A summary map on the activities announced or underway in Pakistan.
During Dr. Raj Shah’s whirlwind two-day visit to Pakistan with Secretary of State Hillary Clinton for the ongoing Strategic Dialogue between the two countries, the U.S. announced more than $500 million in new development assistance for Pakistan.
The new projects include the completion of two hydroelectric dams in South Waziristan and Gilgit-Baltistan that will supply more than 34 megawatts of additional power to 280,000 residents in those areas, the renovation and construction of three medical facilities, economic growth programs and seven projects to improve water distribution and efficiency in the country. Much of the assistance will be delivered by USAID.
The United States shares with Pakistan a vision of a future in which all people can live safe, healthy, and productive lives. Dr. Shah spoke with press about USAID’s role in Pakistan, saying that “Our commitment is broad and deep,” and one that encompasses programs ranging from health and energy to economic growth and agriculture.
Dr. Raj Shah at the launch of the Pakistan Ministry of Health’s new Birthspacing Initiative to Improve Maternal, Newborn, Infant and Child Mortality. Photo by Amy Koler.
The U.S. and Pakistan have consulted closely on the shared objectives of addressing Pakistan’s National Health Policy, which outlines the priorities for the nation, which include family planning, maternal and child health, workforce development, and combating infectious diseases to meet the Millennium Development Goals.
On Sunday, Dr. Shah attended the launch of the Pakistan Ministry of Health’s new Birthspacing Initiative to Improve Maternal, Newborn, Infant and Child Mortality. “Overall, (the strategy) will help ensure that pregnancies occur at the healthiest times of women’s lives. Specifically, it will help reduce high risk pregnancies – those that occur at too late or too early an age, or too soon after a previous pregnancy – through greater use of birth spacing services,” he said.
The Obama administration recognizes that the key to improving health is to strengthen country and local ownership, especially at the community level. “ We know that strong national leadership and capacities are essential for development progress. Health systems can only thrive where there is wise leadership investing in people, institutions and infrastructure; particularly where governments are responsive and accountable to their citizens.
PIRCOM has trained more than 21,000 religious leaders from a variety of faiths on malaria prevention and treatment.
Left unchecked, disease imperils the stability and prosperity of all; therefore, improving global health outcomes is a shared responsibility. This means reaching out to community elders, leaders, and religious groups to ensure the quality and reach of health services and messages.
Religious leaders, along with their well-established networks of volunteers and community groups, have the potential to promote and sustain positive changes in the social norms, attitudes, and behaviors of their communities, which can affect development outcomes. Thus the U.S. Agency for International Development (USAID) engages religious leaders to facilitate greater partnership in, as well as ownership of, a community’s development.
Over the past few years, malaria and other global health programs have increased support to grassroots health movements within faith communities. In addition to promoting health-seeking behaviors, these programs have helped bridge cultural and religious divides. One such initiative, the Together Against Malaria (TAM) program, arose in 2006 from the common vision of national leaders from 10 faith communities in Mozambique to use their religious organizations to disseminate malaria control messages and commodities.
By Alison Bird. A nurse in a local clinic in Huambo Province, Angola, checks a patient and her baby before prescribing anti-malarial drugs. The President’s Malaria Initiative (PMI), led by USAID, supports countries in their efforts to scale up access to malaria diagnostics to ensure proper diagnosis of illness.
Maria José Inés, chief nurse at the Benfica Baixa Health Center in the city of Huambo in Angola, has seen many patients with fever over the years and treated countless malaria patients. In many parts of Africa, a majority of fevers have been more likely due to other pathogens than with malaria parasites, underscoring the need for proper malaria diagnosis. Now even in highly malarious areas where effective prevention is decreasing the malaria burden this is also becoming the case.
The President’s Malaria Initiative (PMI), led by USAID and implemented jointly with the Centers for Disease Control and Prevention (CDC), supports countries in their efforts to scale up access to malaria diagnosis, in line with the recently revised World Health Organization (WHO) recommendation, including focusing on quality assurance for malaria diagnostics, training in proper use of the diagnostics tests at all levels of the health care system, including community health workers, and information, education and communication materials IEC/BCC to assure that health care workers and patients use the test results as part of more effective management of fever cases.
Today is the six-month commemoration of the 7.0 earthquake that struck Haiti on January 12, 2010. Administrator Shah just returned from a trip to Haiti and issued a statement to mark the commemoration.
USAID is hosting a conference entitled Transforming Development through Science, Technology and Innovation. The conference is co-hosted with Secretary of State Hillary Clinton and the President’s Science Advisor Dr. John Holdren. Participants include many of the world’s leading scientists and development thinkers, along with leaders of key federal science agencies who will help map out USAID’s bold new science, technology and innovation agenda.
Regaining its footing after a quarter century of conflict, northern Uganda is bustling with activity. Communities are working to restore local infrastructure and citizens are going about the business of rebuilding homes and lives. However the political reality is that the political leadership wanted to expedite the return process while also provide people with crucial information to returnees so they could make informed decisions about their lives.
Radio is not only the most reliable source of information for returning communities but also serves as the medium of choice to access the information people are seeking. However radio stations also have a limited ability to deliver the kind of content needed.
To encourage people to return and help them with their rebuilding efforts, the Lamele Theatre Artists, in collaboration with USAID’s Office of Transition Initiatives, spearheaded the production of a radio drama. Ajing Conga, Bila Pa Ladwar (I Will Strengthen My Knees – The Song of a Hunter) focuses on three families that have returned to northern Uganda and are grappling to rebuild their lives. The show is providing returnees with crucial information on education, health, culture, security, and governance.
Three stations aired the 72 episodes of the radio drama three times a week. Once the production finished, the Lamele Theater Artists took the show on the road and performed skits live in villages. The shows, some of which were revised, were well received by northern Ugandans who were able to identify with the challenges and issues portrayed.
At a forum organized by Global Washington and hosted by Seattle University, Maura O’Neill, USAID’s Counselor for Innovation, will participate in a discussion about Washington State’s contribution to the global development sector and will offer recommendations for improving the effectiveness of U.S. foreign assistance.
Administrator Shah will join Secretary Clinton at the State Department to address the 2009-2010 Jefferson Science Fellows. The ten Fellows are tenured professors assigned for one year at State and USAID. Their universities contribute to the success of this public-private partnership.
Men ferry bales of ITNs across a river during a net distribution campaign in Nimba County, Liberia. PMI has purchased millions of nets for distribution throughout Africa.
In Africa, malaria is transmitted by mosquitoes that bite predominantly at night. Therefore, sleeping under an insecticide-treated net (ITN) can greatly reduce the risk of infection because ITNs repel mosquitoes and kill those that land on them. Increasing ownership and use of ITNs is a key component of President Malaria Initiative’s (PMI’s) prevention strategy. Launched in 2005, PMI is led by the U.S. Agency for International Development (USAID) and implemented together with the Centers for Disease Control and Prevention (CDC). PMI is a key part of the Administration’s Global Health Initiative to help partner countries achieve major advances in health by working smarter, building on past successes and learning from past challenges.
Simba Mobagi, a lab tech in Rachuonyo district hospital in Kenya, works with Maj. Eric Wagar to accurately diagnose malaria in blood samples. (Photo by Rick Scavetta)
By Rick Scavetta and Chris Thomas
Inside Rachuonyo district hospital in Kenya, Simba Mobagi peers through his laboratory’s only microscope at a sick woman’s blood sample. The 33-year-old laboratory technologist’s goal – rapidly identifying malaria parasites. Dozens more samples await his eyes. Each represents a patient suffering outside on wooden benches. Mogabi takes little time to ponder his workload. He quickly finds malaria parasites, marks his findings on a pink patient record and moves to the next slide.
For more than 40 years, U.S. Army Medical Research Unit-Kenya – locally as the Walter Reed Project – has studied diseases in East Africa through a partnership with the Kenya Medical Research Institute.
USAID is supporting rural Pakistani women farmers to increase crop and livestock productivity.
The Rural Livelihood Development Program in Balochistan built the capacity of 50 female community organizations to increase crop and livestock productivity, improve on-farm water management, and foster improved market linkages for agricultural inputs and outputs.
The program also provides institutional capacity building to 200 community organizations which train women in entrepreneurial skills, improved marketing, and agricultural-related technical training. The program will enable 40,000 women and girls to increase their income by 20 percent.
Rural Pakistani women do the majority of livestock and agriculture management, frequently in the form of unpaid “family” work. The USAID agriculture programs will develop skills and techniques of female farmers while strengthening women’s control over the financial resources generated by their work.
Balochistan faces debilitating drought and severe water scarcity which negatively affects production and value addition in crop and livestock development. To address this issue, efficient water use and management is integral to USG livelihood activities in horticulture and livestock development. Forty percent of sheep in Pakistan come from Balochistan. Through the introduction of wool grading and a site visit to the Ghazi Wool Industry in Southern Punjab, USAID helped farmers gain from an increased sale price of $11 for 40kg of raw wool to $20 for graded white wool. Read more about the economic growth program.