Presentation on theme: "“Public health is the science of social justice, overcoming the forces that undermine the future security of families, communities, and peoples.”"— Presentation transcript:
1 “Public health is the science of social justice, overcoming the forces that undermine the future security of families, communities, and peoples.” Richard Horton, Editor, The Lancet
2 Health Alliance International (healthallianceinternational.org) Created in 1987: as independent non-profit 501(c)(3)Department of Global Health Center and Affiliatedwith the SPH at UWMozambique, East Timor, Cote D’Ivoire , SudanAdvocacy – NGO Code of Conduct, health activismFunding:- UNICEF - Clinton Foundation- UNHCR - USAID- World Bank - WHO- PEPFAR - Gates Foundation- Global Fund - NIH- AUSAID - DFAT- Doris Duke - CDC
10 The HAI ModelThe key element of HAI’s approach involves partnering with local Ministries of Health to strengthen existing public sector services.“Pragmatic solidarity” with public sector services providers and the communities they serve in the face of privatization, austerity, and market fundamentalism
11 Health Alliance International (healthallianceinternational.org) Primary Health CareReproductive healthHealth education/IECNutritionCommunity healthMalariaHIV/AIDS prevention and treatmentOperations Research and Implementation Science
12 The HAI modelProgram offices inside Ministry offices with counterparts.Trusting relationships with public sector counterparts and plan projects jointly. Respect local leadership and prioritiesStrengthen PHC services, even with “vertical” project funds (eg. PEPFAR funding).Arrange for additional funding to set aside when possible to cover small-scale gaps in service provision to demonstrate material support.Focus on small changes with big impact that can be sustained over time (eg. syphilis screening and treatment).Structure projects that respect national health system administrative divisions (work within districts and provinces).Follow Code of Conduct – avoid hiring out of health system.
14 Projects: Mozambique Current: District management strengthening in Sofala Province (Doris Duke Foundation)TB case identification strengthening and linkages to care (TB Reach)Pilot test of HIV “test and treat” (Option B+) in Sofala and Manica Provinces (NIH)Optimization of the PMTCT care cascade in central Mozambique (NIH)GAVI evaluation (GAVI/IHME)Malaria national program evaluation (MACRO)HIV Linkages (Population Council)Beira Operations Research CenterReproductive Health: Integrated prenatal careHealth EducationCommunity MobilizationOperations Research CenterTwo NIH-funded research projectsPartnering with Eduardo Mondlane University MPH programFunding: PEPFAR, Clinton Foundation, World Bank, Global Fund, UNICEF, NIH, USAID Child Survival
17 Projects: Mozambique Past: Technical assistance for national HAART scale-upHAART Scale-up in four provinces ( )Reproductive Health: Integrated prenatal careSyphilis testing and treatmentHealth EducationCommunity Mobilization – Community leaders councilsPartnering with Eduardo Mondlane University and the catholic University of Beira MPH programFunding: PEPFAR, Clinton Foundation, World Bank, Global Fund, UNICEF, NIH, USAID Child Survival