna, Jhpiego’s Country Director in Uganda\u003C/p>\n\u003C/blockquote>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Based on these results, they decided to use the CETA approach with their clients, he said.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Uganda, CETA has been rolled out at three sites, with 35 frontline health workers using the approach to address mental health challenges and provide quality services not only for people living with HIV but also to those who care for them, including health workers. To date, mental health services have been offered to 11,328 clients, resulting in 463 being enrolled in CETA at three referral sites. In addition, 101 health workers have undergone mental health screening.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">More than 75 percent of people with mental health disorders in developing countries receive no treatment or care, according to the World Health Organization. Global objectives set out in the World Health Organization’s&nbsp;\u003Ca href=\"https://www.who.int/publications/i/item/9789240031029\" target=\"_blank\" rel=\"noreferrer noopener\">Comprehensive Mental Health Action Plan 2013–2030\u003C/a>&nbsp;and the Sustainable Development Goals seek to address this dearth of critical care, in part by calling for more community-based mental health services.&nbsp;\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"639\" height=\"479\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-2.jpg\" alt=\"\" class=\"wp-image-3706\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-2.jpg 639w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-2-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-2-375x281.jpg 375w\" sizes=\"auto, (max-width: 639px) 100vw, 639px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Jhpiego staff (right) delivers tablets to Rwamwanja Health facility in Uganda for mental health data management.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">A \u003Ca href=\"https://www.who.int/publications/i/item/9789240049338\" target=\"_blank\" rel=\"noreferrer noopener\">World Health Organization report cites studies\u003C/a> showing that people living with HIV/AIDS are twice as likely to experience severe depression compared to others, and that treating depression can improve adherence to care and clinical outcomes. The report also references a recent systematic review that reports that the risk of death by suicide is 100 times higher in people living with HIV than in the general population.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"200\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-3.jpg\" alt=\"\" class=\"wp-image-3707\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-3.jpg 600w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-3-300x100.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-3-375x125.jpg 375w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" />\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Racheal’s compassionate and skilled counseling efforts, informed by the virtual and in-person CETA training she completed in June 2022, made all the difference for Roger. He no longer misses appointments at the clinic. She reports, “His mood has greatly improved. He is responding well to treatment. He even brought his partner to the clinic and reconciled with family.”&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>*Roger is a pseudonym, used to protect the privacy of the client.\u003C/em>&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Charles Mwanje is a program officer in Jhpiego’s Uganda office. Maryalice Yakutchik, a senior writer working with Jhpiego, also contributed to this story.\u003C/em>&nbsp;\u003C/p>\n","\u003Cp>Frontline health workers in Uganda detect and treat mental health problems among people living with HIV Health records revealed that&#8230;\u003C/p>\n","what-good-is-a-pill-if-there-is-no-will","https://jhpiego.org/our-stories/p/what-good-is-a-pill-if-there-is-no-will/","/our-stories/p/what-good-is-a-pill-if-there-is-no-will/","2023-02-21T17:51:39","2025-08-12T14:36:46",{"id":1088,"src":1089,"width":1090,"height":1091,"alt":21,"caption":21,"title":1092,"description":21,"mimeType":24,"html":1093,"srcset":1094,"sizes":1095,"meta":1096,"acf":1121},3705,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1.jpg",894,619,"Story-What good-Uganda-Image 1","\u003Cimg width=\"894\" height=\"619\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1.jpg 894w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-300x208.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-768x532.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-780x540.jpg 780w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-375x260.jpg 375w\" sizes=\"auto, (max-width: 894px) 100vw, 894px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1.jpg 894w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-300x208.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-768x532.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-780x540.jpg 780w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-What-good-Uganda-Image-1-375x260.jpg 375w","(max-width: 894px) 100vw, 894px",{"width":1090,"height":1091,"file":1097,"filesize":1098,"sizes":1099,"imageMeta":1119},"2025/08/Story-What-good-Uganda-Image-1.jpg",92312,{"medium":1100,"thumbnail":1104,"mediumLarge":1107,"postThumbnail":1111,"smallPreview":1115},{"file":1101,"width":34,"height":1102,"mimeType":24,"filesize":1103},"Story-What-good-Uganda-Image-1-300x208.jpg",208,13420,{"file":1105,"width":44,"height":44,"mimeType":24,"filesize":1106},"Story-What-good-Uganda-Image-1-150x150.jpg",6562,{"file":1108,"width":48,"height":1109,"mimeType":24,"filesize":1110},"Story-What-good-Uganda-Image-1-768x532.jpg",532,61372,{"file":1112,"width":1113,"height":59,"mimeType":24,"filesize":1114},"Story-What-good-Uganda-Image-1-780x540.jpg",780,62580,{"file":1116,"width":68,"height":1117,"mimeType":24,"filesize":1118},"Story-What-good-Uganda-Image-1-375x260.jpg",260,19599,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1120},[],{"primaryColor":1122,"blurhash":1123,"videoUrl":21,"focalPointX":21,"focalPointY":21},"#aeada5","UWIX{jxuI.jX~qxuWVRjx[xajGM{.8ofRPRP",{"category":1125,"postTag":1133,"postFormat":315,"areaOfExpertiseTax":1143,"expertsTag":315},[1126,1127],{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},{"id":1128,"name":1129,"slug":1130,"parent":1131,"uri":1132,"to":1132},60,"Uganda","uganda",{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},"/our-stories/c/africa/uganda/",[1134,1138],{"id":1135,"name":609,"slug":1136,"parent":315,"uri":1137,"to":1137},84,"hiv","/our-stories/c/hiv/",{"id":1139,"name":1140,"slug":1141,"parent":315,"uri":1142,"to":1142},98,"TB","tb","/our-stories/c/tb/",[1144],{"id":1145,"name":609,"slug":1146,"parent":315,"uri":613,"to":613},87,"hiv-tb",{"credits":1148},[1149],{"role":1072,"name":1150},"Charles Mwanje",{"id":1152,"guid":1153,"title":1154,"content":1155,"excerpt":1156,"excerptRaw":1156,"slug":1157,"url":1158,"uri":1159,"to":1159,"status":326,"date":1160,"modified":1161,"type":329,"authorId":497,"featuredMedia":1162,"terms":1193,"acf":1211},1304,"https://jhpiego.netlify.app/?p=1304","Community Health Workers Provide Needed Health Services in Cameroon","\n\u003Ch2 class=\"wp-block-heading\">ExxonMobil Foundation strengthens health care in rural areas\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Mahelet Ritha, affectionately known as Maa-Ritha, is a community health worker (CHW) from Bongahele village in the South region of Cameroon. She is proud to be part of a network of CHWs bringing health care services directly to people in their communities, which are often far from a health facility. Maa-Ritha and her fellow CHWs raise awareness, manage simple cases of malaria, diarrhea and pneumonia, and refer serious cases to surrounding health facilities for additional care. Lack of accessibility to care is a common problem facing those living in rural Cameroon and one these CHWs are working daily to remedy.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Bongahele is one of seven villages that make up the Grand Batanga health zone, which serves a population of 1,739. As in many areas in Cameroon, people in Grand Batanga lack access to primary health care. The villages are served by two health centers and a private hospital, but over 50% of Grand Batanga’s population lives more than 5 kilometers from these health facilities.\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\">\n\u003Cp class=\"wp-block-paragraph\">In 2018, to address the problem of accessibility, the Ministry of Health created a network of CHWs who, unlike former CHWs linked to one or two health areas, provide a variety of services to their communities. These services include integrated management of childhood illnesses such as diarrhea, uncomplicated respiratory infections, and prevention and treatment of malaria. The program is implemented in collaboration with and under the supervision of the directors of local health centers, which is an essential step in connecting remote or rural communities to needed health services.\u003C/p>\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\">\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"737\" height=\"785\" src=\"https://jhpiego.org/wp-content/uploads/2025/03/Maa-Ritha-Photo-3.jpg\" alt=\"\" class=\"wp-image-1306\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Maa-Ritha-Photo-3.jpg 737w, https://api.jhpiego.org/wp-content/uploads/2025/03/Maa-Ritha-Photo-3-282x300.jpg 282w, https://api.jhpiego.org/wp-content/uploads/2025/03/Maa-Ritha-Photo-3-507x540.jpg 507w, https://api.jhpiego.org/wp-content/uploads/2025/03/Maa-Ritha-Photo-3-375x399.jpg 375w\" sizes=\"auto, (max-width: 737px) 100vw, 737px\" />\u003Cfigcaption class=\"wp-element-caption\">CHW Mahelet Ritha (left), trained through the Jhpiego-led Improving the Quality of Malaria Control Services project, with her supervisor, Azambou Giscard\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Since 2011, Jhpiego has supported the Government of Cameroon’s efforts in the fight against malaria through the “Improving the Quality of Malaria Control Services” project, funded by the ExxonMobil Foundation. The project aims to strengthen the network of CHWs to provide high-quality community-based services. To this end, Jhpiego provided training to 38 CHWs selected by their communities, including seven of whom are from the Grand Batanga zone, to serve their communities and support the health facilities in their areas. The project equipped them with antimalarial medications, such as artesunate and amodiaquine, rapid diagnostic tests for malaria and other essential supplies.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Maa-Ritha was among the CHWs who attended Jhpiego-funded trainings, in 2012 and 2018, to learn how to provide these much-needed health services for her community. “Before my training, I was not quite sure how to detect danger signs in a child with diarrhea or fever, and sometimes I thought it wasn’t necessary,” Maa-Ritha said. “Now I understand why, and many children have been saved because I referred them in time.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Maa-Ritha works closely with the head of the health zone, Nurse Azambou Giscard, who has been impressed by her dedication to the Great Batanga community. Since 2016, Giscard has overseen the health area’s activities including the follow-up and supervision of CHWs. The Jhpiego team, in collaboration with the district health management team, provided Giscard with training on effective supervision techniques and logistical support to conduct supervision and monthly meetings.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Giscard takes to heart his role of supervisor, conducting quarterly supervision of the CHWs in their respective villages and organizing monthly meetings for the verification and validation of CHW data. During their meetings, Giscard asks about any challenges the CHWs face and gives feedback. The CHWs are proud to work with Nurse Giscard. They describe him as a rigorous supervisor who gives valuable advice to lead the team to success, which has in turn translated to positive health outcomes for the Grand Batanga health zone.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https://jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou-1024x768.jpg\" alt=\"\" class=\"wp-image-1305\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/Photo-2-Nurse-Azambou.jpg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The health zone’s overall performance evaluated on simple case management, sensitization, input management and data management by CHWs increased from 65% in May 2018 to 91% in November 2020 during supervision. Jhpiego supported CHW supervisors and district teams to conduct regular follow-up, and provided tools and medical equipment, as well as a small stipend, which contributed to improving performance.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In 2020, in Grand Batanga, the CHWs provided rapid diagnostic tests for 197 patients with fever, which showed a 100% confirmation rate for malaria. Of these cases, 92% received treatment according to national guidelines. The CHWs contributed to raising awareness about the necessity of using insecticide-treated nets, which increased from 40.3% in 2017 to 99% in 2020.\u003Ca href=\"https://www.jhpiego.org/story/community-health-workers-provide-needed-health-services-in-cameroon/#_ftn1\">[1]\u003C/a>&nbsp;CHWs also emphasized the importance of pregnant women receiving the fourth dose of intermittent preventive treatment against malaria, which improved from 23% in 2019 to 47% in 2020.\u003Ca href=\"https://www.jhpiego.org/story/community-health-workers-provide-needed-health-services-in-cameroon/#_ftn2\">[2]\u003C/a>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Through the commitment and leadership of CHWs like Maa-Ritha and supervisors like Giscard, the Grand Batanga health zone has improved its provision of health care services, especially in the quality of malaria care for pregnant women.\u003C/p>\n\n\n\n\u003Chr class=\"wp-block-separator has-alpha-channel-opacity\"/>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Ca href=\"https://www.jhpiego.org/story/community-health-workers-provide-needed-health-services-in-cameroon/#_ftnref1\">[1]\u003C/a>&nbsp;Sources: Jhpiego Cameroon BD CHW/FOSA 2017, 2020.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Ca href=\"https://www.jhpiego.org/story/community-health-workers-provide-needed-health-services-in-cameroon/#_ftnref2\">[2]\u003C/a>&nbsp;Sources: Jhpiego Cameroon BD ASC/FOSA 2019, 2020.\u003C/p>\n","\u003Cp>ExxonMobil Foundation strengthens health care in rural areas.\u003C/p>\n","community-health-workers-provide-needed-health-services-in-cameroon","https://jhpiego.org/our-stories/p/community-health-workers-provide-needed-health-services-in-cameroon/","/our-stories/p/community-health-workers-provide-needed-health-services-in-cameroon/","2023-02-21T00:18:00","2025-06-16T19:56:13",{"id":1163,"src":1164,"width":464,"height":1165,"alt":21,"caption":21,"title":1166,"description":21,"mimeType":24,"html":1167,"srcset":1168,"sizes":469,"meta":1169,"acf":1188},1308,"https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c.jpg",534,"29945040841_b92bc4e6b7_c","\u003Cimg width=\"799\" height=\"534\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c-300x201.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c-375x251.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />","https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c-300x201.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/29945040841_b92bc4e6b7_c-375x251.jpg 375w",{"width":464,"height":1165,"file":1170,"filesize":1171,"sizes":1172,"imageMeta":1186},"2025/03/29945040841_b92bc4e6b7_c.jpg",149476,{"medium":1173,"thumbnail":1176,"mediumLarge":1179,"smallPreview":1182},{"file":1174,"width":34,"height":964,"mimeType":24,"filesize":1175},"29945040841_b92bc4e6b7_c-300x201.jpg",17558,{"file":1177,"width":44,"height":44,"mimeType":24,"filesize":1178},"29945040841_b92bc4e6b7_c-150x150.jpg",8274,{"file":1180,"width":48,"height":49,"mimeType":24,"filesize":1181},"29945040841_b92bc4e6b7_c-768x513.jpg",88524,{"file":1183,"width":68,"height":1184,"mimeType":24,"filesize":1185},"29945040841_b92bc4e6b7_c-375x251.jpg",251,25306,{"aperture":87,"credit":88,"camera":21,"caption":21,"createdTimestamp":87,"copyright":91,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1187},[],{"primaryColor":1189,"blurhash":1190,"videoUrl":21,"focalPointX":1191,"focalPointY":1192},"#37332f","U49jioVW00^h~p~VH?9F8^?H-?56}=E1Oa$%","40.9","48.7",{"category":1194,"postTag":1202,"postFormat":315,"areaOfExpertiseTax":1209,"expertsTag":315},[1195,1196],{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},{"id":1197,"name":1198,"slug":1199,"parent":1200,"uri":1201,"to":1201},57,"Cameroon","cameroon",{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},"/our-stories/c/africa/cameroon/",[1203,1206,1208],{"id":1204,"name":1198,"slug":1199,"parent":315,"uri":1205,"to":1205},107,"/our-stories/c/cameroon/",{"id":1207,"name":687,"slug":1068,"parent":315,"uri":692,"to":692},94,{"id":44,"name":731,"slug":1063,"parent":315,"uri":735,"to":735},[1210],{"id":976,"name":651,"slug":977,"parent":315,"uri":656,"to":656},{"credits":1212},[1213],{"role":981,"name":1214},"Veronique Massaedoe, Jhpiego/Cameroon",{"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":497,"featuredMedia":1226,"terms":1268,"acf":1291},1287,"https://jhpiego.netlify.app/?p=1287","Moving Toward Cervical Cancer Elimination ","\n\u003Ch2 class=\"wp-block-heading\">The SUCCESS project offers a way forward\u003C/h2>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-1024x683.jpg\" alt=\"\" class=\"wp-image-1289\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3853-scaled-1.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>Ouagadougou, Burkina Faso\u003C/strong>&nbsp;– On a routine visit to her local health care provider, Martine Zoundi learned for the first time about the importance of getting screened for cervical cancer, especially for women who, like her, are living with HIV. The visit coincided with a World Cancer Day event sponsored by a nearby teaching hospital.&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Martine, whose name has been changed at her request, decided to get tested right then. Since her HIV diagnosis 20 years ago, Martine has taken her antiretroviral medication faithfully and remained healthy and active while working as a laundress—all “to ensure a future for my (two) children.” Now 46, she faced another potentially life-threatening disease, one that could undermine all she had worked for.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In 2020, Burkina Faso recorded&nbsp;\u003Ca href=\"https://gco.iarc.fr/today/data/factsheets/populations/854-burkina-faso-fact-sheets.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">1,132 new cases and 839 deaths\u003C/a>&nbsp;from cervical cancer—the second most prevalent cancer among women in the country. Women living with HIV&nbsp;\u003Ca href=\"https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30459-9/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">are at six times higher risk\u003C/a>&nbsp;of developing cervical cancer than women who are HIV-negative. In 2017,&nbsp;\u003Ca href=\"https://www.unaids.org/en/20190402_country_focus_BurkinaFaso\" target=\"_blank\" rel=\"noreferrer noopener\">8 in every 1,000 adults\u003C/a>&nbsp;aged 15 to 49 in Burkina Faso were living with HIV.&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">During that World Cancer Day visit nearly a year ago, Martine was able to collect her own cervical sample after receiving counseling from a trained health worker. Her sample was then sent for human papillomavirus (HPV) DNA testing—the evidence-based screening recommended by the World Health Organization (WHO).\u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n\u003Cdiv class=\"wp-block-button\">\u003Ca class=\"wp-block-button__link has-text-align-center wp-element-button\" href=\"https://www.jhpiego.org/feature-story/blazing-a-new-data-trail/\">Read about Jhpiego&#8217;s pioneering efforts to measure HPV DNA test data.\u003C/a>\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The screening was part of an integrated services approach to prevention and treatment of cervical cancer adopted by the Ministry of Health and Public Hygiene through the Unitaid-funded and Expertise France-led \u003Ca href=\"https://www.uicc.org/blog/cervical-cancer-elimination-ambition-project-focusing-secondary-prevention\" target=\"_blank\" rel=\"noreferrer noopener\">Scale Up Cervical Cancer Elimination with Secondary Prevention Strategy\u003C/a> (SUCCESS) project. Jhpiego is implementing the four-year SUCCESS project in Burkina Faso, Côte d’Ivoire, Guatemala and the Philippines, with the goal of screening 175,000 women, a significant proportion of whom are living with HIV. \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https://jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4-1024x682.jpg\" alt=\"\" class=\"wp-image-1290\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4-1024x682.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4-811x540.jpg 811w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4-960x639.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina4.jpg 1177w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“In Burkina Faso, prior to the SUCCESS project, follow-up of HIV-positive women did not systematically include screening for precancerous cervical lesions,” said Claude Linda Traoré, who leads the SUCCESS project in Burkina Faso. “This was an important challenge for us to address. The project, in close partnership with the government, works with two leading teaching hospitals as well as engages with relevant nonprofits and local organizations, to come together to collectively share information, and bring in women on active treatment of HIV for cervical cancer screening.”&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">After Martine received her positive test result, Jhpiego and Ministry of Health-educated health care providers destroyed her precancerous lesions using thermal ablation, a&nbsp;\u003Ca href=\"https://www.who.int/southeastasia/activities/cervical-cancer%22%20/l%20%22:~:text=Vaccination%20against%20HPV%20in%20girls,cancer%20cases%20diagnosed%20every%20year.\" target=\"_blank\" rel=\"noreferrer noopener\">WHO-recommended treatment.\u003C/a>&nbsp;&nbsp;\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\">\u003Cstrong>Without this campaign, I (could) have developed cancer. I thank Jhpiego for saving me from a certain death.”  \u003C/strong>\u003C/p>\n\u003Ccite>Martine\u003C/cite>\u003C/blockquote>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The global strategy to eliminate a preventable cancer\u003C/strong> \u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Ca href=\"https://www.who.int/news-room/fact-sheets/detail/cervical-cancer\" target=\"_blank\" rel=\"noreferrer noopener\">Cervical cancer\u003C/a>&nbsp;is the most common cancer associated with HPV, a sexually acquired infection.&nbsp;\u003Ca href=\"https://www.who.int/news-room/fact-sheets/detail/cervical-cancer\" target=\"_blank\" rel=\"noreferrer noopener\">WHO estimated\u003C/a>&nbsp;604,000 new cases of cervical cancer and 342,000 cervical cancer deaths in 2020—about 90 percent of which are in low- and middle-income countries.&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To end this tremendous loss of health and lives from a cancer that can be prevented if detected early and managed effectively, WHO has recommended a&nbsp;\u003Ca href=\"https://www.who.int/publications/i/item/9789240014107\" target=\"_blank\" rel=\"noreferrer noopener\">global strategy\u003C/a>&nbsp;for its elimination as a public health problem. Strategy targets include vaccinating 90 percent of young girls against HPV (primary prevention) and screening 70 percent of women using a high-performance test, such as HPV DNA testing, by age 35 and again by age 45, subsequently treating 90 percent of women with precancerous lesions (secondary prevention strategy) and managing 90 percent of women found with invasive cancer.&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To expand access to cervical cancer screening, Jhpiego mobilizes civil society partners and, increasingly, community health workers (CHWs) to create awareness among women in the 25–55-year age group.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Besides training 632 health care providers, including clinicians, laboratory workers, and pharmacists, we have trained 35 CHWs to disseminate knowledge among [the] communities they serve about the importance of cervical cancer screening, and encourage women to get tested,” said Dr. Traoré.&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Community health workers at the ready \u003C/strong> \u003C/h2>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https://jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1-1024x682.jpg\" alt=\"\" class=\"wp-image-1291\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1-1024x682.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1-811x540.jpg 811w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1-960x639.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina2-1.jpg 1177w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Belguissa Ouédraogo is one such CHW. Easily recognizable by her yellow fluorescent vest, she visits women in their homes and shares cervical cancer prevention information using simple illustrated charts. She also educates women on malaria prevention, antenatal care, compliance with vaccination schedules, family planning and child nutrition.&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">&nbsp;“I admit that I did not know much about cervical cancer. The training allowed me to understand the disease, its mode of transmission, its evolution toward the stage of cancer. But, the key message is the fact that it is a disease that any woman can avoid if she is informed and sensitized,” said Belguissa, a 36-year-old mother of four.&nbsp;\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\">\u003Cstrong> “Convincing women to get screened when they have no symptoms\u003C/strong>\u003Cs>,\u003C/s>\u003Cstrong> and feel perfectly healthy is not an easy task.”  \u003C/strong>\u003C/p>\n\u003Ccite>Belguissa\u003C/cite>\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">But her perseverance is rewarded when women such as Rouki Compaoré say, “I thank Belguissa for the time she took to convince me. . . . When I finally decided to get tested, the results revealed that I was developing precancerous lesions. The health center team was able to treat them and today my cervix is free of any precancerous lesions. This treatment saved my life.”&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">By September 2022, the SUCCESS project had screened almost 20,000 women for HPV in Burkina Faso, 21 percent of whom were living with HIV. Across the four SUCCESS countries, more than 100,000 women have been screened.&nbsp;&nbsp;\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-1024x683.jpg\" alt=\"\" class=\"wp-image-1292\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/03/DSC_3983-scaled-1.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The leadership shown by Burkina Faso and other SUCCESS countries helps drive the momentum of keeping women healthy and safe from cervical cancer.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“The ministry of health understands the advantages of this approach, and that gives us the confidence that efforts to strengthen cervical cancer elimination will not just sustain, but also get scaled up in the future,” said Dr. Traoré.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Souleymane Zaré is the communications specialist in Jhpiego’s Burkina Faso office. Indrani Kashyap is the Associate Director of Regional Communications.&nbsp;\u003C/em>&nbsp;\u003C/p>\n","\u003Cp>The SUCCESS project offers a way forward.\u003C/p>\n","moving-toward-cervical-cancer-elimination","https://jhpiego.org/our-stories/p/moving-toward-cervical-cancer-elimination/","/our-stories/p/moving-toward-cervical-cancer-elimination/","2023-01-24T23:56:00","2025-06-16T19:56:20",{"id":1227,"src":1228,"width":1229,"height":1230,"alt":21,"caption":21,"title":1231,"description":21,"mimeType":24,"html":1232,"srcset":1233,"sizes":1234,"meta":1235,"acf":1265},1288,"https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3.jpg",1177,580,"CECAP_Burkina3","\u003Cimg width=\"1177\" height=\"580\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3.jpg 1177w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-300x148.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-1024x505.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-768x378.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-960x473.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-375x185.jpg 375w\" sizes=\"auto, (max-width: 1177px) 100vw, 1177px\" />","https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3.jpg 1177w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-300x148.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-1024x505.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-768x378.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-960x473.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/CECAP_Burkina3-375x185.jpg 375w","(max-width: 1177px) 100vw, 1177px",{"width":1229,"height":1230,"file":1236,"filesize":1237,"sizes":1238,"imageMeta":1263},"2025/03/CECAP_Burkina3.jpg",186314,{"medium":1239,"large":1243,"thumbnail":1247,"mediumLarge":1250,"postThumbnail":1254,"smallPreview":1258,"mediumPreview":1262},{"file":1240,"width":34,"height":1241,"mimeType":24,"filesize":1242},"CECAP_Burkina3-300x148.jpg",148,20093,{"file":1244,"width":39,"height":1245,"mimeType":24,"filesize":1246},"CECAP_Burkina3-1024x505.jpg",505,87009,{"file":1248,"width":44,"height":44,"mimeType":24,"filesize":1249},"CECAP_Burkina3-150x150.jpg",14460,{"file":1251,"width":48,"height":1252,"mimeType":24,"filesize":1253},"CECAP_Burkina3-768x378.jpg",378,58603,{"file":1255,"width":73,"height":1256,"mimeType":24,"filesize":1257},"CECAP_Burkina3-960x473.jpg",473,79361,{"file":1259,"width":68,"height":1260,"mimeType":24,"filesize":1261},"CECAP_Burkina3-375x185.jpg",185,24777,{"file":1255,"width":73,"height":1256,"mimeType":24,"filesize":1257},{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":310,"keywords":1264},[],{"primaryColor":1266,"blurhash":1267},"#849591","UEH.j0tT9YEL00Me.8.7THM{R*.8_NIURjXR",{"category":1269,"postTag":1277,"postFormat":315,"areaOfExpertiseTax":1287,"expertsTag":315},[1270,1271],{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},{"id":1272,"name":1273,"slug":1274,"parent":1275,"uri":1276,"to":1276},55,"Burkina Faso","burkina-faso",{"id":945,"name":946,"slug":947,"parent":315,"uri":948,"to":948},"/our-stories/c/africa/burkina-faso/",[1278,1281,1285,1286],{"id":1279,"name":1273,"slug":1274,"parent":315,"uri":1280,"to":1280},104,"/our-stories/c/burkina-faso/",{"id":548,"name":1282,"slug":1283,"parent":315,"uri":1284,"to":1284},"Cancer","cancer","/our-stories/c/cancer/",{"id":1207,"name":687,"slug":1068,"parent":315,"uri":692,"to":692},{"id":44,"name":731,"slug":1063,"parent":315,"uri":735,"to":735},[1288],{"id":1289,"name":705,"slug":1290,"parent":315,"uri":710,"to":710},77,"womens-cancers",{"credits":1292},[1293],{"role":981,"name":1294},"Souleymane Zaré with Indrani Kashyap ",36,1793651963278]