[{"data":1,"prerenderedAt":1331},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":10,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":492,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":565,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":712,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":737,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":796,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":837,"$fwZsJqBEegyZSypZ7ovdDnHf5Trev9mLNqnFkzZD3vwE":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":1330},[880,975,1081,1149,1217],{"id":881,"guid":882,"title":883,"content":884,"excerpt":885,"excerptRaw":885,"slug":886,"url":887,"uri":888,"to":888,"status":326,"date":889,"modified":890,"type":329,"authorId":525,"featuredMedia":891,"terms":947,"acf":970},3651,"https://jhpiego.netlify.app/?p=3651","Addressing a Short Supply of Oxygen is a Long-Term Gain","\n\u003Cp class=\"wp-block-paragraph\">Cape Coast, Ghana –– Medical oxygen has never been easy to come by in Ghana. In early 2020, the country was experiencing a shortage of oxygen supplies. Oxygen canisters were hard to find and expensive when they could be found at all. And then COVID-19 arrived, expanding the number of people who were experiencing respiratory distress and in need of oxygen. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-1.png\" alt=\"\" class=\"wp-image-3652\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-1.png 600w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-1-300x200.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-1-375x250.png 375w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Dr. Derek A. Bonsu, Medical Director for Cape Coast Metropolitan Hospital (CCMH).\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">The U.S. Agency for International Development (USAID), through the Reaching Impact, Saturation and Epidemic Control (RISE) project, partnered with the Ghana Health Service to address the COVID-19 pandemic by providing \u003Ca href=\"https://jhpiego.netlify.app/our-stories/p/rising-to-the-challenge-delivering-oxygen-to-save-lives/\" target=\"_blank\" rel=\"noreferrer noopener\">health workers with the skills and training \u003C/a>to provide oxygen therapy. RISE also worked with the Ghana Health Service to install pressure swing adsorption (PSA) plants that convert ambient air (air in the atmosphere, 21% oxygen) into medical oxygen (around 90% oxygen). \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Derek A. Bonsu, Medical Director for Cape Coast Metropolitan Hospital (CCMH) and a physician with Ghana Health Service for 28 years, has worked in an oxygen-constrained setting for most of his career. Many times, he found himself rationing oxygen supplies when faced with multiple patients in need. When only a limited number of canisters were available, he and other health workers were unable to meet the needs of patients who required higher concentrations of oxygen. This situation was so common that doctors gave it a name, “no oxygen syndrome.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">With the installation of a PSA plant at his hospital, “no oxygen syndrome is no more,” said Dr. Bonsu.\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>The standard of care offered at Cape Coast emergency ward is so improved, we no longer have to choose who gets oxygen.\u003C/strong> — Dr. Bonsu.\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">RISE’s COVID-19 intervention in Ghana began with a country-wide oxygen needs assessment in partnership with the Ghana Health Service. Following a review of hospitals and health care facilities in the 16 regions, RISE chose four sites to receive PSA plants. In addition, RISE provided oxygen delivery devices (such as masks, valves and related equipment) to 30 health centers and hospitals across the country. RISE also held a workshop in partnership with experts from Korle-Bu Teaching Hospital in Accra and Johns Hopkins University to train health workers on the correct use of oxygen for patients; 31 health workers participated. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“PSA plants have done so much to address the shortage in the country,” said Dr. Paa Kobina Forson, RISE Ghana Technical Director. “For instance, the PSA plant at Cape Coast Hospital is now supplying the national ambulance service with oxygen cylinders.” \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-Short-Supply-of-Oxygen-August-2025-Image-2-1-1024x683.jpg\" alt=\"\" class=\"wp-image-3653\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Short-Supply-of-Oxygen-August-2025-Image-2-1.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Oxygen supply for patients in the hospital.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">CCMH was selected because of its location in the populous Central Region, the long distance—142-kilometers—it takes to bring oxygen cylinders from Accra and the availability of existing infrastructure that could be readily updated with oxygen piping. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">With support from USAID’s RISE, the nearly century-old CCMH was able to renovate a dilapidated building on the hospital grounds and return it to service as a COVID-19 ward, ready to treat and isolate patients with the most severe infections. The hospital installed new piping from the PSA plant directly to the beds in the treatment wards.  Additional updates included plumbing, painting and carpentry to make ward rooms more functional and in line with modern medical standards. The CCMH COVID-19 ward successfully treated many patients in the region, Dr. Bonsu said.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">While COVID-19 was a shock to the national health system, Dr. Bonsu feels passionately that, “No one should lose sight of the other conditions that patients face. They are equally important.” The hospital routinely sees patients with conditions such as flu, pneumonia and tuberculosis. All of these patients also need oxygen. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“The PSA plant is a godsend for patients and providers,” he said.  “The hospital has an unlimited supply of oxygen now running directly to beds. It is like living in a house with no water, and now we have running water installed. I’m very thankful for the PSA plant.” \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">As the COVID-19 pandemic has evolved in Ghana and infections have fallen off, Dr. Bonsu and CCMH have been able to repurpose half of the COVID-19 ward as a new emergency room for the surrounding community. Now, the PSA plant serves all local patients in critical respiratory distress. Patients who arrive at the emergency ward with strokes, pregnancy complications or newborns in distress can all be treated immediately and without rationing of oxygen resources.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Recently, the hospital treated one of their own—a worker from the regional health office. Found unresponsive, the colleague arrived at the CCMH emergency ward in respiratory distress with signs of a heart attack and renal failure. Staff stabilized the man by providing supplementary oxygen. The ability to access emergency care at CCMH, as opposed to traveling to a more distant central hospital, saved this patient’s life. Without the investment of the PSA plant, their colleague would likely have died shortly after his arrival at CCMH, Dr. Bonsu said.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The Cape Coast PSA plant is sending oxygen to many parts of the Central Region and beyond. The PSA plant moved oxygen from being a costly resource, where the hospital was forced to buy canisters in Accra and pay to have them transported down the coast, to being essentially free for the hospital. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In addition, the Cape Coast PSA plant is operating as an independent business entity. The proceeds from several oxygen supply contracts will be used for plant maintenance, which will allow the plant to operate in perpetuity. While identified as a quick solution to meet the needs of the COVID-19 pandemic, this PSA plant is a long-term investment in emergency care for all Ghanaians.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Olivia Harrison is a Senior Communications Specialist for the Reaching Impact, Saturation, and Epidemic Control (RISE) project, the Jhpiego-led consortium that provides HIV and COVID prevention and treatment services with funding from the U.S. Agency for International Development.\u003C/em> \u003C/p>\n","\u003Cp>The Reaching Impact, Saturation and Epidemic Control (RISE) project, partnered with the Ghana Health Service to address the COVID-19 pandemic by providing health workers with the skills and training to provide oxygen therapy. 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EOS 5D Mark II","1276898834","50","1000","0.00625",[],{"primaryColor":945,"blurhash":946},"#6e6d71","U9F$bL~q00-p^*s*t7xa00M__3t74TRQoI%M",{"category":948,"postTag":954,"postFormat":315,"areaOfExpertiseTax":965,"expertsTag":315},[949],{"id":950,"name":951,"slug":952,"parent":315,"uri":953,"to":953},21,"Africa","africa","/our-stories/c/africa/",[955,958,963],{"id":956,"name":687,"slug":957,"parent":315,"uri":692,"to":692},94,"primary-health-care",{"id":959,"name":960,"slug":961,"parent":315,"uri":962,"to":962},183,"Safe Surgery","safe-surgery","/our-stories/c/safe-surgery/",{"id":44,"name":731,"slug":964,"parent":315,"uri":735,"to":735},"story",[966,968],{"id":967,"name":687,"slug":957,"parent":315,"uri":692,"to":692},86,{"id":969,"name":960,"slug":961,"parent":315,"uri":962,"to":962},72,{"credits":971},[972],{"role":973,"name":974},"By","Olivia Harrison",{"id":976,"guid":977,"title":978,"content":979,"excerpt":980,"excerptRaw":980,"slug":981,"url":982,"uri":983,"to":983,"status":326,"date":984,"modified":985,"type":329,"authorId":525,"featuredMedia":986,"terms":1035,"acf":1076},3498,"https://jhpiego.netlify.app/?p=3498","Women are at the Center of Respectful Maternity Care","\n\u003Cul class=\"wp-block-list\">\n\u003Cli>Jhpiego, through the \u003Cstrong>MOMENTUM Country and Global Leadership\u003C/strong> project, supports countries to adapt global RMC guidance into locally driven action.\u003C/li>\n\n\n\n\u003Cli>In \u003Cstrong>Sierra Leone\u003C/strong>, RMC training, community engagement, and practical improvements like reducing wait times have led to more women delivering at health facilities.\u003C/li>\n\n\n\n\u003Cli>Over \u003Cstrong>267 health providers\u003C/strong> and \u003Cstrong>53 health facilities\u003C/strong> in Sierra Leone are implementing tangible, self-defined quality-of-care improvements.\u003C/li>\n\n\n\n\u003Cli>\u003Cstrong>Respectful maternity care\u003C/strong> is not just a provider issue—it’s a \u003Cstrong>health system priority\u003C/strong> that requires engaging communities, supporting providers, and addressing systemic barriers.\u003C/li>\n\u003C/ul>\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/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1024x683.jpg\" alt=\"\" class=\"wp-image-3499\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">From global recognition to country leadership, respectful care saves lives\u003C/h2>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">I want to take you on a journey. It begins in the busiest maternity hospital in Delhi more than 30 years ago, when as a young doctor, I was horrified at what I saw. It ends in the present day, in a small health center in Sierra Leone, where I watched midwives deliver respectful, quality care to women before, during and after labor.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">What I witnessed in my six-month rotation at that Delhi hospital decades ago angered me and has fueled my work ever since. The births happened in a crowded, chaotic room. There was no heat—and Delhi winters can be harsh. I saw women doubled over in pain. Scared. Alone. With no privacy and no one explaining what was happening. Many experienced unnecessary—and by today’s standards harmful—practices like having an enema or their pubic hair shaved. If they were given an episiotomy, it was likely without anesthesia. If a woman squirmed or screamed, she might be scolded or slapped. \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" data-id=\"3500\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-1024x683.jpg\" alt=\"\" class=\"wp-image-3500\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-02.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Doris Taylor, a midwife at Murray Town Community Health Center in Freetown, Sierra Leone, examines Romotu Tunkare, who is six months pregnant. Photos by Karel Prinsloo, Jhpiego\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" data-id=\"3501\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-1024x683.jpg\" alt=\"\" class=\"wp-image-3501\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-03.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Doris Taylor, a midwife at Murray Town Community Health Center in Freetown, Sierra Leone, examines Romotu Tunkare, who is six months pregnant. Photos by Karel Prinsloo, Jhpiego\u003C/figcaption>\u003C/figure>\n\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Through Jhpiego, I joined a movement of likeminded global partners who know that a woman’s dignity, privacy and confidentiality during labor and childbirth—and her ability to make informed choices about her care—comprise more than a feel-good approach. Respectful maternity care (RMC) saves lives by creating a welcoming environment during one of the most vulnerable times in the life of a woman or newborn. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The safest place for a woman to deliver and a newborn to be born is at a “functional” health facility, one with adequate staff, essential supplies and high-quality services delivered by a skilled birth attendant. Women are less likely to seek services when they hear about mistreatment at a facility. In settings that offer quality services, health workers provide dignified, respectful care as an essential component of care. They identify, manage and treat health conditions that complicate pregnancy, reduce the risk of poor health outcomes for women and newborns, and reduce rates of maternal and newborn deaths and illness.  \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/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-1024x683.jpg\" alt=\"\" class=\"wp-image-3503\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-04.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Dr Agarwal with Jhpiego’s Sierra Leone in-country team, including Country Director Baindu Kosia (at right). Photos by Chermor Bangura, Jhpiego\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Early Champions\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego has championed this movement from its inception—from bringing global recognition to the problem, to galvanizing funding to address it, to helping countries translate RMC to their specific needs. Today, we carry the RMC banner forward through the Jhpiego-led and U.S. Agency for International Development (USAID)-funded MOMENTUM Country and Global Leadership project as well as other maternal health initiatives.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Countries are leading the way on RMC and increasingly adapting and using the global guidance, tools and resources developed by the World Health Organization, USAID, MOMENTUM Country and Global Leadership, and others to make RMC a reality. MOMENTUM Country and Global Leadership is helping countries translate global respectful care policies and evidence-based practices into action by creating awareness about the “must haves” for RMC, and supporting country efforts to incorporate them into their daily practice.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">These include engaging the community, providers and local health leaders in a collaborative process to prioritize RMC, and recognizing that strained and under-resourced health systems lead to overworked, underpaid providers who suffer disrespect themselves and experience burnout. Therefore, the lack of RMC is not a provider issue; it is a health system issue.  \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Countries Driving Their Own Success\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In every country where MOMENTUM Country and Global Leadership works, national and local leaders and health workers are moving RMC forward. Decades after the need for RMC was made real to me in India, I saw the power of local leadership on a visit to Murray Town Health Center in Sierra Leone. This small clinic on the outskirts of Freetown is supported by the project and provides basic health and emergency services to mothers, pregnant women and children from surrounding communities.  \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-1024x768.jpg\" alt=\"\" class=\"wp-image-3504\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-1024x768.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-1536x1152.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-375x281.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-960x720.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-1280x960.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05-1920x1440.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-05.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Dr Koki Agarwal with nurses and midwives at Murray Town Health Center.\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The nurses and midwives I met were eager to tell me about themselves, their work and their clinic. And there was one thing in particular that they could not stop talking about: respectful maternity care.\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\">“We allow (birth) companions, speak gently and offer services with a smile.” – Murray Town midwife, Zainab Mansaray  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In addition to providing RMC training, MOMENTUM Country and Global Leadership supported the team to identify their own priorities for improving quality of care. The staff set their sights on reducing waiting times for women in labor. They proposed having a lab technician dedicated to the delivery ward available for every shift. Now, a lab technician collects samples and brings them to the lab for screening \u003Cem>while\u003C/em> nurses admit patients and carry out routine assessments, shortening wait times. Since the RMC training and reduced waiting times, more women in the community are choosing to deliver in the facility rather than at home.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">That is what true locally driven change looks like. These nurses and midwives are setting the priorities today and charting their own paths to improve care. It’s about countries, health facilities and health workers taking the lead in realizing RMC as it looks like for them.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Sierra Leone alone, MOMENTUM Country and Global Leadership has provided RMC training to 267 health care providers and supports 53 health facilities on their journey to make tangible, self-determined improvements and provide quality of care.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego is carrying out similar work in countries across Asia, Africa, Latin America and the Caribbean, engaging countries to incorporate a stronger focus on RMC to improve and enhance care across maternal and newborn health programs.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">It’s a far cry from what I witnessed in that Delhi hospital many years ago. Countries are taking the lead to deliver on the promise of high-quality, compassionate care for all women. The work continues as it always has: partnering with communities, listening first and working together to create the change countries want for themselves. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Koki Agarwal, MD, MPH, DrPH, is the Director, MOMENTUM Country and Global Leadership, and Vice President, DC Operations, Jhpiego. Executive speechwriter Katrin DeCamp and Angela Pereira, Communications Team Lead, MOMENTUM Country and Global Leadership, also contributed to this story.\u003C/em> \u003C/p>\n","\u003Cp>From a crowded maternity ward in Delhi decades ago to a vibrant clinic in Sierra Leone today, Dr. Koki Agarwal has seen firsthand how respectful maternity care transforms outcomes. This story shows how countries are leading their own change.\u003C/p>\n","women-are-at-the-center-of-respectful-maternity-care","https://jhpiego.org/our-stories/p/women-are-at-the-center-of-respectful-maternity-care/","/our-stories/p/women-are-at-the-center-of-respectful-maternity-care/","2023-01-24T01:40:00","2025-08-08T20:21:19",{"id":987,"src":988,"width":19,"height":894,"alt":21,"caption":21,"title":989,"description":21,"mimeType":24,"html":990,"srcset":991,"sizes":27,"meta":992,"acf":1032},3499,"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01.jpg","Jhpiego-Story-Koki-Agarwal-01-24-2023-01","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1920x1280.jpg 1920w",{"width":19,"height":894,"file":993,"filesize":994,"sizes":995,"imageMeta":1029},"2025/08/Jhpiego-Story-Koki-Agarwal-01-24-2023-01.jpg",743685,{"medium":996,"large":999,"thumbnail":1002,"mediumLarge":1005,"1536x1536":1008,"postThumbnail":1011,"socialPreview":1014,"smallPreview":1017,"mediumPreview":1020,"largePreview":1023,"fullscreenSmall":1026},{"file":997,"width":34,"height":35,"mimeType":24,"filesize":998},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-300x200.jpg",18172,{"file":1000,"width":39,"height":266,"mimeType":24,"filesize":1001},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1024x683.jpg",141220,{"file":1003,"width":44,"height":44,"mimeType":24,"filesize":1004},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-150x150.jpg",9142,{"file":1006,"width":48,"height":273,"mimeType":24,"filesize":1007},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-768x512.jpg",86020,{"file":1009,"width":53,"height":39,"mimeType":24,"filesize":1010},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1536x1024.jpg",286707,{"file":1012,"width":284,"height":59,"mimeType":24,"filesize":1013},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-810x540.jpg",94896,{"file":1015,"width":63,"height":64,"mimeType":24,"filesize":1016},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1200x630.jpg",143949,{"file":1018,"width":68,"height":69,"mimeType":24,"filesize":1019},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-375x250.jpg",26103,{"file":1021,"width":73,"height":294,"mimeType":24,"filesize":1022},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-960x640.jpg",126472,{"file":1024,"width":78,"height":931,"mimeType":24,"filesize":1025},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1280x853.jpg",209570,{"file":1027,"width":83,"height":78,"mimeType":24,"filesize":1028},"Jhpiego-Story-Koki-Agarwal-01-24-2023-01-1920x1280.jpg",423247,{"aperture":87,"credit":1030,"camera":21,"caption":21,"createdTimestamp":87,"copyright":1030,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1031},"Arete / Karel Prinsloo / Jhpiego",[],{"primaryColor":1033,"blurhash":1034},"#44382f","URE2qJ-.oHxu~8%Lxuof-3WBozoc%1M|V?t6",{"category":1036,"postTag":1057,"postFormat":315,"areaOfExpertiseTax":1069,"expertsTag":315},[1037,1047,1053],{"id":1038,"name":1039,"slug":1040,"parent":1041,"uri":1046,"to":1046},69,"India","india",{"id":1042,"name":1043,"slug":1044,"parent":315,"uri":1045,"to":1045},20,"Asia","asia","/our-stories/c/asia/","/our-stories/c/asia/india/",{"id":1048,"name":1049,"slug":1050,"parent":1051,"uri":1052,"to":1052},54,"Sierra Leone","sierra-leone",{"id":950,"name":951,"slug":952,"parent":315,"uri":953,"to":953},"/our-stories/c/africa/sierra-leone/",{"id":497,"name":1054,"slug":1055,"parent":315,"uri":1056,"to":1056},"Uncategorized","uncategorized","/our-stories/c/uncategorized/",[1058,1063,1068],{"id":1059,"name":1060,"slug":1061,"parent":315,"uri":1062,"to":1062},113,"Maternal and Child Health","maternal-and-child-health","/our-stories/c/maternal-and-child-health/",{"id":1064,"name":1065,"slug":1066,"parent":315,"uri":1067,"to":1067},99,"Maternal Health","maternal-health","/our-stories/c/maternal-health/",{"id":44,"name":731,"slug":964,"parent":315,"uri":735,"to":735},[1070,1073],{"id":1071,"name":660,"slug":1072,"parent":315,"uri":665,"to":665},181,"maternal-newborn-and-child-health",{"id":1074,"name":678,"slug":1075,"parent":315,"uri":683,"to":683},73,"nursing-midwifery",{"credits":1077},[1078],{"role":1079,"name":1080},"Author","Koki Agarwal",{"id":1082,"guid":1083,"title":1084,"content":1085,"excerpt":1086,"excerptRaw":1086,"slug":1087,"url":1088,"uri":1089,"to":1089,"status":326,"date":1090,"modified":1091,"type":329,"authorId":330,"featuredMedia":1092,"terms":1121,"acf":1145},2903,"https://jhpiego.netlify.app/?p=2903","A Community Health Worker’s Ambition: Prevent malaria in pregnant women","\n\u003Ch3 class=\"wp-block-heading\">Dedicated health volunteers carry out the goals of TIPTOP project.\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Kenge, Democratic Republic of the Congo—In rural Makiala village in southwestern Democratic Republic of the Congo (DRC), young mothers often lived alone or with their grandmothers while their husbands or partners left to seek work in the city. Pregnant women preferred to give birth at home or elsewhere due to a lack of medical supplies and quality care at the health facility, but many died or gave birth to stillborn babies from a lack of medical attention. These deaths created a climate of fear and distrust.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Nevertheless, one courageous woman is working to break this reality and perception—Madeleine Kiese Vuandu, a community health worker and mother of four. Vuandu provides counseling, education and information to residents in this village. As a community health worker, she visits households and talks with pregnant women and their families about malaria prevention, the importance of antenatal care and hygiene. She does so with passion and joy.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In 2019, Vuandu expanded her mission after she attended an advocacy meeting on maternal health held by Jhpiego as part of the Transforming Intermittent Preventive Treatment for Optimal Pregnancy (TIPTOP) project. Due to her previous work supporting pregnant women in her village, Vuandu was selected by her community to be trained and supported through the TIPTOP project to provide quality malaria prevention services to pregnant women. The project used an innovative community-based approach to distribute an antimalarial treatment—sulfadoxine-pyrimethamine—to eligible pregnant women. Vuandu accepted this new role, realizing the project’s goals aligned with her community work and was keen to continue helping pregnant women in her village.\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\">\u003Cem>It is true that a community health worker is a bridge. I just realized it through this mission of the TIPTOP project for my community. Just communicate and things change.\u003C/em> – Madeleine Kiese Vuandu\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Malaria is the main cause of illness and death in the DRC. It is especially dangerous for pregnant women because pregnancy reduces women’s immunity to malaria, which increases the risk of severe anemia, miscarriage, premature delivery, stillbirth and even death. However, the use of a safe, effective and affordable antimalaria treatment, referred to as intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine, or IPTp for short, reduces these risks.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The TIPTOP project, led by Jhpiego and funded by Unitaid, worked through a network of community health workers like Vuandu, to deliver IPTp in community districts in the DRC, Madagascar, Mozambique and Nigeria. IPTp is usually provided during antenatal care visits, but the percentage of women who take a full course of treatment is well below the global targets due to barriers such as access and lack of awareness around malaria in pregnancy. TIPTOP piloted a community-based approach to deliver IPTp to eligible pregnant women where they live and encourage antenatal care attendance.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Many projects came to the village but they did not involve us. So, we didn’t understand anything. The TIPTOP project, through Jhpiego, came to work with us and to save lives,” Vuandu says. “I am impressed by their approach and work. I told myself that I have to join them in preventing malaria during pregnancy and save the lives of mothers and babies—I am a part of this.”\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"651\" height=\"434\" src=\"https://jhpiego.org/wp-content/uploads/2025/07/DRC-photo-MadeleineVuanduw-client.jpg\" alt=\"\" class=\"wp-image-2905\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/07/DRC-photo-MadeleineVuanduw-client.jpg 651w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC-photo-MadeleineVuanduw-client-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC-photo-MadeleineVuanduw-client-375x250.jpg 375w\" sizes=\"auto, (max-width: 651px) 100vw, 651px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Madeleine Kiese Vuandu (left), a community health worker in the Democratic Republic of the Congo, talks with a member of her village about the importance of malaria prevention for pregnant women.\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">When Vuandu’s village selected her to be their community IPTp leader, she joined TIPTOP’s IPTp community health worker group. In this role, she administers IPTp to pregnant women in the village, starting with the first dose, and refers them to the health facility for antenatal care services. She also conducts household visits, raises awareness about community distribution of IPTp and follows up with pregnant women to complete antenatal care visits.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">At the beginning, everything seemed difficult—people didn’t understand why Vuandu prioritized visits to pregnant women. But with her courage and commitment, and support from the community health focal points, Vuandu overcame these obstacles and the community came to trust her. In 2019, all 17 pregnant women who Vuandu identified attended their antenatal care visits at the nearby health facility and gave birth successfully.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Across the life of the TIPTOP project in the DRC, the percentage of pregnant women who received the recommended three doses of IPTp increased from 21 percent at baseline to 65 percent at endline. In addition, the percentage of women who attended four antenatal care visits increased from 40 percent to 49 percent. This last number is particularly striking since TIPTOP set out to prove that community distribution of IPTp would not detract from women attending antenatal care at the health facility; in the case of the DRC, community IPTp actually helped increase antenatal attendance.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The TIPTOP project ended in May 2022, but that didn’t end community IPTp. The project built in a sustainability plan that included income generating activities to support community distribution of IPTp in TIPTOP-supported districts. Now, the engaged community supports and owns this approach because they appreciated the changes TIPTOP brought to pregnant women and their families. Today, in the three TIPTOP project districts in the DRC, community IPTp is integrated into the health system and all community health workers are trained and provided with the tools to carry out community IPTp.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Thanks to Vuandu and other community health workers, more pregnant women from the village are coming to the health facility and keeping their antenatal care appointments. Vuandu’s neighbor Joyce is one of the 61 women who recently gave birth to healthy babies.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Joyce, my neighbor, gave me joy. I worked with her from the start of her pregnancy—when she received her first dose of IPTp—until she delivered at the Makiala Health Center,” says Vuandu. “Today Joyce and baby are doing well. My joy is to see the fruit of nine months of follow-up and advice turned into lives saved in the whole village community.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Fabrice Witanday is a communications and advocacy officer in Jhpiego’s office in Kinshasa, DRC.\u003C/em>\u003C/p>\n","\u003Cp>Dedicated health volunteers carry out the goals of TIPTOP project\u003C/p>\n","a-community-health-workers-ambition-prevent-malaria-in-pregnant-women","https://jhpiego.org/our-stories/p/a-community-health-workers-ambition-prevent-malaria-in-pregnant-women/","/our-stories/p/a-community-health-workers-ambition-prevent-malaria-in-pregnant-women/","2022-08-08T20:13:28","2025-08-08T20:21:26",{"id":1093,"src":1094,"width":464,"height":465,"alt":21,"caption":21,"title":1095,"description":21,"mimeType":24,"html":1096,"srcset":1097,"sizes":469,"meta":1098,"acf":1118},2908,"https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image.jpg","DRC_Featured_Image","\u003Cimg width=\"799\" height=\"533\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />","https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/07/DRC_Featured_Image-375x250.jpg 375w",{"width":464,"height":465,"file":1099,"filesize":1100,"sizes":1101,"imageMeta":1114},"2025/07/DRC_Featured_Image.jpg",187080,{"medium":1102,"thumbnail":1105,"mediumLarge":1108,"smallPreview":1111},{"file":1103,"width":34,"height":35,"mimeType":24,"filesize":1104},"DRC_Featured_Image-300x200.jpg",23825,{"file":1106,"width":44,"height":44,"mimeType":24,"filesize":1107},"DRC_Featured_Image-150x150.jpg",10674,{"file":1109,"width":48,"height":273,"mimeType":24,"filesize":1110},"DRC_Featured_Image-768x512.jpg",114892,{"file":1112,"width":68,"height":69,"mimeType":24,"filesize":1113},"DRC_Featured_Image-375x250.jpg",35248,{"aperture":87,"credit":1115,"camera":21,"caption":21,"createdTimestamp":87,"copyright":1116,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1117},"KAREL PRINSLOO","KAREL PRINSLOO / ARETE / JHPIEGO",[],{"primaryColor":1119,"blurhash":1120},"#41414a","UWFFmkW@9Gt8~UayD*obxnM_R+t7V?RktSt8",{"category":1122,"postTag":1130,"postFormat":315,"areaOfExpertiseTax":1140,"expertsTag":315},[1123,1124],{"id":950,"name":951,"slug":952,"parent":315,"uri":953,"to":953},{"id":1125,"name":1126,"slug":1127,"parent":1128,"uri":1129,"to":1129},65,"DRC","drc",{"id":950,"name":951,"slug":952,"parent":315,"uri":953,"to":953},"/our-stories/c/africa/drc/",[1131,1134,1135],{"id":557,"name":1132,"slug":101,"parent":315,"uri":1133,"to":1133},"Malaria","/our-stories/c/malaria/",{"id":1064,"name":1065,"slug":1066,"parent":315,"uri":1067,"to":1067},{"id":1136,"name":1137,"slug":1138,"parent":315,"uri":1139,"to":1139},122,"Pregnancy","pregnancy","/our-stories/c/pregnancy/",[1141,1144],{"id":1142,"name":651,"slug":1143,"parent":315,"uri":656,"to":656},76,"malaria-prevention-treatment",{"id":1071,"name":660,"slug":1072,"parent":315,"uri":665,"to":665},{"credits":1146},[1147],{"role":973,"name":1148},"Fabrice Witanday",{"id":1150,"guid":1151,"title":1152,"content":1153,"excerpt":1154,"excerptRaw":21,"slug":1155,"url":1156,"uri":1157,"to":1157,"status":326,"date":1158,"modified":1159,"type":329,"authorId":330,"featuredMedia":1160,"terms":1190,"acf":1213},5736,"https://jhpiego.netlify.app/?p=5736","Saving Newborn Lives in Brazil","\n\u003Cp class=\"wp-block-paragraph\">In Brazil, an unacceptable number of infants die during the first 28 days of life, nearly 12 infants per 1,000 births. \u003Ca href=\"https://data.unicef.org/country/bra/\" target=\"_blank\" rel=\"noreferrer noopener\">UNICEF estimates\u003C/a> that 14% of these deaths are due to preventable infections. Pediatrician Flávio Melo is determined to prevent those infections and save lives. He is leading a team of health investigators in the northeastern state of Paraiba to review and address hospital practices that may cause infections, especially among premature babies, who are the most vulnerable. Jhpiego is assisting Dr. Melo with support from the United States Centers for Disease Control and Prevention (CDC).  \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Too many born too soon \u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Melo has spent half of his two-decade long career working in one of the largest neonatal intensive care units (NICUs) in Paraiba. He calls the high rate of newborn deaths, also called neonatal mortality, a big, yet silent, problem. “Here in Brazil, in the last 20 years, we have greatly reduced infant mortality [deaths in the first year of life]. But we couldn’t achieve the same in neonatal mortality [deaths in the first 28 days of life], because reduction in neonatal mortality depends on good prenatal care, good care during birth and good post- birth care. Prematurity is an endemic problem in the country,” he said. Brazil is among the \u003Ca href=\"https://www.who.int/news-room/fact-sheets/detail/preterm-birth\" target=\"_blank\" rel=\"noreferrer noopener\">10 countries\u003C/a> with the highest number of preterm births.  “Sixty to seventy percent of infant mortality occurs in the first seven days. We are talking about a big health problem because it impacts a lot of lives and leads to a lot of trauma for many families. If we want to address this problem, we have to improve neonatal care.” \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"682\" height=\"454\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-2.jpg\" alt=\"\" class=\"wp-image-5739\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-2.jpg 682w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-2-375x250.jpg 375w\" sizes=\"auto, (max-width: 682px) 100vw, 682px\" />\u003Cfigcaption class=\"wp-element-caption\">Dr. Melo and colleagues.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Honing in on infections: a major cause of newborn deaths\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Melo’s work is being funded by the CDC in an ongoing effort to address health care-associated bloodstream infections, which are a major contributor to illness and death in NICUs. “Preterm babies who have to go to NICUs, have to get a lot of [intravenous] insertions … for medicines, fluids and even feeding. And when you make these insertions in the babies, you open the door for bacteria that are in the environment of an ICU,” Dr. Melo explained. “So, you have a baby with poor immunological response to start with, who then receives bacteria in the bloodstream that multiplies, easily causing sepsis [bloodstream infection] that spreads rapidly in its tiny body.” \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Devastating impact on families and health care teams\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Losing a baby to a bloodstream infection is devastating for the family and can also shake the confidence of the health care team caring for the baby. “It is not so uncommon in a NICU that deals with extreme premature infants to have a baby that is doing well in the morning … giving optimism to the family … and suddenly in the afternoon, the baby presents with worsening symptoms—difficulty in breathing, changing of the heartbeat and color of the skin, stops accepting the feed—and the baby crashes. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“It becomes very difficult for us to explain that it was our efforts at giving the baby a better chance of survival with all this equipment that led the baby to this situation. The family loses confidence in the health care team because they feel the team, the hospital gave the baby the infection! This impacts the team a lot.” \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>The Targeted Assessment for Prevention project\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To reduce bloodstream infections in NICUs, the CDC-funded Targeted Assessment for Prevention project began in 2021 with a pilot in two hospitals in Brazil. This effort is a part of the five-year \u003Ca href=\"https://www.jhpiego.org/story/global-health-security-prevent-detect-respond/\" target=\"_blank\" rel=\"noreferrer noopener\">Enhancing Global Health Security\u003C/a> program, led by Jhpiego in partnership with Global Scientific Solutions for Health, Johns Hopkins University Applied Physics Laboratory and the Johns Hopkins Center for Health Security, Center for Global Health and Center for Global Emergency Care. In addition to project management, Jhpiego will assist in promoting project sustainability and improving data management. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“My dream at the end of the project is to see professionals, like the nurses, understanding their central role in saving the lives of these babies that they take care of, because they are the most essential.” – Dr. Flávio Melo\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Flavio-Melo.jpg\" alt=\"\" class=\"wp-image-5738\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Flavio-Melo.jpg 512w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Flavio-Melo-300x300.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Flavio-Melo-150x150.jpg 150w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Flavio-Melo-375x375.jpg 375w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" />\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">CDC’s Targeted Assessment for Prevention helps health workers identify gaps in their infection prevention and control policies and practices. They can use this knowledge to target quality-of-care improvement efforts. The CDC’s International Infection Control Program used the U.S. Targeted Assessment for Prevention tool to develop an assessment for bloodstream infection prevention for NICU patients. This tool was piloted in Brazil, Paraguay and Colombia. The tool poses a series of questions that are based on evidence-based recommendations, clinical guidelines, and best practices for preventing bloodstream infections in acute care neonatal wards and units. The Targeted Assessment for Prevention should be completed by health workers at different levels of the NICU, including frontline providers and clinical leadership, to capture their knowledge, attitudes and perceptions of infection prevention and control practices so they can determine how to improve care. The greater number of assessments collected, the greater the ability to identify gaps and strengthen targeted prevention practices.  \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Assessing practices to prevent infections \u003C/strong>\u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Now in its second phase, the Targeted Assessment for Prevention project is being implemented in four NICUs in Brazil. The project began with an initial assessment of bloodstream infections so that a training could target gaps in infection prevention and control practices. The four-day training drew close to 200 physicians, nurses and nurse technicians. Topics included focused interventions, such as provision of necessary supplies, quality improvement projects, bedside training and policy changes. The assessment will be repeated in six months to measure the success of the interventions. Throughout the project, health workers will monitor and evaluate infection prevention and control practices in the NICUs and rates of bloodstream infections. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Melo, who has been leading these efforts in Brazil, says the Targeted Assessment for Prevention is the perfect tool to assess gaps in infection prevention and control practices and address quality improvement needs. “We don’t have another tool that is as objective and, at the same time, as easy to interpret in terms of numbers. We really need to address all the health care professionals in the NICU and the most important of them are the nurses.  The [Targeted Assessment for Prevention] clearly tells us where the team stands, where they need to go and what they need to improve to get there.” \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Nurses: key actors in infection prevention\u003C/strong> \u003C/h3>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Melo speaks passionately about the need to integrate nurses into the quality improvement process. “For me, to include the NICU nurses and train them is very important. Maybe they didn’t have an opportunity to be formally educated in infection prevention and control. Sometimes, the nursing professionals don’t consider themselves to be an important part of the NICU system. We need to make them realize how critical they are and provide them the opportunity to learn the best practices for improving outcomes in the NICUs. My dream at the end of the project is to see professionals like the nurses understanding their central role in saving the lives of these babies that they take care of because they are the most essential.” \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"581\" height=\"485\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-3.jpg\" alt=\"\" class=\"wp-image-5737\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-3.jpg 581w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-3-300x250.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-3-375x313.jpg 375w\" sizes=\"auto, (max-width: 581px) 100vw, 581px\" />\u003Cfigcaption class=\"wp-element-caption\">Dr.  Melo says nurses are key to preventing life-threatening, hospital-related infections in newborns.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dr. Melo’s commitment to saving the lives of babies in NICUs underscores the promise of the Targeted Assessment for Prevention project: to improve those essential practices that will prevent health care-associated infections and allow newborns to thrive.  \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Indrani Kashyap is the senior regional communications manager for Asia and Latin America.\u003C/em> \u003C/p>\n","\u003Cp>In Brazil, an unacceptable number of infants die during the first 28 days of life, nearly 12 infants per 1,000…\u003C/p>\n","saving-newborn-lives-in-brazil","https://jhpiego.org/our-stories/p/saving-newborn-lives-in-brazil/","/our-stories/p/saving-newborn-lives-in-brazil/","2022-06-23T17:52:00","2025-08-30T17:59:49",{"id":1161,"src":1162,"width":464,"height":1163,"alt":21,"caption":21,"title":1164,"description":21,"mimeType":24,"html":1165,"srcset":1166,"sizes":469,"meta":1167,"acf":1187},5740,"https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo.jpg",532,"Saving Newborn Lives in Brazil - Feature Photo","\u003Cimg width=\"799\" height=\"532\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo-768x511.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo-768x511.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo-375x250.jpg 375w",{"width":464,"height":1163,"file":1168,"filesize":1169,"sizes":1170,"imageMeta":1184},"2025/08/Saving-Newborn-Lives-in-Brazil-Feature-Photo.jpg",81778,{"medium":1171,"thumbnail":1174,"mediumLarge":1177,"smallPreview":1181},{"file":1172,"width":34,"height":35,"mimeType":24,"filesize":1173},"Saving-Newborn-Lives-in-Brazil-Feature-Photo-300x200.jpg",12706,{"file":1175,"width":44,"height":44,"mimeType":24,"filesize":1176},"Saving-Newborn-Lives-in-Brazil-Feature-Photo-150x150.jpg",6410,{"file":1178,"width":48,"height":1179,"mimeType":24,"filesize":1180},"Saving-Newborn-Lives-in-Brazil-Feature-Photo-768x511.jpg",511,49221,{"file":1182,"width":68,"height":69,"mimeType":24,"filesize":1183},"Saving-Newborn-Lives-in-Brazil-Feature-Photo-375x250.jpg",17338,{"aperture":87,"credit":88,"camera":21,"caption":21,"createdTimestamp":87,"copyright":1185,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1186},"2015 Karen Kasmauski",[],{"primaryColor":1188,"blurhash":1189},"#423d3a","U4C?}.+F*0?v00PB008w00S$%h*0}@IA_NVr",{"category":1191,"postTag":1197,"postFormat":315,"areaOfExpertiseTax":1209,"expertsTag":315},[1192],{"id":1193,"name":1194,"slug":1195,"parent":315,"uri":1196,"to":1196},22,"Americas","the-americas","/our-stories/c/the-americas/",[1198,1203,1208],{"id":1199,"name":1200,"slug":1201,"parent":315,"uri":1202,"to":1202},232,"Brazil","brazil","/our-stories/c/brazil/",{"id":1204,"name":1205,"slug":1206,"parent":315,"uri":1207,"to":1207},231,"Newborns","newborns","/our-stories/c/newborns/",{"id":44,"name":731,"slug":964,"parent":315,"uri":735,"to":735},[1210],{"id":1211,"name":625,"slug":1212,"parent":315,"uri":629,"to":629},233,"infection-prevention-and-control",{"credits":1214},[1215],{"role":973,"name":1216},"Indrani Kashyap",{"id":1218,"guid":1219,"title":1220,"content":1221,"excerpt":1222,"excerptRaw":1222,"slug":1223,"url":1224,"uri":1225,"to":1225,"status":326,"date":1226,"modified":1227,"type":329,"authorId":330,"featuredMedia":1228,"terms":1283,"acf":1326},5635,"https://jhpiego.netlify.app/?p=5635","From Data to Action: Using Dashboards to Improve Family Planning Services","\n\u003Cp class=\"wp-block-paragraph\">During the COVID-19 pandemic, many global health programs experienced delays and setbacks in collecting data; however, we know that data can only be used to inform programs if properly collected and analyzed in a timely manner. In three Jhpiego-supported countries implementing family planning programs—Indonesia, Guinea and Kenya—the creation of data dashboards enabled the teams to analyze data in real time, visualize problem areas and quickly offer solutions to improve postpartum family planning services.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Postpartum family planning services are a set of proven integrated interventions for preventing unintended pregnancies in the postpartum period—the six weeks following childbirth. The provision of high-quality family planning services for postpartum women is recognized by the U.S. Agency for International Development as a \u003Ca href=\"https://fphighimpactpractices.org/high-impact-practices-in-family-planning-list/\">family planning high-impact practice\u003C/a>. Jhpiego, a leader in programming for postpartum family planning in these three countries and others across Africa and Asia, is working to improve access to facility-based postpartum family planning services.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Indonesia, a significant decrease in uptake of postpartum family planning was noted in Bogor district and in Ciawi Public Hospital, two areas where Jhpiego provides support. In Guinea’s Kindia region, health centers noted poor maternal health and family planning service data during various monthly data reviews. And in Kenya, problems with inconsistency and low reporting were noted in the many different reporting systems.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In these three focus countries, virtual dashboards were developed to ensure proper collection and timely analysis of data for use in identifying bottlenecks or problems and in determining corrective action.\u003C/p>\n\n\n\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-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"158\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/PPFP-India-From-Data-to-Action.png\" alt=\"\" class=\"wp-image-5637\"/>\u003Cfigcaption class=\"wp-element-caption\">Postpartum family planning program dashboards in Indonesia.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"270\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/PPFP-Guinea-From-Data-To-Action.png\" alt=\"\" class=\"wp-image-5638\"/>\u003Cfigcaption class=\"wp-element-caption\">Jhpiego staff work together to develop a dashboard in Guinea.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"184\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/PPFP-TCI-From-Data-To-Action.png\" alt=\"\" class=\"wp-image-5636\"/>\u003Cfigcaption class=\"wp-element-caption\">The Challenge Initiative’s dashboard in Kenya\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">By analyzing the new postpartum family planning dashboards each month, Jhpiego’s team in Indonesia was able to evaluate trends and produce detailed insights related to services at the health facility level. Parsing through the data with the Ciawi Public Hospital quality improvement team, they saw several reasons why services had decreased. First, it became clear that most postpartum family planning services were not being delivered on holidays and at night. Second, even though several patients had chosen to use family planning, trained health providers who could provide the services were not on duty; and the midwives who were on duty had not received training to provide the required services. In response, the team suggested that all midwives in the hospital be required to be trained on postpartum family planning counselling and postpartum intrauterine devices and implant insertion.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">These data-driven actions have already shown an impact on service uptake in Ciawi Public Hospital. For example, the hospital organized in-house trainings, routine drills and on-the-job trainings. Subsequently, the number of women who received a family planning method of their choice prior to discharge increased from 27 percent in July 2021 to 68 percent in August 2021 and then 73 percent in September 2021.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In the health centers of Guinea’s Kindia region, dashboards stimulated discussions about the data and possible causes of poor results. Staff then proposed and implemented corrective measures. As these corrective measures improved postpartum family planning uptake, the dashboards reflected the improvements and motivated teams even further. At the Bibane Urban Health Center, for example, the number of new family planning users increased threefold between January–March 2020 and January­–March 2021. This increase continued, and by July–September 2021 had risen fivefold.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Kenya, The Challenge Initiative uses the dashboard to monitor, triangulate and visualize family planning project performance. The dashboard brings together data from various sources, such as the health management information system and project data collected through the Open Data Kit app and the Performance Monitoring and Action program. The dashboards provide a platform for monthly data verification to rectify any identified data errors and for making decisions on performance. Both the project and Ministry of Health staff can easily access the dashboards, which facilitate integration and data use during regular performance reviews and management team meetings. Action plans are then developed to address any poor performance areas and to conduct data quality activities. The Challenge Initiative’s reporting rates have improved and are currently above 95%. There has also been significant improvement in the quality of the data submitted as a result of continuous monitoring and review by the project’s implementation teams.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Dashboards are a key tool in Jhpiego programs’ strategies to engage health workers, health facilities, district and regional managers and data managers in making informed, data-driven decisions and taking corrective actions. In so doing, Jhpiego continues to catalyze improvements in consistent, equitable and voluntary postpartum family planning services for all women who access the health system.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Kirole Ruto is a monitoring, evaluation and learning and data manager in Kenya. Jacqueline Aribot is a monitoring and evaluation director in Guinea. Siti Fatimah is a field officer in Indonesia.\u003C/em>\u003C/p>\n","\u003Cp>Three countries. Three issues with analysis of family planning data. One key solution to drive improvements in postpartum family planning services.\u003C/p>\n","from-data-to-action-using-dashboards-to-improve-family-planning-services","https://jhpiego.org/our-stories/p/from-data-to-action-using-dashboards-to-improve-family-planning-services/","/our-stories/p/from-data-to-action-using-dashboards-to-improve-family-planning-services/","2022-06-22T02:43:00","2025-08-29T02:48:23",{"id":1229,"src":1230,"width":19,"height":1231,"alt":21,"caption":21,"title":1232,"description":21,"mimeType":24,"html":1233,"srcset":1234,"sizes":27,"meta":1235,"acf":1280},5641,"https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image.jpg",1363,"From Data to Action Feature Image","\u003Cimg width=\"2048\" height=\"1363\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-1024x682.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-768x511.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-1536x1022.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-811x540.jpg 811w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-960x639.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/From-Data-to-Action-Feature-Image-1280x852.jpg 1280w, 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