“public health is the science of social justice, overcoming the forces that undermine the future...
TRANSCRIPT
“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
HEALTH ALLIANCE INTERNATIONAL (HAI)
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
HEALTH ALLIANCE INTERNATIONAL (HAI)
HEALTH ALLIANCE INTERNATIONAL (HAI)
Activism and Advocacy
Anti-Apartheid Movement
Mozambique Support Network
East Timor Action Network
HEALTH ALLIANCE INTERNATIONAL (HAI)
Anti-Apartheid Movement and Mozambique
HEALTH ALLIANCE INTERNATIONAL (HAI)
Mozambique Support Network
The Politics of “Austerity”, Structural Adjustment and Health
Occupy Nigeria!
HEALTH ALLIANCE INTERNATIONAL (HAI)
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
HEALTH ALLIANCE INTERNATIONAL (HAI)
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
HEALTH ALLIANCE INTERNATIONAL (HAI)
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.
HEALTH ALLIANCE INTERNATIONAL (HAI)
HAI Mozambique
HEALTH ALLIANCE INTERNATIONAL (HAI)
Projects: MozambiqueCurrent: 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
HEALTH ALLIANCE INTERNATIONAL (HAI)
Beira Operations Research Center
HEALTH ALLIANCE INTERNATIONAL (HAI)
HEALTH ALLIANCE INTERNATIONAL (HAI)
Projects: MozambiquePast: Technical assistance for national HAART scale-up
HAART Scale-up in four provinces (2004-2010)
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
HEALTH ALLIANCE INTERNATIONAL (HAI)
HEALTH ALLIANCE INTERNATIONAL (HAI)