[{"data":1,"prerenderedAt":1307},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":10,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":492,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":565,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":712,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":737,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":796,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":837,"$fBB5mChrx3kD2JSorg2SmTnerPCNz7Z3JCNFcHYJvxZg":878},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8,"fuxtApiVersion":9},"Jhpiego","We start with women&#039;s health, but we don&#039;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. 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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> &#8211; 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":1306},[880,969,1054,1122,1205],{"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":948,"acf":964},3656,"https://jhpiego.netlify.app/?p=3656","Rising to the Challenge, Delivering Oxygen to Save Lives","\n\u003Ch4 class=\"wp-block-heading\">Ghana Health Service partners with the RISE project to train health workers in oxygen therapy for COVID-19 patients\u003C/h4>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Wa, Ghana—Shulammite Asamoah Gyamerah still remembers her first shift at the COVID-19 treatment center. For the first time in her 13-year nursing career, the 37-year-old mother of two was fearful and anxious. ‘‘I was very worried about getting infected and infecting my family too,’’ says Shulammite. But, as a senior nurse at the Upper West Regional Hospital, she knew her priority was delivering lifesaving care to COVID-19 patients and helping restore them to good health.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">With one of the highest testing rates in West Africa, Ghana has recorded about 158,000 Covid-19 cases and over 1,400 deaths. Even as the vaccine rollout gathers momentum, the virus continues to change and new variants emerge. Increased referrals of Ghanaians with Covid-19 to advanced health facilities in Accra and Kumasi exposed a shortage of critical care workers and a lack of case management skills and equipment to care for these patients. \u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"508\" height=\"508\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-1.jpg\" alt=\"\" class=\"wp-image-3660\" style=\"width:300px\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-1.jpg 508w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-1-300x300.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-1-150x150.jpg 150w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-1-375x375.jpg 375w\" sizes=\"auto, (max-width: 508px) 100vw, 508px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Nurse Shulammite Asamoah Gyamerah \u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp class=\"wp-block-paragraph\">&#8220;A few weeks after we confirmed our first cases, it became clear that there were not enough critical care workers to meet the increasing caseload.” — Nurse Shulammite\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Recognizing these challenges, the Ghana Health Service prioritized&nbsp;providing&nbsp;health workers&nbsp;in selected facilities across the country&nbsp;with the skills and training&nbsp;necessary to treat and care for&nbsp;severe and critically ill&nbsp;Covid-19 patients.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Shulammite was among the 86 health workers trained on advanced respiratory support through the Jhpiego-led Reaching Impact, Saturation and Epidemic Control (RISE) project, which is funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the U.S. Agency for International Development (USAID).\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"946\" height=\"631\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-2.jpg\" alt=\"\" class=\"wp-image-3661\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-2.jpg 946w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-2-375x250.jpg 375w\" sizes=\"auto, (max-width: 946px) 100vw, 946px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Nurse Shulammite (second from left) and her colleagues practice their advanced respiratory support skills on a simulator. Photos by Emmanuel Attramah.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">RISE, a consortium of six partners, has been working since 2019 to provide HIV prevention, care and treatment to men, women and priority populations through strategic technical assistance and direct service delivery in PEPFAR countries. With the onset of the pandemic, and through emergency funding from USAID, RISE teams have marshalled their expertise in delivering care at scale to help countries on three continents—from Ecuador to India—plan and roll out their Covid-19 response. \u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">RISE’s focus in Ghana is&nbsp;to strengthen&nbsp;critical care services.&nbsp;In partnership with&nbsp;the Ghana Health Service&nbsp;Institutional Care&nbsp;Division, RISE hosted physicians,&nbsp;anesthetists and&nbsp;nurses&nbsp;at the Ghana Infectious Disease Center in Accra&nbsp;for&nbsp;a four-week training&nbsp;on managing severe and critically ill patients.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Through these sessions, health workers developed the skills to monitor the conditions of patients with breathing difficulties, determining when they needed to receive oxygen through a fitted mask or a nasal cannula. Depending on the severity of a person’s illness, providers learned to recognize when a patient needs to be sedated and let a machine breathe for them.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The health workers also&nbsp;received&nbsp;a follow-up&nbsp;virtual&nbsp;training to sharpen skills and gauge their preparedness.&nbsp;To continue the exchange of ideas and to provide support to health workers across the country, the RISE Jhpiego team organized a Covid-19 community of practice.\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-Rising-to-the-challenge-August-2025-Image-3-1024x683.jpg\" alt=\"\" class=\"wp-image-3662\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-to-the-challenge-August-2025-Image-3.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Nurse Shulammite (center) helps train colleagues in oxygen therapy for critically ill patients through USAID’s RISE project.\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\u003Cp class=\"wp-block-paragraph\">“A network has been developed between the consultants and the trainees. The consultants from the National Case Management Team are readily available via Zoom and even WhatsApp and voice call to provide tele-support to the trainees at the treatment centers,” said Dr. Lawrence Ofori-Boadu, Deputy Director of&nbsp;Ghana Health Service Institutional Care Division.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">With USAID support,&nbsp;the 26 treatment centers have received&nbsp;needed equipment, including laptops, mobile WiFi modems and patient monitors from the World Health Organization\u003Cstrong>.\u003C/strong>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“We learned that managing Covid-19 is all about oxygen therapy,”&nbsp;said&nbsp;Shulammite. “If you give the right oxygen at the right time to a patient, there wouldn’t be the need for intubation because the patient will recover.”\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\">Now, every staff at the Covid-19 treatment center and even the hospital’s ICU knows when to give what form of oxygen therapy.” — Nurse Shulammite\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Confident now in her skills in advanced respiratory therapy,&nbsp;Shulammite&nbsp;organized&nbsp;a refresher&nbsp;course&nbsp;on basic critical care for&nbsp;the 23-member staff at the Covid-19 treatment center and intensive care unit&nbsp;(ICU) at the Upper West Regional Hospital.&nbsp;Shulammite&nbsp;and her team have also set up a high dependency unit and an ICU at the treatment center.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“I am very confident we have the skill and equipment to provide care for our clients&nbsp;right here in&nbsp;Wa. Thanks so much to USAID for&nbsp;support.”&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Emmanuel Attramah is a Communications Specialist in Jhpiego’s Ghana office.\u003C/em>\u003C/p>\n","\u003Cp>Ghana Health Service partners with the RISE project to train health workers in oxygen therapy for COVID-19 patients Wa, Ghana—Shulammite Asamoah Gyamerah still&#8230;\u003C/p>\n","rising-to-the-challenge-delivering-oxygen-to-save-lives","https://jhpiego.org/our-stories/p/rising-to-the-challenge-delivering-oxygen-to-save-lives/","/our-stories/p/rising-to-the-challenge-delivering-oxygen-to-save-lives/","2022-02-22T15:00:50","2025-08-12T14:35:39",{"id":892,"src":893,"width":163,"height":251,"alt":21,"caption":21,"title":894,"description":21,"mimeType":24,"html":895,"srcset":896,"sizes":256,"meta":897,"acf":945},3696,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Rising-Aug-2025-Feature-Image.jpg","Story-Rising-Aug 2025-Feature Image","\u003Cimg width=\"2560\" 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EOS 6D","1626374867","50","400","0.016666666666667",[],{"primaryColor":946,"blurhash":947},"#9e9991","UWIr4^VrxAxu~URPjYt7rp%MNKWBx]bIWEoL",{"category":949,"postTag":955,"postFormat":315,"areaOfExpertiseTax":961,"expertsTag":315},[950],{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},21,"Africa","africa","/our-stories/c/africa/",[956,959],{"id":957,"name":687,"slug":958,"parent":315,"uri":692,"to":692},94,"primary-health-care",{"id":44,"name":731,"slug":960,"parent":315,"uri":735,"to":735},"story",[962],{"id":963,"name":687,"slug":958,"parent":315,"uri":692,"to":692},86,{"credits":965},[966],{"role":967,"name":968},"Author","Emmanuel Attramah",{"id":970,"guid":971,"title":972,"content":973,"excerpt":974,"excerptRaw":974,"slug":975,"url":976,"uri":977,"to":977,"status":326,"date":978,"modified":979,"type":329,"authorId":330,"featuredMedia":980,"terms":1030,"acf":1049},2741,"https://jhpiego.netlify.app/?p=2741","Taking Care Into Her Own Hands, Laetitia Opts for Self-Injected Contraception","\n\u003Cp class=\"wp-block-paragraph\">Laetitia Tagnan, a student at the Norbert Zongo University (NZU) of Koudougou in Burkina Faso, dreams of a career as a diplomat. Optimistic, full of life and determined to achieve her goals, Laetitia, 24, devotes herself to her studies and takes precautions to avoid anything that will interfere with her plans, including getting pregnant.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Ch3 class=\"wp-block-heading has-text-align-left\">\u003Cstrong>Self-injection of DMPA-SC: A well-thought-out method that meets the needs of female students.\u003C/strong>\u003C/h3>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">After talking with her boyfriend, Laetitia began taking birth control pills to avoid a pregnancy that could lead to, among other consequences, possible rejection by her parents, termination of her university studies, being saddled with parental responsibilities she was unprepared for and the derailing of her career aspirations.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"239\" src=\"https://jhpiego.org/wp-content/uploads/2025/07/Laetitia-Tagnan-a-student-at-the-Norbert-Zongo-University-holding-DMPA-SC.jpg\" alt=\"\" class=\"wp-image-2745\"/>\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Laetitia Tagnan, a student at the Norbert Zongo University, holding DMPA-SC\u003C/em>.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Koudougou, many female students have had an unplanned pregnancy interrupt their schooling and prospects for a higher education. In 2020, the Koudougou health district recorded 375 pregnancies among school girls and many others at NZU and in vocational schools—pregnancies that could have been avoided in part through appropriate family planning counseling and services.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Since 2015, working in partnership with the government of Burkina Faso and with funding from The Gates Foundation, Jhpiego has been supporting introduction of DMPA-SC as part of family planning options to meet the needs of youth and adolescents in secondary schools, universities and vocational training centers. DMPA-SC is an injectable contraceptive that can be self-administered and protects against pregnancy for three months. In addition to Burkina Faso, Jhpiego works to increase access to DMPA-SC in seven other Francophone countries that are part of the \u003Ca href=\"https://partenariatouaga.org/en/about-us/the-partnership/\">Ouagadougou Partnership in West Africa\u003C/a>.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Burkina Faso, Jhpiego supported the training of the midwife at the NZU medical center and more than 20 other providers in health clinics at vocational schools, high schools and secondary schools so that they could coach clients in self-injection. In addition, the program supplies DMPA-SC units, kits for training clients on self-injections and sessions for students on family planning.\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\">&#8220;Before DMPA-SC, I was using the pill that I bought at the pharmacy. It was not easy to get this product,” &#8211; Laetitia.\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Worried that people had a negative perception of students who publicly buy pills, she waited until the pharmacy was less crowded to discreetly order her pills.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To ensure the method’s effectiveness, Laetitia needed to take one pill every day at a fixed time, which she frequently forgot to do. This disrupted her menstrual cycle and caused her to worry about getting pregnant. Some of her university friends, who had attended a session on pregnancy prevention at NZU, told her about DMPA-SC and the possibility of self-injection. They explained that the midwife provides it for free to students who select it as their family planning method.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">When Laetitia visited the university medical center, the midwife counseled her on various contraceptive methods. Laetitia chose DMPA-SC. “It really meets my needs,” she says with an exuberant smile. “By injecting myself every quarter, I can be sure that I will not get pregnant…. Plus, I don’t have to waste time waiting in the long line of patients to get the injection. I take this time to attend my classes and learn my lessons.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“I feel empowered,” Laetitia adds.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Convinced of its benefits, Laetitia thinks DMPA-SC can help students fulfill the government’s vision, “Zero pregnancies in schools, universities and vocational training centers.” Laetitia now has the knowledge, support and resources she needs to take control of her reproductive health and her future.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Dr. Yacouba Zanré is the Technical Advisor and Project Manager of the Accelerating Access to the DMPA-SC in the Ouagadougou Partnership Countries Project and Souleymane Zaré is the Communications Officer in Burkina Faso.\u003C/em>\u003C/p>\n","\u003Cp>Laetitia Tagnan dreams of a career as a diplomat. Optimistic, full of life and determined to achieve her goals, she devotes herself to her studies and takes precautions to avoid anything that will interfere with her plans, including getting pregnant.\u003C/p>\n","taking-her-care-into-her-own-hands-a-student-opts-for-self-injected-contraception","https://jhpiego.org/our-stories/p/taking-her-care-into-her-own-hands-a-student-opts-for-self-injected-contraception/","/our-stories/p/taking-her-care-into-her-own-hands-a-student-opts-for-self-injected-contraception/","2022-01-19T14:54:28","2025-08-13T16:42:39",{"id":981,"src":982,"width":19,"height":983,"alt":21,"caption":21,"title":984,"description":21,"mimeType":24,"html":985,"srcset":986,"sizes":27,"meta":987,"acf":1027},2748,"https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC.jpg",1365,"Burkina_Faso_DMPA-SC","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/07/Burkina_Faso_DMPA-SC-1920x1280.jpg 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Faso","burkina-faso",{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},"/our-stories/c/africa/burkina-faso/",[1040],{"id":1041,"name":1042,"slug":1043,"parent":315,"uri":1044,"to":1044},137,"Family Planning","family-planning","/our-stories/c/family-planning/",[1046],{"id":1047,"name":585,"slug":1048,"parent":315,"uri":589,"to":589},141,"family-planning-reproductive-health",{"credits":1050},[1051],{"role":1052,"name":1053},"By","Yacouba Zanré and Souleymane Zare",{"id":1055,"guid":1056,"title":1057,"content":1058,"excerpt":1059,"excerptRaw":1059,"slug":1060,"url":1061,"uri":1062,"to":1062,"status":326,"date":1063,"modified":1064,"type":329,"authorId":330,"featuredMedia":1065,"terms":1086,"acf":1118},5631,"https://jhpiego.netlify.app/?p=5631","A Midwife and Ambulance to the Rescue","\n\u003Cp class=\"wp-block-paragraph\">The frantic call from a nurse at the Koukoudé health post came in at 8 p.m. A woman in labor with twins had given birth to the first baby, but now, hours later, the second baby had not yet arrived.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Immediately, Kalaya Kourouma, a midwife at the Boffa District Hospital in Guinea, alerted a district coordinator who dispatched an ambulance that would take Kalaya to the laboring mother’s bedside. Before setting out, Kalaya assembled an emergency kit, which included a delivery kit, oxytocin to prevent postpartum hemorrhage, a pair of gloves, a blood pressure monitor, a mask and oxygen.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"269\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/guinea-story-300x269-1.jpg\" alt=\"\" class=\"wp-image-5632\"/>\u003Cfigcaption class=\"wp-element-caption\">Kalaya Kourouma, a midwife at the Boffa District Hospital in Guinea.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">By the time the ambulance delivered the midwife to Koukoudé village at 9:00 p.m., the family at the scene was panicking. Kalaya’s examination revealed that the woman’s blood pressure was low—and that the unborn twin was in a breech presentation.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Through the Health Service Delivery (HSD) project, initiated in 2016 in partnership with the Ministry of Health in Guinea and funded by the U.S. Agency for International Development, Jhpiego helped create mobile clinics as a way to serve hard-to-reach communities and develop trust in the health care system. It’s part of an ongoing effort to address underutilization of health care services and facilities by communities that have lost trust in them, whether because of the Ebola epidemic or due to poor quality and availability of care—all of which exacerbate people’s wariness.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Boffa District Hospital, where midwife Kayala works, has received HSD project support for various interventions related to maternal health: training in basic and comprehensive emergency obstetric and newborn care, provision of equipment and materials, regular supervision, and establishment of a continuous quality improvement process for the workplace.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The HSD project received supplemental funding in 2019 specifically for outreach activities. To this end, the project created mobile clinics as a way to provide health services to women in hard-to-reach communities using ambulances purchased by the project during weekly open-air markets in different villages. However, the COVID-19 pandemic and resulting restrictions interrupted full implementation. The project changed its strategy and designated these ambulances as mobile clinics to meet the obstetrical referral needs of district maternity hospitals.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">It was one of those ambulances that midwife Kalaya commandeered to transport herself and the mother, along with newborn twin No. 1, to the district hospital.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Just a few miles into the journey, the mother’s contractions started again. The midwife called for the ambulance to stop. Then and there, in the vehicle, she capably and safely performed a breech delivery, following the national protocol. A healthy baby boy was born at 9:30 p.m. Kalaya conducted an initial newborn assessment and provided appropriate care.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The driver took to the road again, driving cautiously and finally arriving at 11:00 p.m. at the district hospital, where a care team of midwives, nurses and doctors awaited the woman and her two babies. After three days of observation, they returned to their village. The woman’s mother-in-law and husband repeatedly blessed and thanked the staff, especially the quick-acting Kalaya who had come to their rescue.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The mother received family planning counseling at the hospital and chose an implant, which was inserted before discharge. The midwife followed up with the health post and confirmed that the mother had returned for postnatal care and was doing well.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Through the HSD project, Kalaya, a widow and mother of five, said she and her department colleagues have been made to feel like “queens.” “I feel proud of the job I’m doing! What made this experience even more special for me was the communication with the hospital team to prepare everything before our arrival, including the laboratory and the operating room,” she said.\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\">&#8220;The availability of the ambulance has put us at ease, because it reduces referral delays. We can call the district coordinator of the project directly at any time and off we go, right away!&#8221; &#8211; Kalaya\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The mother of twins is just one of about 50 women from remote areas transported by the project ambulance to the hospital over six months (October 2020 through March 2021). All presented with complications, including hemorrhaging during the first or last trimester, prolonged labor, eclampsia, abnormal presentation of the baby and postpartum anemia.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Working in the Boffa district since the start of HSD, the project has achieved encouraging results there despite the challenges of the pandemic. The district has seen a 28% increase in assisted deliveries, with use of the partograph to monitor labor increasing from 18% to 77%, and active management of the third stage of labor increasing from 60% to 99%, and a decrease in the incidence of postpartum hemorrhage from 0.9% to 0.6%. Of special note, the hospital was awarded its first star by the Ministry of Health through the HSD project for improving the quality of services through performance standards in emergency obstetric and newborn care, family planning and infection prevention and control.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Jacqueline Aribot, Director of Monitoring and Evaluation, and Mohamed Nioké V, District Project Coordinator, are with Jhpiego’s Guinea Office.\u003C/em>\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003C/p>\n","\u003Cp>The frantic call from a nurse at the Koukoudé health post came in at 8 p.m. A woman in labor with twins had given birth to the first baby, but now, hours later, the second baby had not yet arrived.\u003C/p>\n","a-midwife-and-ambulance-to-the-rescue","https://jhpiego.org/our-stories/p/a-midwife-and-ambulance-to-the-rescue/","/our-stories/p/a-midwife-and-ambulance-to-the-rescue/","2021-12-15T02:38:00","2025-08-29T02:49:42",{"id":1066,"src":1067,"width":34,"height":1068,"alt":21,"caption":1069,"title":1070,"description":21,"mimeType":24,"html":1071,"srcset":1072,"sizes":1073,"meta":1074,"acf":1083},5632,"https://api.jhpiego.org/wp-content/uploads/2025/08/guinea-story-300x269-1.jpg",269,"Kalaya Kourouma, a midwife at the Boffa District Hospital in Guinea.","guinea-story-300x269","\u003Cimg width=\"300\" height=\"269\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/guinea-story-300x269-1.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/guinea-story-300x269-1.jpg 300w","300px",{"width":34,"height":1068,"file":1075,"filesize":1076,"sizes":1077,"imageMeta":1081},"2025/08/guinea-story-300x269-1.jpg",35654,{"thumbnail":1078},{"file":1079,"width":44,"height":44,"mimeType":24,"filesize":1080},"guinea-story-300x269-1-150x150.jpg",19718,{"aperture":87,"credit":21,"camera":21,"caption":21,"createdTimestamp":87,"copyright":21,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":310,"keywords":1082},[],{"primaryColor":1084,"blurhash":1085},"#a6674a","UcKS;RaccWwI~Wrr$+smNFs:NHt6Z#kWNZof",{"category":1087,"postTag":1099,"postFormat":315,"areaOfExpertiseTax":1114,"expertsTag":315},[1088,1089,1095],{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},{"id":1090,"name":1091,"slug":1092,"parent":1093,"uri":1094,"to":1094},67,"Guinea","guinea",{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},"/our-stories/c/africa/guinea/",{"id":497,"name":1096,"slug":1097,"parent":315,"uri":1098,"to":1098},"Uncategorized","uncategorized","/our-stories/c/uncategorized/",[1100,1103,1108,1113],{"id":1101,"name":1091,"slug":1092,"parent":315,"uri":1102,"to":1102},221,"/our-stories/c/guinea/",{"id":1104,"name":1105,"slug":1106,"parent":315,"uri":1107,"to":1107},117,"Midwife","midwife","/our-stories/c/midwife/",{"id":1109,"name":1110,"slug":1111,"parent":315,"uri":1112,"to":1112},222,"PPH","pph","/our-stories/c/pph/",{"id":44,"name":731,"slug":960,"parent":315,"uri":735,"to":735},[1115],{"id":1116,"name":660,"slug":1117,"parent":315,"uri":665,"to":665},181,"maternal-newborn-and-child-health",{"credits":1119},[1120],{"role":1052,"name":1121},"Mohamed Nioké V and Jacqueline Aribot",{"id":1123,"guid":1124,"title":1125,"content":1126,"excerpt":1127,"excerptRaw":1127,"slug":1128,"url":1129,"uri":1130,"to":1130,"status":326,"date":1131,"modified":1132,"type":329,"authorId":497,"featuredMedia":1133,"terms":1182,"acf":1203},3574,"https://jhpiego.netlify.app/?p=3574","The Long Road to Eliminating Gender Violence","\n\u003Cfigure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\u003Cdiv class=\"wp-block-embed__wrapper\">\n\u003Ciframe loading=\"lazy\" title=\"1\"  width=\"500\" height=\"281\" src=\"https://www.youtube.com/embed/I6NAD7UlU1I?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen>\u003C/iframe>\n\u003C/div>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The&nbsp;\u003Ca href=\"https://16dayscampaign.org/\">Global 16 Days Campaign\u003C/a>&nbsp;— now 30 years strong — seeks to encourage activism around gender-based violence (GBV) in the world of work. Jhpiego, meanwhile, is on the ground in Mozambique, aiming to prevent unintended consequences of development projects there. The campaign began November 25.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">From the start of a large-scale road construction project in rural Nampula and Zambezia provinces implemented by the&nbsp;\u003Ca href=\"http://rpf%20ifrdp%20final%20disclosure.pdf%20(fe.gov.mz)/\">National Roads Administration\u003C/a>, Jhpiego and the World Bank have proactively addressed an increased risk of sexual exploitation, assault and sexual harassment (SEA/SH). All the partners involved in the&nbsp;\u003Ca href=\"http://:%20development%20projects%20:%20Integrated%20Feeder%20Road%20Development%20Project%20-%20P158231%20(worldbank.org)/\">Integrated Feeder Road Development Project\u003C/a>&nbsp;are painfully aware that the development field is not immune to GBV; not in their own workplaces and not in the communities served.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In fact, communities situated near the project already experience a high prevalence and acceptance of GBV in their midst. Women’s vulnerability to exploitation, assault and harassment is exacerbated by poverty, as well as slow recovery from cyclones in 2019. It’s hardly surprising that an influx of predominantly male workers from outside a community can result in an increase in SEA/SH.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Gender experts cite norms of masculinity and sexuality as reasons that some men feel entitled to sex. Women struggling to survive and to feed their children are hardly in positions of power to spurn a man’s demands or seek retribution. At the beginning of the project, there were limited services available to support those who experienced SEA/SH.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To mitigate these risks and support survivors, Jhpiego worked with the World Bank and the Government of Mozambique in late 2020 to set up grievance and response systems to institutionalize zero tolerance for SEA/SH at multiple levels. Earlier this year, Jhpiego began educating road construction workers onsite about SEA/SH. So far, 1,793 workers have been trained and all new employees have signed codes of conduct agreeing not to perpetrate SEA/SH.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Most importantly, the workers are held accountable. Those who commit acts of violence and harassment are subject to formal legal mechanisms and workplace-level sanctions. Codes of conduct stipulate penalties such as written warnings, remedial training, loss of wages, suspensions or termination. In addition to individual punishments, contracts for companies are terminated for non-enforcement of SEA/SH policies.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To better support survivors of violence in the project’s surrounding communities, Jhpiego developed awareness-raising materials on the risk of GBV, set up a free helpline in local languages, identified community grievance response representatives, and assured survivors and their families they could safely and privately submit complaints.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">So far, 8,707 community awareness workshops on SEA/SH and reporting mechanisms have been held, reaching 101,012 people.&nbsp;\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The project also provides training and medical supplies for post-GBV service delivery to health facilities. So far, staff at 55 health facilities have been trained in post-GBV care, and 20 facilities received equipment and in-depth quality assurance support. Now, when someone reports a case of GBV, it sets off a cascade of services and referrals for health care, legal aid and psychosocial support.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">After a case has been investigated and resolved, project staff conduct a root cause analysis to identify and enact improvements in environment and management to prevent similar cases in the future.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">This project marks a fundamentally new way of doing business. And not everyone was quick to embrace it. Contractor companies were narrowly focused on completing roadwork and initially did not prioritize staff time and resources for SEA/SH trainings. However, now they know to view violence prevention and response as a priority.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Change also needed to happen at the government level. And it has. This project has fostered a sense of possibility and urgency to provide services for survivors&nbsp;\u003Cem>and&nbsp;\u003C/em>to hold perpetrators accountable. A government official recently remarked that without the GBV intervention, there would have been new roads, but that workers could have destroyed the dreams of their children. The official’s comment reflects an awareness that there can be no development in the genuine sense of that word without the protection of women and children.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Change is hard, especially in a highly patriarchal environment that has never been held accountable for GBV. But projects like this one, which addresses prevention and response on multiple levels, are geared for sustainable success.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">A recognized leader in strengthening health system responses to GBV, including development of policy, clinical and operational guidance, Jhpiego contributed to&nbsp;\u003Ca href=\"https://www.who.int/reproductivehealth/publications/caring-for-women-subject-to-violence/en/\">Caring for Women Subjected to Violence\u003C/a>, the World Health Organization’s global health worker training curricula for responding to violence against women in the health setting.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Jhpiego also led the development of the&nbsp;\u003Ca href=\"https://www.who.int/reproductivehealth/publications/post-violence-care-in-health-facilities/en/\">Gender-Based Violence Quality Assurance Tool\u003C/a>&nbsp;that sets standards for the provision of high-quality post-violence care in health facilities.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Ghana, Guinea, Nigeria, Nepal, Madagascar and Mozambique, Jhpiego led the development of national health sector guidelines and/or training curricula for responding to GBV in the health setting. In Côte d’Ivoire, Haiti, Kenya, Namibia, Rwanda, Tanzania, the Philippines and Zambia, Jhpiego built the capacity of health workers to provide quality care to survivors of GBV, including empathetic counseling, safety planning and referral to additional services.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The road to eliminating GBV is long and bumpy. That’s why Jhpiego, undeterred, plans to expand and accelerate its GBV programming—as if countless lives depend on it. Because they do.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Ana Baptista is the Gender-Based Violence Program Coordinator for Jhpiego Mozambique and Elizabeth Doggett is a Senior Technical Advisor for Jhpiego.\u003C/em>\u003C/p>\n","\u003Cp>Mozambique focuses on a new workplace &#8212; road construction projects\u003C/p>\n","the-long-road-to-eliminating-gender-violence","https://jhpiego.org/our-stories/p/the-long-road-to-eliminating-gender-violence/","/our-stories/p/the-long-road-to-eliminating-gender-violence/","2021-12-07T18:37:49","2025-08-17T15:25:07",{"id":1134,"src":1135,"width":19,"height":983,"alt":21,"caption":21,"title":1136,"description":21,"mimeType":24,"html":1137,"srcset":1138,"sizes":27,"meta":1139,"acf":1179},3575,"https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k.jpg","51217178687_77adc4618b_k","\u003Cimg width=\"2048\" height=\"1365\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/51217178687_77adc4618b_k-1920x1280.jpg 1920w",{"width":19,"height":983,"file":1140,"filesize":1141,"sizes":1142,"imageMeta":1176},"2025/08/51217178687_77adc4618b_k.jpg",693711,{"medium":1143,"large":1146,"thumbnail":1149,"mediumLarge":1152,"1536x1536":1155,"postThumbnail":1158,"socialPreview":1161,"smallPreview":1164,"mediumPreview":1167,"largePreview":1170,"fullscreenSmall":1173},{"file":1144,"width":34,"height":35,"mimeType":24,"filesize":1145},"51217178687_77adc4618b_k-300x200.jpg",21863,{"file":1147,"width":39,"height":266,"mimeType":24,"filesize":1148},"51217178687_77adc4618b_k-1024x683.jpg",153931,{"file":1150,"width":44,"height":44,"mimeType":24,"filesize":1151},"51217178687_77adc4618b_k-150x150.jpg",9977,{"file":1153,"width":48,"height":273,"mimeType":24,"filesize":1154},"51217178687_77adc4618b_k-768x512.jpg",98271,{"file":1156,"width":53,"height":39,"mimeType":24,"filesize":1157},"51217178687_77adc4618b_k-1536x1024.jpg",289216,{"file":1159,"width":284,"height":59,"mimeType":24,"filesize":1160},"51217178687_77adc4618b_k-810x540.jpg",108033,{"file":1162,"width":63,"height":64,"mimeType":24,"filesize":1163},"51217178687_77adc4618b_k-1200x630.jpg",161192,{"file":1165,"width":68,"height":69,"mimeType":24,"filesize":1166},"51217178687_77adc4618b_k-375x250.jpg",31693,{"file":1168,"width":73,"height":294,"mimeType":24,"filesize":1169},"51217178687_77adc4618b_k-960x640.jpg",138823,{"file":1171,"width":78,"height":1020,"mimeType":24,"filesize":1172},"51217178687_77adc4618b_k-1280x853.jpg",217689,{"file":1174,"width":83,"height":78,"mimeType":24,"filesize":1175},"51217178687_77adc4618b_k-1920x1280.jpg",412249,{"aperture":87,"credit":1177,"camera":21,"caption":21,"createdTimestamp":87,"copyright":1177,"focalLength":87,"iso":87,"shutterSpeed":87,"title":21,"orientation":87,"keywords":1178},"Arete / Karel Prinsloo / Jhpiego",[],{"primaryColor":1180,"blurhash":1181},"#92784e","UtHn:7x^IpRiu6xvWBRj%Of-jaR*t7kCj]R*",{"category":1183,"postTag":1191,"postFormat":315,"areaOfExpertiseTax":1199,"expertsTag":315},[1184,1185],{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},{"id":1186,"name":1187,"slug":1188,"parent":1189,"uri":1190,"to":1190},198,"Mozambique","mozambique",{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},"/our-stories/c/africa/mozambique/",[1192,1196],{"id":364,"name":1193,"slug":1194,"parent":315,"uri":1195,"to":1195},"GBV","gbv","/our-stories/c/gbv/",{"id":1197,"name":1187,"slug":1188,"parent":315,"uri":1198,"to":1198},197,"/our-stories/c/mozambique/",[1200],{"id":1201,"name":593,"slug":1202,"parent":315,"uri":597,"to":597},187,"gender-equity",{"credits":1204},[],{"id":1206,"guid":1207,"title":1208,"content":1209,"excerpt":1210,"excerptRaw":1210,"slug":1211,"url":1212,"uri":1213,"to":1213,"status":326,"date":1214,"modified":1215,"type":329,"authorId":330,"featuredMedia":1216,"terms":1266,"acf":1302},3816,"https://jhpiego.netlify.app/?p=3816","Helping Girls Realize Their Dreams","\n\u003Cp class=\"wp-block-paragraph\">Lunzu, Blantyre District, Malawi — Alinafe Machilika had to leave high school before finishing her final year, dashing her hopes of becoming a nurse. Her family couldn’t afford the fees.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">The teen quickly married and soon had a baby, which left her wholly dependent on her husband. The couple fought, mostly about money. With little hope that she alone could provide for her 11-month-old daughter, Theodora, Alinafe returned to her parents’ home, even though they too were struggling financially.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In Blantyre district, where Alinafe lives, young women have few options if they leave school early—which is the case for the vast majority of young women. In fact, only&nbsp;\u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fborgenproject.org%2Fgirls-education-in-malawi-2%2F&amp;data=04%7C01%7CAnn.Lolordo%40jhpiego.org%7C5c69bceee13c4877270e08d99db0355a%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C637714202394275990%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&amp;sdata=tEVTJLExs6c76Hk%2BnYnsywuuGHhKtFOuKsHGwgCyGEc%3D&amp;reserved=0\">6 percent\u003C/a>&nbsp;of girls in Malawi graduate from secondary education each year. Only 2.9 percent seek post-secondary education. Most are vulnerable to early pregnancy and marriage before they are emotionally ready, and they are exposed to high-risk behaviors that can lead to HIV infection.\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/Malawi_DREAMS_KarelPrinsloo-1024x683.jpg\" alt=\"\" class=\"wp-image-3824\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe holds her daughter Theadora, 2. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">To change that reality for thousands of girls in Malawi, Jhpiego has been implementing the&nbsp;\u003Ca href=\"https://www.jhpiego.org/countries-we-support/malawi/\">Gateway project\u003C/a>&nbsp;since September 2018. In partnership with the Malawi Ministry of Health, the project aims to reduce the vulnerability of girls and young women to HIV by improving access to health services and offering paths to economic empowerment.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Gateway is funded by the U. S. President’s Emergency Plan for AIDS Relief (PEPFAR) through&nbsp;the Centers for Disease Control&nbsp;and Prevention (CDC) under the&nbsp;\u003Ca href=\"https://www.usaid.gov/global-health/health-areas/hiv-and-aids/technical-areas/dreams\">Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS)\u003C/a>&nbsp;initiative.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“From the onset of the DREAMS initiative, Jhpiego has been determined to support girls from across Blantyre district to realize their DREAMS, which were nearly shattered due to early pregnancies, school drop outs and early marriages, these vulnerabilities are drivers to HIV infection,” said Getrude Chipungu, Gateway project director. “Jhpiego, through the Gateway project is implementing the DREAMS program to equip adolescent girls and young women with skills and knowledge to deal with expectations, behaviors and attitudes that put them at high risk of HIV infection and make them vulnerable.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">DREAMS provides a comprehensive package of services that address the broad needs of girls and young women. In addition to preventing HIV and making sure that people living with HIV get healthy and stay that way, it’s about linking youth with reproductive health and family planning services, helping them achieve financial literacy and empowerment and preventing gender-based violence.&nbsp;\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-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg\" alt=\"\" class=\"wp-image-3827\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism. Photo by Karel Prinsloo for Jhpiego.\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-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1024x683.jpg\" alt=\"\" class=\"wp-image-3831\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe Machilika holds her daughter Theadora at her parents&#8217; home. Photo by Karel Prinsloo for Jhpiego.\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-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1024x683.jpg\" alt=\"\" class=\"wp-image-3828\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe Machilika holds her daughter Theadora (2) while she collects water from the borehole in her parents&#8217; home, just outside Blantyre, Malawi. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Jhpiego is strong across many different technical areas that fall under adolescent health,” said Meghan Greeley, Jhpiego’s technical advisor for adolescent health. “If a 16-year-old is seeking family planning, we aim to see the full picture of her needs and provide much more than a choice of methods, including social support and HIV prevention strategies.” Meghan also noted Jhpiego’s innovative immunization strategies to engage adolescents in the prevention of HPV, which can lead to cervical cancer, especially in women who are living with HIV.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">Currently, Jhpiego is helping girls to piece together their shattered dreams through DREAMS in eight countries: Namibia, South Sudan, Botswana, Cote d’Ivoire, Lesotho, Rwanda, Mozambique and, of course, Malawi. In Malawi, one in four new HIV infections occurs among young women, according to a recent&nbsp;\u003Ca href=\"https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf\">report from UNAIDS\u003C/a>&nbsp;that reveals just how disproportionately women and girls are affected by what is described as “a prevention crisis.” In fact, young women in Malawi aged 15 to 24 are at almost twice the risk of acquiring HIV compared to males of the same age.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">In October 2020, Alinafe met a Gateway community health volunteer. “I was struggling and losing hope until Jhpiego arrived in my village and one of the club mentors&nbsp;[a volunteer working with Jhpiego] introduced me to the&nbsp;DREAMS&nbsp;club&nbsp;in&nbsp;our community,” said Alinafe. “Regardless of having a child or failing to cope with married life or poverty, I was encouraged. I was told that this was not the end, but the beginning of my future.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">At ­club meetings, Alinafe and 28&nbsp;other girls and young women learned about ways to reduce their risk of acquiring HIV. The members encouraged each other to make decisions to preserve their health and safety and lead healthier lives. They discussed economic empowerment and gender issues while learning entrepreneurship skills. Trainings included proper ways of establishing and doing business, developing capital and identifying potential income-generating activities.&nbsp;The DREAMS clubs serve girls, ages 10–­­14, and adolescents and young women, ages 15–24.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“The club has changed my life,” said Alinafe, now 20 and studying hotel management and catering&nbsp;at the Malawi Institute of Tourism. “I will take my knowledge back to the girls at home who are like me and tell them to dream big.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">She is among&nbsp;\u003Cstrong>19,238\u003C/strong>&nbsp;young women and adolescents in Malawi to benefit from the Gateway DREAMS initiative through educational support and enrollment in vocational training in the hotel industry, plumbing trades and tailoring. Village savings and loan groups also figure prominently in the DREAMS clubs, encouraging a culture of saving and entrepreneurship.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“The DREAMS program is having a great impact,” said Getrude. “The adolescent girls and young women are getting talents and believing in themselves, they can go into the world and tap from the many opportunities that are out there and become what they&nbsp;have always dreamed of.”\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Because of this program, I learned not to doubt myself,” Alinafe said. “I am confident and now understand what I am capable of and what I can achieve.\u003C/p>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">“Before, my dreams were shattered, but I now see a brighter future. I can become independent and support myself and my child.”\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2.jpg\" alt=\"\" class=\"wp-image-3826\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-960x640.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe studies hotel management and catering. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp class=\"wp-block-paragraph\">\u003Cem>Sarah&nbsp;Sakanda&nbsp;is a&nbsp;communication and knowledge management specialist&nbsp;for Jhpiego in Malawi.&nbsp;Maryalice&nbsp;Yakutchik, a communications manager for Jhpiego, also contributed to this story.\u003C/em>&nbsp;\u003C/p>\n","\u003Cp>In partnership with the Malawi Ministry of Health, Jhpiego is helping reduce the vulnerability of girls and young women to HIV by improving access to health services and offering paths to economic empowerment.\u003C/p>\n","helping-girls-realize-their-dreams","https://jhpiego.org/our-stories/p/helping-girls-realize-their-dreams/","/our-stories/p/helping-girls-realize-their-dreams/","2021-11-18T01:06:42","2025-08-12T13:26:46",{"id":1217,"src":1218,"width":197,"height":73,"alt":21,"caption":1219,"title":1220,"description":1221,"mimeType":24,"html":1222,"srcset":1223,"sizes":1224,"meta":1225,"acf":1263},3827,"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg","Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism. Photo by Karel Prinsloo for Jhpiego.","Jhpiego - Malawi - August / September 2021","\u003Cp>Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism where she is attending a Hotel Management and Catering Services course, in Blantyre, Malawi on 1st September 2021. Alinafe Machilika dropped out of school when she was pregnant. When DREAMS was formed in her community, she took a financial literacy course and now has access to contraceptive pills and safe HIV testing under the Gateway Project.\u003C/p>\n","\u003Cimg width=\"1440\" height=\"960\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg 1440w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg 1280w\" sizes=\"auto, (max-width: 1440px) 100vw, 1440px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg 1440w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg 1280w","(max-width: 1440px) 100vw, 1440px",{"width":197,"height":73,"file":1226,"filesize":1227,"sizes":1228,"imageMeta":1256},"2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg",181498,{"medium":1229,"large":1232,"thumbnail":1235,"mediumLarge":1238,"postThumbnail":1241,"socialPreview":1244,"smallPreview":1247,"mediumPreview":1250,"largePreview":1253},{"file":1230,"width":34,"height":35,"mimeType":24,"filesize":1231},"Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg",32966,{"file":1233,"width":39,"height":266,"mimeType":24,"filesize":1234},"Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg",111772,{"file":1236,"width":44,"height":44,"mimeType":24,"filesize":1237},"Malawi_DREAMS_KarelPrinsloo_3-150x150.jpg",25509,{"file":1239,"width":48,"height":273,"mimeType":24,"filesize":1240},"Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg",78330,{"file":1242,"width":284,"height":59,"mimeType":24,"filesize":1243},"Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg",84188,{"file":1245,"width":63,"height":64,"mimeType":24,"filesize":1246},"Malawi_DREAMS_KarelPrinsloo_3-1200x630.jpg",115747,{"file":1248,"width":68,"height":69,"mimeType":24,"filesize":1249},"Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg",38903,{"file":1251,"width":73,"height":294,"mimeType":24,"filesize":1252},"Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg",102854,{"file":1254,"width":78,"height":1020,"mimeType":24,"filesize":1255},"Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg",149958,{"aperture":172,"credit":1177,"camera":305,"caption":1257,"createdTimestamp":1258,"copyright":1177,"focalLength":1259,"iso":1260,"shutterSpeed":1261,"title":1220,"orientation":310,"keywords":1262},"Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism where she is attending a Hotel Management and Catering Services course, in Blantyre, Malawi on 1st September 2021. Alinafe Machilika dropped out of school when she was pregnant. When DREAMS was formed in her community, she took a financial literacy course and now has access to contraceptive pills and safe HIV testing under the Gateway Project.","1630501386","70","100","0.0025",[],{"primaryColor":1264,"blurhash":1265},"#6b4c39","UNDlNH~V-OwGM_obt7bwMwRPtRo#%g%MadM_",{"category":1267,"postTag":1274,"postFormat":315,"areaOfExpertiseTax":1293,"expertsTag":315},[1268,1269],{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},{"id":783,"name":1270,"slug":1271,"parent":1272,"uri":1273,"to":1273},"Malawi","malawi",{"id":951,"name":952,"slug":953,"parent":315,"uri":954,"to":954},"/our-stories/c/africa/malawi/",[1275,1276,1281,1285,1288,1289],{"id":1041,"name":1042,"slug":1043,"parent":315,"uri":1044,"to":1044},{"id":1277,"name":1278,"slug":1279,"parent":315,"uri":1280,"to":1280},190,"Gender","gender","/our-stories/c/gender/",{"id":1282,"name":609,"slug":1283,"parent":315,"uri":1284,"to":1284},84,"hiv","/our-stories/c/hiv/",{"id":1286,"name":1270,"slug":1271,"parent":315,"uri":1287,"to":1287},189,"/our-stories/c/malawi/",{"id":44,"name":731,"slug":960,"parent":315,"uri":735,"to":735},{"id":698,"name":1290,"slug":1291,"parent":315,"uri":1292,"to":1292},"Youth","youth","/our-stories/c/youth/",[1294,1297,1298,1299],{"id":1295,"name":568,"slug":1296,"parent":315,"uri":573,"to":573},70,"adolescent-youth-health",{"id":1047,"name":585,"slug":1048,"parent":315,"uri":589,"to":589},{"id":1201,"name":593,"slug":1202,"parent":315,"uri":597,"to":597},{"id":1300,"name":609,"slug":1301,"parent":315,"uri":613,"to":613},87,"hiv-tb",{"credits":1303},[1304],{"role":1052,"name":1305},"Sarah Sakanda",36,1793651959524]