Issue 5 | September 2016

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See What's New and Bold at PSI.

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We're locally rooted and globally connected. Explore the impact we’re making around the world.

Get inspired by five cutting-edge programs in global health.
(And sign up to receive this innovative report by email.)

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To see more innovations from around the world, check out our past issues.

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Maverick Collective: Reimagining Philanthropy

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girls and women helped to live healthier lives

Kate Roberts, Co-founder of Maverick Collective

“There is a dire shortage of resources for innovation. To lift girls and women out of extreme poverty, we need new and better health products and services. We need stronger health systems and we need more advocates speaking for those who may otherwise not be heard. This is the role for today’s extremely motivated philanthropist,” says Kate Roberts, co-founder of Maverick Collective and PSI’s senior vice president of Corporate Partnerships and Philanthropy.

With a new global agenda as ambitious as the Sustainable Development Goals, the need to innovate, increase the resources and harness the skills of motivated philanthropists has never been more important. Maverick Collective, co-founded by Her Royal Highness the Crown Princess Mette-Marit of Norway and Kate Roberts, with Melinda Gates as co-chair, was born to fill a vital gap.

The Collective began with 14 founding members.

Their programs link six health areas and pilot new approaches to some of the most challenging issues facing women and girls globally. The goal of the pilot projects is to learn fast and leverage evidence to expand successful programs. So far, Maverick Collective has leveraged US$ 60 million to support and scale projects.

Since Maverick Collective began, its work has reached over 300,000 women and girls across 13 countries.

WHY?
With the SDGs now in full force, analysts have identified a US$ 3 trillion deficit in funding required to meet the goals’ ambitious targets between now and 2030. To bridge that gap with new sources of finance is important; but new ideas and approaches are needed as well. Maverick Collective taps into skill sets that go beyond what is typically found in traditional global development projects.

Want to learn more about this new model of philanthropy?

Our Partners: PSI
Funder: Bill and Melinda Gates Foundation, Maverick Collective members
Photo Credit: Piers Benatar

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‘Eve Teasing’ – Talking to Boys and Men about Gender-based Violence in India

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to be reached in campaign to end gender-based violence in India

“The desire to help a woman break the cycle, that is what drives me.” – Indrani Goradia, Maverick Member

Gender-based violence (GBV) in India is often seen in the form of dowry violence, sex selective abortions, intimate partner violence and sexual harassment, or ‘eve teasing.’ Of those who suffer violence, only eight percent seek help, and 51% of women think it is acceptable for their husbands to beat them. Survivors tend to seek help from their families or neighbors, avoiding formal health services. Coordination between existing health service providers is weak, leaving survivors unaware or out of touch with locally trained support leaders.

Maverick Collective member Indrani Goradia, herself a GBV survivor, is working with PSI India to raise awareness of GBV; increase access to quality; comprehensive GBV services and support; transform gender norms among girls, women, boys, and men; and create a more enabling policy environment. PSI India worked hand-in-hand with Indrani to adapt courses she developed to engage boys and men in the prevention of GBV. Her work, and that of PSI India, helped in the development of a partnership with USAID to make this one of the largest GBV programs in India.

WHY?
GBV is a systemic public health and human rights issue that not only jeopardizes the lives of women and children, but also has a profound effect on communities and impedes a country’s progress. One in three women worldwide has been beaten, coerced into sex or otherwise abused in her lifetime and nearly half of all sexual assaults are against girls under the age of 15. In India, a crime against a woman is committed every three minutes, a woman is raped every 29 minutes, a dowry death every 77 minutes, and one case of cruelty committed by either the husband or a relative every nine minutes.

How can ordinary household items transform into instruments of violence?

Our Partners: PSI India
Funders: Indrani’s Light Foundation, USAID
Photo Credit: Manprit Suergill

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Making Pregnancy and Childbirth Safer in Uganda

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clean delivery kits to be distributed to pregnant women across Uganda

“When a mother looks at her child for the first time, it is like nothing else exists.” – Sara Ojjeh, Maverick Member

Providing an expectant mother in low-resource settings with a clean delivery kit can increase their chances of survival and decrease maternal deaths. Known locally in Uganda as Maama Kits, each contains basic birthing necessities — including a plastic sheet, gloves, cord clamps, a sterile razor, and visual instructions — to help reduce the risk of infection and other complications during labor and delivery.

To achieve greater health impact, Maverick Collective member Sara Ojjeh and PSI are working with PACE (PSI”s affiliate in Uganda) to include two more “essential life-saving commodities” — misoprostol and chlorhexidine — in the Maama Kits. The antiseptic chlorhexidine, used as a cleansing agent for the newborn baby’s umbilical cord, has been shown to reduce infant deaths by as much as 23% when applied within the first 24 hours of birth. Misoprostol helps the uterus to contract after delivery and prevents excessive bleeding or postpartum hemorrhage, the single biggest direct cause of maternal deaths.

Both products are safe, effective, inexpensive and can be administered with minimal training. In total, 65,500 Maama Kits will be distributed in six pilot districts in Uganda, along with chlorhexidine. The goal is to include misoprostol in 43,000 of the kits. PSI’s advocacy work has led the national government to approve chlorhexidine for inclusion in all Maama Kits. Advocacy for misoprostol continues.

The innovation here is the registration and inclusion of two life-saving medicines for use in the Maama kits – which will benefit countless women and children.

WHY?
Every year 6,000 women die in Uganda during or within 42 weeks after childbirth, mostly due to uncontrollable bleeding after delivery. Even when women are able to access a health facility, clinics and hospitals often lack essential medicines and supplies. Worldwide, postpartum hemorrhage is the leading cause of maternal mortality and accounts for one out of every four maternal deaths annually. Similarly, 41,000 newborns die during or within 28 days after childbirth with infections, which could be prevented with a medicine like chlorohexidine.

Think you know all that is included in Maama Kits to ensure expectant mothers a clean and safer birth?

Our PartnersPACE
Funders: Sara Ojjeh along with Maverick Collective Associates Tatiana Casiraghi, Monica Aguirre Diez Barroso, and the Idol Family Foundation.
Photo Credit: Kasujja Julius Caeser

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Early Detection and Treatment of Cervical Cancer in India

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million women get access to screening and treatment for cervical cancer in Uttar Pradesh, India

“If everyone who could, tried a little bit, we could deal with injustice and disparity.” – Kathy Vizas, Maverick Member

Despite being both preventable and curable, cervical cancer remains the most common cancer affecting women in India. Unlike most other forms of cancer, the disease takes 15 to 20 years to develop after initial infection with the Human Papillomavirus (HPV). This window provides women a significant opportunity, during which cervical cancer can be prevented through screening for and treatment of precancerous lesions.

Maverick Collective member Kathy Vizas worked with PSI India to pilot the use of a simple swab of diluted vinegar on the cervix, combined with training of medical professionals to conduct visual inspects for precancerous lesions. For women who have precancerous lesions, treatment can be done at the same visit, through an inexpensive and painless procedure.

The pilot has been so successful and cost-effective that the government of Uttar Pradesh has begun to integrate the approach into the state’s health service, eventually making these services available to the more than 55 million women in Uttar Pradesh in need of screening.

WHY?
Women in developing countries are disproportionately affected by cervical cancer, accounting for 85% of all cases globally. Around the world, a woman dies of cervical cancer every two minutes, making it the third most common female cancer and the leading gynecological malignancy in the world – despite being a preventable disease. India alone contributes 25.41% of the global burden of cervical cancer cases and 26.48% of the mortality rate from the disease, respectively. In spite of the high burden and available effective interventions, there are too few and sporadic initiatives for cervical cancer screening and treatment.

Do you know the factors that influence uptake of cervical cancer screening and treatment in India?

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Put Her at the Center of Program Design

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of girls and young women in sub-Saharan Africa want to use contraception, but are unable to access it

“In a lot of places, what it means to be a girl, is to be property.” – Pam Scott, Maverick Member

How do you ensure girls in developing countries have access to modern contraceptive options? To curb the high rate of unintended teen pregnancy in Tanzania, one of the highest in the world, Maverick Collective member Pam Scott and PSI are working to uncover opportunities to make it easier for girls to access reproductive health information and services. A passionate champion for leveraging Human Centered Design (HCD), Pam encourages more NGOs to go right to the source — the communities they serve — to find the inspiration to develop more effective programs and services.

In Tanzania, the process uncovered some surprising outcomes about how providers, out of concern for girls, were denying girl’s access to contraception. They believe contraception affects fertility. To combat this, Pam and the team tested a number of new approaches with very promising results. “By involving service providers and girls in the actual design of solutions meant to serve them, we were able to more quickly identify which ideas showed the greatest potential to inspire attitude and behavior changes we need to see to reduce teen pregnancy,” concluded Pam Scott.

This research and piloting of new solutions helped PSI to expand its teen pregnancy programming to Ethiopia and Nigeria, thanks to a US$ 30 million award from the Bill and Melinda Gates Foundation and the Children’s Investment Fund Foundation.

WHY?
Unintended teen pregnancies are a major global health threat in sub-Saharan Africa, where 40% of girls and young women want to use contraception but are unable to access it. Every year, 70,000 adolescent girls die in developing countries from complications related to pregnancies, including unsafe abortions. Worldwide, this represents the second leading cause of death of girls aged 15-19. Being pregnant at such a young age consequently limits a girl’s potential as she is less likely to finish school and find a good job. In addition, her child is much more likely to be stillborn or underweight and face health problems throughout their lives.

How does Maverick Member Pam Scott and her team leverage the concept of empathy in the world of global development?

Our Partners: PSI Tanzania
Funder: Pam Scott/The Koogle Foundation
Photo Credit: Sameer Kermalli

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2015 Health Impact

The Scale of PSI Programming In 2015
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LIVES CHANGED (ESTIMATED)

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3,896,671 unintended pregnancies prevented.

9,246 maternal deaths prevented.

379,286 deaths due to malaria, diarrhea & pneumonia prevented.

234,367 HIV infections prevented.

SERVICES PROVIDED

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694,301 long-acting, reversible contraceptives inserted (including implants and intrauterine devices), empowering women and couples to plan for the families they desire.

282,018 voluntary adult medical male circumcisions performed, preventing HIV and other sexually transmitted infections (STIs).

1,578,027 voluntary testing and counseling sessions for HIV and other STIs conducted, reducing transmission rates and increasing access to treatment through referrals.

PRODUCTS DISTRIBUTED

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44,221,302 long-lasting insecticide-treated nets, protecting families from malaria.

1,137,857,646 male and female condoms, preventing transmission of HIV and other STIs and empowering women and couples to plan for the families they desire.

3,395,326 diarrhea treatment kits, saving children’s lives by reducing the severity and duration of diarrheal disease.

24,298 courses of directly observed therapy, saving lives by treating tuberculosis.

1,274,413 pre-packaged antibiotics, saving lives by treating pneumonia.

11,121,111 courses of artemisinin–based combination therapy, saving lives by treating malaria.

10.6 billion liters of water treated with water treatment products.

In 2015, PSI added an estimated 44.9 million years of healthy life with our products and services.

HOW DOES PSI CALCULATE YEARS OF HEALTHY LIFE ADDED?

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One DALY averted = one year of healthy life

PSI estimates the impact of its health interventions using the Disability-Adjusted Life Year (DALY), a unit of measurement developed by the World Bank and the World Health Organization to estimate years of life lost due to death and disability. We track each product we deliver and service we provide. We then use mathematical models to calculate the DALYs averted by our work.

OUR IMPACT: Years of Healthy Life Added

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About PSI

Group of smiling, waving African children

At PSI, we believe that extreme poverty can be eradicated in our lifetime only by breaking the traditional development model. Together with our partners, we develop and test breakthrough concepts that actually have the potential to go to scale and make it easier for people in the developing world to lead healthier lives.

ONLY PSI HAS

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A global network structure of more than 50 member organizations.

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A 45-year track record of developing cutting-edge health solutions.

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The ability to take proven health interventions to scale.

ONLY TOGETHER WITH OUR PARTNERS CAN WE

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Invent effective health solutions.

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Test concepts and bring investments to the right ideas.

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Free 1.2 billion from poverty within our lifetime.

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Financial Statements

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With every $41.76 you invested in PSI in 2015, you gave a mother and her two children a year of healthy life.

2015 REVENUE BY DONOR

EXPENSES BY YEAR (IN MILLIONS)

REVENUE BY YEAR

DONORS*

Anonymous

Bill & Melinda Gates Foundation

Caitlin Heising

Civil Society Fund

Global Fund to Fight AIDS, Tuberculosis and Malaria

Government of India

Government of the Netherlands

Government of South Africa

 

Indrani’s Light Foundation

Pfizer Inc.

Swedish International Development Cooperation Agency

UNITAID

United Kingdom Department for International Development

United Nations Children’s Fund

United Nations Office for Project Services

United Nations Population Fund

United States Agency for International Development

United States Centers for Disease Control and Prevention

United States Department of Defense

World Bank

* Donors listed contributed a minimum of U.S. $1 million in 2015. Contributions received not recognized according to Generally Accepted Accounting Principles.

The figures on this page are excerpted from statements and schedules issued by PSI’s external auditors. Copies of audited statements are available upon request from PSI in Washington, DC. Please email [email protected].

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