Issue 1 | Spring 2015
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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.
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A Major Shift for HIV Testing in Africa

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HIV self-test kits will be marketed and disseminated over the course of two years

The first-ever widespread dissemination of oral-swab HIV self-test kits in Africa is poised to dramatically increase access to HIV testing and impact HIV prevention, care and treatment goals. PSI, UNITAID, the World Health Organization and other partners are making oral-swab HIV self-test kits widely available in Malawi, Zambia and Zimbabwe for the first time ever.

PSI will disseminate nearly 750,000 HIV self-test kits over the course of two years. The pilot program will generate crucial information about the distribution, feasibility, acceptability, and impact of HIV self-testing in the developing world, with hopes of scaling the program further.

WHY?

19 million people worldwide don’t know they have HIV. Knowing is the first step to treatment. And, early treatment helps reduce HIV transmission. While the United States approved an HIV self-test product for the market in 2012, this vital tool remains uncommon elsewhere in the world. This project will provide the evidence urgently needed to inform policy and programming decisions at both global and national levels.

Preliminary research, funded by the International Initiative for Impact Evaluation, was conducted in Kenya. What do you think would best motivate a consumer to use an HIV self-test kit?

Funder: UNITAID | Partners: London School of Hygiene and Tropical Medicine, Liverpool School of Tropical Medicine, University College of London, World Health Organization
Delve DeeperHIV Self-Test Kits-A New Hope

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A Smartphone App that Delivers Vital Maternal Health Information in Myanmar

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downloads of the maymay maternal app expected by 2019

Using the latest mobile phone technology, PSI, telecom operator Ooredoo and local tech startup Koe Koe Tech have created maymay, an award-winning mobile app that sends women in Myanmar essential health information and reminders throughout their pregnancies and in their child’s early years. In many cases, it is the only health information the women receive.

The app sends three push notifications weekly on how to keep an expecting mother, and later her baby, healthy. 2015 updates include a doctor and clinic locator, a call-in hotline for urgent health questions, and a way for mothers to share information with other mothers and health experts.

Pregnant woman in Myanmar holding a smartphone device
WHY?

In Myanmar, more than 1,500 women die every year while giving birth, more than any other country in Southeast Asia. Most of these deaths occur when women give birth at home, often in isolated rural areas where access to experienced midwives, birth attendants, and health information about pregnancy are difficult to come by. But telecom operator Ooredoo also sees the app as a way to target women as consumers for their mobile service, offering a financially sustainable private sector approach to increased maternal health.

Learn more about maymay from Ooredoo, the mobile operator that helped develop the app.

Funder: Groupe Speciale Mobile Association mWomen Programme | Partners: Ooredoo, Koe Koe Tech, USAID, Myanmar Ministry of Health, Mobile Alliance for Maternal Action
Delve DeeperExpecting Mothers Among First to Benefit from Broader Cellphone Access in Myanmar

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Building a Market for Toilets to End Open Defecation in India

PSI's Three-Pronged Approach

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Work with local entrepreneurs to build and distribute low-cost toilets

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Educate individuals and families about the importance of proper toilets and sanitation

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Ensure financing for entrepreneurs to build the toilets, and for families to buy them

By addressing constraints in supply and demand, PSI and its partners are improving sanitation access in Bihar, India, creating sustainable markets for toilets and emptying services.

The project will enable households to purchase and use high-quality, desirable toilets. PSI will initially reach 750,000 people with access to safe sanitation, then leverage the learnings from this project and elsewhere to improve sanitation through market-based approaches in 12 countries worldwide.

Man in Bihar installing a safe, sanitary toilet
WHY?

2.6 billion people — about 40% of all humans — either have no toilet at all, or one that is unsafe, such as an unsealed pit. Resorting to open defecation puts women, children and the elderly at an extreme disadvantage, rendering them at risk of embarrassment and even assault. And feces in the environment puts everyone at risk: 1.8 million children die every year due to diarrhea and other diseases caused by poor sanitation.

What do you think matters most to families when choosing their first toilet? Affordability? Quality? Privacy?

Funder: Bill and Melinda Gates Foundation | Partners: Monitor Deloitte, PATH, Water for People
Delve DeeperGetting to Know PSI’s Market-Based Sanitation Work in India

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Reversing the Rise of Cardiovascular Disease in Kenya

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people to be treated for hypertension in Africa by 2025 through a partnership with AstraZeneca

By 2030, non-communicable diseases (NCDs) will be the most common cause of death in Africa, exceeding the combined mortality of communicable diseases, nutritional diseases, and maternal and perinatal deaths. Hypertension, or high blood pressure, is a major risk factor for cardiovascular diseases, including stroke.

In collaboration with AstraZeneca, we are working through the Healthy Heart Africa partnership to reach clients with lifesaving information on the prevention and treatment of hypertension. PS Kenya, a PSI network partner, is increasing the impact of their Tunza social franchise network by adding hypertension screening and treatment to the package of services they offer, reaching thousands in need of this life-saving information.

Our work together in Kenya is part of a larger program that is improving health across Africa by delivering the right education and medicines; training healthcare workers; and collaborating with cross-sector partners, especially government, to build a sustainable program.

WHY?

Non-communicable diseases, like cardiovascular disease, cancer and diabetes, are the leading cause of death worldwide. A hugely disproportionate number of those deaths—85%—occur in the developing world. Many of those deaths can be prevented if it weren’t for the lack of accurate information and access to proper and disease management.

Did you know that just four groups of diseases account for 82% of all non-communicable disease deaths?

Funder: AstraZeneca | Partners: AMPATH, AMREF Kenya, the Christian Health Association of Kenya, Jhpiego, the Mission for Essential Drugs and Supplies, Abt Associates
Delve DeeperHealthy Heart Africa—Why is it important to tackle hypertension in Africa?

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HIV Cyber-Support Reaches At-Risk and Hidden Populations in Central America

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people in Central America live with HIV

PSI’s Central American network member PASMO has pioneered a groundbreaking program that provides at-risk and hidden populations with safe, secure and confidential access to comprehensive HIV care by using online forums and a Unique Identifier Code system.

In 2014, PASMO reached over 13,900 individuals through online peer education. Operating within online chat rooms and social media outposts, PASMO’s team of “cyber-educators” reach men who have sex with men (MSM) and people living with HIV through confidential online outreach, and referrals to counseling and testing sites when needed.

Screenshot of Mi Zona H website
WHY?

People living with HIV and men who have sex with men are among the most stigmatized and discriminated populations in Central America. Many seek anonymity and support online for fear of receiving further abuse or discrimination by their families, communities, employers, and even trained health care providers, also making them hidden or difficult to access by HIV prevention programs and outreach teams working in the field.

PASMO developed a variety of websites to serve as a resource for cyber-educators and as a place to refer users for more information about HIV prevention.

Funder: USAID | Partners: International Planned Parenthood/Western Hemisphere Region (IPPF/WHR), Cicatelli Associates Inc, Milk N Cookies
Delve Deeper: “Hidden on the social media”: HIV Education on MSM through Cyber-educators in Central America

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2014 Health Impact

The Scale of PSI Programming In 2014
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LIVES CHANGED (ESTIMATED)

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4,334,884 unintended pregnancies prevented. (MDG 5*)

10,530 maternal deaths prevented. (MDG 5)

478,545 deaths due to malaria, diarrhea & pneumonia prevented. (MDG 4 & 7)

260,517 HIV infections prevented. (MDG 6)

SERVICES PROVIDED

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811,165 long-acting, reversible contraceptives inserted (including implants and intrauterine devices), empowering women and couples to plan for the families they desire. (MDG 5)

353,924 voluntary adult medical male circumcisions performed, preventing HIV and other sexually transmitted infections (STIs). (MDG 6)

2,137,790 voluntary testing and counseling sessions for HIV and other STIs conducted, reducing transmission rates and increasing access to treatment through referrals. (MDG 6)

PRODUCTS DISTRIBUTED

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38,841,985 long-lasting insecticide-treated nets, protecting families from malaria. (MDG 4 & 6)

1,143,414,790 male and female condoms, preventing transmission of HIV and other STIs and empowering women and couples to plan for the families they desire. (MDG 5 & 6)

2,846,858 diarrhea treatment kits, saving children’s lives by reducing the severity and duration of diarrheal disease. (MDG 4)

24,218 courses of directly observed therapy, saving lives by treating tuberculosis. (MDG 6)

841,682 pre-packaged antibiotics, saving lives by treating pneumonia. (MDG 4 & 8)

17,845,632 courses of artemisinin–based combination therapy, saving lives by treating malaria. (MDG 4 & 8)

13 billion liters of water treated with water treatment products. (MDG 4, 6 & 7)

 

*MDG = Millennium Development Goal

In 2014, PSI added an estimated 53.7 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

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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 65 member organizations.

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A 43-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

Value for Money $35.54
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With every $35.54 you invested in PSI in 2013, you gave a mother and her child a year of healthy life.

2013 REVENUE BY DONOR

38% U.S. Government. 23% Non U.S. Government. 20% International Organizations. 14% Foundations & Corporations. 5% Other.

EXPENSES BY YEAR (IN MILLIONS)

2013: Program $567.1, Management & General $33.4, Fundraising $1.6. 2012: Program $502.2, Management & General $35.2, Fundraising $0.3. 2011: Program $637.2, Management & General $35.3, Fundraising $0.4.

REVENUE BY YEAR

2013: $608,545,960. 2012: $546,449,232. 2011: $682,802,373.

DONORS*

Australian Government Overseas Aid Program

Bill & Melinda Gates Foundation

Canadian International Development Agency Centers for Disease Control & Prevention

ExxonMobil Foundation

Global Fund to Fight AIDS, Tuberculosis & Malaria

Kathy Vizas

KfW Entwicklungsbank

Merck

Ministry of Health of Cambodia

Ministry of Health of Malawi

National AIDS Control Organisation of India

Netherlands Government Ministry of Foreign Affairs

P&G

Three Diseases Fund

United Kingdom Department for International Development

United Nations Children’s Fund United Nation’s Population Fund

United States Agency for International Development

United States Department of Defense

World Health Organization

* Donors listed contributed a minimum of U.S. $1 million in 2013.

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 info@psi.org.

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Thank You

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