Advocacy success story: Kenya approves misoprostol for PPH

Melissa Wanda Kirowo is advocacy project officer for FCI Program of Management Sciences for Health in Kenya. 

This blog post provides an update to an earlier post.

The Kenya Constitution states that every person has the right to the highest attainable standard of health, including reproductive health. To realize this right, every person must have access to high-quality, life-saving medicines.

Photo credit: Mark Tuschman
Photo credit: Mark Tuschman

Recently, the government achieved great strides toward making this right to health a reality for its citizens. For the first time, the Kenya Essential Medicines List 2016 (KEML) included misoprostol in the oxytocics section, indicating its use for the prevention and treatment of postpartum hemorrhage (PPH), excessive bleeding after childbirth and a leading cause of maternal death. Misoprostol is stable at room temperature, available in pill form, and inexpensive. Because of these advantages and the drug’s wide availability, misoprostol may be a woman’s only chance for surviving PPH in settings with limited infrastructure and a shortage of skilled birth attendants–like many parts of Kenya. Continue reading “Advocacy success story: Kenya approves misoprostol for PPH”

Learning to learn: An important part of knowledge management

Melissa Wanda Kirowo is Advocacy and Communications Project Officer for the FCI Program of Management Sciences for Health in Kenya. This article originally appeared on the K4Health blog.

Earlier this year, I had the privilege of attending the knowledge management (KM) share fair in Arusha, Tanzania. After much reflection and many attempts at integrating some of the KM models that I learnt from the share fair in my work, I realized something very important: We have to be willing to learn how to learn to get the best out of what KM has to offer. What does this mean? Consider the following… Continue reading “Learning to learn: An important part of knowledge management”

Health workers: The unattended resource

Melissa Wanda Kirowo is Advocacy Project Officer with the FCI Program of Management Sciences for Health, based in Nairobi, Kenya. Melissa was nominated for the 120 Under 40 Project by family planning colleagues for her substantial contributions to reproductive health at the national level or local level. Learn more about Melissa’s work and vote here until July 10!

Clementina Ilukol, a Ugandan midwife, and I discuss challenges health workers face everyday.

At Women Deliver 2016 last month, I had the opportunity to talk with one of a number of young midwives attending the conference. Clementina IIukol, a 22 year-old Ugandan midwife, represents the commitment of health care providers as they work, often under very difficult conditions, to provide essential services to women, newborns, children, and adolescents in the communities they serve. “I walk for miles before daybreak,” Clementina told me, “to fetch water for use at the clinic where I work.”

A week after Women Deliver, global health security was the top subject of discussion at the World Health Assembly, as member states recognize that sustainable development will be unattainable if resilient health systems cannot withstand epidemics like the Ebola, MERS, and Zika viruses. Ultimately, global health security requires individual health security; we must not only support rapid detection and response to cross-border infectious disease threats, but we must also guarantee that every individual has access to safe and effective health care. And what this requires, in turn, is an adequate, equitably distributed, skilled, and well-equipped health workforce. Healthcare workers, like Clementina, turn aspirations into actions. They constantly ‘innovate,’ building bridges to work failing health systems so that everyone facing a health emergency can get the treatment they need. Continue reading “Health workers: The unattended resource”