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The Last Mile

World Malaria Day 2013

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A woman and a man in Madagascar bring home long-lasting insecticide-treated bed nets (LNs). Credit: USAID | DELIVER PROJECT. Learn more.

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Workers load long-lasting insecticide-treated bed nets into a boat in Benin. Credit: USAID | DELIVER PROJECT. Learn more.

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A child in Zambia receives a long-lasting insecticide-treated bed net. Credit: Arturo Sanabria. Learn more.

  • 3 weeks ago
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Celebrating 2013 International Women’s Day
Photo Credit: USAID | DELIVER PROJECT, 2011
At Leku Health Center in Ethiopia, Nurse Genet Assefa administers an injection of Depo-Provera, a popular contraceptive given every three months. With support from the USAID | DELIVER PROJECT, the health center is now able to maintain a reliable stock of contraceptives. Learn more.
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Celebrating 2013 International Women’s Day

Photo Credit: USAID | DELIVER PROJECT, 2011

At Leku Health Center in Ethiopia, Nurse Genet Assefa administers an injection of Depo-Provera, a popular contraceptive given every three months. With support from the USAID | DELIVER PROJECT, the health center is now able to maintain a reliable stock of contraceptives. Learn more.

  • 2 months ago
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT
Mrs. and Mr. Yaqub visit Shahnaz Kousar, a Lady Health Worker at her home office in Punjab Province, Pakistan.
“We met Shahnaz 16 years ago and learned about family planning but our family was not complete at that time. After four babies our lives were getting tough and we did not have enough money to raise more children. We came to Shahnaz to request that we would not require more children and could she please guide and help us.”
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT

Mrs. and Mr. Yaqub visit Shahnaz Kousar, a Lady Health Worker at her home office in Punjab Province, Pakistan.

“We met Shahnaz 16 years ago and learned about family planning but our family was not complete at that time. After four babies our lives were getting tough and we did not have enough money to raise more children. We came to Shahnaz to request that we would not require more children and could she please guide and help us.”

    • #Pakistan
    • #Contraception
  • 5 months ago
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT
Kalsoom Bashir, a Lady Health Worker, consults with a client at the Health House in Shaid Colony, Lahore, Pakistan.
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT

Kalsoom Bashir, a Lady Health Worker, consults with a client at the Health House in Shaid Colony, Lahore, Pakistan.

    • #Pakistan
  • 7 months ago
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT
Kalsoom Bashir, a Lady Health Worker explains the use of on Megestron injection to her clients, Mr. and Mrs. Javeed Zahoor Maseeh, in Shaid Colony, Lahore, Pakistan.
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT

Kalsoom Bashir, a Lady Health Worker explains the use of on Megestron injection to her clients, Mr. and Mrs. Javeed Zahoor Maseeh, in Shaid Colony, Lahore, Pakistan.

    • #Pakistan
    • #WorldContraceptiveDay
  • 7 months ago
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Photo Credit: JSI / USAID | DELIVER PROJECT
Fatuma Shibru, a mother of six children, receives contraceptive counseling at Tulla Health Center in Ethiopia. 
“When I started using Injectables some years ago, it was to space my children. I didn’t want to give birth every year. My first three children were born with just one year gap. They didn’t get enough time to properly grow and breast feed. This has affected their health. But after I learned the benefit of using contraceptives from health providers, I choose to use injectables to space my children.  So after that I gave birth to three additional children with 3-4 years gap. They are well breast fed and healthy. It also gave me time to engage in other work and support my husband in farming.”  
-Fatuma Shibru 
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Photo Credit: JSI / USAID | DELIVER PROJECT

Fatuma Shibru, a mother of six children, receives contraceptive counseling at Tulla Health Center in Ethiopia. 

“When I started using Injectables some years ago, it was to space my children. I didn’t want to give birth every year. My first three children were born with just one year gap. They didn’t get enough time to properly grow and breast feed. This has affected their health. But after I learned the benefit of using contraceptives from health providers, I choose to use injectables to space my children.  So after that I gave birth to three additional children with 3-4 years gap. They are well breast fed and healthy. It also gave me time to engage in other work and support my husband in farming.”  

-Fatuma Shibru 

    • #Ethiopia
    • #WorldContaceptiveDay
  • 7 months ago
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT
At a Basic Health Unit in Punjab Province, Pakistan, 23-year-old Tahira Rashid receives counseling by Dr. Fauzia Amin, a female medical Officer. 
 “I have one child less than one year of age and my mother in law has passed away and it is difficult for me to handle the child and house work together. So, I came here for a gap before the next baby. Dr. Fauzia Amin is guiding me and helping me to avoid pregnancy.” 
-Tahira Rashid
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Photo Credit: Derek Brown, USAID | DELIVER PROJECT

At a Basic Health Unit in Punjab Province, Pakistan, 23-year-old Tahira Rashid receives counseling by Dr. Fauzia Amin, a female medical Officer. 

 “I have one child less than one year of age and my mother in law has passed away and it is difficult for me to handle the child and house work together. So, I came here for a gap before the next baby. Dr. Fauzia Amin is guiding me and helping me to avoid pregnancy.” 

-Tahira Rashid

    • #Pakistan
    • #WorldContraceptiveDay
  • 7 months ago
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Photo Credit: JSI / USAID | DELIVER PROJECT
The USAID | DELIVER PROJECT and its predecessors, collaborating with their in-country partners, adopted a successful commercial sector approach called the “Delivery Team Topping Up” (DTTU) system to ensure the availability of contraceptives and HIV commodities in Zimbabwe.
DTTU systems are distribution systems in which special investments are made to ensure that reliable vehicles, drivers, technical staff members, or a combination of these will directly provide or “top up” facilities with the health products that they need. 
To learn more about DTTU and the work in Zimbabwe, read Delivery Team Topping Up: Bringing About Reliable Distribution in Difficult Environments. 
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Photo Credit: JSI / USAID | DELIVER PROJECT

The USAID | DELIVER PROJECT and its predecessors, collaborating with their in-country partners, adopted a successful commercial sector approach called the “Delivery Team Topping Up” (DTTU) system to ensure the availability of contraceptives and HIV commodities in Zimbabwe.

DTTU systems are distribution systems in which special investments are made to ensure that reliable vehicles, drivers, technical staff members, or a combination of these will directly provide or “top up” facilities with the health products that they need. 

To learn more about DTTU and the work in Zimbabwe, read Delivery Team Topping Up: Bringing About Reliable Distribution in Difficult Environments. 

    • #Zimbabwe
    • #DTTU
  • 9 months ago
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Photo Credit: JSI / USAID | DELIVER PROJECT
A family planning health volunteer in Bangladesh displays the health commodities she brings to clients. 
The family planning effort in Bangladesh is widely recognized as one of the world’s most successful ones and a model for other countries to follow. For more than 20 years, USAID worked with John Snow, Inc., through projects like the USAID | DELIVER PROJECT, to improve the delivery of family planning supplies in Bangladesh focusing primarily on logistics, procurement, institutional strengthening, capacity building, and commodity security. 
Some of the hallmarks of the technical assistance provided in Bangladesh include: functional web-based LMIS, modernization of the supply chain system, a long-term solution to dealing with chronic expiry of products within the system, and community security interventions. 
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Photo Credit: JSI / USAID | DELIVER PROJECT

A family planning health volunteer in Bangladesh displays the health commodities she brings to clients. 

The family planning effort in Bangladesh is widely recognized as one of the world’s most successful ones and a model for other countries to follow. For more than 20 years, USAID worked with John Snow, Inc., through projects like the USAID | DELIVER PROJECT, to improve the delivery of family planning supplies in Bangladesh focusing primarily on logistics, procurement, institutional strengthening, capacity building, and commodity security. 

Some of the hallmarks of the technical assistance provided in Bangladesh include: functional web-based LMIS, modernization of the supply chain system, a long-term solution to dealing with chronic expiry of products within the system, and community security interventions. 

    • #Bangladesh
    • #FamilyPlanning
  • 10 months ago
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Photo Credit: JSI / USAID | DELIVER PROJECT
Ghazala Anawar advises a client on family planning methods at the basic health unit in Sohan, Rawalpindi. Since 2009, USAID has provided funding to improve access to health supplies for people in Pakistan through its USAID | DELIVER PROJECT. 
By providing reproductive health commodities to the Government of Pakistan, USAID helped avert an estimated 4.4 million unintended pregnancies, more than 230,000 infant deaths, and almost 10,000 maternal deaths from 2010-2011; the level of support provided for family planning commodities is associated with approximately an 18 percent increase in the contraceptive prevalence rate from 2010 to 2011 alone, suggesting that USAID support is rapidly helping to met the needs of Pakistani couples. 
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Photo Credit: JSI / USAID | DELIVER PROJECT

Ghazala Anawar advises a client on family planning methods at the basic health unit in Sohan, Rawalpindi. Since 2009, USAID has provided funding to improve access to health supplies for people in Pakistan through its USAID | DELIVER PROJECT. 

By providing reproductive health commodities to the Government of Pakistan, USAID helped avert an estimated 4.4 million unintended pregnancies, more than 230,000 infant deaths, and almost 10,000 maternal deaths from 2010-2011; the level of support provided for family planning commodities is associated with approximately an 18 percent increase in the contraceptive prevalence rate from 2010 to 2011 alone, suggesting that USAID support is rapidly helping to met the needs of Pakistani couples. 

    • #Pakistan
    • #WorldPopulationDay
    • #FamilyPlanning
  • 10 months ago
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The Last Mile

For any health program to be successful, products must be available at health facilities. However, many developing country public health programs frequently stock out of commodities at their health facilities. The consequences of inefficient last mile distribution are many: if clients do not receive their preventive or curative products, serious complications can follow—unplanned pregnancies, spread of diseases, and even death. No Product? No Program.

Welcome to the USAID | DELIVER PROJECT photo blog. Here you will find photos from the field documenting the work the project does to ensure commodities are delivered to clients in the right quantities, the right condition, to the right place, at the right time, for the right cost.

For more information, please visit our website at www.deliver.jsi.com

The information provided on this website is not official U.S. Government information and does not represent the views or positions of USAID or the U.S. Government.

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