More From the Blog

  • Let’s acknowledge that gender-based violence also affects transgender people and other key populations

    This blog also appears on the LINKAGES blog.

    Last year, a friend and colleague, Beyonce Karungi, wrote about what it is like to be a transgender woman in Uganda. She talked about being rejected by family members and about being beaten up and burned with cigarettes for being transgender. She described being harassed by police who wanted to make her a “proper man.” She recounted being raped at gunpoint by a client when she was a sex worker, because she insisted that he use a condom. Beyonce wrote that “… from the standpoint of a transgender woman like myself — our human rights and unique challenges are not addressed and not given the attention they deserve.”

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  • Keeping girls in school in Malawi means better health and a brighter future

    Mary Mittochi

    Photo: Ed Scholl/FHI 360

    In this Q&A, Mary Mittochi, the project director for DREAMS: Malawi Communities Investing in Education for Child Health and Safety, discusses how this new project will reduce the acquisition of HIV by adolescent girls and boys. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) named FHI 360 as one of the winners of the DREAMS Innovation Challenge. The DREAMS partnership, led by PEPFAR with support from the Bill & Melinda Gates Foundation, Girl Effect, Johnson & Johnson, Gilead Sciences and ViiV Healthcare, is helping adolescent girls and young women become Determined, Resilient, Empowered, AIDS-free, Mentored and Safe.

    As one of the 56 DREAMS Innovation Challenge winners, how will FHI 360 help adolescent girls and young women become Determined, Resilient, Empowered, AIDS-free, Mentored and Safe?
    FHI 360’s DREAMS: Malawi Communities Investing in Education for Child Health and Safety project will focus on integrated, community-led efforts designed to ensure that education, health and economic drivers for staying in school and completing secondary education are simultaneously addressed and strengthened. Over time, this will reduce the incidence of HIV in adolescent girls and boys. By keeping girls in school and connecting them to a comprehensive range of services and supports, we aim to equip them and their communities with the knowledge and agency they need to make more informed choices about their health and their future.

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  • Trickle-down health care

    Do investments in private hospitals and clinics catering to the wealthy strengthen primary health care systems in poor countries?

    At a recent roundtable discussion in New York City, a representative of a private equity group presented plans to build private hospitals in emerging markets, such as Kenya, as one of the best ways to strengthen primary health care delivery. For most of us who have worked on strengthening health systems, investing in hospitals that cater to the well-off doesn’t sound like the best way to meet the health needs of the poor.

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  • What does it take to control an epidemic? Learning from Thailand’s experience

    Earlier this summer, the HIV/AIDS effort achieved a notable accomplishment that the rest of the public health community may have overlooked, missing an important learning opportunity. In June, the World Health Organization certified that Thailand achieved what was inconceivable just 20 years ago: elimination of mother-to-child transmission of HIV. Thailand is the first country with a generalized HIV epidemic to achieve this milestone, one that is crucial to epidemic control.

    Two decades ago, the HIV epidemic was expanding in Thailand. Use of antiretroviral drugs to prevent mother-to-child HIV transmission was an expensive, newly discovered intervention that had barely been implemented in areas of the world where resources were limited and the disease burden was greatest.

    Despite these challenges, only 85 children were born with HIV infection in Thailand in 2015, compared to 1,000 children in 2000. This remarkable achievement resulted from a combination of essential factors:

    • Strong national leadership
    • A solid, functional health care system
    • A commitment to extending health care services to all people in the country, including undocumented individuals

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  • Strengthening civil society’s role in responding to violent extremism

    Preventing and countering violent extremism requires nothing short of an integrated, multifaceted, locally driven approach. FHI 360 has been working since 2008 with civil society groups in affected regions to prevent and respond to violent extremism. Recently, we discussed the lessons learned from our work at this year’s Trans-Saharan Counter-Terrorism Partnership conference. The following is what we shared.

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  • Harnessing power to shift the economic balance toward equality for women

    Shaheen, owner of a leading fashion house in Dhaka.

    Shaheen, owner of a leading fashion house in Dhaka. Photo: Asian Development Bank/CC BY-NC-ND

    The push to advance women’s economic empowerment around the world is not a fashionable procurement exercise. It is not a way for governments, private sector investors or implementing partners such as FHI 360 to look good. It is necessary and urgent. It is a lifeline to women, families, communities and countries struggling with health and food security, environmental degradation, economic growth barriers and political turmoil.

    Economic empowerment is a universal human right that protects women and people of all genders and social identities from sexual harassment, exploitation and gender-based violence.

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  • Rachel — like #YesAllGirls — is determined to go to school

    Rachel

    Photo Credit: Dooshima Orjime, 4 Pillars PLUS project

    In the beginning of September, Malala challenged girls around the world to show their support for refugee girls by sharing a #YesAllGirls photo — just like she did with her classmates.

    Girls (and boys!) from all over posted picture after inspiring picture, with each group seemingly larger than the last. One of our favorite photos came from the students at JSS Government Secondary School Federal Housing Estate in Calabar, Nigeria.

    Rachel, a 13-year-old student enrolled in the Cross River State school, shared her story.

    “After my dad married my mum, they had my sister and I. My father did not care for my mum because he gave her only female children. He kept late nights and had other women. My mum left after she couldn’t take it anymore. She also left us at a tender age with our grandmother. My father married another woman, who had male children for him. My step mum told my dad to send us out of the house which he did. My sister was serious about writing her Senior Secondary Exams; but due to lack of parental guidance and care on the part of both my mum and dad, my sister failed her exams. This has made life more depressing for her. Anytime I see my sister I cry, because her education has ended from the lack of concern on the part of my father, it makes me sad. I pray for my sister and don’t want her life stagnated or her education ending just like that.

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  • Equity in education: Evidence for investments in the SDG era

    Nothing has inspired me more than the sacrifices I have seen African parents make to send their children to school. In Swaziland in the 1990s, I calculated that a typical rural family spent over 60 percent of its disposable income to pay for school fees, books and uniforms. The reason families are willing to devote so much to educate their children was summed up by the pioneering American educator Horace Mann in 1848, when he wrote, “Education, then, beyond all other devices of human origin, is the great equalizer of the conditions of men, the balance-wheel of the social machinery.”

    As our world has become more interconnected and technology-dependent, the role of education as the primary pathway to social and economic mobility has grown stronger. We now live in the most prosperous era in the history of mankind, but one where a quality education is the price of admission into the 21st century knowledge economy.

    As more countries have prospered, the gap between the haves and the have nots — which, in most low- and lower-middle income countries, is the gap between the well-educated and the undereducated — has become a potentially destabilizing factor. Lack of education decreases life opportunities and increases political marginalization, perpetuating and exacerbating social and economic inequality. In an increasingly uncertain and volatile world, educational inequality not only is a main component of the poverty trap, but is also a tripwire for social strife and conflict.

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  • Keeping male contraceptive research front and center

    Developing a new male contraceptive might seem like a daunting challenge. But, novel approaches, identification of new genetic targets and more expansive research on acceptability could lead to the development of a game-changing male contraceptive in our lifetime. In recognition of World Contraception Day 2016 (September 26), we are pleased to share this five-part blog series, Keeping Male Contraceptive Research Front and Center. In this series, the Contraceptive Technology Innovation (CTI) Exchange brought together experts in the field to discuss the state of the science. Over the next several months, the CTI Exchange will continue hosting other guest authors who will offer insights on this subject. The CTI Exchange is a knowledge-sharing portal managed by FHI 360 experts. 

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    Does epidemic control inadvertently reinforce inequality?

    HIV clinic in Mozambique

    An HIV clinic in Maputo in Mozambique. Photo: Talea Miller/PBS NewsHour/CC BY-NC

    Over the last two years, ministries of health in sub-Saharan Africa and other countries with a high burden of HIV/AIDS have implemented strategies that concentrate resources on high prevalence areas and key populations.

    Encouraged by their donor partners, such as PEPFARUNAIDS and The Global Fund, these strategies employ a biomedical approach that focuses on suppressing the viral load in the population in line with UNAIDS’ 90-90-90 objectives to reduce new infections and bring the HIV epidemic under control. If successful, this approach holds out the tantalizing prospect of ending the AIDS epidemic by 2030.

    Often referred to in U.S. government circles as “the pivot,” this shift in strategy reflects constrained foreign assistance budgets as well as a number of successes in fighting AIDS over the last decade. We now have more robust surveillance methods that allow us to better target disease hotspots and key populations, countries have improved diagnostic and laboratory capacity that enable more rapid and sophisticated analyses, and new therapies allow people who are HIV positive to treat HIV/AIDS as a chronic condition instead of a death sentence. Call it the triumph of the medical epidemiologists.

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