Fragile states are home over one-third of the world’s poor and areas of unusually high incidence of disease. With little to nonexistent state infrastructure and often a constant and evolving security threat, fragile states provide a unique challenge to health innovators.
CHMI profiles over 75 programs operating in fragile states. The majority of these programs (84%) focus on basic health services- primary care (25%), HIV/AIDS care (36%), maternal child health (28%)- fitting with USAID’s priority of addressing the most basic and pressing health problems in these countries. 16% of these programs focus on providing specialized services ranging from chronic disease care to mental health. The vast majority of these programs (over 60%) are private, not-for-profit entities. Roughly 11% are Public-Private Partnership and 8% are private, for profit entities. From training community healthcare workers to building the capacity of local government institutions and facilitating public-private partnerships, these programs are working to implement sustainable healthcare in areas where local healthcare institutions are nonexistent.
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LifeNet International's (LN) conversion franchise model includes nurse training, management training, growth financing, and pharmaceutical supply to transform quality of care and increase range of services in primary healthcare facilities in Burundi, Uganda, and the DRC.