⁄
PSI iMPROVES THE HEALTH OF people in the developing world by focusing on serious challenges such as the lack of family planning, HIV/AIDS, malaria, contaminated water, and threats to maternal and child health. A hallmark of PSI is a commitment to the principle that health services and products are most effective when they are accompanied by robust communications and distribution efforts that help ensure that they are widely accepted and properly used. As a global nonprofit organization, PSI works in partnership with local governments, ministries of health and local organizations. PSI creates health solutions that are built to last.
health impact 2 value for money 3 global to local 4 focus on integration 6 equity in care 8
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6
10
12
8
working at scale 10 focus on integration 12
CONNECT WITH PSI psi.org psihealthylives.com twitter.com/PSIHealthyLives facebook.com/PSIHealthyLives youtube.com/HealthyBehaviors
innovative approaches 14 financials 16 how PSI measures impact 17 leadership 18
Cover Photo: Š Vijay Kutty
psi worldwide 20
14
© Benjamin Schilling
“ PSI measurably improves the health of people in resource-poor communities. We make comprehensive, quality health care services accessible, and we work at scale where the need is greatest. We build local capacity to solve local challenges; and to meet the ever-changing health needs of those we serve. PSI’s challenge is to innovate to do more, faster and better, and to provide real value for those who fund us.”
—Karl Hofmann,
President and CEO, PSI
+
ADDed
years of HeaLTHY life through interventions in five health areas: child survival, HIV, malaria, reproductive health and tuberculosis.
IN 2010 distributed
.
MALE AND FEMALE condoms.
+
providED
,
averted
.
+
LONG-ACTING CONTRACEPTIVE METHODS (INTRAUTERINE DEVICES AND CONTRACEPTIVE IMPLANTS).
distributed
provided
INSECTICIDE-TREATED MOSQUITO NETS.
CLIENTS WITH HIV COUNSELING AND TESTING IN 26 COUNTRIES.
.
...
+
ROVIDED...
n more than 38 million cycles of oral contraceptive pills
n 18.6 million couple years of protection (CYPs). A CYP
n nearly 11 million doses of pre-packaged artemisinin-
is the estimated protection provided by contraceptive methods for one year to a couple n more than 75,000 male circumcisions in Mozambique, South Africa, Swaziland, Zambia and Zimbabwe
based combination therapies to treat malaria n more than half a million doses of pre-packaged standard therapy for sexually transmitted infections
2 | psi p r o g r e ss r e p o r t 201 1
UNINTENDED PREGNANCIES.
treated
liters of water in 31 countries to prevent diarrheal disease.
+ +
...
n more than 320,000 cases of pneumonia in Ethiopia,
Malawi and Myanmar n more than 14,000 cases of TB through DOTS, Directly
Observed Treatment Short Course, (WHO-recommended treatment) in Myanmar and Pakistan
OF EVERY DOLLAR IS SPENT ON PROGRAMS.
FAMILY PLANNING AND REPRODUCTIVE HEALTH
ON AVERAGE, PSI spent
$
PER COUPLE YEARS OF PROTECTION (CYP) IN 2010.
A CYP is the estimated protection provided by contraceptive methods for one year to a couple.
$32.06
ON AVERAGE, PSI SPENT $32.06 TO SAVE A YEAR OF LIFE IN 2009.
DALY
it cost PSI...
$0.01 to treat 10 liters of water $0.13 to distribute a male condom $0.53 to distribute a cycle of oral contraceptives $0.58 to treat a case of pneumonia $2.37 to treat a case of sexually transmitted infection $25.01 per client for voluntary HIV counseling and testing services
$50.00
THE WORLD BANK STATES THAT INTERVENTIONS COSTING $50 OR LESS PER YEAR OF LIFE SAVED IN LOW-INCOME SETTINGS ARE HIGHLY COST EFFECTIVE.
PSI measures its health impact with the DALY (disability-adjusted life year). One DALY equals one year of life lost due to illness or death. At PSI, we avert DALYs, meaning that we work to prevent the loss of one year of healthy, productive life. We also refer to DALYs as years of life saved. Cost effectiveness of PSI’s interventions can be estimated by combining cost data and DALYs averted.
PSI delivers to our donors and our beneficiaries a cost-effective way to improve and save lives, strengthen health systems, and grow sustainable, marketbased solutions to global health challenges. —Karl Hofmann, President and CEO, PSI ➤ Go to psi.org to read PSI's full Cost Effectiveness Report. psi p r o g r e ss r e p o r t 20 1 1 | 3
PSI implements solutions at the local level that have a global impact. Global Malaria Episodes averted
28,165,272 26,795,588 25,862,760
More than 40 percent of the world's population is at risk of malaria. PSI is at the forefront of the global malaria control effort, collaborating with local partners and national ministries of health to implement malaria control programs in more than 30 countries around the world. This support allows ministries of health to scale up effective, evidence-based interventions and sustain coverage over time.
distributed
2010
2009 2008
INSECTICIDE-TREATED BEDNETS IN 2010, WHICH IS ENOUGH TO COVER 56 MILLION PEOPLE. Free distribution accounted for 95% of the bednet distribution.
Of the 100 million nets distributed since 1995...
65%
were distributed via continuous distribution channels, such as antenatal care clinics and private sector retailers
DISTRIBUTED
TREATMENTS OF PRE-PACKAGED ARTEMISININBASED COMBINATION THERAPIES (ACT s ) IN 2010 FOR TREATMENT OF MALARIA IN 13 COUNTRIES.
In 2010, PSI distributed its 100 millionth mosquito net since net distribution began in 1995.
35%
were distributed via mass distribution campaigns
➤ Scan here to learn more about PSI's work in malaria. 4 | psi p r o g r e ss r e p o r t 201 1
PROTECTING MY COUNTRY FROM MALARIA
DONOR: The Global Fund to Fight AIDS, Tuberculosis and Malaria PARTNER: Government of South Sudan, Ministry of Health, BRAC, Catholic Diocese of Torit, International Rescue Committee, Malaria Consortium, Save the Children in South Sudan
G
rowing up in a rural area of Jonglei state in Sudan, far too often I witnessed malaria take the lives of innocent children in our community. Health facilities are few and far between in some regions of South Sudan, leaving our communities vulnerable to this merciless, yet preventable killer. Political instability and insecurity in South Sudan led me to seek educational opportunities outside of my home country, but after completing my studies I came back to help fight malaria. In 2008, I was hired by PSI/South Sudan and commenced what has become a strong partnership. Today, I’m proud to be the Program Manager of a successful malaria team. The impact of this department in the community is so great; it is fulfilling to be involved in this work. I’m motivated by the people we meet and the lives we save. During a recent mosquito net distribution, an elder in a small village not far from where I once lived expressed his gratitude for the nets we provided his people in 2009. He told me fewer children have died from malaria in his community since they began using the nets. As we celebrate our new nation and a bright future for our people, we will continue to work hard to reduce preventable deaths due to malaria and increase access to treatments for our communities living throughout South Sudan.
➤ Check out more stories and photos about people like Peter Matiop at psi.org.
PSI focuses on the needs of the child
through integrated pneumonia, diarrhea and malaria case management. In 2010, the deaths of nearly 9 million children were attributed to these diseases. We work with local governments to implement integrated child survival programs delivered through the channels that most effectively meet the needs of the caregiver. Providing quality case management at the community level improves access to care and saves lives.
prevented
,
CHILD DEATHS FROM MALARIA, DIARRHEA AND PNEUMONIA IN 2010.
provided
,
+
ANTIBIOTIC TREATMENTS FOR CHILDREN WITH PNEUMONIA SINCE 2008.
INTEGRATED CASE MANAGEMENT OF CHILDHOOD DISEASES
DISTRIBUTED
PSI is involved in integrated case management in six countries by providing treatment for diarrhea, pneumonia and malaria. We work with community health workers and private sector providers to expand access to health care in rural areas. In Cameroon, Democratic Republic of the Congo, Malawi and Mali, PSI, with funding from the Canadian International Development Agency (CIDA), trains community health workers to diagnose and treat illnesses and make referrals when they are unable to provide care. Preliminary results from the CIDAfunded program show a significant increase in the percentage of children diagnosed and treated for diarrhea and malaria. Go to psi.org to learn more about the program's impact.
RAPID DIAGNOSTIC TESTS (RDT s ) SINCE 2003. RDT s allow trained health providers to better determine the cause of a child’s fever as malaria or another disease such as pneumonia.
Cameroon
Democratic Republic of the Congo Madagascar Mali
Malaria
Diarrheal Disease
Pneumonia
.
+
DISTRIBUTED
.
diarrhea treatment kits IN 2010 to prevent dehydration and reduce the severity of illness in children.
Malawi Myanmar
*South Sudan
Uganda 6 | psi p r o g r e ss r e p o r t 201 1
*Programs in South Sudan to begin in 2012.
➤ Scan here to learn more about PSI's child survival programs.
COMMUNITY HEALTH WORKERS, VILLAGE HEROES
W
hen Sandra Konjons developed a fever earlier this year, her mother sought care from Desire Andono, a community health worker (CHW) in rural Cameroon. Desire treated Sandra with an artemisinin-based combination therapy (ACT), the top-line treatment for malaria. Her mother sought care for Sandra twice more for diarrhea, and Desire promptly provided oral rehydration salts (ORS) and zinc. ORS prevents dehydration, which is the main cause of death when a child has diarrhea, and zinc tablets reduce the severity of the diarrheal episode. Today, Sandra is a vibrant and healthy 3-year-old. Only two years ago, children in this area who developed fever or diarrhea had very little chance of accessing any effective treatment. Now, they can seek help from a cadre of approximately 1,750 Cameroonian CHWs trained under PSI’s Community Case Management (CCM) Impact program, which is funded by the Canadian International Development Agency. The CHWs represent the first line of defense against major childhood killers such as malaria and diarrhea by increasing access to life-saving interventions in the poorest and most remote communities, where quality health services are virtually non-existent. The CCM Impact program is also supporting hundreds of CHWs in the Democratic Republic of the Congo, Malawi and Mali. These CHWs are selected from the communities they serve and are trained to provide a clinical diagnosis of malaria, pneumonia and diarrhea, as well as to treat appropriately or refer severe cases to a health facility. By providing this service in communities, treatment is provided before diseases progress to a life-threatening stage. Desire and his colleagues will continue their work as village heroes, reaching the most underserved and preventing child deaths in their communities. DONOR: Canadian International Development Agency (CIDA) PARTNER: Association Camerounaise pour le Marketing Social (ACMS), PSI’s affiliate in Cameroon
➤ Check out more stories about people like Desire and Sandra at psi.org.
prevented OR TREATED
.
EPISODEs of diarrhea among children in 2010 as a result of diarrhea treatment kits and household water treatment.
PSI believes in equal access to care for every woman, man and child
regardless of income level or location. Our family planning and reproductive health services are improving the lives of families in 36 developing countries. In many countries, PSI operates franchise networks that provide a range of quality health care services, training and support to local providers. We expand access to informed choice through a variety of contraceptive methods and coordinate mobile outreach and special service events to reach the under-served. Our programs encompass maternal health interventions including: prevention of unsafe abortion and post-partum hemorrhage, post-abortion care, and promoting facility-based deliveries.
Total Market Approach HIGHER INCOME commercial sector
MIDDLE INCOME social sector
LOWER INCOME public sector With the total market approach (TMA), PSI's perspective is widened to take into account the growth of all three sectors of the market — the private, public and socially marketed — and not just the growth of our PSI brands. Over time this "can enable closer and more structured linkages with commercial, public and nongovernmental sectors and aid the gradual shifting of consumers with sufficient purchasing power out of the public sector" (Social Marketing Review, 2004. U.K. Department for International Development). The pillars by which we monitor this are impact (is the market reaching an increasing percent of the at-risk population?), equity (is market evolution benefiting the poor and vulnerable?) and reduced subsidy for the overall market. 8 | psi p r o g r e ss r e p o r t 201 1
Global maternal deaths averted
provided
21,776 19,568 18,263
2010
2009 2008
.
COUPLE YEARS OF PROTECTION (CYP s ) IN 2010.
A CYP is the estimated protection provided by contraceptive methods for one year to a couple.
distributed provided
,
+
LONG-ACTING CONTRACEPTIVE METHODS (INTRAUTERINE DEVICES AND CONTRACEPTIVE IMPLANTS) IN 2010 IN MANY COUNTRIES WITH LIMITED ACCESS TO THESE SERVICES.
+
+
cycles of oral contraceptive pills in 2010 — a 27% increase from 2009 — to help women and couples ACHIEVE THEIR DESIRED FAMILY SIZE.
➤ Scan here to learn more about PSI’s reproductive health and family planning programs.
I Š Rita Villanueva
ngrid Alvarado, 44, has a warm smile and a motherly nature. It is no surprise that she has seven children. Today, Ingrid is happy and healthy, and so are her kids, but she has experienced her share of struggles. Ingrid and her family live in a poor neighborhood in Guatemala City. Her husband is a day laborer and brings home a small income. Ingrid stays home to care for their children. Ingrid knew about family planning early on and searched for the right method. She first struggled to find access to an affordable option and then she experienced painful side effects from hormonal methods. As a result, she discontinued family planning, and her family grew. After her last child was born, she saw a flyer for a public health clinic day hosted by PASMO, PSI’s affiliate in Latin America, and decided to attend. PASMO creates referrals to the public sector clinics such as the one Ingrid attended, and also provides training to master trainers of the Ministry of Health to ensure the quality of the services provided at public sector clinics. At the clinic, a PASMO health worker educated Ingrid about family planning and her options. She chose to get an intrauterine device (IUD), which is non-hormonal and prevents pregnancy up to 12 years. Today, Ingrid happily reports that she has not been pregnant since she received the IUD. She has also advised her three married children to use contraception. One of her daughters now uses an IUD and her daughter-in-law uses a hormonal implant.
Partners: Ministry of Health in Guatemala, Association of Female OB/GYNs
Reaching Every Woman
➤ Check out more stories and videos about women like Ingrid at psi.org. psi p r o g r e ss r e p o r t 20 1 1 | 9
PSI works at scale to meet the needs of those we serve.
We implement innovative and evidence-based HIV-prevention interventions, ensure strong linkages to care and treatment, and engage all sectors in the response. We distribute products including male and female condoms, lubricants and sterile injecting equipment, and offer male circumcision, HIV counseling and testing and sexually transmitted infection services. We also implement communication interventions that use interpersonal communication, mid- and mass media to inform and empower populations at increased risk of HIV infection. These populations include sex workers and their clients, men who have sex with men, people who inject drugs, youth and individuals engaging in concurrent sexual partnerships. We provide posttest support services for people living with HIV and their families; support prevention of mother-to-child transmission; and, offer linkages to health insurance for people living with HIV.
provided
distributed
.2
MALE AND FEMALE CONDOMS in 2010. prevented
,
+
HIV infections IN 2010 through a range of highquality products and services, and targeted behavior Change communications.
+ .
CLIENTS WITH HIV COUNSELING AND TESTING in 2010 IN 26 COUNTRIES. male circumcision clients SERVED*
20,129 2,154 216
2010
2009 2008 2007
For more than 20 years, PSI has worked to prevent HIV infection in more than 60 countries in ASIA, AFRICA, EASTERN EUROPE and LATIN AMERICA. 10 | psi p r o g r e ss r e p o r t 201 1
+
75,207
* Clients were from Mozambique. South Africa, Swaziland, Zambia and Zimbabwe.
In 2006, three randomized controlled clinical trials in Africa showed that men who underwent voluntary medical male circumcision had up to a 60% lower incidence of HIV infection compared with men who were not circumcised.
➤ Scan here to learn more about PSI's HIV programs.
© Gareth Bentley / The Image Foundry
M
y name is Honesty Mweene. I was born in Magwama village in Lusaka Province of Zambia, and I’m a psychosocial counselor by profession. In 2009, I joined the voluntary medical male circumcision (VMMC) program of the Society for Family Health (SFH), PSI’s affiliate in Zambia, as a VMMC counselor. I was inspired to join the program after working with commercial sex workers and truck drivers along the border with Zimbabwe, and seeing the many social problems related to HIV/AIDS. I also underwent circumcision at our SFH center and it was a life-changing experience. When I began promoting VMMC within the non-circumcising community where I live in Southern Province, it was difficult to convince men to come for the procedure. Many had misconceptions and were afraid of the pain. The community had little knowledge of VMMC, and some actually wondered if the process could cure them of HIV. But things are changing. Today, most men I meet have heard about VMMC from their friends or from SFH community health promoters, and this has made my work much easier. When offering counseling before or after a circumcision, we listen carefully to the client’s concerns so that we can provide the right kind of support and guidance. Most men are motivated to adopt safer sexual practices after the procedure, but we want them to continue with those behaviors long-term. In my time with SFH, I have proudly provided comprehensive education and behavioral counseling to more than 1,000 clients. Since the program launched in 2007, with support from the Bill & Melinda Gates Foundation and U.S. Agency for International Development, more than 100,000 clients have accessed services, ranging from group education, voluntary HIV testing to post-procedure behavioral counselling. I believe male circumcision can contribute greatly to the fight against HIV and AIDS in my country. Donors: U.S. Agency for International Development (USAID) and the Bill & Melinda Gates Foundation Partners: Marie Stopes International, Jhpiego, Population Council and Zambian Ministry of Health ➤ Check out more stories and videos about people like Honesty at psi.org.
,
MALE CIRCUMCISIONS PERFORMED FROM 2007-2010
CHANGING BEHAVIOR, PREVENTING HIV
PSI’s tuberculosis (TB) programs seek to strengthen the role of the private sector in reducing TB incidence and ensuring successful TB treatment completion. In countries with a high TB burden, PSI uses advocacy, communication and social mobilization to promote TB awareness, reduce TB-related stigma, increase care-seeking behaviors, and provide services and referrals for TB diagnosis and treatment. In addition, PSI promotes the Three I’s to decrease TB burden among people living with HIV by: strengthening Infection Control in health care settings, providing referrals for Isoniazid Preventive Therapy; and, Intensified Case Finding through HIV counseling & testing (HCT) networks. Finally, PSI offers HCT to people with TB.
PSI’S TB PROGRAMS: • Swaziland • South Africa • Tajikistan • Vietnam • Zambia • Zimbabwe
• India • Kazakhstan • Kyrgyzstan • Laos • Myanmar • Pakistan
,
KAZAKHSTAN, KRYGYZSTAN, TAJIKISTAN
PSI has integrated TB messaging into its HIV prevention programs. The programs will reach 71,000 individuals between 2009 and 2014. 12 | psi p r o g r e ss r e p o r t 201 1
ZIMBABWE
%
PSI'S NEW START FRANCHISE SCREENED 91% OF HIV-POSITIVE INDIVIDUALS IN 2010. OF THESE, 14% WERE SYMPTOMATIC FOR TB AND REFERRED TO TB DIAGNOSTIC CENTERS. OF THOSE REFERRED, 55% ACCESSED TB DIAGNOSIS AND/OR TREATMENT.
INDIA
,
MYANMAR & PAKISTAN
CLIENTS WHO COMPLETED TB TREATMENT*
14,289 2009 23,236 2008 10,356 2007 33,202 2006 36,899 2005 6,209 2004 2,222 2010
+
In 2010, the USAID-funded Project Connect reached more than 160,000 men and women with TB messaging focused on recognizing TB signs and symptoms, seeking appropriate care for TB symptoms and treatment adherence.
* Directly Observed Treatment Short Course (DOTS)
Scan here to learn more about PSI’s tuberculosis programs.
L © Vijay Kutty
alitha Gopal runs a small shop in the Bagalur slum of Bangalore, India, where thousands of migrant construction workers live in tiny, low-roofed dwellings with little ventilation. This slum has been identified by India’s Revised National Tuberculosis Control Programme (RNTCP) as having one of the highest concentrations of tuberculosis (TB) cases in the city. In November 2009, PSI/India, under the U.S. Agency for International Development’s Project Connect, met Lalitha as it searched for volunteers to assist TB patients in adhering to DOTS (directly observed treatment, short-course). TB DOTS is approved by the World Health Organization and requires frequent visits to a health clinic over an extended period of time unless someone in the community volunteers to administer it. Lalitha wholeheartedly came forward to be trained by PSI and the RNTCP to administer DOTS in her community. Lalitha’s family migrated to Bangalore when she was young, so she identifies with the plight of migrant workers who often have limited access to treatment. “When forced to make a choice between taking rest and a starving family, many patients choose the latter, throwing themselves to peril by opting to work,” she says. Today, Lalitha remains a treatment adherence champion, administering TB DOTS to patients and motivating those in her community with TB symptoms to get tested. She recently received the award for the best DOTS provider in Greater Bangalore Municipal Corporation. Lalitha and her fellow volunteers play a crucial role in India’s response to TB as the government seeks to treat those who are hard to reach. DOnors: U.S. Agency for International Development (USAID) Partners: Indian Ministry of Health
➤ Check out more stories and videos about people like Lalitha at psi.org.
TREATMENT ADHERENCE CHAMPION psi p r o g r e ss r e p o r t 20 1 1 | 13
I
➤ Learn more about social franchising at psi.org.
Social Franchising for Health
.
PSI’S SOCIAL FRANCHISING NETWORKS PROVIDE
+
PEOPLE WITH HIGH-QUALITY ESSENTIAL HEALTH CARE SERVICES IN 2010.
© Jake Lyell
n the commercial sector, franchising has proven to be a highly successful way to replicate a proven business model and efficiently respond to consumer demand for services and products of a specified standard. In recent years, the social sector has applied the same business principles to health service delivery with the goal of improving quality of life rather than generating profit. This business model, referred to as "social franchising," responds to a need for more and better regulated essential health care services that people can afford. With more than 15 years of experience and social franchises in 21 countries, PSI is the world’s largest social franchiser of health services to resource-poor communities. PSI's franchises have significantly expanded consumer access to high-quality, affordable health care worldwide and continue to grow in both the number of clients served and range of services offered. Services currently offered through PSI franchises include family planning; prevention and treatment of post-partum hemorrhage; HIV counseling and testing; male circumcision; diarrheal disease management; and diagnosis and treatment of malaria, pneumonia and tuberculosis. In response to its target audience's needs, PSI plans to expand all franchise offerings in all of its countries to include an integrated package of essential health care services, including reproductive health, maternal child health, and, where appropriate, noncommunicable diseases.
psi has
,
+
franchise sites in 21 countries.
•
Mahila Swahasta Sewa – Nepal GreenStar – Pakistan ProFam – Benin, Cameroon, Mali POMEFA (“POur une MEilleure FAmille”) – Togo
Saadhan – India
Sun Quality Health Network – Cambodia, Laos, Myanmar
Retool, Rethink and Recharge
with a Journalism Fellowship at Stanford
The John S. Knight Journalism Fellowships offers a year of study, research and creativity — in the company of other accomplished journalists at one of the top academic institutions in the world. A year to pursue your inspirations and develop something of benefit to yourself and the profession. What could be better? We give outstanding journalists the chance to broaden and deepen their understanding of a changing industry while working on journalism issues in the real world. Our goal? To improve the quality of news and information reaching the public through the news media: print, broadcast and cyberspace. JOHN S. KNIGHT FELLOWSHIPS
Building 120, Room 422 Stanford, CA 94305-2050 email: info@kf.stanford.edu http:/ / knight.stanford.edu
C ome help us transform journalism — and yourself, and your career, too.
John S. Knight Fellowships
Red Segura – El Salvador, Guatemala, Nicaragua
a t S TANFOR D UNI VER S I T Y
Happy Mothers Network – Nigeria Réseau Confiance – Democratic Republic of Congo NewStart – Zambia, Zimbabwe
ProFam – Uganda Tunza Family Health Network – Kenya Familia – Tanzania
Top Réseau – Madagascar
Soc·ial fran·chise (noun): A PSI social franchise encompasses a network of health practitioners linked through contractual agreements to provide socially beneficial services of a specified quality under a common brand. PSI is a part of a global community of practice in social franchising. psi p r o g r e ss r e p o r t 20 1 1 | 15
2010 revenue by donor type Other
12%
6%
$700,000
Programs
$600,000
Management & General
U.S. Government
30% U.S. Government Other Governments
nternational Organizations
Non-U.S. Government
33%
19%
Global Fund to Fight AIDS, Tuberculosis and Malaria Foundations & Corporations
Other
32% 20% 27% 13% 9%
Fundraising
$500,000
USD (Millions)
undations & Corporations
EXPENDITURES BY YEAR
$400,000
n Fundraising n Management & General
$300,000
n Program
$200,000
$100,000
2008
2009
2010
$16 | psi p r o g r e ss r e p o r t 201 1
93% 6.95% 0.05%
The 2008 and 2009 figures above have been executed from statements and schedules issued by PSI's external auditors. Copies of our audited statements are available upon request from PSI in Washington, D.C.
REVENUE by year 2010
$586,325,630 $523,110,083 $415,229,742
2009 2008
DONORS* Bill & Melinda Gates Foundation German Development Bank (KfW) Global Fund to Fight AIDS, Tuberculosis and Malaria Government of the Netherlands United Kingdom Department for International Development United States Agency for International Development United States Center for Disease Control *Donors representing 2% or more of total funding in 2010. For a comprehensive list of donors, go to psi.org.
PSI
estimates its health impact using the disability-adjusted life year (DALY), a metric developed by the World Bank and the World Health Organization to determine disease burden. One DALY equals one year of healthy life lost due to illness or death. PSI adds one year of healthy life with every DALY averted. To calculate DALYs averted, PSI has developed “DALY models” that incorporate a wide range of factors, from country-specific disease prevalence to information on the effectiveness of health products at preventing or treating disease. Disease prevalence changes from year to year, so PSI updates its models annually to take into account the latest on the global burden of disease as well as the latest research data on the efficacy of interventions. These updates enable PSI to continually report more accurate health impact estimates. More importantly, they help PSI to refine its strategy, ensuring that programs are targeted, economical and effective.
HEALTH AREA
TOP 10 PRODUCTS & SERVICES
Years of Healthy Life Added in 2010
Years of Healthy Life Added in 2010
● HIV & Tuberculosis
4,029,258 (38% in Southern Africa)
● Reproductive health
3,439,402 (42% in West & Central Africa)Child Survival
● Malaria
8,288,681 (70% in East Africa)
● Child survival (i.e. pneumonia, diarrheal disease & nutritional deficiencies)
5%
➊ Long-lasting
HIV & TB
24%
411,314 (47% in East Africa) Malaria
49%
TOTAL 16,168,656
Region
Years of Healthy Life Added in 2010
insecticidal nets
➋ ➌ Pre-packaged
Male condoms
malaria treatment
8%
➍ Oral contraceptives
484,433
3%
315,211
2%
➏ Intrauterine devices ➐ Basic care package for
283,386 2%
people living with HIV
244,431
1%
186,444
1%
175,891
1%
105,626
1%
● West & Central Africa
4,553,344 (41% in malaria control)
● East Africa
7,656,590 (76% in malaria control)
● Southern Africa
2,624,104 (58% in HIV)
TOTAL
● Asia & Eastern Europe
1,383,150
22% ➎ Injectable contraceptives
Reproductive Health
➑ ➒ HIV counseling & testing ➓ Adult male circumcision
● Latin America & the Caribbean
6,757,437 42% 5,332,380 33%
Safe water solution
15,268,389 94%
77,379 (92% in reproductive health, HIV & behavior change communication) 1,257,240 (68% in reproductive health)
Asia & Eastern Europe LAC
TOTAL 16,168,656 Southern Africa East Africa
West & Central Africa
psi p r o g r e ss r e p o r t 20 1 1 | 17
Asia & Eastern Europe
KARL HOFMANN President and Chief Executive Officer
KATE ROBERTS Vice President, Corporate Marketing & Communications
MARUSYA LAZO Director, Global Internal Audit Group
PETER CLANCY Executive Vice President and Chief Operating Officer
BRIAN SMITH Vice President and Senior Director, Asia & Eastern Europe Region
KIM LONGFIELD Director, Research & Metrics
STEVEN CHAPMAN Senior Vice President and Chief Technical Officer SALLY COWAL Senior Vice President and Chief Liaison Officer KIM SCHWARTZ Chief Financial Officer
MOUSSA ABBO Senior Director, West & Central Africa Region DOUG CALL Senior Director, Southern Africa Region MICHAEL CHOMMIE Director, PSI Europe
DESMOND CHAVASSE Vice President, Malaria Control & Child Survival
ELIZABETH CRAWFORD Controller
CHASTAIN FITZGERALD Vice President, New Business & Advocacy
SHANNON ENGLAND Director, New Business Development
DAVID REENE Senior Vice President, Strategy
STEVEN HONEYMAN Director, Learning & Performance KRISHNA JAFA Director, Sexual, Reproductive Health & TB
18 | psi p r o g r e ss r e p o r t 201 1
CHARITY NGARURO Director, Procurement JAMES POLCARO Chief Information Officer and Director, Facilities GRACE ROACHE Director, People CELINA SCHOCKEN Director, International Organizations LISA SIMUTAMI Senior Director, East Africa Region CAROL SMITH Director, Contracts MARSHALL STOWELL Director, Corporate Marketing & Communications David Walker Director, Social Marketing BARRY WHITTLE Senior Director, Latin America & the Caribbean Region
FRANK LOY Chair of the Board Former Under Secretary of State Washington, DC
DR. REHANA AHMED Reproductive Health Specialist UN Millennium Project for East & Southern Africa Nairobi, Kenya DAVID E. BLOOM, Ph.D. Professor and Chair, Department of Global Health & Population Director, Program on Global Demography & Aging Harvard University Boston, MA BARBARA PIERCE BUSH President and Co-Founder Global Health Corps New York, NY SARAH G. EPSTEIN Population Consultant Washington, DC FRANS ENGERING Former Netherlands Ambassador The Hague
DR. SHIMA GYOH Professor of Surgery, Benue State University Benue, Nigeria GAIL MCGREEVY HARMON Attorney Harmon, Curran, Spielberg & Eisenberg, LLP Washington, DC WILLIAM C. HARROP Former U.S. Ambassador Washington, DC JUDITH RICHARDS HOPE Attorney President and CEO, Hope & Company, P.C. Washington, DC ASHLEY JUDD Actor, Author & Activist Franklin, TN PUNAM KELLER, Ph.D. Charles Henry Jones Third Century Professor of Management Tuck School of Business at Dartmouth Hanover, NH
DR. GILBERT S. OMENN Professor of Internal Medicine, Human Genetics and Public Health Director of the Center for Computational Medicine & Biology University of Michigan Ann Arbor, MI DR. MALCOLM POTTS Professor and Bixby Chair in Population and Family Planning University of California at Berkeley Berkeley, California
Nana Frimpong Angola Lara Smith Belize Leger Foyet Benin Richard Harrison Botswana Marie-Louise Baleng Burundi Yasmin Madan Cambodia
Nestor Ankiba Democratic Republic of Congo Staci Leuschner Ethiopia Meg Galas El Salvador Salifou Compaoré Guinea Pilar Sebastián Guatemala Alison Malmqvist Haiti
Auguste Kpognon Cameroon & the Central African Republic
Julio Zúniga Honduras
Julia Roberts Caribbean
Dana Ward India
Leila Kushenova Central Asia
Chris Jones Kenya
Andrew Miller China
Rob Gray Laos
Marcela Cubero Costa Rica
Dennis Walto Lesotho
Lalah Rambeloson Cote d’Ivoire
Axel Addy Liberia
Eric Seastedt Dominican Republic
Chuck Szymanski Madagascar
Ricki Orford Malawi
Dragos Gavrilescu Romania
Rodio Diallo Mali
Galina Karmanova Russia
Pamela Faura Mexico
Zacchaeus Akinyemi Rwanda
Iulian Circo Mozambique
Shazina Masud Somaliland
John Hetherington Myanmar
Julie Steiger Sudan
Lavinia Shikongo Namibia
Scott Billy South Africa
Andrew Boner Nepal
Babazile Dlamini Swaziland
Norbert de Anda Nicaragua
Daniel Crapper Tanzania
Bright Ekweremadu Nigeria
Carmen Chan Thailand
Chris Conrad Pakistan
Kuassi Kontevi Togo
Ethel Gordon Panama
Susan Mukasa Uganda
Cynde Robinson Papua New Guinea
Josselyn Neukom Vietnam
Sonia Marchewka Paraguay
Mannasseh Phiri Zambia Louisa Norman Zimbabwe
“ It is thanks to the dedicated, determined leadership in country and at headquarters that PSI continues to grow, sets ambitious goals and remains on track to add, by 2011, more than 20 million years of healthy life annually among the people we serve.”
—Frank Loy, Chairman of the Board
& Angola
HIV, MAL, DD
●▲▼
Burundi
HIV, MAL, DD
●▲▼
Ethiopia
HIV, DD
Kenya
HIV, MAL, DD, RH, NCD ● ▲ ▼ n n
Burkina Faso HIV, RH
Malawi
HIV, MAL, DD, RH
●▲▼n
Cameroon
Mozambique HIV, MAL, DD, RH
●▲▼n
Rwanda
●▲▼n
Central African Republic HIV, MAL
HIV, MAL, DD, RH
●▼
Somaliland DD, RH Sudan
▼n
HIV, MAL, DD
●▲▼
Benin
HIV, MAL, DD, RH HIV, MAL, DD, RH
Cote d’Ivoire HIV, MAL, DD DR Congo
HIV, MAL, DD, RH HIV, DD, RH
&
&
Belize
HIV, RH
●n
Cambodia
HIV, MAL, DD, RH
●n
Caribbean
HIV, RH
●n
China
HIV, RI
●▲▼n
Costa Rica
HIV, RH
●n
India
HIV, DD, RH, RI, NCD
●▲
Dominican Republic
HIV, DD, RH
●▲▼n
●▲▼
El Salvador HIV, RH
●▲▼n
Guatemala HIV, RH
Tanzania
HIV, MAL, DD, RH
●▲▼n
Guinea
Uganda
HIV, MAL, DD, RH
●▲▼n
Liberia
HIV, DD
Mali
HIV, MAL, DD, RH
●▲▼n
Mexico
HIV, RH, NCD
Nigeria
HIV, MAL, DD, RH
●▲▼n
Nicaragua
HIV, RH, NCD
Togo
HIV, MAL, RH
Panama
HIV, RH
Paraguay
HIV, RH
●▼n ●▼
●▲n
Haiti
HIV, MAL, DD, RH
Honduras
HIV, RH
●▼n ●n ●n
Kazakhstan
HIV, RI
Kyrgyzstan
HIV, RI
Laos
HIV, MAL, RH, RI
Myanmar
HIV, MAL, DD, RH,
RI, NCD
Nepal
HIV, MAL, DD, RH
●nn
Pakistan
RH, RI
●nn ●n
Papua New Guinea
HIV, MAL, DD
●n
Romania HIV
●▲▼n ●n
Uzbekistan
HIV, RI
Vietnam
HIV, DD, RI
Swaziland HIV Zambia
HIV, MAL, DD, RH
Zimbabwe HIV, MAL, DD, RH, RI 20 | psi p r o g r e ss r e p o r t 201 1
● ● ●▲▼n ●▲▼n◆
n◆ ●▲n ●
●◆
●
●▼◆
●▲▼n
HIV, RI
●
South Africa HIV
●▲▼n◆ n
Tajikistan
Lesotho HIV
●▲▼n◆
●◆ ●▲n◆
●◆
Botswana HIV
HIV, DD , RI
●◆
HIV, RI
Turkmenistan HIV, RI
Madagascar HIV, MAL, DD , RH, RI
●◆ ●▼n◆ n
Russia
Thailand HIV
Namibia
●▲▼n
● ●◆ ●◆ ●▼◆
: ● HIV = HIV n CS = Child Survival ▲ MAL = Malaria ▼ DD = Diarrheal Disease Includes Safe Water, Oral Rehydration and Hygiene ■ RH = Reproductive Health Includes Maternal Health and Family Planning ◆ RI = Respiratory Illness Includes TB and Pneumonia ■ NCD = Noncommunicable Disease
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