• January 13, 2020

    Total Quality Leadership and Accountability: Reaching the last mile in HIV epidemic control

    Written by
    Otto Chabikuli, Director, Global Health, Population and Nutrition, FHI 360
    Moses Bateganya, Technical Director, HIV Programs, FHI 360
    Robert Chiegil, Director, Project Portfolio, West Africa and Middle East, FHI 360

    At recent global health meetings that assessed progress made against the HIV epidemic, presentation after presentation confirmed that the world is inching closer to epidemic control. The excitement at these gatherings was palpable. It would be the first time in human history that such a public health milestone would be achieved without either a cure or a vaccine.

    As technical experts attending these meetings, we were struck by the critical importance of logistical and operational interventions, alongside biomedical ones, to reach the last mile. Yet, unlike the private sector, public health systems in low- and middle-income countries often remain underfunded and understaffed. This environment can make project management very challenging.

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  • January 7, 2020

    Embracing One Health for humans, animals and the environment

    Written by
    Timothy Mastro, Chief Science Officer, FHI 360
    Aubrey D. Weber, Technical Officer, Research Utilization, FHI 360

    The One Health concept calls for a worldwide approach to expanding interdisciplinary collaboration and communication on all aspects of health for humans, animals and the environment. This approach has tremendous implications for human health because an estimated sixty-one percent of human infectious diseases originate from animals. At the same time, there is a growing sense of urgency to advance One Health collaborations before more ground is lost in the fight for a healthy planet.

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  • November 4, 2019

    Building impactful partnerships: What we M.U.S.T. do better

    Written by
    Ricardo Michel, Managing Director, FHI Partners

    This post was originally published on FHI Partners.

    According to Peter Drucker, the noted management theorist, “The greatest danger in times of turbulence is not the turbulence; it is to act with yesterday’s logic.” When I reflect on my time working with private-sector organizations, government agencies and international nongovernmental organizations — all of which were focused on solving global human development challenges — I recall the common refrain that “we can’t do it alone.” Only by working together do we stand a chance to eradicate poverty and promote prosperity. But sentiment alone is not enough.

    The promise of partnerships has resulted in an active body of work focused on facilitating public-private partnerships and devising private-sector engagement strategies, with the Sustainable Development Goals at the center of this dialogue. Specifically, private-sector involvement is increasingly called upon to drive global socio-ecological change. The increasing overlap between development and commercial challenges provides fertile ground for robust collaboration. However, we need to move beyond the announcements, handshakes and high-level dialogue.

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  • January 14, 2019

    Growth, focus and evolution: How INGOs are changing the impact investing landscape

    Written by
    Susan Barrows Libby, Managing Partner , Kito Global
    Stephanie Marienau Turpin, Associate Director, Strategic Partnerships, FHI 360

    Since the term “impact investing” took hold more than a decade ago, we’ve known that making investments that create positive social or environmental impact and generate a financial return would require engagement from both the social and private sectors. However, it wasn’t until 2016 that the extent of the work of international nonprofits in impact investing was revealed, when members of the International Non-Governmental Organization (INGO) Impact Investing Network released their inaugural piece of thought leadership: Amplifyii:The INGO Value Proposition for Impact Investing. That report, featured in the NextBillion post Philanthropy is Changing Fast: 12 Lessons from Three Reports, was the first real landscape report charting the work of INGOs in impact investing. Two years later, the network came back together to release the next chapter of the story of INGOs in impact investing: Amplifyii: The Next Mile of Impact Investing for INGOs.

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  • November 15, 2018

    What does #NextGenFP look like? Community-based injectable contraception is one answer

    Written by
    John Stanback, Scientist, FHI 360

    My first stop when I arrived in Nakasongola, Uganda, on a hot day in 2004 was the small hospital that served this rural district north of Kampala. I was paying a courtesy call to the District Medical Officer, Dr. Gerald Ssekito. He looked tired when I arrived, explaining that he and other hospital staff had not slept the night before. A pregnant woman had been brought in on the back of a motorbike in the middle of the night. She had delivered the first of her two twins the day before in her remote village, but continued laboring at home unable to birth the second. Finally, after 24 hours, her family put her on a motorbike for the long journey to the hospital, but she bled heavily and died on the way to the hospital.

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  • March 23, 2018

    There’s no more time to waste: Let’s find the missing cases of TB

    Written by
    Otto Chabikuli, Director, Global Health, Population and Nutrition, FHI 360
    Robert Makombe, Technical Advisor, FHI 360

    Tuberculosis (TB) has now overtaken HIV as the world’s leading cause of mortality. There were about 10.4 million TB cases in 2016, despite the fact that TB is an old and often curable disease whose incidence declined in industrialized countries long before the introduction of the TB vaccine and anti-TB drugs. TB continues to disproportionately affect low-income countries. For those of us who work in public health, this is tragic — we ought to be moving forward at a much faster pace to end TB for good.

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  • March 22, 2018

    Three ways to help female teachers in conflict and crisis contexts

    Written by
    Paul Frisoli, Associate Director, Education in Conflict and Crisis, FHI 360
    Anne Smiley, Technical Advisor, Research in Education, FHI 360

    In education in conflict and crisis (EiCC) situations, community members often take on new roles to provide essential education and psychosocial support services to children. This is especially true for female teachers, who are expected to provide academic and nurturing care to their students while also caring for their families and coping with their own social, emotional and material needs. This is a tall order, and female teachers do not receive the support they need to be as effective — and engaged — as possible.

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  • June 19, 2017

    Digital technologies enhance the resilience of individuals and communities

    Written by
    Josh Woodard, Regional ICT and Digital Finance Advisor, Asia Pacific, FHI 360

    We live in an increasingly volatile and uncertain world. The risks to much of the world’s population that stem from climatic, political and economic fluctuations have played out again and again in recent years. While emergency response and humanitarian aid still have an important role to play, the development community is increasingly interested in how to build the resilience of individuals, communities and systems not only to survive these shocks and stresses, but also to adapt to them and better prepare for future occurrences.

    There is no single solution for building resilience, as it is highly dependent on the population in question, the risks they face, local infrastructure and resources, and a number of other factors. However, one tool that has the potential to facilitate increased resilience across a range of contexts is digital technology.

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  • May 5, 2017

    Understanding the relationships among food security, climate change and conflict

    Written by
    Nicholas Wedeman, Technical Advisor, Climate and Environment, FHI 360

    Despite decades of investments to improve food security for the world’s poorest people, hunger and malnutrition are still problems for many. Indeed, a daunting food security crisis currently puts more than 20 million people at risk of starvation in just four countries: Nigeria, Somalia, South Sudan and Yemen. In sub-Saharan Africa, an estimated 42 million children under the age of 5 will be malnourished by 2050, and 10 million additional children will be malnourished if climate change impacts continue unabated.

    This crisis calls for improvements in identifying, understanding and addressing the interlinked factors that result in broadscale food security crises. The cycle of resource degradation caused by climate change that leads to food insecurity, starvation and ongoing conflicts raises the question of whether climate change itself is a “threat multiplier” that increases the potential for conflict. Evidence suggests that the interplay between these sectors is critical to the emergence or development of many humanitarian crises. However, the complexity of these relationships and the role of climate change as a threat multiplier are less understood.

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  • November 15, 2016

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

    Written by
    Dr. Timothy Mastro, MD, DTM&H, Chief Science Officer and Director, Global Health, Population and Nutrition, FHI 360

    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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