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 Affiliated
with the SPH at UW
Mozambique, East Timor, Cote D’Ivoire , Sudan
Advocacy – NGO Code of Conduct, health activism
Funding:
- UNICEF - Clinton Foundation
- UNHCR - USAID
- World Bank - WHO
- PEPFAR - Gates Foundation
- Global Fund - NIH
- AUSAID - DFAT
- Doris Duke - CDC

5. Activism and Advocacy Anti-Apartheid Movement
Mozambique Support Network
East Timor Action Network

6. Anti-Apartheid Movement and Mozambique

7. Mozambique Support Network

8. The Politics of “Austerity”, Structural Adjustment and Health

9. Occupy Nigeria!

10. The HAI Model
The 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 Care
Reproductive health
Health education/IEC
Nutrition
Community health
Malaria
HIV/AIDS prevention and treatment
Operations Research and Implementation Science

12. The HAI model
Program offices inside Ministry offices with counterparts.
Trusting relationships with public sector counterparts and plan projects jointly. Respect local leadership and priorities
Strengthen 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.

13. HAI Mozambique

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 Center
Reproductive Health: Integrated prenatal care
Health Education
Community Mobilization
Operations Research Center
Two NIH-funded research projects
Partnering with Eduardo Mondlane University MPH program
Funding: PEPFAR, Clinton Foundation, World Bank, Global Fund, UNICEF, NIH, USAID Child Survival

15. Beira Operations Research Center

17. Projects: Mozambique Past:
Technical assistance for national HAART scale-up
HAART Scale-up in four provinces ( )
Reproductive Health: Integrated prenatal care
Syphilis testing and treatment
Health Education
Community Mobilization – Community leaders councils
Partnering with Eduardo Mondlane University and the catholic University of Beira MPH program
Funding: PEPFAR, Clinton Foundation, World Bank, Global Fund, UNICEF, NIH, USAID Child Survival

19. Obrigado