Community-led monitoring tools: check out new @RitshidzeSA resources. Proud to be working with SAfrica PLHIV sector to build data & accountability & now support in growing list of countries
Data + Community Insight + Advocacy can fill #GlobalHealth accountability gaps [THREAD🧵]
Accountability gap in many health systems btwn health services & users/communities undermines QUALITY--particularly acute for criminalized & stigmatized populations. Aid-funded efforts, even bigger gap. Community-led monitoring like @RitshidzeSA aims at that gap/2
Community-led monitoring like @RitshidzeSA & WAfrica @ITPCglobal learn from past efforts & have innovated! Communities use surveys, focus groups, etc, gather info from users & staff of #HIV services. THEN
↪️generate solutions
↪️advocate for change
↪️hold officials accountable
/3
Collecting data, community members gather, interpret, and elevate the voices of the actual users of services, not just what officials in capitals or donor agencies think is important, bringing community insights into the system. /4
Even more important, communities then work together to generate solutions & use advocacy toolbox to push those in power to act & improve. Without advocacy component, little changes. "If data or meetings fixed everything we wouldn't need activists"/5
Check out this story from @RitshidzeSA on addressing stock outs through community monitoring and advocacy... directly addressing the accountability gap, during COVID-19, to address the needs of PLHIV & TB /6
ritshidze.org.za/community-gene…
Particularly powerful is the unity & leadership of the PLHIV sector in South Africa, with @TAC, SANERELA+, @PositiveWN, Positive Action Campaign, @Napwasa working together. Our team @oneillinstitute is glad to walk alongside them /fin
And we're excited to be working alongside colleagues in Malawi, Mozambique, Haiti, Uganda, Kenya, and others who are standing up CLM, building off of work in #PEPFARWatch and other efforts. Inspired!
@manasoMW @CedepMalawi @hepsuganda @HealthGAP @housingworks @amfAR

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More from @MMKavanagh

16 Nov
On Moderna/NIH Vax & Access: Currently can make only about 1 billion does by 2021, 75% or more claimed by rich countries. But Moderna could be a leader--pay attention to past pandemics & make the science open. Moderna already promised first steps... 🧵
sciencemag.org/news/2020/11/j…
Last month @moderna_tx said would not enforce COVID-19 related patents & are willing to license to others. Good first step. But it's only the first step--without tech transfer it's not yet meaningful... leadership would include...
healthgap.org/moderna-respon…
1) Announce a plan for open tech transfer: With a highly effective vaccine there are multiple high-quality manufacturers that could come online to supply world at affordable prices; put out a call, can ensure quality while also building access by partnering with govts...
Read 5 tweets
3 Aug
Powerful piece today on #HIV and #TB during #COVID19. Delays in diagnosis, treatment interruption, supply chain failures, but also emerging solutions by @apoorva_nyc @nytimes
nytimes.com/2020/08/03/hea…
...Across sub-Saharan Africa, fewer women coming to clinics for #HIV diagnosis. 6 month disruption in access to drugs that prevent Parebt to child transmission could increase HIV in kids 139 percent in Uganda and 162 percent in Malawi, according to @UNAIDS
... short of diagnostic capacity, gene Xpert machines are being used to find #COVID19 INSTEAD of #TB... “very stupid from a public health perspective,” said @LucicaDitiu. “You should actually be smart and do both.
Read 12 tweets
16 Jun
Clear @WHO is the target of a coordinated media strategy to shift #COVID19 attention, blame. Public health leaders should call it out
1) Why is it news @DrTedros giving graduation speech in China? Of course--he did at Columbia U, Emory, and CUNY too...
nytimes.com/reuters/2020/0…
2) "leaked" house GOP report makes a host of false claims, including that WHO ignored information & evidence. This is a willful mis-reading of the publicly available information.
nationalreview.com/news/house-gop…
3) A series of republican members of congress have taken every opportunity to try to attack the WHO and it's leader for doing their job amidst a pandemic.
Read 4 tweets
1 Jun
[new thread] *Democracy, Capacity & Coercion in Pandemic Response—COVID 19 in Comparative Political Perspective* out today in @JHPPL where @Renu_Singh_ & I look at three big questions that #COVID19 is raising for comparative health politics and policy...
read.dukeupress.edu/jhppl/article/…
1. What does "capacity" to respond to pandemics mean? The highest scoring 30 countries on the #GlobalHealthSecurity Index have performed very differently--they turn out to have very *different* actual capacity to respond to COVID... This figure shows huge variation👇
Why??
1a.The #GHSInex and broader measures of "state capacity" align closely--so what are they actually measuring? A similar group of wealthy states in the global North are often judged to have similar capacity...
Read 17 tweets

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