[{"data":1,"prerenderedAt":1304},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":10,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":492,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":565,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":712,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":737,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":796,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":837,"$f7pbF9JmUWaAX9WnLO8BWJ_1i8BIyj6e6s0-inAWO-Zc":878},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8,"fuxtApiVersion":9},"Jhpiego","We start with women's health, but we don't stop there.","https://api.jhpiego.org","https://jhpiego.org","https://api.jhpiego.org/wp-content/themes/fuxt-backend/screenshot.png","0.1.5",{"googleAnalytics":11,"socialSharedImage":16,"footerText":109,"footerEmail":110,"footerPhone":111,"footerImage":112,"introVideoBg":193,"searchHeaderImage":248,"":315,"hideFeaturedNewsPost":316,"featuredNewsPost":317,"menuFeaturedNews":374,"showCustomMenuItem":388,"menuFeaturedItem":389,"featuredBanner":455,"emailRecipients":491},[12,14],{"code":13},"G-MN8NG7QBCQ",{"code":15},"G-RNH48Z0R08",{"id":17,"src":18,"width":19,"height":20,"alt":21,"caption":22,"title":23,"description":21,"mimeType":24,"html":25,"srcset":26,"sizes":27,"meta":28,"acf":104},1113,"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg",2048,1367,"","Met the health volunteer Mamadjibeye Sarah, 26, at the Miandoum ACT health clinic to follow her home to work with Sarah who is hoping to go to college and be a nurse. She studies when she can for her exams...though no schedule yet for that.  Meanwhile she is helping with the family farm where they grow peanuts, maze as well as other stuff.  But she had two children, baby, Denelelem Prudence, 1 and a half and Carla Nekouanodi, 8.  She is separated from her husband who is in N'Djamena.  Her father is the village chief.  She has to walk back and forth to the farm from the village.","Chad-CountryLandingPage","image/jpeg","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1024x684.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-768x513.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1536x1025.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-809x540.jpeg 809w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-375x250.jpeg 375w, 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Kasmauski","NIKON D750","1473510651","2016 Karen Kasmauski","24","800","0.003125",[96,97,98,99,100,101,102,103],"Bebedja","Chad","clinic nurse","farming","health volunteer","malaria","village","water",{"primaryColor":105,"blurhash":106,"videoUrl":21,"focalPointX":107,"focalPointY":108},"#423f2b","UYD0JtWBWUoJ_4R*axay-=azjGay%MWCaxof","53.4","17.6","\u003Cp>\u003Cstrong>Johns Hopkins\u003Cbr />\nUniversity Affiliate\u003C/strong>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/oSrmwL2C1hKzPDuEA\" target=\"_blank\">1615 Thames Street\u003Cbr />\nBaltimore, Maryland 21231, USA\u003C/a>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/5dbU6KnxynaKwqnk8\" target=\"_blank\">1875 I St NW, 6th Floor\u003Cbr />\nWashington, DC 20006, USA\u003C/a>\u003C/p>\n","info@jhpiego.org","410-537-1800",{"id":34,"src":113,"width":114,"height":115,"alt":21,"caption":116,"title":117,"description":21,"mimeType":24,"html":118,"srcset":119,"sizes":120,"meta":121,"acf":189},"https://api.jhpiego.org/wp-content/uploads/2025/02/80b63f8648129e2500d8baebd7036984.jpeg",4000,2670,"Maichew Town, Lemlem Karl Hospital (built 1991)in the Tigray region of Ethiopia. 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Elyse says ÒI have four children with these two, the others are 11 and 8. My children are spaced because I am using family planning. Before I started using family planning I had two children very close together and both died because I couln't look after them. The midwife in the Health Centre explained to my husband and I then benefits of using family planning so we stared. I am happy that we can now look after the four children we have properlyÓJhpiego has been working in Burkina Faso for the last 22 years, transforming maternal and child healthcare for women and children.","JHPIEGO_BURKINA FASO","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w","(max-width: 2560px) 100vw, 2560px",{"width":163,"height":251,"file":258,"filesize":259,"sizes":260,"imageMeta":302},"2025/04/Search-Header.jpeg",652939,{"medium":261,"large":264,"thumbnail":268,"mediumLarge":271,"1536x1536":275,"2048x2048":278,"postThumbnail":282,"socialPreview":286,"smallPreview":289,"mediumPreview":292,"largePreview":296,"fullscreenSmall":299},{"file":262,"width":34,"height":35,"mimeType":24,"filesize":263},"Search-Header-300x200.jpeg",40805,{"file":265,"width":39,"height":266,"mimeType":24,"filesize":267},"Search-Header-1024x683.jpeg",683,164502,{"file":269,"width":44,"height":44,"mimeType":24,"filesize":270},"Search-Header-150x150.jpeg",31471,{"file":272,"width":48,"height":273,"mimeType":24,"filesize":274},"Search-Header-768x512.jpeg",512,110463,{"file":276,"width":53,"height":39,"mimeType":24,"filesize":277},"Search-Header-1536x1024.jpeg",295479,{"file":279,"width":19,"height":280,"mimeType":24,"filesize":281},"Search-Header-2048x1366.jpeg",1366,451818,{"file":283,"width":284,"height":59,"mimeType":24,"filesize":285},"Search-Header-810x540.jpeg",810,119505,{"file":287,"width":63,"height":64,"mimeType":24,"filesize":288},"Search-Header-1200x630.jpeg",167119,{"file":290,"width":68,"height":69,"mimeType":24,"filesize":291},"Search-Header-375x250.jpeg",49537,{"file":293,"width":73,"height":294,"mimeType":24,"filesize":295},"Search-Header-960x640.jpeg",640,149615,{"file":297,"width":78,"height":79,"mimeType":24,"filesize":298},"Search-Header-1280x854.jpeg",225514,{"file":300,"width":83,"height":78,"mimeType":24,"filesize":301},"Search-Header-1920x1280.jpeg",410619,{"aperture":303,"credit":304,"camera":305,"caption":252,"createdTimestamp":306,"copyright":304,"focalLength":307,"iso":308,"shutterSpeed":309,"title":253,"orientation":310,"keywords":311},"4.5","KATE HOLT","Canon EOS 5D Mark III","1519805981","35","250","0.033333333333333","1",[],{"primaryColor":313,"blurhash":314},"#997c55","UNIgu,9a?bMy~UR,NfoLx@NfE2%Lt5E2M|Se",null,"true",{"id":318,"guid":319,"title":320,"content":321,"excerpt":322,"excerptRaw":322,"slug":323,"url":324,"uri":325,"to":325,"status":326,"date":327,"modified":328,"type":329,"authorId":330,"featuredMedia":331},8406,"https://jhpiego.org/?p=8406","Dr. Allyson Bear to Lead Jhpiego as New President and CEO","\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>Baltimore, MD\u003C/strong> – Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Bear joins Jhpiego with 25 years of experience in the global health sector, most recently serving as founder and CEO of the Baltimore-based public health consultancy Vennhealth. Throughout her career, she has led strategic and evaluative initiatives that have shaped major global health programs and investments. Notable achievements include revising USAID’s maternal and child health investment frameworks to align with the Sustainable Development Goals, evaluating USAID’s flagship maternal and child health program, and designing a $1 billion successor strategy. In addition, she led the evaluation of the $3.5 billion Feed the Future nutrition portfolio, providing evidence that informed its Congressional reauthorization.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“The throughline of Allyson’s professional trajectory has been a profound commitment to alleviating human suffering and promoting human dignity and health for all—a background that aligns deeply with Jhpiego’s longstanding mission to provide access to lifesaving health care where it is needed most,” said Johns Hopkins University President Ron Daniels in an email to the Johns Hopkins University community. “She brings a proven track record in strategic growth, innovation, and resource mobilization across the global health, economic development, and humanitarian sectors.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Bear began her career focused on global market shaping and scale-up efforts, starting with Gavi’s PneumoADIP and Hib Initiative, where she provided technical assistance to Ministries of Health for vaccine rollout and impact evaluations. From 2009 to 2015, she worked at USAID, leading the development of flagship U.S. Government health initiatives. She has also held leadership positions at Corus International and Abt Associates, managing global health and economic development portfolios across West Africa, francophone Central Africa, North Africa, and the Middle East. Dr. Bear has worked in more than 45 countries worldwide, including 11 years of residence in multiple countries throughout Africa and Asia.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“It has been a privilege to lead Jhpiego over the last 25 years, and I could not be more confident as I pass the baton to Dr. Allyson Bear,” said Dr. Leslie Mancuso, outgoing president and CEO of Jhpiego. “Her commitment to improving global health and her thoughtful, values-driven leadership give me great optimism for the future of the organization.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Bear will succeed Dr. Leslie Mancuso, who has led Jhpiego since 2001 and announced her planned retirement in 2024. Under Dr. Mancuso’s leadership, Jhpiego has evolved from an organization with four core programs focused on family planning and cervical cancer prevention into one of the world’s most respected global health entities, now operating in 39 countries.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To learn more about Dr. Bear, \u003Cstrong>\u003Ca href=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\" data-type=\"link\" data-id=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\">read the Johns Hopkins University Hub article here.\u003C/a>\u003C/strong>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n","\u003Cp>Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n","allyson-bear-to-lead-jhpiego-as-new-president-and-ceo","https://jhpiego.org/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","publish","2026-03-23T12:01:00","2026-04-20T20:35:51","post",5,{"id":332,"src":333,"width":63,"height":334,"alt":21,"caption":21,"title":335,"description":21,"mimeType":24,"html":336,"srcset":337,"sizes":338,"meta":339,"acf":369},8456,"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg",627,"Allyson Bear Announcement_Landscape","\u003Cimg width=\"1200\" height=\"627\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-375x196.jpg 375w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" />","https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, 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Statements","1896","https://jhpiego.org/policies-and-statements/",[21],"/policies-and-statements/",[],{"posts":879,"totalPages":1303},[880,943,1032,1102,1185],{"id":881,"guid":882,"title":883,"content":884,"excerpt":885,"excerptRaw":21,"slug":886,"url":887,"uri":888,"to":888,"status":326,"date":889,"modified":890,"type":329,"authorId":525,"featuredMedia":891,"terms":919,"acf":938},3953,"https://jhpiego.netlify.app/?p=3953","After Sadness, a Healthy Pregnancy and a Good Start for Baby Claudia","\n\u003Cp class=\"wp-block-paragraph\">Purity Kyalo’s first pregnancy did not go well.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">She went to her first antenatal clinic at five months. The urban health facility in Nairobi, Kenya, had long queues and few health workers. Purity showed up three days in a row before the doctor could check her and her baby.  \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"799\" height=\"533\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-1-2.jpg\" alt=\"\" class=\"wp-image-3956\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-1-2.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-1-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-1-2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-1-2-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Purity and her daughter Claudia.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">“When it was my turn to see the doctor, he didn’t check my tummy,” says Purity. The doctor asked one question—what brings you to the clinic today? \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\"> “I told him it was my first pregnancy and that I was worried the baby wasn’t kicking. He told me to stop working hard and to relax. He scribbled on my clinic card and asked me to return after two months.”  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Two months later, Purity started bleeding. “Something was wrong because I was only seven months. I called my husband, and we were rushed to the nearest health post, a private clinic. They refused to attend to me because they didn’t want any liability. They referred us to a public facility 10 km away. When we got there, it was too late to save my baby,” says Purity. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“It was the worst experience of our lives. We were waiting to hold a baby—instead we were wiping tears and asking lots of questions,” says Purity’s husband, Stephen Kyalo.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Stephen’s mother stepped in to help. “Mum asked us to come home so that she could take care of us and recover from the tragedy. She committed to walk with us,” explains Stephen.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Not long after, Purity was pregnant again. Stephen’s mother encouraged Purity to attend the antenatal clinic at Wamunyu health center as soon as possible.  \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">“I was six weeks pregnant when I went for the first checkup. This was the best decision we ever made. I met Nurse Mercyline who asked me to attend group antenatal care classes the following week. I didn’t know what classes meant but I arrived early the following week, eager to learn and get as much information as possible.” — Purity Kyalo\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Purity joined other expectant mothers who were at the same stage of pregnancy in a group to receive antenatal care. She attended all seven group meetings at the Wamunyu health center, one of the facilities in Machakos County, Kenya, that provides group antenatal care (G-ANC).  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Wamunyu health center is one of 12 health facilities supported by Jhpiego with funding from the Bill & Melinda Gates Foundation. Staff in these facilities were inspired by the work of the Ekalakala Health Center, which found G-ANC to be a better way to provide care to pregnant women and re-organized its antenatal care services so G-ANC is available to all clients. Since early 2022, health care providers in all the facilities including Wamunyu have been trained and mentored to adopt G-ANC as the routine standard of care so they are better able to support mothers, like Purity, during pregnancy.  \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"799\" height=\"533\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-2.jpg\" alt=\"\" class=\"wp-image-3957\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-2.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-2-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Purity sits with her daughter Claudia and her mother-in-law\u003C/em>.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego originally helped Machakos County introduce G-ANC in 2016-2017 as part of a study. Given the positive experience and the evidence generated from the study, the county health team expanded it into more facilities. In 2021, the Machakos community health management team partnered with Jhpiego to scale up G-ANC at public health facilities so all pregnant women were provided G-ANC. Jhpiego is introducing G-ANC in Amhara Region, Ethiopia, and also supporting scale up of G-ANC in Nasarawa State, Nigeria. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Rhoda Njeru, a technical officer with Jhpiego in Kenya, highlights the benefits of G-ANC for both women and health providers. “Group antenatal care is a simple intervention that helps women to learn and share experience through the journey of pregnancy with the guidance of a trained provider,” she says. “G-ANC has helped break the hierarchy of providers and women. They bond so easily and can reach out for assistance even when at home via a phone call, WhatsApp or a text message. Staff attitude has changed and they are friendly.” \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"799\" height=\"533\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-3-1.jpg\" alt=\"\" class=\"wp-image-3959\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-3-1.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-3-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-3-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-3-1-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Purity and her husband, Stephen Kyalo, pose with baby Claudia.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Group antenatal care is a high-impact intervention cutting across the continuum of care—from preconception, antenatal, intrapartum and postpartum period—giving assurance of a healthy baby and healthy mum.”  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Studies have shown that G-ANC provides women with a positive experience of care. They learn more about maternal and newborn health, including how to prepare for childbirth. They form meaningful relationships and have better communication with their health care providers. As a result, they receive better quality care and return for more antental care visits over the course of their pregnancies. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Nurse Mercyline, who trained in G-ANC through Jhpiego and led Purity’s group, says, “We have open conversations because we are seated together. Initially the mothers didn’t express themselves, but now we know each other well and by name.”  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">For Purity, the G-ANC sessions offered key insights: “I learnt to look out for danger signs, birth preparation and to save money for the baby’s delivery.”  \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">“At nine months, I went for my last clinic checkup. The nurse told me the baby was coming, so I called my husband and mother-in-law. I had prepared the baby bag as a lesson from one of the group sessions. They brought the baby bag to the hospital, and I was ready to receive my baby. Baby Claudia was born soon after”. — Purity Kyalo\u003C/p>\n\u003C/blockquote>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"799\" height=\"533\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-4.jpg\" alt=\"\" class=\"wp-image-3960\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-4.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-4-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-4-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-image-4-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Nurse Mercyline weighs baby Claudia during a clinic session. \u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">The Wamunyu health center has created 19 G-ANC groups, each with 15 pregnant women. Across 12 facilities, 7,800 pregnant women have received antenatal care through G-ANC.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Countrywide, the Ministry of Health has included the G-ANC model in the national continuum-of-care training package. Three other counties in Kenya have heard from Machakos County leadership about the benefits of G-ANC and have trained their health care providers on G-ANC. Thousands of pregnant women across Kenya now have the opportunity to experience G-ANC, learn about pregnancy and danger signs, be engaged in their own health, bond with their care providers and receive better care.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Anne Hyre, project director of the Antenatal/Postnatal Research Collective, and Stephanie Suhowatsky, Principal Technical Advisor, reviewed this article. \u003C/em> \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Joan Nduta is Senior Communications Manager for Jhpiego’s Africa Region. Photos by Lameck Ododo\u003C/em>. \u003C/p>\n","\u003Cp>Purity Kyalo’s first pregnancy did not go well.   She went to her first antenatal clinic at five months. The urban…\u003C/p>\n","after-sadness-a-healthy-pregnancy-and-a-good-start-for-baby-claudia","https://jhpiego.org/our-stories/p/after-sadness-a-healthy-pregnancy-and-a-good-start-for-baby-claudia/","/our-stories/p/after-sadness-a-healthy-pregnancy-and-a-good-start-for-baby-claudia/","2023-10-24T21:14:00","2025-08-13T21:20:45",{"id":892,"src":893,"width":464,"height":465,"alt":21,"caption":21,"title":894,"description":21,"mimeType":24,"html":895,"srcset":896,"sizes":469,"meta":897,"acf":916},3961,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-feature-image.jpg","Story-After sadness-feature image","\u003Cimg width=\"799\" height=\"533\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-feature-image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-After-sadness-feature-image.jpg 799w, 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Ododo",[],{"primaryColor":917,"blurhash":918},"#9c7869","UYI#7TxbVXozpyj]I;W;%$R*Mxi_?HR*V@xa",{"category":920,"postTag":926,"postFormat":315,"areaOfExpertiseTax":934,"expertsTag":315},[921],{"id":922,"name":923,"slug":924,"parent":315,"uri":925,"to":925},21,"Africa","africa","/our-stories/c/africa/",[927,932],{"id":928,"name":929,"slug":930,"parent":315,"uri":931,"to":931},99,"Maternal Health","maternal-health","/our-stories/c/maternal-health/",{"id":44,"name":731,"slug":933,"parent":315,"uri":735,"to":735},"story",[935],{"id":936,"name":660,"slug":937,"parent":315,"uri":665,"to":665},181,"maternal-newborn-and-child-health",{"credits":939},[940],{"role":941,"name":942},"Author","Joan Nduta",{"id":944,"guid":945,"title":946,"content":947,"excerpt":948,"excerptRaw":21,"slug":949,"url":950,"uri":951,"to":951,"status":326,"date":952,"modified":953,"type":329,"authorId":525,"featuredMedia":954,"terms":1010,"acf":1027},3947,"https://jhpiego.netlify.app/?p=3947","An Integrated, Woman-Centered Approach to Breast Health ","\n\u003Ch2 class=\"wp-block-heading\">An integrated approach with HIV care and treatment makes cancer prevention services more accessible\u003C/h2>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-1024x683.jpg\" alt=\"\" class=\"wp-image-3948\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-1.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Joana Albino (left) with her mother and sister. Photos by Jhpiego/Manuel Jesus Joaquim.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">For two years, Joana Albino sought help for a growth in her left breast. She visited the local doctors a couple of times, but it didn’t help. Her condition worsened. “Because of the state I was in, I could not find work. I closed myself off and lived in my own world. Many things came to a halt,” says the 26-year-old, who lives on the outskirts of Maputo, Mozambique. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A visit to a Jhpiego-supported health fair at an armed forces barracks during breast cancer awareness month last October brought Joana the relief and referral she needed. “The nurses welcomed me, listened attentively to my history and screened me,” she recalls. This was her first encounter with health workers who gave her the support she needed. Suspecting cancer, the nurses referred Joana to José Macamo Hospital, where she received a diagnosis, treatment and hope for the future. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A recently released \u003Cem>Lancet \u003C/em>Commission report titled “\u003Ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01701-4/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">Women, power, and cancer\u003C/a>” puts many of the experiences faced by women like Joana at center stage. It highlights the discrimination and stigma faced by breast cancer patients who often defer seeking care. “This report compels us to look beyond the biomedical aspects of ‘women’s cancers’ and investigate the interplay of inequities like race, region, class, ethnicity, etc., that disadvantage women in multiple ways,” says Dr. Somesh Kumar, a member of the \u003Cem>Lancet\u003C/em> Commission who serves as Sr. Technical Director in Jhpiego’s Innovations office and as its India Country Director.  \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">At Jhpiego, we have always adopted a women-centered approach to care, including our work in women’s cancers, and that is exactly what this report underpins—the need to increase equitable access to early detection and diagnosis of cancer, and co-create accessible and responsive health systems that provide respectful, quality cancer care for women.” — Dr. Somesh Kumar\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>The Lancet\u003C/em> report states that of the 2.3 million women who die prematurely from cancer each year (which disproportionately affects low- and middle-income countries), 1.5 million deaths could be averted through primary prevention or early detection, while a further 800,000 deaths could be averted if all women, everywhere, could access optimal cancer care. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-1024x683.jpg\" alt=\"\" class=\"wp-image-3949\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-2.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Joana Albino braiding her mother’s hair.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">The World Health Organization (WHO) \u003Ca href=\"https://www.who.int/initiatives/global-breast-cancer-initiative\" target=\"_blank\" rel=\"noreferrer noopener\">Global Breast Cancer Initiative\u003C/a> recommends public education programs to encourage early detection, timely breast diagnosis and comprehensive breast cancer management. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego’s breast cancer work, which is closely aligned with the WHO strategy, prioritizes early cancer detection for better treatment outcomes. Maura McCarthy, Jhpiego’s Team Lead for the women’s cancers portfolio, says, “Our work starts at the primary level to increase community awareness and primary care with high-quality clinical breast exams and to ensure critical linkages to diagnostic services.”  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The health fair in Mozambique that Joana attended is part of a comprehensive HIV project, funded by the U.S. Department of Defense HIV/AIDS Prevention Program, that serves Mozambique Defense Forces and communities surrounding military sites in 11 provinces. Along with HIV prevention, testing and care and treatment services, the project provides family planning services and breast and cervical cancer screening. More than 9,500 women have been screened for breast and cervical cancer since the project began in 2019.  \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-1024x683.jpg\" alt=\"\" class=\"wp-image-3950\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-image-3.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Joana Albino with her mother as Joana continues her treatment and recovers from surgery.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">“This is another key tenet of Jhpiego’s approach,” says Maura. “We integrate clinical breast exams into other primary care visits related to maternal and child health, family planning and, always, always, with cervical cancer screening visits. We have tested and refined this approach across several countries, such as Tanzania and Botswana, and are now implementing it in \u003Ca href=\"https://jhpiego.netlify.app/our-stories/p/bringing-breast-cancer-care-closer-to-women-indias-experience/\" data-type=\"post\" data-id=\"3329\" target=\"_blank\" rel=\"noreferrer noopener\">India\u003C/a>, Mozambique and Ghana.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Kumar adds, “Even after being detected with a suspected lump, we know it is hard for women, on many counts, to travel long distances repeatedly for diagnosis and treatment. Therefore, we are making efforts to bring advanced services closer to where they live, using innovations like AI-based ultrasounds and molecular diagnostics at the district level. We are ensuring that women have access to multiple forms of treatment and establishing strong patient navigation pathways that would provide them with support to complete their treatment journey. Through our partnerships, we are creating diverse investment opportunities and generating the evidence needed for scalability.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">When Joana reached José Macamo Hospital, the doctor determined that her left breast showed signs of ulceration and suggested removing all the affected parts and offered reconstruction surgery. Joana consented. The doctors performed her surgery in May. Today, Joana is continuing her treatment but has found strength in her recovery. “I feel like a happy woman, a complete woman. Today, I can say that I have regained my youth because I haven’t felt this way in a long time. A health fair gave me back my life,” she says, with a smile. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Dr. Somesh Kumar, a Sr. Technical Director in Jhpiego’s Innovations office and  India Country Director, provided a technical review of this article. \u003C/em> \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Manuel Jesus Joaquim is Senior Communications Advisor in Jhpiego’s Mozambique office; he contributed reporting and photos. Indrani Kashyap is Associate Director of Regional Communications and is based in India.\u003C/em> \u003C/p>\n","\u003Cp>An integrated approach with HIV care and treatment makes cancer prevention services more accessible For two years, Joana Albino sought…\u003C/p>\n","an-integrated-woman-centered-approach-to-breast-health","https://jhpiego.org/our-stories/p/an-integrated-woman-centered-approach-to-breast-health/","/our-stories/p/an-integrated-woman-centered-approach-to-breast-health/","2023-10-24T21:04:00","2025-08-17T15:25:56",{"id":955,"src":956,"width":163,"height":251,"alt":21,"caption":21,"title":957,"description":21,"mimeType":24,"html":958,"srcset":959,"sizes":256,"meta":960,"acf":1007},3951,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image.jpg","Story-Integrated woman centered-feature image","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Integrated-woman-centered-feature-image-768x512.jpg 768w, 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EOS 750D","1697804761","80","0.0125",[],{"primaryColor":1008,"blurhash":1009},"#cbbfb2","UULg64={?^o~_MW=aJWB%2RjMxs9?bofWBj[",{"category":1011,"postTag":1019,"postFormat":315,"areaOfExpertiseTax":1024,"expertsTag":315},[1012,1013],{"id":922,"name":923,"slug":924,"parent":315,"uri":925,"to":925},{"id":1014,"name":1015,"slug":1016,"parent":1017,"uri":1018,"to":1018},198,"Mozambique","mozambique",{"id":922,"name":923,"slug":924,"parent":315,"uri":925,"to":925},"/our-stories/c/africa/mozambique/",[1020],{"id":1021,"name":1022,"slug":1023,"parent":315,"uri":710,"to":710},91,"Women's Cancers","womens-cancers",[1025],{"id":1026,"name":705,"slug":1023,"parent":315,"uri":710,"to":710},77,{"credits":1028},[1029],{"role":1030,"name":1031},"Authors","Manuel Jesus Joaquim and Indrani Kashyap",{"id":1033,"guid":1034,"title":1035,"content":1036,"excerpt":1037,"excerptRaw":21,"slug":1038,"url":1039,"uri":1040,"to":1040,"status":326,"date":1041,"modified":1042,"type":329,"authorId":525,"featuredMedia":1043,"terms":1080,"acf":1097},3677,"https://jhpiego.netlify.app/?p=3677","Back to life","\n\u003Ch2 class=\"wp-block-heading\">Oxygen therapy and teamwork saved a mother’s life\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Hours before going into surgery in Kisumu County Referral Hospital in February 2022, Evaline Akoth spent time with her husband, 16-year-old son, and two young daughters. These nearly became her last memories: Evaline experienced complications after surgery and suffered a cardiac arrest.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“I woke up three days later in a different room from the one I was in, and after a week, a nurse told me that my heart stopped, and I started crying because I thought about how I would have left my youngest daughter, who was still breastfeeding, and my son would have sat his national secondary school without my support,” said Evaline who was undergoing surgery to repair a badly healed broken arm.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">While Evaline hardly remembers what happened, nurse Jane Oriato recalls how an elite team of emergency health providers performed Cardiopulmonary Resuscitation (CPR) and administered the oxygen that revived the mother of three. Evaline was taken then to Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) and admitted to intensive care for specialized and closer monitoring.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"241\" height=\"300\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-1.jpg\" alt=\"\" class=\"wp-image-3678\"/>\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Nurse Jane Oriato, of the Code Blue team that provides oxygen therapy to critically ill patients.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">Jane is part of Code Blue, the special team of nurses, doctors, anesthetists, and clinical officers in Kisumu hospital that respond to medical emergencies in the facility. Jane is one of the 165 healthcare workers in Kenya who received specialized training in Basic Emergency Care (BEC), which includes the use of oxygen, from the U.S. Agency for International Development-funded Reaching Impact, Saturation, and Epidemic Control (RISE) projec\u003Cstrong>t\u003C/strong> led by Jhpiego. RISE also strengthened the oxygen eco-system by supporting the implementation of 5 PSA oxygen production plants, provided technical assistance for 80 health facilities on oxygen use, and trained 223 health professionals in evidence use of oxygen.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jane, who is also in charge of the emergency department at the facility, described the newly acquired skills and procedures that she and her colleagues use to save the lives of patients like Evaline.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Someone was doing chest compressions, another one bagging her using an adult mask, and then we used a rebreather mask to administer the oxygen while at the same time ensuring the patient was positioned correctly,” Jane said.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Eventually, Jane said, the patient regained a pulse and started breathing again.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"512\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-2.jpg\" alt=\"\" class=\"wp-image-3679\" style=\"width:768px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-2.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-2-375x250.jpg 375w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Evaline Akoth (left) with her family. Following a cardiac arrest, she was revived by an elite Code Blue team of health workers who received training through the RISE project.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">The RISE-supported BEC course gives frontline healthcare providers skills to identify acute illness and injuries. The World Health Organization estimates that emergency medical conditions are responsible for over \u003Ca href=\"https://apps.who.int/gb/ebwha/pdf_files/WHA72/A72_77-en.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">\u003Cstrong>28 million deaths\u003C/strong>\u003C/a> annually, most of which occur in low- and middle-income countries such as Kenya, where emergency medicine is still in its infancy.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Kisumu County’s Health Executive, Dr. Gregory Ganda, said the Code Blue team, which the county formed after the RISE training, is the first of its kind. Seeing the direct impact of the original 9-member Code Blue team, the county has supported their work to train other healthcare providers.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Since her recovery, Evaline visits the Code Blue team whenever she comes to the facility for her checkup.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"622\" height=\"410\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-3.png\" alt=\"\" class=\"wp-image-3680\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-3.png 622w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-3-300x198.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-back-to-life-Image-3-375x247.png 375w\" sizes=\"auto, (max-width: 622px) 100vw, 622px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Kisumu County Referral Hospital’s Code Blue team, trained in oxygen therapy through USAID’s RISE project.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">“My husband and the health workers told me that the nurses and doctors fought to save my life, to bring me back to my family, and I do not know whether a “thank you” is enough to (express my gratitude) to the healthcare workers, to whoever taught them in school and whoever pays their salaries,” said Evaline.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>RISE, a 5-year global project funded by the \u003Ca href=\"https://www.state.gov/pepfar/\">U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) \u003C/a>and USAID, allows USAID missions to access direct service delivery and technical assistance to achieve their PEPFAR targets. RISE is ready to mobilize our in-country teams to help USAID achieve country operational plan targets across the HIV prevention, care and treatment cascade\u003C/em>. \u003Cem>\u003Cstrong>RISE has supported over 20 countries\u003C/strong> across the globe with technical assistance, service delivery, research, and cross-cutting health system aid.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>This story was reviewed by Dr. Michelle Grunauer, RISE Ecuador Project Director, Global Program Operations, Jhpiego.\u003C/em>\u003C/p>\n","\u003Cp>Oxygen therapy and teamwork saved a mother’s life Hours before going into surgery in Kisumu County Referral Hospital in February…\u003C/p>\n","back-to-life","https://jhpiego.org/our-stories/p/back-to-life/","/our-stories/p/back-to-life/","2023-10-01T17:19:25","2025-08-12T14:39:07",{"id":1044,"src":1045,"width":1046,"height":1047,"alt":21,"caption":21,"title":1048,"description":21,"mimeType":24,"html":1049,"srcset":1050,"sizes":1051,"meta":1052,"acf":1077},3695,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image.jpg",880,584,"Story-Back to Life-Aug 2025-Feature Image","\u003Cimg width=\"880\" height=\"584\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image.jpg 880w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-300x199.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-768x510.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-814x540.jpg 814w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-375x249.jpg 375w\" sizes=\"auto, (max-width: 880px) 100vw, 880px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image.jpg 880w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-300x199.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-768x510.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-814x540.jpg 814w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Back-to-Life-Aug-2025-Feature-Image-375x249.jpg 375w","(max-width: 880px) 100vw, 880px",{"width":1046,"height":1047,"file":1053,"filesize":1054,"sizes":1055,"imageMeta":1075},"2025/08/Story-Back-to-Life-Aug-2025-Feature-Image.jpg",150942,{"medium":1056,"thumbnail":1060,"mediumLarge":1063,"postThumbnail":1067,"smallPreview":1071},{"file":1057,"width":34,"height":1058,"mimeType":24,"filesize":1059},"Story-Back-to-Life-Aug-2025-Feature-Image-300x199.jpg",199,17267,{"file":1061,"width":44,"height":44,"mimeType":24,"filesize":1062},"Story-Back-to-Life-Aug-2025-Feature-Image-150x150.jpg",7721,{"file":1064,"width":48,"height":1065,"mimeType":24,"filesize":1066},"Story-Back-to-Life-Aug-2025-Feature-Image-768x510.jpg",510,78930,{"file":1068,"width":1069,"height":59,"mimeType":24,"filesize":1070},"Story-Back-to-Life-Aug-2025-Feature-Image-814x540.jpg",814,86782,{"file":1072,"width":68,"height":1073,"mimeType":24,"filesize":1074},"Story-Back-to-Life-Aug-2025-Feature-Image-375x249.jpg",249,25051,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1076},[],{"primaryColor":1078,"blurhash":1079},"#658c96","UHFi}j00D$%}_LNZJWtR-%MxRj%3%fVtaIoM",{"category":1081,"postTag":1089,"postFormat":315,"areaOfExpertiseTax":1094,"expertsTag":315},[1082,1083],{"id":922,"name":923,"slug":924,"parent":315,"uri":925,"to":925},{"id":1084,"name":1085,"slug":1086,"parent":1087,"uri":1088,"to":1088},66,"Kenya","kenya",{"id":922,"name":923,"slug":924,"parent":315,"uri":925,"to":925},"/our-stories/c/africa/kenya/",[1090,1093],{"id":1091,"name":687,"slug":1092,"parent":315,"uri":692,"to":692},94,"primary-health-care",{"id":44,"name":731,"slug":933,"parent":315,"uri":735,"to":735},[1095],{"id":1096,"name":687,"slug":1092,"parent":315,"uri":692,"to":692},86,{"credits":1098},[1099],{"role":1100,"name":1101},"Reporting and editing by","Rosemary Njogu, Linet Mumbua and Verah Okeyo",{"id":1103,"guid":1104,"title":1105,"content":1106,"excerpt":1107,"excerptRaw":1107,"slug":1108,"url":1109,"uri":1110,"to":1110,"status":326,"date":1111,"modified":1112,"type":329,"authorId":330,"featuredMedia":1113,"terms":1157,"acf":1180},3639,"https://jhpiego.netlify.app/?p=3639","A New Approach to Reduce Neonatal Deaths  ","\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"652\" src=\"https://jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby.jpg\" alt=\"\" class=\"wp-image-3643\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby-300x191.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby-768x489.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby-848x540.jpg 848w, https://api.jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby-375x239.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby-960x611.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A midwife helps a mother to hold her low birthweight baby using kangaroo care in a neonatal intensive care unit. Photo by Ester L. Hutabarat, MOMENTUM Private Healthcare Delivery.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Laili Harkita’s pregnancy was a tough one. When she finally gave birth at 36 weeks, her baby weighed just 1,900 grams, or four pounds. Jhpiego-trained midwives at Alia Hospital, a private maternity facility in South Jakarta, Indonesia, cared for the newborn, following strict infection prevention protocols. The midwives taught Laili to hold the infant skin-to-skin, similarly to how kangaroos hold their babies. Health workers from Indonesia to \u003Ca href=\"https://usaidmomentum.org/expanding-kangaroo-mother-care-to-save-fragile-newborns-in-cote-divoire/\" target=\"_blank\" rel=\"noreferrer noopener\">Côte d’Ivoire\u003C/a> are teaching mothers and families to use this simple yet time-tested kangaroo care method to meet babies’ needs for warmth, breastfeeding, infection prevention, stimulation, safety and love. It also helps small and sick newborns gain weight and thrive.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Laili’s baby is no exception. One in every four babies globally is born too soon or too small, and every year, 2.4 million newborns die before they are a month old. Eighty percent of these deaths are babies weighing less than 2,500 grams at birth—referred to as low birthweight babies. Sub-Saharan Africa and parts of Asia account for most of these neonatal deaths. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Though the world has made progress in reducing neonatal mortality, we still have a long way to go. If we want to reach global \u003Ca href=\"https://sdgs.un.org/goals\" target=\"_blank\" rel=\"noreferrer noopener\">Sustainable Development Goal\u003C/a> targets, we have to focus on small and sick newborn care, and continue pushing for quality essential newborn care, especially in fragile settings,” says pediatrician Dr. Bina Valsangkar, Jhpiego’s Principle Technical Advisor, Maternal Newborn Health, and a fellow of the American Academy of Pediatrics. “Two-thirds of small and sick newborns require special inpatient care, but not intensive care, to survive and thrive. \u003Ca href=\"https://www.who.int/publications/i/item/9241590351\" target=\"_blank\" rel=\"noreferrer noopener\">Kangaroo mother care\u003C/a> is an excellent foundation to build upon because it provides warmth, feeding and infection prevention, all in a nurturing environment,” she says.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Valsangkar asks a critical question in efforts to reduce the unacceptable loss of small and sick newborns: How can we prevent babies from being born too soon or too small? For that, we need to focus on the mother and her pregnancy journey. \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"799\" height=\"533\" src=\"https://jhpiego.org/wp-content/uploads/2023/09/A-newborn-baby-is-examined-by-a-midwife-at-the-Ashiaman-Polyclinic-Accra-Ghana.-Photo-by-Kate-Holt-Jhpiego.jpg\" alt=\"\" class=\"wp-image-3644\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2023/09/A-newborn-baby-is-examined-by-a-midwife-at-the-Ashiaman-Polyclinic-Accra-Ghana.-Photo-by-Kate-Holt-Jhpiego.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2023/09/A-newborn-baby-is-examined-by-a-midwife-at-the-Ashiaman-Polyclinic-Accra-Ghana.-Photo-by-Kate-Holt-Jhpiego-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2023/09/A-newborn-baby-is-examined-by-a-midwife-at-the-Ashiaman-Polyclinic-Accra-Ghana.-Photo-by-Kate-Holt-Jhpiego-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2023/09/A-newborn-baby-is-examined-by-a-midwife-at-the-Ashiaman-Polyclinic-Accra-Ghana.-Photo-by-Kate-Holt-Jhpiego-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />\u003Cfigcaption class=\"wp-element-caption\">A newborn baby is examined by a midwife at the Ashiaman Polyclinic, Accra, Ghana. Photo by Kate Holt, Jhpiego\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A new series in \u003Cem>The Lancet \u003C/em>draws global attention to the antenatal period and introduces a new conceptual framework for \u003Ca href=\"https://www.thelancet.com/series/small-vulnerable-newborns\" target=\"_blank\" rel=\"noreferrer noopener\">small vulnerable newborns\u003C/a>, which include babies born preterm, small for gestational age and low birthweight. \u003Ca href=\"https://www.alignmnh.org/\" target=\"_blank\" rel=\"noreferrer noopener\">AlignMNH\u003C/a>, the convening body of the \u003Ca href=\"https://imnhc2023.org/\" target=\"_blank\" rel=\"noreferrer noopener\">International Maternal Newborn Health Conference\u003C/a>, recently released a Masterclass video where experts explain the issues and proven solutions discussed in this important series. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Notably, \u003Cem>The Lancet \u003C/em>series points to \u003Cstrong>eight evidence-based antenatal interventions\u003C/strong> that must be scaled up to prevent small vulnerable newborn births: multiple micronutrient supplements, balanced protein and energy supplements, low-dose aspirin for women at risk of pre-eclampsia, treatment of syphilis, education for smoking cessation, prevention of malaria in pregnancy, treatment of asymptomatic bacteriuria and progesterone provided vaginally for women at risk of preterm birth. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">From Guatemala to Zambia and Afghanistan to Indonesia, Jhpiego has been working for decades on many of the interventions highlighted in \u003Cem>The Lancet \u003C/em>series. Through its stewardship of the U.S. Agency for International Development’s (USAID’s) largest maternal and newborn health programs, including the current \u003Ca href=\"https://usaidmomentum.org/\" target=\"_blank\" rel=\"noreferrer noopener\">MOMENTUM\u003C/a> Country and Global Leadership project, and other initiatives, Jhpiego has shared these interventions and other low-cost solutions to improve newborn health outcomes. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Ensuring a healthy pregnancy\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In India, in partnership with the government of Rajasthan and with support from the Children’s Investment Fund Foundation, the \u003Ca href=\"https://www.jhpiego.org/feature-story/born-healthy-in-badrika/\" target=\"_blank\" rel=\"noreferrer noopener\">Born Healthy program\u003C/a> is improving the coverage and quality of antenatal care as a pathway to reducing the prevalence of low birthweight in newborns. The program focuses on identifying and managing maternal infections (asymptomatic bacteriuria, HIV, syphilis, tuberculosis and malaria) and improving iron and calcium supplementation during pregnancy. Health workers also use point-of-care diagnostics to identify maternal infections, even in community settings. The program’s success is now leading to its scale-up in other Indian states. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Caring for moms and babies in fragile settings\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Attending to the needs of moms and newborns is crucial in fragile health care systems and humanitarian contexts. In \u003Ca href=\"https://www.jhpiego.org/story/addressing-afghanistans-health-care-needs/\" target=\"_blank\" rel=\"noreferrer noopener\">Afghanistan\u003C/a>, Jhpiego is leading a consortium of partners to strengthen maternal and newborn care through the Urban Health Initiative. This project works to enhance the skills of midwives, detect and treat malnutrition in Afghan children, and help Afghan women make informed decisions about family planning—to avoid both unintended pregnancies and babies from being born too soon and too small—among other critical interventions. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Preventing malaria in pregnancy\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Across four countries in Africa—the Democratic Republic of the Congo, Madagascar, Mozambique and Nigeria—Jhpiego implemented a five-year project that introduced an innovative, community-based approach to dramatically increase the number of pregnant women across sub-Saharan Africa receiving antimalarial preventive therapy. Preventing malaria in pregnancy, especially for women living in malaria-endemic regions, helps to ensure that babies are carried to term and born at a healthy weight. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Ensuring a high-protein diet to prevent stunting and malnutrition\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Guatemala, a country with one of the world’s highest rates of stunting and high maternal and newborn deaths, community health volunteers trained \u003Ca href=\"https://hub.jhu.edu/magazine/2023/spring/jhpiego-nutrition-program-guatemala/\" target=\"_blank\" rel=\"noreferrer noopener\">through the USAID-funded Health and Nutrition Project\u003C/a>, implemented by Jhpiego, are introducing new recipes that provide high-protein supplements for malnourished families and children.  \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>A call to action\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>The Lancet \u003C/em>series on small vulnerable newborns issued a global call for action: first, make small vulnerable newborn prevention a priority; second, scale up the eight proven interventions; and third, improve measurement and accountability. Working in geographies that are disproportionately burdened with small vulnerable newborn births, Jhpiego stands deeply committed to this goal.  \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">“Sustainable Development Goal 3.2 calls for an end to preventable newborn deaths by 2030 and, more specifically, for all countries to aim to reduce neonatal mortality to at least as low as 12 per 1,000 live births. To make that a reality, we must look at newborn survival as a human right and our interventions must focus not just on the newborn, but also the mother—what we need is a fresh approach focused on the mother-baby dyad.” – Dr. Bina Valsangkar\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Dr. Bina Valsangkar was Jhpiego’s Principle Technical Advisor for Maternal and Newborn Health and provided technical review of this article.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Indrani Kashyap is Jhpiego’s Associate Director, Regional Communications; she is based in India.\u003C/em> \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n","\u003Cp>A focus on small and vulnerable newborns and the pregnancy journey.\u003C/p>\n","a-new-approach-to-reduce-neonatal-deaths","https://jhpiego.org/our-stories/p/a-new-approach-to-reduce-neonatal-deaths/","/our-stories/p/a-new-approach-to-reduce-neonatal-deaths/","2023-09-19T14:21:11","2025-08-21T13:33:44",{"id":1114,"src":1115,"width":39,"height":1116,"alt":21,"caption":1117,"title":1118,"description":21,"mimeType":24,"html":1119,"srcset":1120,"sizes":1121,"meta":1122,"acf":1154},3643,"https://api.jhpiego.org/wp-content/uploads/2023/09/midwife-Indonesia_PrematureBaby.jpg",652,"A midwife helps a mother to hold her low birthweight baby using kangaroo care in a neonatal intensive care unit. 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Health","newborn-health","/our-stories/c/newborn-health/",{"id":1173,"name":1174,"slug":1175,"parent":315,"uri":1176,"to":1176},182,"Small and vulnerable newborns","small-and-vulnerable-newborns","/our-stories/c/small-and-vulnerable-newborns/",{"id":44,"name":731,"slug":933,"parent":315,"uri":735,"to":735},[1179],{"id":936,"name":660,"slug":937,"parent":315,"uri":665,"to":665},{"credits":1181},[1182],{"role":1183,"name":1184},"By","Indrani Kashyap",{"id":1186,"guid":1187,"title":1188,"content":1189,"excerpt":1190,"excerptRaw":1190,"slug":1191,"url":1192,"uri":1193,"to":1193,"status":326,"date":1194,"modified":1195,"type":329,"authorId":330,"featuredMedia":1196,"terms":1269,"acf":1296},5415,"https://jhpiego.netlify.app/?p=5415","Is Your Man Circumcised? ","\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/2O5A3530-1024x683.jpg\" alt=\"\" class=\"wp-image-5419\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-2048x1365.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530-1280x853.jpg 1280w, 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/>\u003C/figure>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“My man is circumcised. Encourage yours too.” That’s just one of the phrases plastered on vans and billboards around the small Southern African country of Eswatini urging women to talk to their partners about getting circumcised. Printed alongside photos of young women with their partners or friends, the imperative is part of a Ministry of Health promotional campaign, led by Jhpiego, to increase demand for and expand access to voluntary medical male circumcision, or VMMC. This one-time procedure reduces the risk of female-to-male HIV transmission by 60 percent.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The \u003Ca href=\"https://www.jhpiego.org/countries-we-support/eswatini/\" target=\"_blank\" rel=\"noreferrer noopener\">Strengthening of the Kingdom of Eswatini’s Voluntary Medical Male Circumcision under PEPFAR\u003C/a> project (VMMC Project) is funded by the U.S. Centers for Disease Control and Prevention (CDC) under the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), and closely collaborates with the Ministry of Health and CDC-funded implementing partners, namely URC, Elizabeth Glaser Pediatric AIDS Foundation, Georgetown University, PSI and The Luke Commission. The VMMC Project works with the Ministry of Health to make sure communities, especially young men between the ages of 15 and 29 years old, know about VMMC and have easy access to a health facility if they opt to undergo the procedure.     \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Ca href=\"https://phia.icap.columbia.edu/eswatini-summary-sheet-2021/\" target=\"_blank\" rel=\"noreferrer noopener\">Eswatini has a high HIV prevalence rate of 24.8\u003C/a> percent but has made significant progress in meeting their treatment and prevention targets. In 2018, the Ministry of Health announced the country had reached the \u003Ca href=\"https://www.unaids.org/en/resources/909090\" target=\"_blank\" rel=\"noreferrer noopener\">90-90-90 global HIV targets\u003C/a> two years earlier than expected and were focusing on achieving 95-95-95 targets by 2030. To reach the new target, the ministry is working with their partners to deploy diverse tactics, including marketing campaigns that encourage women to participate in their male partner’s health and task-shifting opportunities that help nurses conduct male circumcisions. In addition to reducing men’s risk of HIV infection, \u003Ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365441/#:~:text=A%20Danish%20study%20that%20found,with%20HPV%E2%80%9D%20(99).\" target=\"_blank\" rel=\"noreferrer noopener\">VMMC also has indirect health benefits for women. Women whose partners have had the procedure face a lower risk of exposure to HIV and other sexually transmitted infections including the virus that causes cervical cancer.\u003C/a>\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-1024x683.jpg\" alt=\"\" class=\"wp-image-5420\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-2048x1365.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-2560x1707.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-3840x2560.jpg 3840w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification-6016x4011.jpg 6016w, https://api.jhpiego.org/wp-content/uploads/2025/08/Group-of-Nurses-after-their-VMMC-certification.jpg 6720w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A cohort of nurses proudly display their VMMC certification.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Historically, Eswatini’s Ministry of Health only permitted doctors to conduct VMMC procedures. Unfortunately, there weren’t enough doctors available. This meant that as demand increased, so did the waiting lines. To lessen client wait time at health facilities, the VMMC Project worked with the Ministry of Health’s VMMC Coordination Unit to advocate for the health ministry and other government stakeholders to implement task-shifting, a solution that allows nurses to perform all tasks related to the VMMC procedure. The project convened monthly meetings with relevant government entities at the national and community levels, developed technical materials that summarized evidence for the safety of nurses conducting VMMC procedures, and shared plans around introduction, training and scale up.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">On May 6, 2021, the Principal Secretary of the Ministry of Health granted approval for training and accrediting degree holder nurses to provide all tasks related to VMMC for HIV prevention.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The VMMC Project, in collaboration with the VMMC Coordination Unit, drafted a road map to operationalize the task shifting plans. Since then, the project has helped train 39 nurses from different facilities across all four regions in the country on the procedure and more than 16,500 clients have received VMMC.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Nurse Andile received her certification to be a VMMC nurse circumciser in February 2022. Now, she works in a male outpatient department where she sees anywhere from two to 40 VMMC clients in a single day.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">\u003Cstrong>“Being part of the program felt like it was a chance for me to play my part in HIV prevention. I was among the first cohort of nurses to be trained.” \u003C/strong>– Nurse Andile\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">When clients come to the facility for VMMC, Andile offers high-quality care, from the moment they enter the facility to the moment they leave.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Before I was trained, clients would have to book the procedure and walk-ins were turned away when a doctor was not around or was committed elsewhere,” says Andile. “Now VMMC services are readily available, including for walk-in clients. It’s been quite a positive change.”  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Nurse Thabiso also attended the VMMC training and graduated as a nurse circumciser in December 2022.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">I use a client-friendly approach and I’m proactive to make sure clients receive all the information they need.” – Nurse Thabiso\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego continues to collaborate with other sectors and stakeholders in Eswatini and identify key health workers, like Andile and Thabiso, to help expand access to VMMC in the country and make sure that men, who want to, can get circumcised to protect themselves and their partners.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>This article was reviewed by Zebedee Mwandi, MBChB MPH, Sr. Regional Technical Advisor\u003C/em>. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Mhlonipheni Dexter Masilela is the Demand Creation and Communications Liaison for the Jhpiego Eswatini office.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Katherine Seaton is a Communications Manager with Jhpiego in the United States.\u003C/em>\u003C/p>\n","\u003Cp>The VMMC Project works with the Ministry of Health to make sure communities, especially young men between the ages of 15 and 29 years old, know about VMMC and have easy access to a health facility if they opt to undergo the procedure. \u003C/p>\n","is-your-man-circumcised","https://jhpiego.org/our-stories/p/is-your-man-circumcised/","/our-stories/p/is-your-man-circumcised/","2023-08-22T23:45:38","2025-08-27T23:54:43",{"id":1197,"src":1198,"width":1199,"height":1200,"alt":21,"caption":1201,"title":1202,"description":21,"mimeType":24,"html":1203,"srcset":1204,"sizes":1205,"meta":1206,"acf":1266},5419,"https://api.jhpiego.org/wp-content/uploads/2025/08/2O5A3530.jpg",6720,4480,"Jhpiego helps increase demand for voluntary medical male circumcision, or VMMC, through marketing campaigns that include the use of branded vehicles. 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