Management Sciences for Health

06/01/2026

The conversation around global health financing is shifting. Less focus on what is being lost, more focus on what countries and partners can build together.

At recent global convenings, MSH's Dr. Justice Nonvignon heard one message repeated: moving from declarations to implementation is what the moment requires.

This month, stories from , , , , , and show what that implementation looks like on the ground.

Learn more: https://www.linkedin.com/pulse/who-pays-healthand-leads-management-sciences-for-health-nfohf

05/31/2026

On ***coDay, we are reminded that to***co remains one of the leading causes of preventable death worldwide.

To***co use is rising in Africa, particularly among young girls and other vulnerable populations. Globally, an estimated 40 million adolescents use to***co, and 15 million young people ages 13–15 already use e-cigarettes.

While many countries in sub-Saharan Africa have adopted to***co control policies, implementation continues to lag. Closing that gap is critical to protecting public health, reducing to***co use, and preventing industry marketing targeted at young people.

Through the To***co Policy Action Fund for Africa (TOPAFA), MSH supports governments that are signatories to the WHO Framework Convention on To***co Control with catalytic funding and technical assistance to advance national to***co control priorities.

To date, TOPAFA has supported 10 governments across sub-Saharan Africa to strengthen to***co control measures, including smoke-free public spaces, stronger graphic health warnings, restrictions on to***co advertising, and improved enforcement of to***co laws.

Together with partners including World Health Organization (WHO) , Campaign for To***co-Free Kids, and The African Capacity Building Foundation, we are helping countries move from policy commitments to implementation.

Learn more: https://msh.org/projects/to***co-policy-action-fund-for-africa-topafa/

***coDay ***coControl ***coKills ***coExposed Africa CDC

05/31/2026

Updating an immunization schedule is only part of the process. The real challenge is making sure new approaches work consistently in everyday practice — across regions, healthcare facilities, vaccine storage systems, and frontline care.

In April, SAFEMed teams joined the Center for Public Health and WHO in Vinnytsia and Khmelnytskyi to assess implementation of Ukraine's updated immunization schedule across facilities, from vaccine warehouses to maternity hospitals and perinatal centers.

What teams found will shape the support that follows. The U.S.-funded SAFEMed Activity continues working alongside Ukraine's health system to strengthen immunization delivery where it counts.

Read more: https://msh.org/resources/safe-affordable-and-effective-medicines-for-ukrainians-safemed-activity-april-2026-monthly-newsletter/

Rebecca Kohler Центр громадського здоров’я України Сергій Страшук

05/29/2026

The conversation around global health financing is changing. Less focus on what is being lost, more focus on what countries, partners, and institutions can build together.

In this month's newsletter, MSH's Dr. Justice Nonvignon shares what recent global convenings are signaling and what it means for the future of health systems.

Read it here ⬇️ https://www.linkedin.com/pulse/who-pays-healthand-leads-management-sciences-for-health-nfohf?utm_source=share&utm_medium=member_ios&utm_campaign=share_via

Colleagues, Over the past several weeks, global conversations—from finance forums to health convenings—have reinforced an important reality: the global health community is entering a different chapter. Early discussions focused heavily on what may be lost as funding landscapes shifted.

05/28/2026

Since 2022, Ukraine's Managed Entry Agreements have helped patients with hemophilia, cancer, and other complex conditions access high-cost medicines — while keeping procurement costs in check. Now the mechanism is expanding to the regional level, bringing more patients into coverage through shared national, regional, and facility financing.

On April 23, more than 450 hospital representatives, health officials, and patient advocates joined a national webinar supported by the U.S.-funded SAFEMed Activity to prepare for what comes next.

Read more about how is expanding access to innovative medicines: https://msh.org/resources/safe-affordable-and-effective-medicines-for-ukrainians-safemed-activity-april-2026-monthly-newsletter/

Viktor Liashko Ministry of Health of Ukraine

05/27/2026

During a regional TB review meeting in Bishoftu, Ethiopia, the Oromia Health Bureau honored the U.S. Government-funded Eliminate TB Project with a Lifetime Recognition award for its role in strengthening TB services across the region.

Oromia carries a significant share of Ethiopia's TB burden: roughly 40% of the national total in 2025. The recognition reflects a long-standing partnership between the Oromia Health Bureau and Management Sciences for Health through the Eliminate TB Project, and a shared committment to TB-affected communities amid operational challenges, shifting global aid policies, and resource constraints.

Through Eliminate TB, MSH works alongside the Government of and regional partners to strengthen the health systems that help find, treat, and support people with TB and sustain progress for the communities that depend on them.

Learn more: https://msh.org/projects/eliminate-tb/

Ministry of Health,Ethiopia REACH Ethiopia

05/26/2026

District health teams often already know where the gaps are. What they often lack are the tools, authority, and flexible financing to act on what the data shows.

In 's Bugesera and Gicumbi districts, the Gates Foundation-funded PHC Performance Management Activity set out to change that — supporting district health management teams to use routine data, structured improvement cycles, and catalytic grants to strengthen primary health care from the inside out.

The results reflect nearly three years of district-led work:

✅ ANC1 coverage in Bugesera rose from 35% to 51%, surpassing the district's own target.
✅ In Gicumbi, health insurance coverage among pregnant women reached 95%, and ANC1 coverage rose from 59% to 68%.

Read more from the district teams, data managers, and vice-mayors who led this work and what they say it leaves behind: https://msh.org/story/what-happens-when-district-health-teams-lead-reflections-from-rwanda-on-primary-health-care-performance/

05/25/2026

Ukraine is establishing a new national medicines regulator — the Ukrainian Pharmaceutical Agency — expected to bring key pharmaceutical regulatory functions under one authority by early 2027 and align Ukraine's regulatory standards with those of Europe.

The U.S.-funded SAFEMed Activity is providing technical and operational support embedded within the Ministry of Health, helping ensure the agency's development is both technically sound and grounded in the realities of Ukraine's health system.

Learn more about the reform: https://msh.org/resources/safe-affordable-and-effective-medicines-for-ukrainians-safemed-activity-april-2026-monthly-newsletter/

05/24/2026

Pharmaceutical reform moves through legislation, institutions, and systems. In , that work is taking shape in real time and under extraordinary pressure.

The latest SAFEMed monthly digest highlights key steps in that process: the expansion of Managed Entry Agreements to the regional level, helping increase access to high-cost medicines for more patients across the country; continued progress toward establishing the Ukrainian Pharmaceutical Agency as the future national regulator within the Ministry of Health of Ukraine; and monitoring visits in Vinnytsia and Khmelnytskyi to assess implementation of the updated immunization schedule and identify where additional support is needed.

Read more: https://msh.org/resources/safe-affordable-and-effective-medicines-for-ukrainians-safemed-activity-april-2026-monthly-newsletter/

Академія Сімейної Медицини України/ Academy of Family Medicine of Ukraine Rebecca Kohler Viktoriia Nikulina

05/22/2026

The decisions that shape a health system are often made at the district level, by teams working with limited resources and real-time data.

In and , the PHC Performance Management Activity supported district health teams to do exactly that: applying MSH's PHC Leadership Development Program (LDP) to identify bottlenecks, strengthen leadership, and improve care where it is actually delivered. MSH's LDP model has been used in more than 80 countries. This latest adaptation brings it closest to the frontline.

Learn more: https://msh.org/resources/phc-leadership-development-program-facilitation-guides/

PHC Leadership Development Program (PHC-LDP) Facilitation Guides Request the guides About this resource The PHC Leadership Development Program