Humana People to People

Humana People to People

Inside Namibia's HIV success story

testing Namibia

AMSTERDAM — Facing one of the highest HIV prevalence rates in the world, Namibia has become the first country in Africa to have more than three-quarters of its HIV-affected population virally suppressed — and insiders are crediting political commitment, good data, and community-centered HIV programs for the remarkable achievement.

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Humana People to People to Participate at EDD18

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Humana People to People is excited to announce its involvement in this year’s European Development Days (EDD), to be held in Brussels on the 5th and 6th of June this year.

This year’s theme for Europe’s largest event dedicated to international cooperation, development and humanitarian aid is Women and Girls at the Forefront of Sustainable Development: protect, empower, invest. During the two-day event, Humana and its members will share in-depth learnings on gender mainstreaming in teacher training activities and experiences on moving towards gender equality in education.

 

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Conceição da Glòria Sozinho, Director of ADPP Teacher Training College in Chimoio, Mozambique, will be sharing her own insights in a lab debate hosted by the International Task Force on Teachers for Education 2030. The debate, titled Female Teachers and Gender Equality in Education will be held at 9:00am on the 6th of June in debate room D1. She will be joined by H.E. Paul Mavima, Minister of Primary and Secondary Education in Zimbabwe; H.E. Marie Odile Attanasso, Minister of Higher Education and Scientific Research in Benin; and Mrs Teopista Birungi Mayanja, Regional Coordinator for the Africa Network Campaign for Education for All (ANCEFA). The Debate will be moderated by Dennis Sinyolo, Senior Coordinator of Education International.

 

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Girls are still 1.5 times more likely than boys to be excluded from primary school, and half of out-of-school primary-aged girls are unlikely to ever enter school. Wealth disparities and the rural-urban divide further exacerbate barriers and vulnerabilities faced by girls, which increase as they get older. Female teachers have an important role in addressing access and quality issues in girls’ educational experiences – especially in places where women are discriminated against and under-represented in political, employment, and leadership positions. Interestingly, the gross enrolment ration in secondary education is often used to monitor trends and progress from primary to secondary level. The data reveal that the percentage of female teachers in primary education roughly correlates with girls’ GERs in secondary education.

Although women make up the majority of the teaching profession in many countries, a closer examination can reveal significant disparities, particularly in rural and hard-to-reach areas. They can be harder to recruit in these areas due to socio-cultural barriers and safety issues. In addition, despite representing a majority of teachers at both primary and secondary levels, female teachers are not as likely as their male counterparts to move into school-level management positions.

 

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This session will explore policy, funding and civil society best practices in empowering women to enter and remain in the teaching profession and their role in providing a gender-responsive education to all children.

In addition, Humana will be hosting stand 61 in the Global Village to highlight its approach to gender mainstreaming in teacher training. Titled Teachers Change Lives, the stand will feature lessons learned and experiences from the seven countries where partners manage Teacher Training Colleges. 

If you would like any further information regarding Humana People to People and our participation at this year’s EDDs, please contact Amy Logan on This email address is being protected from spambots. You need JavaScript enabled to view it.. We very much hope to see you in Brussels! You can also find out more about EDD at eudevdays.eu 

Ready to beat Malaria in its tracks!

Mosaswa Malaria day campaign in Moamba

Malaria has claimed millions of lives and destroyed untold human potential. If we take the right steps now, we can end this disease for good. Be counted, join the malaria fight and save millions of lives.

As the world come to mark World Malaria Day on 25th of April, the occasion will assist to highlight the need for continued focus on the work going towards malaria elimination, financial investment and sustained political commitment for malaria prevention. The disease poses threats to the future of the African continent as surveys on malaria reveal that a child dies every minute from malaria in Africa where it is estimated that 9 out of 10 malaria deaths occur.

The emerging consensus is that the African voices are key to the fight against malaria but are not heard enough when decisions are made about policy and resource allocation for malaria. According to the Malaria Futures for Africa report it argues that the disease costs the African economy more than USD 12 billion every year and slows the economic growth of countries with high malaria rates by 1.3%.

 

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Humana People to People is fighting malaria in Sub-Saharan Africa where its community development programs are being implemented. The malaria prevention approach is built around a community based diagnosis, treatment and information awareness campaign empowering people to reduce chances of contracting the disease. The efforts are all supporting the World Health Organization’s road map called The Global Technical Strategy for Malaria 2016–2030. The strategy sets the target of reducing global malaria incidence and mortality rates by at least 90% by 2030.

The past efforts in addressing malaria have made it possible to scale down its devastating consequences on humanity. According to United Nations’ Sustainable Development Goal 3 facts and figures on malaria, it shows that over 6.2 million malaria deaths were averted between 2000 and 2015, primarily for children under five years of age in sub-Saharan Africa. Over the same time frame, the global malaria incidence rate has fallen by an estimated 37 per cent and the mortality rates by 58 per cent. The momentum built since the turn of the millennium can be used to bolster more actions and ignite optimism to eliminate malaria in the malaria high burden countries.

There still remains much work to be done to eradicate malaria in Africa south of the Sahara. Much effort is called for in the area of case identification, early treatment and surveillance. A strong surveillance system requires high levels of access to care and case detection.

 

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Humana People to People is convinced that fighting the malaria scourge is a winnable battle. With robust financial resources and political leadership, the world can swing the pendulum back towards a malaria-free world.

Some members of Humana to People are implementing a one year regional Malaria Elimination 8 program across some Southern African countries. The Southern African Malaria Elimination 8 (E8) initiative is a coordinated eight country effort to eliminate malaria in four Southern African countries by 2020 (Botswana, Namibia, South Africa, and Swaziland - the first countries) and in four more by 2030 (Angola, Mozambique, Zambia, and Zimbabwe - the second line countries).

The rationale for this regional intervention is countries with lower incidence and closer to elimination (such as South Africa and Botswana) are subject to high transmission from more endemic countries due to human migratory patterns. The project reduces the spread of malaria by providing testing and treatment services to migrant and mobile populations and surrounding at-risk communities in border areas.

 

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Through the E8 initiative Humana People to People members are contributing to enabling and accelerating zero local transmission of malaria and eliminate malaria by the year 2030. The project is offering Malaria information, test and treatment in mobile health posts and door-to-door in communities for migrant populations and underserved populations in the border areas. Active malaria surveillance is being done seeking to secure data on where the malaria cases are coming from and appropriate approaches are formulated to mitigate the malaria prevalence.

There is no doubt that ensuring healthy lives and promoting wellbeing for all ages is important to building prosperous societies.

World Health Day Blog #HealthForAll

TCE GMZ Activist during follow up session in family

 

On the eve of World Health Day, we can reflect on the significant improvements made worldwide over the last fifty years both in health status and in access to health care. However, the challenge in achieving target 3:8 of the Sustainable Development Goals (SDGs) – universal health coverage (UHC) - can at times seem insurmountable.  Indeed, a 2017 report by the World Health Organisation (WHO) showed that still more than half of the world’s 7.3 billion people do not receive all the essential services they need and about 100 million people are pushed into extreme poverty due to their health expenditure.

There is clearly a huge amount of work still to do and the WHO’s decision to theme this year’s World Health Day #HealthForAll signifies widespread agreement that UCH is the goal, that if achieved, that will deliver all others.  

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Over the past 10 years Humana People to People has been working tirelessly in partnership with the government to achieve UHC with many of our health related programmes reaching communities that the National Health Service struggles to help. In many of the regions in which we work, large swathes of the populace live long distances from the nearest health facilities. Take Mozambique as an example, where 50 percent of the population are more than 20km away from the nearest health facility. It is in these contexts that we pioneered a community orientated programme that mobilises individuals and communities at large to take charge of their own health and well-being through a door-to-door personal interactions by local mobilisers, education, risk assessment and testing. This approach, known as Total Control of the Epidemic (TCE) has become a model for HIV & Aids and TB prevention reaching millions of people globally.

 

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The program, in a close collaboration with the local health facilities and with a firm structure, relies on employment and training of local staff to work as “Field Officers" and the referral of these patients by community-level caregivers to the local health facilities. In some countries, the program has harnessed technology using IT-based mobile applications to track patients in the community, linking them to their nearest health-facilities and facilitating follow-ups.  We have seen that this particular combination of components becomes a powerful tool. It has enabled Humana People to People to reach the most remote villages in some of the worst affected countries globally to receive a diagnostic for these diseases and, consequently, be linked to the healthcare system.

The ability to reach the remotest communities and bring them onto the “grid” is one of the keys to achieving UHC and we must harness technology as well as traditional and complementary medicine services to reach these people. As we mark World Health Day on Saturday Humana will be campaigning for using this combination of elements, together with grassroots and local approaches to be scaled and replicated across developing countries as a key strategy in helping countries achieving #HealthForAll.

Please contact us for more details on our programmes or to learn how you can partner with us to help achieve UHC.

Wanted are Leaders for a TB-free world!

World TB Day, falling on March 24th each year, is designed to build public awareness that tuberculosis today remains an epidemic in much of the world. Humana People to People join the rest of the world in commemorating the World TB Day.

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The event in 2018 is marked under the theme “Wanted: Leaders for a TB-free world”. There is a great need to mobilize political and social commitment for further progress towards eliminating TB as a public health burden. Stop TB Partnerships reveal that TB remains the world’s leading infectious killer, being responsible for the deaths of nearly 1.7 million people each year and representing the ninth leading cause of death globally.

The members of Humana People to People in Asia and Southern Africa are taking an active role in working closely with the national governments’ efforts in fighting the further spread of TB. Many community based actions are being implemented supporting TB case identification and referral of TB medical diagnosis and TB treatment. All the Humana People to People TB interventions are contributing to the World Health Organization strategy which aims at ending the global TB epidemic, with targets formulated to achieve reduction of TB deaths by 95% and to cut new TB cases by 90% between 2015 and 2035, and to ensure that no family is burdened with catastrophic expenses due to TB.

 

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What is TB and how does it spread?

TB is an abbreviation of the word Tuberculosis and TB is how people often refer to the disease. It is caused by the bacteria called Mycobacterium tuberculosis (M.tuberculosis). TB is spread from one person to another through the air. You get TB by breathing in TB bacteria in the air. Bacteria get released into the air by someone who already has the bacteria in their body.

The bacteria that usually cause the disease in humans, usually affect the lungs, but can affect other parts of the body.

Understanding TB as a disease

TB disease is what happens when a person has latent TB and then becomes sick. Sometimes this is known as having active TB. Center for Disease Control and Prevention states that on overall, 5 to 10% of people with latent TB, who do not receive treatment for it, will become sick at some time in their lives.

Some people become sick soon after they have become infected, other people do not get sick at first but they get sick years later when their immune system becomes weak for another reason. This can be because they have an infection, such as HIV, or some other health problem. The risk to some specific population groups is much higher and this includes infants and children aged less than 4, people infected within the previous two years, people who are infected with HIV, terminally ill persons and people who have certain illnesses or conditions which affect their immune system, such as people with diabetes, and people with chronic renal failure.

If someone has drug resistant TB it means that the bacteria in their body would not be affected by certain drugs that they are resistant to. The drugs just would not work. There are two main reasons why people develop it. It can be because the person doesn’t take the drugs properly. It can also be that the bacteria they are infected with have come from someone who has already got drug resistant TB. Being drug sensitive is the opposite of being drug resistant.

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Humana People to People and community based TB prevention actions

Total Control of Tuberculosis is empowering every individual to fight TB and HIV through repeated mobilization, information dissemination, education, referral for medical attention, treatment and community based basic counseling including follow-up support.

The program uses its unique strategy of mobilizing people to know their HIV status, screening for TB as well as collecting sputum from the doorstep to the laboratory and bringing the results back to the household. This strategy has reached many people who ordinarily would not seek out knowledge or treatment of TB.

Currently there are TB programs which are benefiting hundreds of thousands of people in Angola, Malawi, India, Mozambique and Zimbabwe. More countries are also working with TB epidemic through the Total Control of the Epidemic or HOPE Humana project types.

TC TB projects work closely with community leaders, the Ministry of Health and particularly the department of TB and infectious disease in adhering to national TB policy requirements. In specific countries technical support is given by other specialized TB organizations.

In India, 11 493 people were identified with TB symptoms, of which the Humana People to People India’s HIV and TB prevention project referred 8 081 TB symptomatic individuals to be tested at Diagnostic Medical Centers and of these,

1 414 people were detected with TB in 2017. The program is running in New Delhi and Uttar Pradesh states.

In Mozambique, ADPP Mozambique is implementing Total Control of Tuberculosis in Nampula and Zambezia provinces which is part of a larger program called Challenge TB led by FHI360. In 2017 the project reached almost 63 000 people with TB awareness and knowledge about how to prevent, recognize the symptoms and adhere to the treatment. 5 176 people got diagnosed with TB and started the treatment. By the end of the year 1 278 persons were cured and others are still on treatment.  

In Malawi, DAPP Malawi’s TC TB Thyolo have 670 Community Volunteers and 24 Community Health Workers reaching 31 272 people with TB and HIV and AIDS prevention messages. 3 988 people were screened for TB, while 1 630 sputum samples were collected for laboratory tests at health centers. Nutrition supplements were given to the patients to improve their nutrition status and overcome the heavy pill burden.

In Zimbabwe, during the course of 2017, the DAPP Zimbabwe’s TC TB Makoni project reached 38 253 people in Makoni district, Manicaland province. The door-to-door community mobilization activities have resulted in many people voluntarily seeking TB tests at the local health clinics. Sputum was collected from 925 people out of which 10 people were found to be infected by TB and were enrolled for treatment.