Since 1993, improving health, saving lives and responding to disease outbreaks.
- At Jhpiego-supported health care facilities, more than 770,000 deliveries were attended by a skilled birth attendant and more than 9 million women started using a modern family planning (FP) method for the first time. In 2020, 19% of new FP users opted of a long-acting, reversible contraceptive method—compared to 18% in 2019 and 12% in 2018.
- The Health Service Delivery (HSD) project assisted Guinea’s Ministry of Health to define an integrated package of essential services and helped increase the number of facilities offering the full package from 79 (end of 2017) to 233 (end of 2020),
- To date, HSD has trained 117 providers, 143 community educators and 20 paralegals in gender-based violence (GBV) services, including clinical management, referral and reporting, educational messages for prevention and awareness building of community resources. In the three years that HSD has supported GBV activities, almost 700 cases have been managed at 36 project-supported facilities for this intervention.
- In response to the COVID-19 pandemic, Jhpiego has worked to sustain availability and quality of health services through new ways of supporting health care providers (e.g., phone contact, limited face-to-face supervision to reinforce infection prevention and control). This outreach involved HSD-supported 193 facilities and contributed to sustaining and even improving service delivery indicators in 2020 compared to 2019. Assisted deliveries in facilities increased by 6%, stillbirths decreased and more infants not breathing at birth were successfully resuscitated. FP consultations increased by 3% and management of sick children in the community and facilities increased by 32%.
Our Work in Guinea
Guinea Health Service Delivery Project
Under this five-year, USAID-funded project, Jhpiego and partners Engender Health and Save the Children are working closely with the Government of Guinea to ensure consistent and high-quality provision of an essential, integrated package of family planning and maternal and child health care at health facilities and in surrounding communities in seven target regions covering 85% of the population. The project objectives are: 1) delivery of quality health services improved through increased availability of services, referral linkages and quality of and access to services; 2) healthy behaviors and demand for high-quality health services improved through improved coordination, quality, targeting and scale of social and behavior change communication and health promotion activities; and 3) health systems strengthened through strengthened policy, planning, governance and human resources, and improved availability of commodities, drugs and data for decision-making. The original five-year period of this project has been extended to seven years.
Fighting COVID-19 Under the Health Service Delivery Project
With additional funding from USAID under the Health Service Delivery project (above), Jhpiego is working in Guinea to address the COVID-19 pandemic. This work is designed to ensure that essential health services—and the health care provers who offer them—remain available and safe so that the community can access health care in facilities and in the community. Key activities include: 1) supporting facilities to set-up triage/screening services at their entrances; 2) reinforcing infection prevention and control measures of providers as well as hygiene/sanitation within facilities; 3) supporting community health workers to safely continue to provide health education and services; 4) reinforcing electronic communication capacity among health managers and with facilities; 5) supporting mass communication and social behavior change communication; 6) integrating COVID-19 case reporting into the national DHIS2 health information system; 7) ensuring ongoing engagement with the national pandemic coordination mechanism; and 8) supporting capacity building of reanimation services by building on previous support to pre-service education institutions.
Enhancing Global Health Security: Expanding Efforts and Strategies to Protect and Improve Public Health Globally
Funded by the U.S. Centers for Disease Control and Prevention (CDC), this five-year project builds upon activities funded by CDC to support Global Health Security through implementation of programs and activities that focus on protecting and improving health globally through partnerships with Ministries of Health and other institutions. With an initial emphasis on addressing the COVID-19 pandemic, the project is supporting countries—including Guinea— as well as regional work in West Africa and South America to improve prevention of avoidable epidemics, including naturally occurring outbreaks and intentional or accidental releases of dangerous pathogens; improve ability to detect threats early; and respond rapidly and effectively to public health threats of international concern. The project is being implemented by a Jhpiego-led consortium that includes the Johns Hopkins Center for Health Security, the Johns Hopkins University Applied Physics Laboratory, Global Scientific Solutions for Health, and Johns Hopkins University Center for Global Health.
As a subcontractor to RTI International under this project, funded by the U.S. President’s Malaria Initiative, Jhpiego is providing technical leadership on malaria in pregnancy and quality improvement in support of the National Malaria Control Program. This support involves maintaining up-to-date national policies and protocols, as well as training health care workers and community health workers on these policies and protocols. Technical content includes: 1) the delivery of intermittent preventive treatment for malaria among pregnant women; and 2) case management, including confirmation of suspected malaria cases using rapid diagnostic tests to ensure correct treatment, avoid overtreatment/overconsumption of available stock and prevent the development of resistance. In addition to providing national-level technical assistance, Jhpiego is also responsible for coordinating capacity development and supportive supervision to health care facilities in Conakry and three of the 14 prefectures targeted by this project. This project is a follow-on to the StopPalu award, which was successfully implemented by the same partners from 2013 to 2017.
Strengthening and Decentralizing the National Response to Sexually Transmitted Infections and HIV for Universal Access
With funds from the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Guinean Ministry of Health is supporting Jhpiego to strengthen and decentralize the national response to sexually transmitted infections, including HIV, with the goal of universal access to services. The goal of this program is to reduce new HIV infections and reduce the mortality and morbidity among people living with HIV. Jhpiego is leading the prevention of mother-to-child transmission of HIV (PMTCT) component of the program, focusing initially on consolidating gains and improving performance in PMTCT service provision followed by extension to additional sites.
Accelerating Uptake of Expanded Method Mix
Funded by the Bill & Melinda Gates Foundation, this program promotes access to family planning choices in West African countries by supporting the introduction and scale-up of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC). DMPA-SC is an innovative injectable contraceptive—also known as Sayana® Press—that can dramatically expand access and choice for women. Jhpiego is working closely with the Access Collaborative to strengthen health systems to accelerate introduction and scale-up of DMPA-SC in eight West African countries, including Guinea.