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This month, PMNCH is proud to spotlight the work of the Clinton Health Access Initiative (CHAI) which operates at the intersection of government, business, and healthcare to catalyze more equitable healthcare access. Founded on the principle that geographic location should not dictate access to treatment, CHAI has active programs in 35 countries in Africa, Asia, and Latin America and is dedicated to ensuring that no one dies due to the lack of healthcare services. The spotlight on CHAI, including its focus on government-led solutions and established contribution to women’s, children’s, and adolescents’ health in African countries, coincides with the 37th Ordinary Session of the African Union Heads of State Summit taking place from 17th-18th February in Ethiopia. The Summit is themed to the importance of resilient education systems for increased access to inclusive, lifelong, quality, and relevant learning in Africa. Education has long been established to have a multiplier effect towards improving health and eradicating poverty. This gathering is a critical moment and transformative opportunity for African Leaders to discuss how the continent and countries can leverage education more effectively to unlock the much-needed progress towards SDG targets related to women’s, children’s and adolescents’ health. In collaboration with PMNCH partners, CHAI is playing a pivotal role in fostering country engagements and supporting the governments of Ethiopia, Tanzania, Sierra Leone, and South Africa as the coordinating partner under the PMNCH-coordinated Country Advocacy Action Plans (CAAP). The CAAP process aims to provide a convening platform for in-country partners to align on advocacy and accountability efforts to accelerate progress on the implementation of commitments towards the SDG3 targets, expediting the reduction of maternal, neonatal, and child mortality while advancing SRHR and adolescent well-being. CHAI's innovative maternal newborn and reproductive strategy also focuses on bolstering government health systems and enhancing their ability to provide integrated reproductive, maternal, and neonatal health services. This quality-of-care approach has led to the creation of ‘Networks of Care’ systems, ensuring that women and newborns have timely access to necessary health services. CHAI’s integrated approach to maternal and neonatal health has been tested at scale and proven to significantly diminish mortality rates in mothers, newborns, and stillbirths. This strategy focuses on interventions that strengthen care during the critical 24-48 hours surrounding delivery, no matter where birth occurs, even in the most rural and marginalized communities. Piloted in Ethiopia and implemented at scale in Nigeria, this approach was awarded the European Commission Horizon ‘Birth Day’ Prize in recognition of a demonstrated and scalable solution to reduce or prevent death during pregnancy and childbirth. Between 2018 and 2022, CHAI partnered with the Zambian Government to improve maternal and neonatal health outcomes in the Northern Province. This region, known for high rates of home births and significant risks associated with labor, was the focus of a bold initiative to cut maternal and neonatal mortality by 40% in four years. The results were extraordinary, surpassing the initial goal: maternal mortality fell by 41%, neonatal deaths by 45%, and perinatal deaths by 43%. This success was achieved despite challenges posed by the COVID pandemic, proving to be both transformative and sustained over the period since. Zambia’s success in reducing maternal mortality was a key highlight at the 3rd International Conference on Public Health in Africa (CPHIA 2023), organized by the Africa CDC and hosted by the Zambian Government. The conference's theme, “Breaking barriers: repositioning Africa in the global health architecture,” resonated with CHAI's ongoing efforts to expand this successful program nationally and in other countries. Special thanks to Joy Phumaphi for her outstanding leadership as both a CHAI Board Member and Co-Chair of the PMNCH Partner Engagement in Countries Committee. Her significant contributions to guide the development of PMNCH’s partner-led approach to advancing accountability for national WCAH commitments has been instrumental in empowering our in-country partners to engage in more collaborative and effective advocacy actions. Additionally, we would like to recognize the efforts of Dr. Buddy Shah, CHAI CEO, along with Drs. Rahel Belete, Esther Mtumbuka, Silvestre Suh, and Vishal Brijlal. As leaders of this partnership in Ethiopia, Tanzania, Sierra Leone, and South Africa, respectively, they consistently exhibit unwavering dedication to improving healthcare services for mothers, newborns, and children.
South-africaSierra-leoneZambiaTanzaniaNigeriaUnited-statesEthiopiaAmericaNorthern-provinceZambianEsther-mtumbukaVishal-brijlal