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Clinton Health Access Initiative, Annual Report 2013

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Clinton Health Access Initiative, Annual Report 2013 CLINTON HEALTH ACCESS INITIATIVE ANNUAL REPORT 2013 In memory of our colleagues at the Clinton Health Access Initiative (CHAI): Jeanne Brosnan, Sergio Sitoe and Elif Yavuz Jeanne Brosnan joined CHAI in 2009 after a distinguished career at Becton Dickinson. She was CHAI’s executive vice president for planning and human resources. Previously, Jeanne served as CHAI’s executive vice president of country operations. Jeanne guided the recent management study at CHAI and was responsible for innumerable improvements to the management of CHAI. She passed away after a long bout with cancer, continuing to work with CHAI right until her last days. Jeanne is survived by her husband, Jerry, her son, Christopher, and her stepdaughters Marnie and Marla. Sergio Sitoe started with CHAI Mozambique in 2006 as a pharmacist and mentor for the newly started National Pediatric Program. He grew to become the provincial manager for Sofala Province and the lead clinical mentor on the National Point-of-Care Program at CHAI Mozambique. Sergio had just been promoted to run all HIV programs in Mozambique when he passed away in a tragic accident. Sergio is survived by his wife, Cecilia, and three children, Paloma, Sheila and Louran. Elif Yavuz worked for CHAI from 2010 to 2012 as a malaria research coordinator based in Uganda. She rejoined CHAI in May 2013 after having completed her doctorate. She was a member of the Applied Analytics Team based in Tanzania, working on projects with many of the teams at CHAI including the Vaccines, HIV, and zinc/ORS teams. Her life was tragically taken by terrorists in an attack at a mall in Nairobi when she was nine months pregnant. Her partner and unborn child were also killed. Working at CHAI is more than a job – we are a family bound by our shared commitment to save the lives and improve the health of the people we serve. These three losses are more than the loss of cherished colleagues; we have lost friends, family members, Cover Photo: CHAI Ethiopia’s Maternal and Neonatal Health (MNH) program began in 2011 to support the Federal Ministry of Health’s efforts to and parts of ourselves. reduce maternal and newborn mortality. The program introduced the non-pneumatic anti-shock garment (NASG) in selected health facilities to reduce complications due to pregnancy-related excessive bleeding. With the introduction of the NASG, implementation sites experienced a 79 percent reduction in maternal deaths related to post-partum hemorrhage. The woman pictured is one of the first women who benefitted from the use of the NASG. Picture Credits: Cover Photography: Tewodros Emiru / Clinton Health Access Initiative; page vi and page 16: Barbara Kinney / Clinton Foundation; pages 3, 14, 20, 24, 28: Tewodros Emiru / Clinton Health Access Initiative; page 31: Ashish Pandey / Clinton Health Access Initiative. Pictures on page 8 and 19 were taken by staff from Papua New Guinea and Nigeria respectively. Printing: Central Printing Press, Addis Ababa, Ethiopia I CONTENTS Foreword from President Clinton 1 Acknowledgements 2 Message from the CEO 3 CHAI Values 4 CHAI Through The Years 5 Where We Work 6 CHAI Strategic Areas of Focus 9 HIV/AIDS and TB 11 Increasing the Efficiency and Effectiveness of Health Systems 15 Malaria 19 Human Resources for Health 23 Vaccines 27 Maternal, Newborn, and Child Health 31 Applied Analytics 34 Access to Medicines 35 2013 Financials 36 CHAI Leadership Team 38 III DEAR FRIENDS, We live in the most interdependent age in history. Our borders look more like nets than walls; the free movement of people, ideas, wealth, and talent is expanding our understanding of what’s possible and proving how deeply our social and economic fates are intertwined. But this interdependence has brought us challenges, too. Half of the world’s population lives on less than $2 a day. Too much instability is inhibiting FOREWORDpositive growth. AndFROM the way PRESIDENT we produce and consumeCLINTON energy cannot be sustained. The good news is we can all do something to make things better. All over the world, wherever poverty is being reduced, health care is being improved, Twelve years ago, CHAI was born out of a simple idea for a complex problem: make AIDS medicine more affordable and the economy is more vibrant, and sustainable solutions are taking root – these changes are being driven by networks of creative cooperation. accessible around the globe. At the time, a mere 200,000 people throughout the entire developing world were receiving the antiretroviralsWhen the Clinton they needed Foundation’s to stay work alive—and began 11 most years were ago, in we Brazil knew and that Thailand, we could bothmake countries more progress that had working the capacity with other to people produce than working thealone. medicines We started within by their trying own to lowerborders. the cost of HIV/AIDS medicines in the developing world and get more people on lifesaving treatment. By collaborating with governments on the demand side and pharmaceutical companies on the supply side, we’ve been able to help more than five When Dr. Denzil Douglas, the Prime Minister of Saint Kitts and Nevis, approached me and Nelson Mandela at the 14th million people access treatment – more than half of the eight million people on treatment worldwide. International AIDS Conference in Barcelona, he was in search of a solution to a broken system. As he put it, his small Caribbean countryWe’ve didn’t since takenhave thisa stigma approach problem, and applied they had it to otheran organization critical challenges. problem—and Together nowith means governments, to address businesses, an issue individuals, of such global and NGOs we’re significanceproviding tools without and resourcessupport. to help people – from farmers in Africa to small business owners across the United States and Latin America – build stronger and more sustainable communities. We’re collaborating with the food and beverage industries to help students and staff in U.S. At the time, drug manufacturers approached antiretrovirals as a low-volume, high-margin, uncertain payment business. Even schools get healthy. For example, beverage calories shipped to schools have dropped by 90 percent. We’re also working to increase the adoption in the Bahamas, the richest country in the Caribbean, the government was paying seven times more than the drugs’ base of green technology and clean energy solutions at all levels, from homeowners and building owners to municipal and national governments. price because of a disorganized distribution system and no guarantee that manufacturers wouldn’t lose money without a larger,Through lower-risk the Clinton market. Global Initiative (CGI), we provide a platform for more of these innovative partnerships to take shape. To date, the more than 2,300 commitments made by CGI members are improving the lives of more than 400 million people in more than 180 countries. We’ve extended Over several years, working with government partners and donors, CHAI successfully negotiated dramatic reductions of the these platforms to focus on specific sectors, and next year I’ll be able to report on our first CGI meeting in Latin America. prices of AIDS drugs and tests, and developed and implemented systems to deliver effective care and treatment in countries President Clinton and Chelsea Clinton participate in helping around the world, from Africa to Asia to the Caribbean. a Community Health Assistant give a baby a check-up at the These successes require us to continue working where we can make a difference, and to form new networks to address other challenges. In 2012, building upon the success of our Health Matters: Activating Wellness in Every Generation conference earlier in the year, we launched the Manyemunyemu Health Post in Sialwiindi, Zambia on August 2, 2013. This sustainable approach to improving global health prompted requests to expand our services beyond our initial focus on The Manyemunyemu Health Post is a newly built but unfinished Clinton Health Matters Initiative to engage individuals, communities, and businesses in making health and wellness a priority. After the Tri-State HIV/AIDS.area suffered As a theresult, devastating CHAI now effects also of works Hurricane with Sandy,an ever-wider with the rangehelp of of friends partners and topartners combat in thetuberculosis area, we brought and malaria; together reduce more than 1,000 structure, where health services have been provided for the past year. prices and improve delivery systems for vaccines; lower maternal and newborn mortality; reduce deaths in children due to volunteers to clean up the Rockaways in New York as part of a Clinton Foundation and Clinton Global Initiative Day of Action. We hope we can The population this health facility serves is over 3,000 people. diarrhea; and help further educate health professionals. We also recently have expanded our efforts to fight chronic malnutrition, provide more opportunities for service in the coming months. The two-room health post provides maternal and child health which affects over 40 percent of infants in many of the countries in which we are already active. services, administration of vaccines, treatment for non-severe malaria, When we began, none of us could have imagined how far the Foundation’s work would reach, or that a staff of 14 in Harlem would grow to more respiratory infections, and diarrhea, as well as a range of other basic CHAIthan works 2,100 exclusively staff and volunteers at the invitation in 50 countries. of national They governments, have made a real with impact the goal thanks of strengthening to our committed their supporters, capabilities partners, to run and high friends – our health services to the community. quality, effective health systems for their people. Our dedicated staff and partners recognize that no society can lift itself from most important network of creative cooperation.
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