HUMAN HEALTH WILL IMPROVE AND THE BURDEN OF INFECTIOUS DISEASE
will be reduced only if significant investments are made in the infrastructure for
providing health care. An adequate health care infrastructure has many components:
physical facilities that make care accessible; laboratory, training, and other support
facilities; reliable supplies of pharmaceuticals and other materials; trained staff and
professional training systems; and mechanisms to distribute resources and expertise
to people who need them. An adequate system is capable of providing preventive,
diagnostic, and curative care, according to the requirements of the people being served.
The Izumi Foundation supports projects that strengthen local systems for delivering
health care, as well as national and regional systems that support the provision of care
at the local level. The foundation is interested in cost-effective innovations that make
good health care more accessible to poor people and communities.
The
Zanmi Lasante Project in Cange, Haiti, developed by Partners
in Health, established a drug-procurement system that ensures
that essential medications are available to the poor. As part of the
project, Partners in Health constructed a warehouse for storing
medicine, developed a prototype computer-based pharmacy
inventory system, developed a database of sources for donated
and low-cost drugs, and trained local staff to manage the system.
Direct Relief International improved and expanded the basic
health care services provided by the Motoka Health Center in the
Volta region of Ghana. The project included the construction
of a surgical suite and training for health workers and traditional
birth attendants.
The
African Medical and Research Foundation established national
laboratory quality assurance projects in Kenya, Tanzania, and
Uganda. Laboratory services are essential for accurate diagnosis
and selection of drugs—which in turn are essential for providing
proper treatment and reducing the incidence of drug resistance.
In many African countries, such services are not readily available,
especially at the local level. The three national projects will
improve the quality of diagnostic testing and services for malaria,
tuberculosis, anemia, intestinal parasites, and HIV/AIDS. In
addition, the national projects will monitor and maintain the
quality of essential drug services in their countries.