Toward Health for All2012 annua l r e p o rt

s t r o n g e r h e a lt h s y s t e m s .

g r e at e r h e a lt h i m pa c t.

Dear Friends,

a world where everyone has the opportunity for a

healthy life. this is msh’s vision for global health.

We believe that strong health systems are the best way

to achieve health for all. In this report, we offer a glimpse

of universal health coverage (UHC) as a framework for

maximizing health impact. UHC could serve well as a broad

post-2015 health goal under which we continue to focus

on critical health areas, such as HIV & AIDS and maternal,

child, and newborn health, as you will read about in this

year’s report.

More than 50 countries have essentially achieved universal

health coverage. Another 50 countries are working toward

universal coverage. MSH is a contributing member of this

UHC movement. We work with people on the front lines

to develop health system innovations, such as community

health shops, and to scale them up. We build local capacity

to deliver health services, training health workers and other

staff. We join our voice to the chorus of advocates for UHC

at the global level and in countries such as Ethiopia and

Nigeria. We contribute to efforts to measure the progress

and impact of UHC.

For over 40 years, MSH has taken inspiration from

the ancient Tao of Leadership and its message about

partnership and empowerment. Together with our diverse

funding and implementing partners, we work shoulder-to-

shoulder with local health leaders and institutions around

the world to create lasting health impact that contributes

to economic vitality and political stability.

We deeply appreciate the contributions of everyone with

whom we work and who has made it possible for us to

commit to 122 projects in 2012. Together we are forging

the path toward a healthier world.

With warm regards,

Jonathan D. Quick, MD, MPHPrES IDENT AND CHIEF E xECUTIVE OFF ICEr

MSH is excited to announce the launch of our new website.

We encourage you to visit us at www.msh.org

InnoVatIon

msh’s innovative initiative to improve private drug shops—often people’s first source for health care outside the home—was successfully adapted and expanded to reach more people in 2012. tanzania came close to finishing its scale-up of the program to the entire country (nearly 5,000 shops and 11,900 dispensers). Uganda substantially expanded its program as well. msh trained owners and employees in managing common health conditions and business processes and helped ensure that their shops met relevant standards. With ongoing support from the Bill & melinda gates Foundation, msh also helped adapt the model of accredited drug sellers for the post-conflict country of liberia. all of these programs strengthen health systems by improving access to critical health services and medicines, as well as supporting community health leaders (many of them women) and local economies.

e x pa n d I n g t h e r e ac h o f c o m m u n I t y h e a lt h s h o p s

eVIdence the link between maternal survival and child survival is clear: children whose mothers die are more likely to die themselves. msh is expanding the evidence base for maternal and child health by supporting option B+ for treating hiV-positive mothers and protecting their babies from infection. Developed in malawi with msh guidance, option B+ offers lifelong antiretroviral treatment to all pregnant women with hiV, regardless of their cD4 count or disease progression. option B+ is proving easier to administer than alternative approaches and promises to significantly reduce overall maternal and child mortality. msh is monitoring the initiative’s success in malawi, and now also in Uganda, where msh began supporting B+ rollout in 2012. Uganda is training health workers and preparing health facilities to provide B+ services and has begun mobilizing the community and district health leaders in support of the initiative.

d I s c oV e r I n g w h at wo r k s f o r t h e h e a lt h o f m o t h e r s a n d c h I l d r e n

capacIty-BuIldIng

in 2012, msh helped train over 28,000 health workers around the world, from afghanistan to Zimbabwe. these health workers are found at all levels of the health system—in the household, the community, the health facility, civil society, and the government—and from both public and private sectors. over 9,000 of them are female. By empowering local leadership to create sustainable health programs, we build the capacity of local communities to achieve their health goals—from managers who improve the performance of health grants, to health facility staff who learn to screen hiV-positive women for cervical and breast cancer, to midwives who gain new skills in delivering more methods of family planning.

g r ow I n g t h e g l o B a l B a s e o f h e a lt h l e a d e r s

a d d I n g o u r Vo I c e t o t h e c a l l f o r u n I V e r s a l h e a lt h c oV e r ag e

“health for all,” a new campaign led by msh, supports ethiopia, nigeria, and Kenya in their efforts to achieve universal health coverage. With funding from the rockefeller Foundation, msh works with these governments to strengthen political commitment and generate popular support for universal access to health care, including health insurance. in each country, the campaign’s advocacy and large-scale media efforts will help support new health financing schemes toward universal coverage. the campaign was officially launched in 2013 in ethiopia, where it is backed by organizations such as the ethiopian midwives association, World Vision, and marie stopes international.

adVocacy

James M. Stone, Chairc h a i r m a n

The Plymouth rock Company

Alan Detheridgea s s o c i at e d i r e c to r

The Partnering Initiative

Gail DeNicolan o rt h e a s t d i v i s i o n v i c e p r e s i d e n t

American red Cross

rebeca de Vivesp r e s i d e n t

rdV Consulting

Sue J. Goldiep r o f e s s o r o f h e a lt h p o l i c y

a n d d e c i s i o n s c i e n c e

Harvard School of Public Health

John Isaacsonp r e s i d e n t

Isaacson Miller

Paula D. Johnsond i r e c to r

Philanthropic Initiative, Center for Global Philanthropy

ronald O’Connorf o u n d e r

Management Sciences for Health

robert Pozens e n i o r l e c t u r e r

Harvard Business School

James roosevelt, Jr.p r e s i d e n t / c e o

Tufts Health Plan

Una ryanm a n a g i n g d i r e c to r

Golden Seeds

Joyce A. Sackeyd e a n f o r m u lt i c u lt u r a l a f fa i r s

a n d g lo b a l h e a lt h p r o g r a m s

Tufts University School of Medicine

Anjali Sastrys e n i o r l e c t u r e r , s lo a n s c h o o l

o f m a n a g e m e n t

Massachusetts Institute of Technology

Board of Directors

tao o f l e a d e r s h I p

Go to the people

Live with them

Love them

Learn from them

Start with what they have

Build on what they know.

But of the best leaders

When their task is accomplished

The work is done

The people will all say

We have done it ourselves.

— lao tzu

2 012 m s h p h o t o g r a p h y

f e l l ow s h I p I n a f r I c a

In 2012, MSH partnered with

SocialDocumentary.net (SDN), a website and

online community of professional documentary

photographers, to launch our Photography

Fellowship in Africa. From a pool of more

than 250 applicants, MSH and SDN selected

four photographers—Leslie Alsheimer, Rui

Pires, Todd Shapera, and Warren Zelman.

Photographers will work with local MSH

staff in seven to eight countries to capture the

breadth of our work at all levels of the health

system. We are proud to feature the photos of

Warren Zelman, the first photographer to

travel for MSH, in this year’s annual report.

We look forward to featuring all of our

Fellows’ breathtaking work throughout the

years to come.

Board of Directors

g oV e r n m e n t s

Centers for Disease Control and Prevention (cdc)(usa)

National AIDS Commission (NAC), Malawi

Sida (Swedish International Development Cooperation Agency)

US Agency for International Development (usaid)

f o u n dat I o n s

Bill & Melinda Gates Foundation

Ford Foundation

Foundation for Advanced Studies on International Development (fasid)

The James M. & Cathleen D. Stone Foundation at the Boston Foundation

The rockefeller Foundation

I n t e r n at I o n a l

ag e n c I e s / B a n k s

The Global Fund to Fight AIDS, Tuberculosis and Malaria

Pan American Health Organization (paho)

UNICEF

The World Bank

World Health Organization (who)

n g o s / pa r t n e r s

ACDI/VOCA

Abt Associates

AED (Academy for Educational Development)

AMrEF (African Medical and research Foundation)

Association for rural Development (ArD)

Biomedical research and Training Institute (BrTI)

Christian Health Association of Nigeria (CHAN)

DAI

Elizabeth Glaser Pediatric AIDS Foundation (EGPAF)

FHI 360

Futures Group

Health Systems Trust (HST)

ICF International

The International HIV/ AIDS Alliance

IntraHealth International

International rescue Committee (IrC)

Jhpiego

John Snow, Inc. (JSI)

Kids Included Together (KIT)

KNCV Tuberculosis Foundation

The New York Academy of Medicine (NYAM)

Medical Care Development International (MCDI)

Partnership for Child Health Care, Inc.

Partnership for Supply Chain Management (PFSCM)

PATH

Pathfinder International

reproductive and Child Health Alliance (rACHA)

University research Co., LLC (UrC)

World Learning

u n I V e r s I t I e s

John Hopkins Bloomberg School of Public Health Center for Communications Programs

University of North Carolina at Chapel Hill

University of Zimbabwe

Sources of Supportyear ending june 30, 2012

MSH is Growing…contract, grant, and program revenue

Total Expenses fiscal year 2012

Health Area Funding 2012 expenses by priority health area

Fund-raising< 1 %

Program Expenses86.25%

HIV & AIDS25.92%

Maternal, Newborn, and Child Health7.35%

Family Planning/reproductive Health6.01%

TB5.72%

Malaria and Communicable Diseases3.20%

Chronic Non-Communicable Diseases< 1 %

Administration Expenses13.74%

Integrated Program Support

51.12%

20 0 8 $133,938 ,923

20 09 $177, 547,382

2010 $247,618 , 290

2011 $268 ,157, 220

2012 $295,194,580

MSH is Growing…contract, grant, and program revenue

Health Area Funding 2012 expenses by priority health area

HIV & AIDS25.92%

Maternal, Newborn, and Child Health7.35%

Family Planning/reproductive Health6.01%

TB5.72%

Malaria and Communicable Diseases3.20%

Chronic Non-Communicable Diseases< 1 %

Administration Expenses13.74%

r e V e n u e s

Contract, Grant, and Program revenue $295,194, 580

Investment Income and Contributions $11, 556

Additional Support revenue $1,630 ,815

Total $296 ,836 ,951

e x p e n s e s

Total $292,278 , 549

c h a n g e s I n f u n d B a l a n c e

Balance at Beginning of Year $20 ,996 ,717

Excess of Project Support and revenue Over Expenses $4, 558 ,402

Balance at End of Year $25, 555,119

c o m p o s e d o f :

Cash and Cash Equivalents $26 ,454,853

Amounts Due on Contracts $17,428 ,862

Other Current Assets $5,161,405

Property and Equipment net of depreciation $840 ,837

Other Assets $142,687

Current Liabilities ($24,473, 525)

Total Unrestricted Net Assets $25, 555,119

Statement of revenues, Program Expenses, and Changes in Fund Balanceyear ending june 30, 2012 drawn from audited financial statements

m a n ag e m e n t s c I e n c e s f o r h e a lt h

7 8 4 M E M O r I A L D r I V E C A M B r I D G E , M A 0 2 13 9 U S A

T E L + 1 617. 2 5 0 . 9 5 0 0 C O M M U N I C AT I O N S @ M S H . O r G

w h e r e m s h w o r k e d i n 2 0 1 2 m s h o f f i c e i n c o u n t ry

W W W. m s h . o r g

In 2012, msh worked in 65 countries around the world. Since our

founding in 1971, msh’s vision of health impact has spanned over

150 countries worldwide.

c o u n t r I e s w h e r e w e wo r k

Afghanistan

Albania

Angola

Bangladesh

Benin

Botswana

Bosnia and Herzegovina

Brazil

Burkina Faso

Burundi

Cambodia

Cameroon

Central African republic

Cote d’Ivoire

Democratic republic of the Congo

Dominican republic

Egypt

El Salvador

Ethiopia

Ghana

Guatemala

Guinea

Guyana

Haiti

Honduras

India

Indonesia

Jordan

Kazakhstan

Kenya

Kyrgystan

Laos

Lesotho

Liberia

Libya

Malawi

Mali

Malaysia

Mozambique

Namibia

Nepal

Nicaragua

Niger

Nigeria

Peru

Philippines

rwanda

Senegal

Solomon Islands

South Africa

South Sudan

Swaziland

Tajikistan

Tanzania

Timor Leste

Togo

Tunisia

Turkmenistan

Uganda

Ukraine

Uruguay

Uzbekistan

Vietnam

Zambia

Zimbabwe