Angola Antigua and Barbuda Barbados Belize Benin Botswana Burundi Cambodia Cameroon Central African Republic China Costa Rica Côte D’Ivoire Democratic Republic of Congo Dominica Dominican Republic El Salvador Ethiopia Grenada Guatemala Guinea Haiti Honduras India Jamaica Kazakhstan Kenya Kygyzstan Laos Lesotho Liberia Madagascar Malawi Mali Mexico Mozambique Myanmar Namibia Nepal Nicaragua Nigeria Pakistan Panama Papua New Guinea Paraguay Romania Russia Rwanda Senegal Somaliland South Africa South Sudan St. Kitts & Nevis St. Lucia St. Maarten St. Vincent and the Grenadines Suriname Swaziland Tajikistan Tanzania Thailand Togo Trinidad and Tobago Turkmemistan Uganda Uzbekistan Vietnam Zambia Zimbabwe
The PSI Network
2012 C o n n e c t e d f o r B e t t e r H e a lt h
P RO G RE S S RE P OR T
Contents
Health Impact
2
ACHIEVE EQUITY
4
Innovate
6
Build Capacity
8
Invest Wisely
10
SOLVE PROBLEMS
12
GLOBAL Network
14
Financial Statement
15
Leadership
16
➤
Connect with psi
Website: psi.org Impact Magazine: psiimpact.com Blog: blog.psiimpact.com Twitter: PSIimpact Facebook: Population Services International YouTube: Healthy Behaviors
on the cover: © shutterstock
PSI improves the health of people in the developing world by focusing on serious challenges like a lack of family planning, HIV and AIDS, barriers to maternal health, and the greatest threats to children under five, including malaria, diarrhea, pneumonia and malnutrition. 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 wide acceptance and proper use. 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.
© Shutterstock
➤
Connected for Better Health. The PSI network is driven by health impact.
© Benjamin Schilling
➤ P SI President & CEO Karl Hofmann (right) visits a shopkeeper who sells PSI’s Prudence Class condoms in Burundi.
We build sustainable health systems that can meet the everchanging needs of the people we serve. Our strong worldwide network allows us to innovate to solve the toughest health challenges facing the communities where we work. We invest in cost-effective solutions – leveraging the power of public funds and cross-sector partnerships to scale programs and maximize health impact. We collaborate with local stakeholders to transfer the technical knowledge necessary for ownership of health solutions and systems. The result: Stronger health systems that are more effective, efficient and equitable in reaching everyone. —Karl Hofmann, President & CEO, PSI
p s i p r o g r e ss r e p o r t 20 1 2 | 1
HEALTH IMPACT PSI added 22.17 million years of healthy life with the products we distributed and services we provided in 2011. PSI’s interventions address family PLANNING NEEDS, HIV and AIDS, barriers to maternal health, and the greatest threats to children under five, including malaria, diarrhea, pneumonia and malnutrition. ➤
DALYs AVERTED: HOW PSI MEASURES ITS HEALTH IMPACT
PSI estimates the impact of its health interventions by using the disability-adjusted life year (DALY), a unit developed by the World Bank and the World Health Organization. One DALY equals one year of healthy life lost due to illness or death.
PSI adds one year of healthy life with every DALY it averts.
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
2.8 million DALYs 3.5 million DALYs 4.3 million DALYs
➤
HOW PSI CALCULATES DALYS AVERTED
To calculate DALYs averted, PSI develops and maintains 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. PSI updates its models annually to take into account population changes, latest data on disease burden and research on the effectiveness of interventions. These updates enable PSI to continually report accurate health impact estimates. They also help PSI refine its strategy, ensuring that programs are targeted, economical and effective.
PSI’s 2011 impact is double its 2006 impact.
5.7 million DALYs 7.2 million DALYs 9.7 million DALYs 8.8 million DALYs 14.0 million DALYs 18.0 million DALYs 15.8 million DALYs
2 | p s i p r o g r e ss r e p o r t 2012
●●● ●●● ●●●
22.17 million DALYs
Value for money ➤
In 2011, PSI...
TREATED
900,000 cases of pneumonia. 19,000 cases of tuberculosis. 16 billion liters of water. DELIVERED
1.3 billion condoms. 42.2 million long-lasting insecticide-treated mosquito nets. 11 million doses of pre-packaged artemisinin-based combination therapies.
For every dollar invested in PSI,
94.5 cents
goes to programs that directly reach the people we serve, creating measurable health impact.
PERFORMED
1.4 million HIV counseling and testing sessions. 110,000 voluntary adult medical male circumcisions. ➤
OVER THE EFFECTIVE LIFE OF our INTERVENTIONS, PSI PREVENTS
206,800 HIV infections. 13,600 maternal deaths. 4.7 million unintended pregnancies. 55.2 million malaria episodes. 3.9 million diarrhea cases. 478,900 deaths due to malaria, diarrhea and pneumonia.
The World Bank considers interventions costing less than US$100 per year of healthy life added to be highly cost-effective in the least developed countries.
PSI spent
US$29.70 to add a year of healthy life in 2011.
PSI spent
US$16.18
per couple year of protection (CYP)* in 2011. * A CYP represents one year of protection against unintended pregnancies.
➤ FOR MORE INFORMATION ON OUR HEALTH IMPACT, GO TO PSI.ORG TO READ THE 2011 IMPACT REPORT: HEALTHY LIVES, MEASURABLE RESULTS. p s i p r o g r e ss r e p o r t 20 1 2 | 3
PSI delivers equitable health services through social franchise networks, HEALTH financing and integrated health services. 4 | p s i p r o g r e ss r e p o r t 2012
A private clinician, who is part of PSI/Myanmar’s Sun Quality Health (SQH) social franchise network, writes a prescription for DOTS (directly observed treatments short course) for the treatment of tuberculosis (TB). SQH clinics provide TB treatment equitably to people in resource-poor communities.
© PIERS BENATAR
ACHIEVE EQUITY.
➤
PSI DELIVERS EQUITABLE SERVICES THROUGH: ➤
SOCIAL FRANCHISE NETWORKS
➤
People from resource-poor communities in Myanmar, a country with a high burden of TB, heavily utilize the often unregulated private sector for TB care.
INTEGRATED HEALTH SERVICES
PSI delivers integrated health services to target the major killers of children under five: pneumonia, diarrhea, malaria and severe acute malnutrition.
PSI/Myanmar engaged private clinicians to join the Sun Quality Health (SQH) social franchise network to provide high-quality, highly subsidized TB care.
Social franchise: A network of health practitioners linked
through contractual agreements to provide socially beneficial services of a specified quality under a common brand. PSI is part of a global community of practice in social franchising. SQH clinics now provide TB treatment for a significantly larger proportion of poor people with TB than other service providers. Of the people with TB treated by SQH, 16.8% were from the most resourcepoor communities, compared with 8.6% of individuals treated by other sources of care. ➤
Proportion of people with TB from the most resource-poor communities.
16.8% 8.6% SQH Clinics
Caregivers can access health services to address the major killers of children under five where they need it, when they need it because PSI works with different delivery and distribution channels: pharmacy networks, franchised and non-franchised private clinics, and community health workers. +
non-SQH Clinics
HEALTH FINANCING
Problem: Maternal mortality in Pakistan is high. (276 per 100,000 live births)
Women from resource-poor communities in Pakistan are especially vulnerable to pregnancy-related deaths.
Solution: To help reduce maternal mortality, Greenstar Social Marketing (PSI’s local affiliate) distributed 4,000 vouchers – redeemable for subsidized services at Greenstar franchise clinics – to pregnant women from resource-poor communities.
Results: Among women from the poorest fifth of the target group: 15% increase in antenatal clinic use. 16% increase in facility-based delivery. 6% increase in post-natal care. p s i p r o g r e ss r e p o r t 20 1 2 | 5
PSI’s innovative interventions tackle disease burden in resource-poor settings. These interventions are proven effective, tailored to the local context, reduce costs and enhance impact.
6 | p s i p r o g r e ss r e p o r t 2012
Š Justin Guariglia/Corbis
innovate.
PSI APPLIES INNOVATIVE APPROACHES TO: ➤
MOBILE TECHNOLOGY
Coughing for more than two weeks? You might have TB. Call PSI at 020-555-29-157 from 8 a.m. to 5 p.m. for advice.
➤
➤
MAPPING SOFTWARE
Tuberculosis (TB) in Laos is a public health problem, with an estimated prevalence of 289/100,000 people. PSI/Laos sends weekly SMS messages to people identified by peer outreach workers as being most at risk for TB, to promote TB diagnostic services. In 2011, 800+ people were screened for TB.
20,000+
health outlets mapped In the absence of reliable data on health service and product accessibility in remote areas of the world, PSI supplies geographic coordinates of health outlets for integration into Google Earth software and online Google Maps.
DYNAMIC COMMUNICATIONS
PSI/Caribbean’s "Got it? Get it." Campaign pairs its in-person activities with a virtual community to provide comprehensive information on sexual and reproductive health to youth. The campaign reaches youth using: Interactive Facebook page with 33,000+ followers and the potential to reach 4+ million individuals.1 1
Informational website featuring an
Peer educators who directly reach
online peer-based avatar that answers anonymous sexual health questions.
9,000+ youth per year.
Facebook insights as of September 2012. p s i p r o g r e ss r e p o r t 20 1 2 | 7
TO BETTER MEET THE HEALTH NEEDS OF THE PEOPLE WE SERVE, PSI BUILDS LOCAL CAPACITY THROUGH SOCIAL FRANCHISE NETWORKS, STANDARDIZED MEDICAL PROCEDURES AND ONGOING SKILL-BUILDING.
8 | p s i p r o g r e ss r e p o r t 2012
➤
Robert Nyaroo, a quality assurance officer for PSI/Kenya’s Tunza Family Health Network in Mombasa, Kenya, provides training and support to Pamela, a midwife and owner of Meditrust Health Services. Every day, quality assurance officers from all around the world support healthcare providers who are part of their social franchise network, ensuring millions of people receive quality, affordable health care.
© What Took You So Long Foundation
BUILD CAPACITY.
PSI BUILDS CAPACITY THROUGH: ➤
SOCIAL FRANCHISE NETWORKS
Most people from resource-poor communities seek health services from private sector clinics and drug shops that are often unregulated. +
PSI recruited 10,000+ local private health care providers to join its social franchise networks. Franchise members receive training and routine support from PSI, so they can deliver more and better quality services to their clients. In 2011, PSI’s social franchises expanded access to higher-quality, affordable health care in 23 countries to
10+ million people. ➤
STANDARDIZED PROCEDURES Checklists, which standardize medical procedures, have cut death rate from surgery by nearly
50%.
1
Can checklists also reduce the nearly 5 million maternal and infant deaths associated with childbirth each year? To find out, PSI/India and partners – the World Health Organization, Harvard School of Public Health, Bill & Melinda Gates Foundation and others – are evaluating a 29-item safe childbirth checklist to monitor 172,800 births over the next three years.
ONGOING SKILL-BUILDING
3,700
PSI staff are enrolled in PSI University, a free, online global learning resource developed by PSI that enhances the skills necessary for local staff and affiliates to carry out our mission.
1
➤
Gawande, A. (2009) The Checklist Manifesto: How to Get Things Right. Metropolitan Books: New York.
84 courses,
including Project Management (designed by Harvard University) and Innovation Behaviors, are currently available, 28 of which have been developed by PSI.
p s i p r o g r e ss r e p o r t 20 1 2 | 9
➤
A shopkeeper in Zambia sells a bottle of Clorin – an inexpensive and easy-to-use water treatment solution. Society for Family Health, PSI’s local affiliate, distributes Clorin to protect low-income populations from contaminated drinking water. Each 250ml bottle of Clorin protects a family of six for a month. To date, 17 million bottles have been distributed.
INVEST WISELY.
1 0 | p s i p r o g r e ss r e p o r t 2012
© Gareth Bentley
PSI INVESTS IN COST-EFFECTIVE INTERVENTIONS AND FORGES PUBLIC-PRIVATE PARTNERSHIPS TO CUT COSTS AND MAXIMIZE HEALTH IMPACT.
PSI INVESTS IN: ➤
COST-EFFECTIVE INTERVENTIONS
➤
Hygiene promotion is one of the most cost-effective major disease control interventions, at US$3 per year of healthy life saved.1 In more than 30 countries worldwide, PSI promotes diarrhea prevention, which includes hand washing with soap. Hand washing with soap, a key aspect of hygiene promotion, can decrease diarrhea incidence by … and reduce the risk of 2 respiratory infections by SOAP
48% ➤
23%.
3
PROMISING NEW INTERVENTIONS PSI invests in pilot efforts to take promising health interventions to a global scale. When randomized controlled trials showed that voluntary medical male circumcision (VMMC) can reduce the risk of female-to-male transmission of HIV by up to 60%, PSI invested US$400,000 to launch services in Zambia and later expanded programming to eight additional countries – an investment that has leveraged more than US$77 million from donors, including the Bill & Melinda Gates Foundation, United States President's Emergency Plan for AIDS Relief, Britain’s Department for International Development and the Flemish International Cooperation Agency. Today, approximately 2 million African men have undergone VMMC in 14 priority countries in eastern and southern Africa – 17% of them through PSI services.
PUBLIC-PRIVATE PARTNERSHIPS An investment of US$347 million per year in micronutrient programs, including food fortification, could save US$5 billion by reducing deaths, improving earnings and cutting health-care spending.4
World Bank/WHO, 2006. Cairncross S., Hunt C., Boisson S., et al. International Journal of Epidemiology, 2010. 3 Rabie, et al. Tropical Medicine and International Health, 2005. 4 The Challenge of Hunger and Malnutrition, Copenhagen Consensus, 2008.
SUGAR
PSI and Global Alliance for Improved Nutrition are implementing food fortification projects in Kenya and Mozambique – working with the private food industry, government and other partners to create market demand for fortified sugar, cooking oil, maize meal and wheat flour, which are essentials in everyday cooking.
1 2
p s i p r o g r e ss r e p o r t 20 1 2 | 1 1
➤
A PSI vehicle crosses deep waters during a field visit in the Democratic Republic of the Congo (DRC). DRC is a country with only one doctor per 10,000 people and often inaccessible terrain. Community health workers are necessary to expand access to health care in DRC. PSI works with the Ministry of Health to support and supervise the community health workers in its network, which is funded by the Canadian International Development Agency.
SOLVE PROBLEMS.
1 2 | p s i p r o g r e ss r e p o r t 2012
© Yves Cyaka/PSI
PSI seeks sustainable, clever solutions to tough challenges – be it logistical setbacks OR lack of access TO HEALTH PRODUCTS, SERVICES AND INFORMATION.
PSI SOLVES PROBLEMS SUCH AS: ➤
LOGISTICAL SETBACKS
➤
LACK OF AWARENESS & ACCESS TO HEALTH PRODUCTS AND SERVICES
PSI and partners … Distributed 8 million nets in Côte d’Ivoire.
Trained and mobilized 20,100 volunteers.
100% ➤
Covered 100% of Côte d’Ivoire’s 83 health districts by nets.
2
work days/year lost in India due to 1 tuberculosis (TB).
A barrier to TB treatment completion: Distance to TB treatment provider. ➤ S olution: PSI’s Axshya project and Project Connect (funded by the United States Agency for International Development) work with factory management to place treatment providers in the workplace.
LACK OF INFORMATION
Once diagnosed with HIV where do you find information and support to live a healthy life?
1
100 million
A barrier to early diagnosis of TB: People often don’t know that two weeks of cough could be TB. ➤ S olution: PSI’s Axshya project (funded by the Global Fund to + + Fight AIDS, Tuberculosis and Malaria): • Engages frontline health workers. • Builds capacity of private providers. • Mobilizes at-risk populations to seek free TB screening and diagnostic services.
Engaging workplaces in TB care and control. WHO. Visitors to yahoraque.info and andwhatnow.info as of June 2012.
PSI’s Central American affiliate launched the Y Ahora Que? (And What Now?) website for people living with HIV and AIDS, their family and friends.
7,900+
people visited the site between October 2011-June 2012.2
The site contains online support groups, video testimonials, and information on nutrition, health care centers, support groups and antiretroviral treatment side effects.
p s i p r o g r e ss r e p o r t 20 1 2 | 13
The power of the psi network
PSI is organized to maximize the impact of its products and services on the lives of people living in the developing world. A U.S.-based headquarters office facilitates logistics, funding, management and technical support of programs in 69 countries. This network enables efficiencies of scale, knowledge-sharing and a vast geographic scope that has directly led to PSI
adding more than 100 million years of healthy life to the people we serve since 2004.
➤
COSTS FOR GLOBAL SERVICES
2001
8.5 cents
2011
5.5 cents
For every dollar invested in PSI, 94.5 cents goes to programs that directly reach our target population. The rest, 5.5 cents, supports the platforms and connects the network. 1 4 | p s i p r o g r e ss r e p o r t 2012
The thriving PSI network connects programs and staff in 69 countries around the world. Members of the network have access to: ➤ K nowledge and expertise of 8,000+ employees worldwide. ➤ S tandards and best practices that help maximize efficiency. ➤ Funds raised from global donors. ➤ Technical experts who help platforms design and implement programs. ➤ V ital support in management, training, finance, external relations and compliance.
FINANCIAL STATEMENT ➤
2011 REVENUE BY DONOR
4%
➤
37%
Other
REVENUE BY YEAR
2011 2010
U.S. Government
2009
➤
Expenses BY YEAR $700
$682,802,373 $585,021,282 $525,612,089
$ Fundraising
$600
$ Management & General
Other
12%
Foundations & Corporations International Organizations
25%
33%
International Organizations
6%
$500
U.S. Government
30% 2011
DONORS*
Asian Development Bank 2010 Bill & Melinda Gates Foundation Canadian International Development Agency Centers for Disease Control and Prevention 2009 Non-U.S. Government ExxonMobil Foundation 0Global 100000000 200000000 300000000 500000000 600000000 700000000 Fund to Fight400000000 AIDS, Tuberculosis and800000000 Malaria KfW Entwicklungsbank National AIDS Control Organisation of India Netherlands Government Ministry of Foreign Affairs Oxfam Novib, the Dutch affiliate of Oxfam International Procter & Gamble Fund of the Greater Cincinnati Foundation Three Diseases Fund United Kingdom Department for International Development United Nations Children’s Fund United Nations Population Fund United States Agency for International Development United States Department of Defense
19%
21%
Non-U.S. Governments
* Donors listed contributed a minimum of U.S. $1 million in 2011.
U.S. Dollars (Millions)
13%
Foundations & Corporations
$ Program Services
$400
n Fundraising
$
n Management & General n Program $300
$
$200
$
$100
$
$0
2009 2010 2011
The figures on this page are excerpted from statements and schedules issued by PSI’s external auditors. Copies of our audited statements are available upon request from PSI in Washington, DC.
p s i p r o g r e ss r e p o r t 20 1 2 | 1 5
PSI Leadership ➤
BOARD OF DIRECTORS
Frank Loy Chair of Board Former Undersecretary of State for Global Affairs U.S. Department of State Washington, DC
Rehana Ahmed, M.D. Reproductive Health Specialist Nairobi, Kenya David Bloom, Ph.D. Chair, Department of Global Health & Population Harvard School of Public Health Boston, MA Barbara Bush President & Co-Founder Global Health Corps New York, NY Frans Engering Former Netherlands Ambassador Netherlands Ministry of Foreign Affairs The Hague, The Netherlands Sarah G. Epstein Population Consultant Washington, DC Shima Gyoh, M.D. Chairman, Nigerian Medical & Dental Council Nkar, Benue State, Nigeria Gail McGreevy Harmon Partner Harmon, Curran, Spielberg & Eisenberg, LLP Washington, DC
➤
EXECUTIVE LEADERSHIP KARL HOFMANN President & Chief Executive Officer
ELIZABETH CRAWFORD Controller
PETER CLANCY Executive Vice President & Chief Operating Officer
COLLEEN GREGERSON Co-Director for New Business Development
STEVEN CHAPMAN Senior Vice President & Chief Technical Officer
JUDI HEICHELHEIM Senior Regional Director for Latin America & the Caribbean
SALLY COWAL Senior Vice President & Chief Liaison Officer
STEVEN HONEYMAN Director for Learning & Performance
DAVID REENE Senior Vice President & Chief Marketing Officer
KRISHNA JAFA Director for Sexual & Reproductive Health & TB
Punam Keller, Ph.D. Professor of Marketing Tuck School of Business at Dartmouth Hanover, NH
KIM SCHWARTZ Vice President & Chief Financial Officer
MARUSYA LAZO Director for Global Internal Audit Group
Gilbert Omenn, M.D. Professor of Internal Medicine, Human Genetics & Public Health University of Michigan Ann Arbor, MI
DESMOND CHAVASSE Vice President for Malaria Control & Child Survival
William C. Harrop Former U.S. Ambassador & Inspector General U.S. Department of State & Foreign Service Washington, DC Judith Richards Hope Professor of Law Georgetown University Law Center Washington, DC Ashley Judd Actor & Activist Franklin, TN
Malcolm Potts, M.D. Director of Bixby Center for Population, Health & Sustainability School of Public Health, University of California, Berkeley Berkeley, CA Bill Sanders President & Partner 400 Capital Management LLC New York, NY & Washington, DC Rebecca Van Dyck Head of Consumer Marketing Facebook Menlo Park, CA
KIM LONGFIELD Director for Research & Metrics
CHASTAIN FITZGERALD Vice President for Business Development & Strategic Partnerships KATE ROBERTS Vice President for Corporate Marketing, Communications & Advocacy BRIAN SMITH Vice President & Senior Regional Director for Asia & Eastern Europe MOUSSA ABBO Senior Regional Director for West & Central Africa DOUG CALL Senior Regional Director for Southern Africa MICHAEL CHOMMIE Director for PSI/Europe & Strategic Partnerships Unit
1 6 | p s i p r o g r e ss r e p o r t 2012
JAMES POLCARO Director for Information Services & Facilities AMY POWER Co-Director for New Business Development GRACE ROACHE Director for People Department LISA SIMUTAMI Senior Regional Director for East Africa CAROL SMITH Senior Director for Procurement, Grants & Contracts MARSHALL STOWELL Director for Corporate Marketing, Communications & Advocacy DAVID WALKER Global Director for Social Marketing
➤
COUNTRY LEADERSHIP
© Han Ran Wei, PSI/China
Jan Akko Eleveld ...............................Angola Guadalupe Huitron............................Belize Leger Foyet...........................................Benin Richard Harrison................................Botswana Elizabeth Brogaard-Allen...............Burundi Yasmin Madan.....................................Cambodia Auguste Kpognon..............................Cameroon and Central African Republic Julia Roberts........................................Caribbean Andrew Miller......................................China Marcela Cubero..................................Costa Rica Lalah Rambeloson............................Côte d’Ivoire Eric Seastedt........................................Dominican Republic Nestor Ankiba......................................Democratic Republic of the Congo Gerardo Lara........................................El Salvador Staciann Leuschner...........................Ethiopia Pilar Sebastian...................................Guatemala Salifou Compaore..............................Guinea Martin Finnegan.................................Haiti Julio Zuñiga..........................................Honduras Pritpal Marjara....................................India Christian Jones....................................Kenya Leila Kushenova.................................Kyrgyzstan, Kazakhstan and Tajikistan Robert Gray..........................................Laos Pierre-Loup Lesage...........................Lesotho Reid Moorsmith..................................Liberia Charles Szymanski ..........................Madagascar Sarah Gibson.......................................Malawi Rodio Diallo..........................................Mali
Pamela Faura.......................................................................Mexico Iulian Circo ..........................................................................Mozambique Barry Whittle........................................................................Myanmar Lavinia Shikongo ..............................................................Namibia Andrew Boner......................................................................Nepal Roberto Porta......................................................................Nicaragua Bright Ekweremadu..........................................................Nigeria Christopher Conrad...........................................................Pakistan Susana Barrios de Fernandez......................................Panama Salvatore Gabriele Ganci...............................................Papua New Guinea Sonia Marchewka..............................................................Paraguay Dragos Gavrilescu.............................................................Romania Galina Karmanova.............................................................Russia Zacchaeus Akinyemi.........................................................Rwanda Alison Malmqvist...............................................................Senegal Donato Gulino.....................................................................Somaliland Scott Billy..............................................................................South Africa Nana Frimpong...................................................................South Sudan Babazile Dlamini ..............................................................Swaziland Carmen Chan.......................................................................Thailand Kuassi Kontevi....................................................................Togo Susan Mukasa.....................................................................Uganda Daniel Crapper....................................................................United Republic of Tanzania Josselyn Neukom...............................................................Vietnam Kuyosh Kadirov (acting Country Representative)......Zambia Louisa Norman ..................................................................Zimbabwe
Andrew Miller, Country Representative of PSI/ China, gives the welcome speech at the opening of the Yuxi Drop-in Center for people who inject drugs at Chengxi Community, Luzhai, Guangxi.
p s i p r o g r e ss r e p o r t 20 1 2 | 17
PSI Network RUSSIA ● PSI / EUROPE KAZAKHSTAN ●◆ ROMANIA ●
UZBEKISTAN ●◆ TURKMENISTAN ●◆
PSI / WASHINGTON
MEXICO ●■
GUATEMALA ●■
➤
PAKISTAN ■■◆
BELIZE ●■
HAITI ●■▲■
CARIBBEAN ●■
DOMINICAN REPUBLIC HONDURAS ●■▼ ●■ JAMAICA ●■ NICARAGUA ●■■
EL SALVADOR COSTA RICA ●■ ●■
health area key
● HIV = HIV n CS = Child Survival Includes Nutrition and Neonatal Care ▲ MAL = Malaria ▼ DD = Diarrheal Disease Includes Safe Water, Oral Rehydration and Hygiene ■ RH = Reproductive Health Includes Maternal Health and Family Planning ◆ RI = R espiratory Illness Includes TB and Pneumonia ■ NCD = Noncommunicable Disease Includes Cardiovascular Disease, Cancers, Diabetes and Chronic Obstructive Pulmonary Disease
KYRGYZSTAN ●◆
TAJIKISTAN ●◆
PANAMA ●■ SURINAME ●■
PARAGUAY ●■
SENEGAL ●▼■
NEPAL ●▲▼■ INDIA ●▼■◆■
MALI ●▲▼■
MYANMAR ●▲▼■◆■
LAOS ●■◆
THAILAND ●
SOUTH SOMALILAND CENTRAL SUDAN ■▼■ AFRICAN ● ▲ ▼ ◆ ETHIOPIA REPUBLIC ●▼ ●■ LIBERIA CAMEROON UGANDA ●▼■ ●▲▼■◆■ ●▲▼■ DEMOCRATIC CÔTE D’IVOIRE KENYA REPUBLIC ●▼ ●▲▼■■ OF CONGO RWANDA ●▲▼■◆ ●■▲▼■ TOGO UNITED REPUBLIC ●■▲■ OF TANZANIA BURUNDI BENIN ●▲▼■ MALAWI ●▲■ ●▲▼■ ●▲▼■◆ ANGOLA ●▲▼ ZAMBIA ●▲▼■■
GUINEA ●▲▼■
CHINA ●◆
NIGERIA ●■▲▼■◆■
ZIMBABWE NAMIBIA ●▲▼■◆ ●▼◆ MOZAMBIQUE BOTSWANA ●▲▼■ ●
SOUTH AFRICA ●
SWAZILAND ● LESOTHO ●
MADAGASCAR ●▲▼■◆■
VIETNAM ●▼◆■ CAMBODIA ●▲▼■◆
PAPAU NEW GUINEA ●▲▼■