Toward Health for All

Transcription

1 Toward Health for All 2012 annual report stronger health systems. greater health impact.

2 Dear Friends, A world where everyone has the opportunity for a healthy life. This is MSH s vision for global health. We believe that strong health systems are the best way to achieve health for all. In this report, we offer a glimpse of universal health coverage (UHC) as a framework for maximizing health impact. UHC could serve well as a broad post-2015 health goal under which we continue to focus on critical health areas, such as HIV & AIDS and maternal, child, and newborn health, as you will read about in this year s report. More than 50 countries have essentially achieved universal health coverage. Another 50 countries are working toward universal coverage. MSH is a contributing member of this UHC movement. We work with people on the front lines to develop health system innovations, such as community health shops, and to scale them up. We build local capacity to deliver health services, training health workers and other staff. We join our voice to the chorus of advocates for UHC at the global level and in countries such as Ethiopia and Nigeria. We contribute to efforts to measure the progress and impact of UHC.

3 For over 40 years, MSH has taken inspiration from the ancient Tao of Leadership and its message about partnership and empowerment. Together with our diverse funding and implementing partners, we work shoulder-toshoulder with local health leaders and institutions around the world to create lasting health impact that contributes to economic vitality and political stability. We deeply appreciate the contributions of everyone with whom we work and who has made it possible for us to commit to 122 projects in Together we are forging the path toward a healthier world. With warm regards, Jonathan D. Quick, MD, MPH President and Chief Executive Officer MSH is excited to announce the launch of our new website. We encourage you to visit us at

4 Expanding the reach of community health shops MSH s innovative initiative to improve private drug shops often people s first source for health care outside the home was successfully adapted and expanded to reach more people in Tanzania came close to finishing its scale-up of the program to the entire country (nearly 5,000 shops and 11,900 dispensers). Uganda substantially expanded its program as well. MSH trained owners and employees in managing common health conditions and business processes and helped ensure that their shops met relevant standards. With ongoing support from the Bill & Melinda Gates Foundation, MSH also helped adapt the model of accredited drug sellers for the post-conflict country of Liberia. All of these programs strengthen health systems by improving access to critical health services and medicines, as well as supporting community health leaders (many of them women) and local economies. INNOVATION

5 Discovering what works for the health of mothers and children EVIDENCE The link between maternal survival and child survival is clear: children whose mothers die are more likely to die themselves. MSH is expanding the evidence base for maternal and child health by supporting Option B+ for treating HIV-positive mothers and protecting their babies from infection. Developed in Malawi with MSH guidance, Option B+ offers lifelong antiretroviral treatment to all pregnant women with HIV, regardless of their CD4 count or disease progression. Option B+ is proving easier to administer than alternative approaches and promises to significantly reduce overall maternal and child mortality. MSH is monitoring the initiative s success in Malawi, and now also in Uganda, where MSH began supporting B+ rollout in Uganda is training health workers and preparing health facilities to provide B+ services and has begun mobilizing the community and district health leaders in support of the initiative.

6 Growing the global base of health leaders In 2012, MSH helped train over 28,000 health workers around the world, from Afghanistan to Zimbabwe. These health workers are found at all levels of the health system in the household, the community, the health facility, civil society, and the government and from both public and private sectors. Over 9,000 of them are female. By empowering local leadership to create sustainable health programs, we build the capacity of local communities to achieve their health goals from managers who improve the performance of health grants, to health facility staff who learn to screen HIV-positive women for cervical and breast cancer, to midwives who gain new skills in delivering more methods of family planning. CAPACITY-BUILDING

7 Adding our voice to the call for universal health coverage ADVOCACY Health for All, a new campaign led by MSH, supports Ethiopia, Nigeria, and Kenya in their efforts to achieve universal health coverage. With funding from the Rockefeller Foundation, MSH works with these governments to strengthen political commitment and generate popular support for universal access to health care, including health insurance. In each country, the campaign s advocacy and large-scale media efforts will help support new health financing schemes toward universal coverage. The campaign was officially launched in 2013 in Ethiopia, where it is backed by organizations such as the Ethiopian Midwives Association, World Vision, and Marie Stopes International.

8 Board of Directors Tao of Leadership Go to the people Live with them Love them Learn from them Start with what they have Build on what they know. But of the best leaders When their task is accomplished The work is done The people will all say We have done it ourselves. lao tzu 2012 MSH Photography Fellowship in Africa In 2012, MSH partnered with SocialDocumentary.net (SDN), a website and online community of professional documentary photographers, to launch our Photography Fellowship in Africa. From a pool of more than 250 applicants, MSH and SDN selected four photographers Leslie Alsheimer, Rui Pires, Todd Shapera, and Warren Zelman. Photographers will work with local MSH staff in seven to eight countries to capture the breadth of our work at all levels of the health system. We are proud to feature the photos of Warren Zelman, the first photographer to travel for MSH, in this year s annual report. We look forward to featuring all of our Fellows breathtaking work throughout the years to come. James M. Stone, Chair c h a i r m a n The Plymouth Rock Company Alan Detheridge a s s o c i at e d i r e c to r The Partnering Initiative Gail DeNicola n o rt h e a s t d i v i s i o n v i c e p r e s i d e n t American Red Cross Rebeca de Vives p r e s i d e n t RdV Consulting Sue J. Goldie p r o f e s s o r o f h e a lt h p o l i c y a n d d e c i s i o n s c i e n c e Harvard School of Public Health John Isaacson p r e s i d e n t Isaacson Miller Paula D. Johnson d i r e c to r Philanthropic Initiative, Center for Global Philanthropy Ronald O Connor f o u n d e r Management Sciences for Health Robert Pozen s e n i o r l e c t u r e r Harvard Business School James Roosevelt, Jr. p r e s i d e n t / c e o Tufts Health Plan Una Ryan M a n a g i n g d i r e c to r Golden Seeds Joyce A. Sackey d e a n f o r m u lt i c u lt u r a l a f fa i r s a n d g lo b a l h e a lt h p r o g r a m s Tufts University School of Medicine Anjali Sastry s e n i o r l e c t u r e r, s lo a n s c h o o l o f m a n a g e m e n t Massachusetts Institute of Technology

9 Sources of Support year ending june 30, 2012 Governments Centers for Disease Control and Prevention (cdc)(usa) National AIDS Commission (NAC), Malawi Sida (Swedish International Development Cooperation Agency) US Agency for International Development (usaid) Foundations Bill & Melinda Gates Foundation Ford Foundation Foundation for Advanced Studies on International Development (fasid) The James M. & Cathleen D. Stone Foundation at the Boston Foundation The Rockefeller Foundation International Agencies/Banks The Global Fund to Fight AIDS, Tuberculosis and Malaria Pan American Health Organization (paho) UNICEF The World Bank World Health Organization (who) NGOs /Partners ACDI/VOCA Abt Associates AED (Academy for Educational Development) AMREF (African Medical and Research Foundation) Association for Rural Development (ARD) Biomedical Research and Training Institute (BRTI) Christian Health Association of Nigeria (CHAN) DAI Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) FHI 360 Futures Group Health Systems Trust (HST) ICF International The International HIV/ AIDS Alliance IntraHealth International International Rescue Committee (IRC) Jhpiego John Snow, Inc. (JSI) Kids Included Together (KIT) KNCV Tuberculosis Foundation The New York Academy of Medicine (NYAM) Medical Care Development International (MCDI) Partnership for Child Health Care, Inc. Partnership for Supply Chain Management (PFSCM) PATH Pathfinder International Reproductive and Child Health Alliance (RACHA) University Research Co., LLC (URC) World Learning Universities John Hopkins Bloomberg School of Public Health Center for Communications Programs University of North Carolina at Chapel Hill University of Zimbabwe

10 MSH is Growing contract, grant, and program revenue 2008 $133,938, $177,547, $247,618, $268,157, $295,194,580 Total Expenses fiscal year 2012 Fund-raising < 1 % Administration Expenses 13.74% Program Expenses 86.25% Health Area Funding 2012 expenses by priority health area HIV & AIDS 25.92% Maternal, Newborn, and Child Health 7.35% Family Planning/Reproductive Health 6.01% Integrated Program Support 51.12% TB 5.72% Malaria and Communicable Diseases 3.20% Chronic Non-Communicable Diseases < 1 %

11 Statement of Revenues, Program Expenses, and Changes in Fund Balance year ending june 30, 2012 drawn from audited financial statements Revenues Contract, Grant, and Program Revenue $295,194,580 Investment Income and Contributions $11,556 Additional Support Revenue $1,630,815 Total $296,836,951 Expenses Total $292,278,549 Changes in Fund Balance Balance at Beginning of Year $20,996,717 Excess of Project Support and Revenue Over Expenses $4,558,402 Balance at End of Year $25,555,119 Composed of: Cash and Cash Equivalents $26,454,853 Amounts Due on Contracts $17,428,862 Other Current Assets $5,161,405 Property and Equipment net of depreciation $840,837 Other Assets $142,687 Current Liabilities ($24,473,525) Total Unrestricted Net Assets $25,555,119

12 Countries Where We Work In 2012, msh worked in 65 countries around the world. Since our founding in 1971, msh s vision of health impact has spanned over 150 countries worldwide. where msh worked in 2012 msh office in country Afghanistan Albania Angola Bangladesh Benin Botswana Bosnia and Herzegovina Brazil Burkina Faso Burundi Cambodia Cameroon Central African Republic Cote d Ivoire Democratic Republic of the Congo Dominican Republic Egypt El Salvador Ethiopia Ghana Guatemala Guinea Guyana Haiti Honduras India Indonesia Jordan Kazakhstan Kenya Kyrgystan Laos Lesotho Liberia Libya Malawi Mali Malaysia Mozambique Namibia Nepal Nicaragua Niger Nigeria Peru Philippines Rwanda Senegal Solomon Islands South Africa South Sudan Swaziland Tajikistan Tanzania Timor Leste Togo Tunisia Turkmenistan Uganda Ukraine Uruguay Uzbekistan Vietnam Zambia Zimbabwe management sciences for health MEMORIAL DRIVE CAMBRIDGE, MA USA TEL COMMUNICATIONS@MSH.ORG