Clinton Health Access Initiative

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CHAI's mission is to save lives and improve health outcomes in low- and middle-income countries by enabling the government and private sector to strengthen and sustain quality health systems.

10/08/2026

For more than 13 years, Maryam Yakub has made her living with a needle and thread. As her near vision faded, that livelihood got harder. She relied on her children to thread the needle in her sewing machine—if they weren’t there, her work would have to stop until they came back.

"Before I could not thread the needle in my sewing machine, but now I can do it very well."

Maryam received a free pair of reading glasses through Jigi Bola 2.0, Nigeria's presidential initiative to bring presbyopia care into the primary health care system. Presbyopia is the age-related loss of near vision. It affects an estimated 25 million Nigerians, and the solution, a pair of reading glasses, costs about US$1 to manufacture.

In its first year, Jigi Bola 2.0:
→ Screened 1.5 million Nigerians
→ Provided 1.3 million people with free eyeglasses across 16 states
→ Reached people who had never had glasses before. Two-thirds of recipients received their first-ever pair, and more than half were women.

CHAI works with the National Eye, Ear, and Sensory Functions Health Programme to train primary health care workers, manage eyeglasses supply chains, build community demand, and monitor dispensing. The program is now expanding from 10 to 21 states, with a goal of reaching 5 million Nigerians by 2027.

This , Maryam's story is a reminder of what happens when vision care reaches the last mile. https://ow.ly/WehU50ZW3hY

Thank you to the Federal Ministry of Health and Social Welfare, National Eye, Ear and Sensory Functions Health Programme, Livelihood Impact Fund, RestoringVision, Christian-Health Association-of Nigeria, and Vital Strategies for their partnership.

COVID-19 exposed the oxygen gap. Six years later, governments and partners have built a system that now reaches millions...
10/02/2026

COVID-19 exposed the oxygen gap. Six years later, governments and partners have built a system that now reaches millions.

579+ oxygen plants. 165 liquid oxygen storage systems. Hospitals that once ran out of oxygen now have it.

🇪🇹 Ethiopia: oxygen plants went from 3 to 55.
🇺🇬 Uganda: oxygen availability went from 38% to almost 100% across 50+ districts.
🇰🇪🇹🇿 Kenya and Tanzania: a regional oxygen production network set to triple supply across East and Southern Africa.

This system was built by ministries of health and supported by partners including Gates Foundation, The ELMA Foundation, Unitaid, The Global Fund, Helmsley Charitable Trust, MedAccess, PATH, and others.

10/02/2026

In Uganda today, almost every child who needs oxygen gets it, across the country in 50+ districts.

That wasn’t always the case: oxygen availability used to sit at only 38%.

The problem was facilities would use cylinders until empty, then wait days for those cylinders to be collected and refilled—in the meantime, they’d run out of supply.

CHAI piloted “Exchange on Delivery” in Jinja and Mubende through the MOXI program, funded by Gates Foundation and The ELMA Foundation.

The fix was surprisingly simple: swap out the empty cylinder for a full one at the point of delivery = no more long waits for refills.

In 2025, Ministry of Health- Uganda made it national policy, and the Ministry and CHAI won the Global Health Supply Chain Summit Grand Prize in Kigali.

On , this is a model we want to see replicated.

10/01/2026

A year ago, a deal was announced to bring a breakthrough HIV prevention shot, which cost US$28,000 per person per year, to the world's poorest countries for only US$40.

On the sidelines of UNGA last week, CHAI CEO Neil Buddy Shah joined Michael Igoe for a live recording of Devex's Theory of Change podcast. They discussed how CHAI, Dr. Reddy's Laboratories Ltd., Wits RHI, and Unitaid came together on lenacapavir, a twice-yearly injection that is 99% effective at preventing HIV. They also talked about what comes next.

In the conversation:
➡️ How market shaping balances sustainable business models with the lowest possible price
➡️ What it would take to end HIV as an epidemic in Africa within a decade
➡️ Why low- and middle-income countries may be the first to build world-class AI clinical assistants

Watch now: https://ow.ly/Cc3H50ZTF6B

09/29/2026

Ghana's malnutrition program had stalled — trained health workers had retired, supply chains were inconsistent, and there was no plan to sustain it without donors. Today, we are helping rebuild it as a system Ghana can own, fund, and run for the long term.

Alongside the Ghana Health Service, the Ministry of Health, Ghana, and the Eleanor Crook Foundation, that means strengthening the supply chains, training, and financing behind two lifesaving interventions: ready-to-use therapeutic food (RUTF) for severely wasted children, and multiple micronutrient supplements (MMS) for pregnant women.

More than 20,000 children have been treated for severe wasting, and nearly 10,000 pregnant women have received MMS. The next step: bringing both under Ghana's National Health Insurance Scheme (NHIS) for lasting, government-led financing.

Hear from CHAI's Dr. Maame Asamoa-Amoakohene on what full government ownership looks like.

Full story on Devex: https://ow.ly/k45Y50ZSFMj

Exposure to lead directly affects a child's brain development, and the damage it does in those early years can't be undo...
09/25/2026

Exposure to lead directly affects a child's brain development, and the damage it does in those early years can't be undone. An estimated 1 in 3 children worldwide is living with blood lead levels high enough to substantially affect how they learn, grow, and thrive, often without anyone knowing.

The good news is there is real momentum in this fight. At this week’s Clinton Global Initiative Annual Meeting, leaders from government, philanthropy, and civil society joined a community roundtable on ending childhood lead poisoning, pointing to progress under the Partnership for a Lead-Free Future: the coalition has mobilized US$500 million toward ending childhood lead poisoning by 2040. From the main stage, former USAID Administrator Samantha Power echoed that momentum, urging leaders to "do what is required together to finish the job."

Among the efforts underway: a joint program between CHAI and Renaissance Philanthropy to close the diagnostics gap, working toward an affordable field-ready blood lead test that trained providers can use with no lab required.

We know how to solve this. Now it's a matter of building and scaling the tools to reach every child at risk — before more of their potential is lost to a fixable problem.

This week, Unitaid marks its 20th anniversary. Congratulations on two decades of extraordinary work. We are proud that s...
09/23/2026

This week, Unitaid marks its 20th anniversary. Congratulations on two decades of extraordinary work.

We are proud that so much of that work has been written together with CHAI, shaping markets, pushing prices down and supply up until lifesaving products reach the people who need them.

Our work together has meant more children on lifesaving HIV treatment, more mothers screened before cervical cancer becomes fatal, more hospitals with the oxygen available when a patient can't breathe.

Here's to the next chapter of this partnership and to making sure innovative new medicines, diagnostics, and care get to the people who need them, faster.

https://ow.ly/ZcTG50ZQzPO

This week, we're celebrating a major milestone in Papua New Guinea: the launch of HPV vaccination, reaching an estimated...
09/11/2026

This week, we're celebrating a major milestone in Papua New Guinea: the launch of HPV vaccination, reaching an estimated 60,000 girls aged 9 to 14 in this first phase alone. Cervical cancer is the leading cause of cancer deaths among women in Papua New Guinea— deaths that are almost entirely preventable through vaccination.

Led by the Government of Papua New Guinea, the launch brought together national and global health leaders, including Gavi, the Vaccine Alliance CEO Dr.Sania Nishtar, Gavi Chief Country Delivery Officer Thabani Maphosa, NCD Governor Hon. Powes Parkop, LLB, LLM,MP, Mr. Pascoe Kase, Secretary for Health, and country representatives from the World Health Organization (WHO) and UNICEF.

We're proud to have supported the Government of Papua New Guinea and partners in bringing this life-saving vaccine within reach of girls across the country.

For decades, the hormonal IUD was standard care in wealthy countries and unavailable to most women in low- and middle-in...
09/09/2026

For decades, the hormonal IUD was standard care in wealthy countries and unavailable to most women in low- and middle-income countries. Negotiating an affordable price was the first step. But embedding a new product into a government health system takes dedicated, flexible funding.

That's the gap the Catalytic Opportunity Fund (COF) was built to close. The COF pools and administers funding from multiple donors, including Gates Foundation, Foreign, Commonwealth & Development Office, Children's Investment Fund Foundation, and MSD for Mothers, in a fast, flexible mechanism to address critical bottlenecks to new and underused SRH products in low- and middle-income countries.

The impact, seven years in:
🔹US$36.6M committed across 174 grants in 29 countries
🔹75K+ people trained
🔹12M+ people educated through demand generation campaigns
🔹$8.8M in additional funding unlocked

A new paper, out today, details the lessons learned from seven years of implementing the COF.

https://ow.ly/G20350ZKXYI

CHAI is partnering with Freddie, a leading 2SLGBTQ+ telehealth platform in Canada and the US, to launch PrEP ONWARDS— a ...
08/13/2026

CHAI is partnering with Freddie, a leading 2SLGBTQ+ telehealth platform in Canada and the US, to launch PrEP ONWARDS— a new model where every new PrEP sign-up at Freddie also funds a six-month dose of lenacapavir for someone in an early-adopter country in Africa.

Lenacapavir, the twice-yearly injectable HIV prevention shot, has the potential to end HIV as a public health threat in Africa. But today, fewer than one in four people who could benefit from PrEP currently have access to it.

Freddie is funding this work through its own patient growth in North America; support that CHAI will use getting lenacapavir into countries as quickly as possible.

For more than two decades, CHAI has worked directly with governments and health systems to bring down the cost of HIV medicines and help new products reach people faster. We're bringing that same experience to lenacapavir because getting it to people quickly, in the places that need it most, is what will determine how many lives this can change.

Learn more: https://ow.ly/uMZR50ZyE5n

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