Get inspired by five cutting-edge programs in global health.
(And sign up to receive this quarterly report by email.)
PSI’s Lovers+ and Trust brands of condoms and lubricant have long been leaders in the condom market in Southern Africa. Capitalizing on its success, PSI South Africa transitioned recently into a profitable, commercially viable business dedicated to two bottom lines – profit and social impact.
Considered a social enterprise, PSI South Africa operates commercially in four countries including South Africa, Lesotho, Swaziland and Botswana – with plans to expand. The venture commands 75 percent of the condom market in the region. Its healthy profit is reinvested to drive health programs run by nonprofit members across the PSI network including its sister organization, Society for Family Health in South Africa. Its success will not only increase condom use in the region but will also help fund PSI’s other health efforts that could include child survival, family planning or further HIV prevention and treatment.
As traditional donor funding begins to shift or decrease, there is an opportunity for locally based nonprofits to harness a country’s entrepreneurial spirit to combine capitalism with social conscious. The result will not only help empower communities to lead healthy lives, but create a model for sustainable economic growth while reducing donor dependency.
PSI has pioneered the way nonprofits use data to make decisions. PSI now houses one of the most expansive global health databases in the world. Using the open source health information software, District Health Information System 2 (DHIS2), PSI collects data from more than 40 countries across four continents … and counting.
PSI has implemented and expanded its award-winning DHIS2 digital application to track and analyze client-based data and improve evidence-based programming.
Globally, only 34 countries have easily accessible, high-quality health data on their citizens, even for things as basic as their cause of death. Without comprehensive and timely data, governments, NGOs and public healthcare providers waste time and energy estimating and debating mortality rather than addressing problems and monitoring progress.
How do you reach 10-24 year olds with information and services for their sexual and reproductive needs? What will they relate to and actually use? PSI Malawi went directly to the source by creating a youth advisory board. The group oversees PSI Malawi’s efforts to reach youth, making sure that programs resonate with their audience. Also, through its Tunza Family Health Network of franchised health centers, PSI Malawi and many of the youth they work with train healthcare providers to deliver youth-friendly services. The environments they create make discussing health decisions and receiving critical services more comfortable.
Outside the health centers, PSI Malawi runs a program called YouthAlert!, which addresses under-discussed and often taboo topics to help young people make informed choices on sex, relationships and contraception. It includes a popular radio show, which offers information about these tough subjects in an edgy way. Radio listening clubs, discussion groups and other outreach efforts within YouthAlert! direct people to the youth-friendly services of the Tunza Family Health Network.
In Malawi nearly one in every five people are between the ages of 15 and 24, yet many face major barriers to getting information and accessing services for sexual and reproductive health. This leaves young people vulnerable just as they begin to experience their sexuality and make important decisions about sexual behaviors.
A brand new program breaks the traditional global health mold by using a country’s natural resources to prevent and treat illness. The Association de Santé Familiale (ASF), PSI’s network member in the Democratic Republic of Congo (DRC) launched a program to create a more sustainable and affordable stock of oral rehydration salts (ORS) and zinc sulphate tablets. This treatment dramatically reduces death from diarrhea — a leading cause of under-five mortality globally.
While the DRC is rich with minerals like zinc, manufacturers hadn’t yet seen a profit motive in producing the life-saving treatment. ASF is collaborating with the Lundin Foundation — a philanthropic organization founded by the Lundin family, an owner of Tenke Fungurume Mining in the DRC. Together, they will enable local pharmaceutical companies to manufacture the treatment to WHO quality standards. The Lundin Foundation has also committed to attacking the root cause of waterborne diarrheal disease by collecting household waste to turn into compost for agriculture and gas for energy.
Diarrheal disease is the second leading cause of death for children under five in the world. In the DRC, this preventable and easily treatable disease causes nearly one in every five children’s deaths. In addition to providing information on simple behavior changes people can do to prevent diarrhea, using the country’s natural zinc stores to treat diarrhea provides a cost-effective and sustainable way to save lives. Mining companies will be able to sell the zinc they mine to local production companies, profiting financially, while the people of the DRC will be able to readily purchase treatment at a low-cost, profiting in lives saved. This win-win partnership assures long-term, sustainable impact in the country.
Funder: Lundin Foundation | Partners: DRC Ministry of Health, Mayor of Lubumbashi, local private drug manufacturers, local wholesalers, local retailers
Delve Deeper: PSI’s Diarrheal Disease Work
Photo Credit: Courtesy of PSI
How do you create a market for new products? In Zambia, Malawi, Madagascar and India, PSI and partners are developing a contraception value chain – from product developers to manufacturers, importers, wholesalers, distributors, policy regulators, providers and consumers. PSI joins WomanCare Global, USAID and others to create a roadmap for new product introduction in developing countries around the world.
The new methods fall into four product lines: a contraceptive gel; new barrier methods; a long-acting, hormonal intrauterine system (IUS) and intra-vaginal rings. Each product addresses one or more reasons women choose not to use currently available contraceptives. For example, the new products are non-hormonal, discreet and/or appropriate for breastfeeding women. Most are methods that women can use on her own, without reliance on a male partner or health provider to initiate.
Globally, more than 220 million women do not want to get pregnant within the next two years but are not using a modern method of contraception. Various barriers exist for women, including poor availability of contraceptives, high costs of products and services and low education about fertility. But the most common reasons are often related to the methods themselves, such as side effects from hormones. Research shows that women are more likely to use contraception when they have more options to choose from. By giving a woman more options, we make sure that she can voluntarily make an informed choice about the method that is right for her.
Funders: USAID, Swedish International Development Cooperation Agency (SIDA), Norwegian Agency for Development Cooperation (NORAD) | Partners: WomanCare Global (Prime), International Center for Research on Women (ICRW), Every1Mobile
Delve Deeper: About EECO Project
Photo Credit: PSI Malawi
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)
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)
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
View PSI’s 2013 Health Impact.
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
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
A global network structure of more than 65 member organizations.
A 43-year track record of developing cutting-edge health solutions.
The ability to take proven health interventions to scale.
ONLY TOGETHER WITH OUR PARTNERS CAN WE
Invent effective health solutions.
Test concepts and bring investments to the right ideas.
Free 1.2 billion from poverty within our lifetime.
2014 REVENUE BY DONOR
EXPENSES BY YEAR (IN MILLIONS)
REVENUE BY YEAR
AstraZeneca United Kingdom
Bill & Melinda Gates Foundation
Civil Society Fund
Global Fund to Fight AIDS, Tuberculosis and Malaria
Government of India
Government of the Netherlands
Government of South Africa
Merck & Co., Inc.
Swedish International Development Cooperation Agency
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 Health Organization
* Donors listed contributed a minimum of U.S. $1 million in 2014.
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].
Get PSI Pulse delivered straight to your inbox every quarter so you can stay current on our innovative programs in global health.