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Bozzani F.M.,London School of Hygiene and Tropical Medicine | Griffiths U.K.,London School of Hygiene and Tropical Medicine | Blanchet K.,London School of Hygiene and Tropical Medicine | Schmidt E.,Sightsavers
BMC Health Services Research | Year: 2014

Background: VISION 2020 is a global initiative launched in 1999 to eliminate avoidable blindness by 2020. The objective of this study was to undertake a situation analysis of the Zambian eye health system and assess VISION 2020 process indicators on human resources, equipment and infrastructure. Methods. All eye health care providers were surveyed to determine location, financing sources, human resources and equipment. Key informants were interviewed regarding levels of service provision, management and leadership in the sector. Policy papers were reviewed. A health system dynamics framework was used to analyse findings. Results: During 2011, 74 facilities provided eye care in Zambia; 39% were public, 37% private for-profit and 24% owned by Non-Governmental Organizations. Private facilities were solely located in major cities. A total of 191 people worked in eye care; 18 of these were ophthalmologists and eight cataract surgeons, equivalent to 0.34 and 0.15 per 250,000 population, respectively. VISION 2020 targets for inpatient beds and surgical theatres were met in six out of nine provinces, but human resources and spectacles manufacturing workshops were below target in every province. Inequalities in service provision between urban and rural areas were substantial. Conclusion: Shortage and maldistribution of human resources, lack of routine monitoring and inadequate financing mechanisms are the root causes of underperformance in the Zambian eye health system, which hinder the ability to achieve the VISION 2020 goals. We recommend that all VISION 2020 process indicators are evaluated simultaneously as these are not individually useful for monitoring progress. © 2014 Bozzani et al.; licensee BioMed Central Ltd.


Blanchet K.,London School of Hygiene and Tropical Medicine | Gordon I.,London School of Hygiene and Tropical Medicine | Gilbert C.E.,London School of Hygiene and Tropical Medicine | Wormald R.,London School of Hygiene and Tropical Medicine | Awan H.,Sightsavers
Ophthalmic Epidemiology | Year: 2012

Purpose: Since the Declaration of Alma Ata, universal coverage has been at the heart of international health. The purpose of this study was to review the evidence on factors and interventions which are effective in promoting coverage and access to cataract and other health services, focusing on developing countries. Methods: A thorough literature search for systematic reviews was conducted. Information resources searched were Medline, The Cochrane Library and the Health System Evidence database. Medline was searched from January 1950 to June 2010. The Cochrane Library search consisted of identifying all systematic reviews produced by the Cochrane Eyes and Vision Group and the Cochrane Effective Practice and Organisation of Care. These reviews were assessed for potential inclusion in the review. The Health Systems Evidence database hosted by MacMaster University was searched to identify overviews of systematic reviews. Results: No reviews met the inclusion criteria for cataract surgery. The literature search on other health sectors identified 23 systematic reviews providing robust evidence on the main factors facilitating universal coverage. The main enabling factors influencing access to services in developing countries were peer education, the deployment of staff to rural areas, task shifting, integration of services, supervision of health staff, eliminating user fees and scaling up of health insurance schemes. Conclusion: There are significant research gaps in eye care. There is a pressing need for further high quality primary research on health systems-related factors to understand how the delivery of eye care services and health systems' capacities are interrelated. © 2012 Informa Healthcare USA, Inc.


Waite R.C.,WaterAid | Velleman Y.,WaterAid | Woods G.,SightSavers | Chitty A.,London School of Hygiene and Tropical Medicine | Freeman M.C.,Emory University
International Health | Year: 2015

A WHO roadmap to control, eliminate and eradicate neglected tropical diseases (NTDs) proposes a public health approach integrating diverse prevention and treatment interventions. Water, sanitation and hygiene (WASH) has long been a recognized, yet under-prioritized intervention of global disease control efforts. Through collaboration with the WASH sector, efforts have been made to integrate WASH in NTD control. This article reviews progress made in recent years, explores mechanisms supporting advances, and identifies priorities and next steps for accelerating WASH integration. This paper reveals advances in collaboration between WASH and NTD sectors, resulting in progress made across areas of programming; research; advocacy and policy; training and capacity building; and mapping, data collection and monitoring. Face to face meetings between WASH and NTD sector experts with a clear purpose of informing wider sector discussions, and the development of actionable joint workplans, have been particularly critical in supporting progress. Priority next steps include building capacity for WASH programming among NTD control teams, coordination at the country level, and strengthening the epidemiological evidence and operational learning for joint WASH and NTD interventions. In order to accelerate WASH integration in NTD control through strong collaborations with the WASH sector, the NTD sector could make use of strong data management skills and advocacy opportunities. © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved.


Keating J.,Tulane University | Yukich J.O.,Tulane University | Sutherland C.S.,Swiss Tropical and Public Health Institute | Sutherland C.S.,University of Basel | And 4 more authors.
Acta Tropica | Year: 2015

The control and eventual elimination of human African trypanosomiasis (HAT) requires the expansion of current control and surveillance activities. A systematic review of the published literature on the costs of HAT prevention, treatment, and control, in addition to the economic burden, was conducted. All studies that contained primary or secondary data on costs of prevention, treatment and control were considered, resulting in the inclusion of 42 papers. The geographically focal nature of the disease and a lack of standardization in the cost data limit the usefulness of the available information for making generalizations across diverse settings. More recent information on the costs of treatment and control interventions for HAT is needed to provide accurate information for analyses and planning. The cost information contained herein can be used to inform rational decision making in control and elimination programs, and to assess potential synergies with existing vector-borne disease control programs, but programs would benefit significantly from new cost data collection. © 2015 Elsevier B.V.


Tekle A.H.,African Programme for Onchocerciasis Control | Elhassan E.,SightSavers Regional Office for Africa | Isiyaku S.,Sightsavers Nigeria Country Office | Amazigo U.V.,No. 8 Somto Anugwom Close. Ekulu West | And 5 more authors.
Parasites and Vectors | Year: 2012

Background. Onchocerciasis can be effectively controlled as a public health problem by annual mass drug administration of ivermectin, but it was not known if ivermectin treatment in the long term would be able to achieve elimination of onchocerciasis infection and interruption of transmission in endemic areas in Africa. A recent study in Mali and Senegal has provided the first evidence of elimination after 15-17 years of treatment. Following this finding, the African Programme for Onchocerciasis Control (APOC) has started a systematic evaluation of the long-term impact of ivermectin treatment projects and the feasibility of elimination in APOC supported countries. This paper reports the first results for two onchocerciasis foci in Kaduna, Nigeria. Methods. In 2008, an epidemiological evaluation using skin snip parasitological diagnostic method was carried out in two onchocerciasis foci, in Birnin Gwari Local Government Area (LGA), and in the Kauru and Lere LGAs of Kaduna State, Nigeria. The survey was undertaken in 26 villages and examined 3,703 people above the age of one year. The result was compared with the baseline survey undertaken in 1987. Results. The communities had received 15 to 17 years of ivermectin treatment with more than 75% reported coverage. For each surveyed community, comparable baseline data were available. Before treatment, the community prevalence of O. volvulus microfilaria in the skin ranged from 23.1% to 84.9%, with a median prevalence of 52.0%. After 15 to 17 years of treatment, the prevalence had fallen to 0% in all communities and all 3,703 examined individuals were skin snip negative. Conclusions. The results of the surveys confirm the finding in Senegal and Mali that ivermectin treatment alone can eliminate onchocerciasis infection and probably disease transmission in endemic foci in Africa. It is the first of such evidence for the APOC operational area. © 2012 Tekle et al; licensee BioMed Central Ltd.


PubMed | Sightsavers and London School of Hygiene and Tropical Medicine
Type: | Journal: The British journal of ophthalmology | Year: 2016

Despite high-quality evidence being essential for planning and delivering eye health programmes, evidence on what works is relatively scarce. To address this need, we developed eye health Evidence Gap Maps (EGMs) with the first one focusing on cataract. These maps summarise, critically appraise and present evidence in a user-friendly format. This paper presents experiences of developing the cataract gap map and discusses the challenges and benefits of the process.Following a comprehensive search of relevant databases, we sifted and extracted data from all relevant reviews on cataract. Critical appraisal was conducted by two reviewers independently using Supported the Use of Research Evidence checklist and a summary quality assessment was shared with the authors for comments.A total of 52 reviews were included in the map. The majority of the reviews addressed quality of clinical care (20) and types of treatment (18). Overall, 30 reviews provided strong evidence in response to the research question, 14 reviews showed weak or no evidence and in 14 reviews the results were inconclusive. 14 reviews were regarded as high quality, 12 were medium quality and 26 were graded as low quality. To verify the validity of the Supporting the Use for Research Evidence (SURE) checklist, studies were also appraised using the Scottish Intercollegiate Guidelines Network (SIGN) tool. Based on the statistics test, results showed excellent agreement between the two checklists (K=0.79).EGMs support policy makers and programme managers to make informed decisions and enable researchers to prioritise future work based on the most evident gaps on knowledge.


News Article | December 5, 2016
Site: www.businesswire.com

TORONTO--(BUSINESS WIRE)--Zafin, a leading financial technology company serving financial institutions of all sizes, is pleased to announce that Chris De Bruin has joined the firm’s Executive Leadership Team as President, Digital Platform. Chris’s arrival follows a distinguished career with over 18 years of international experience in retail banking and strategy. Most recently, he served as Global Head of Retail Products and Digital at Standard Chartered, where he had oversight of all retail product businesses across 32 countries, as well as all related technology platforms and digital platforms. He was the key architect and executive sponsor of Standard Chartered’s award-winning digital transformation program across 18 countries. The program helped Standard Chartered increase online sales volumes, increase staff productivity and reduce costs. The quality of innovation under Chris’s leadership has been widely recognized, with Standard Chartered winning numerous awards, including Global Finance’s Best Global Consumer Digital Bank for six consecutive years and a Celent Model Bank award for Omnichannel Banking in 2016. Previously, de Bruin spent 13 years in senior roles at Standard Chartered across Consumer Banking, Private Banking and Wealth Management throughout Singapore, Korea and Dubai. Prior to joining Standard Chartered, he spent five years with McKinsey as a strategy consultant and co-founded 20twenty Financial Services, a fully online digital bank in South Africa that was acquired by Standard Chartered in 2003. Based in Zafin’s Toronto office, Chris will be responsible for technology and engineering, Zafin’s digital applications, the development of an application ecosystem and investment in new technologies. “I’m joining Zafin at a very exciting time in its history,” said de Bruin. “I look forward to driving Zafin’s evolution to a fully digital platform. Unlocking the potential of a complete digital banking ecosystem will deliver tremendous value for our clients.” Outside of his professional life, de Bruin also is an avid triathlon enthusiast and actively raises funds for charities committed to eradicating preventable blindness. Together with his teams, he has raised more than $1.5 million in donations for Dr. Shroff’s Charity Eye Hospital, Helen Keller International, Orbis, Sightsavers and the Community Chest of Korea. "I am delighted that Chris has made the decision to join the company," said Al Karim Somji, Founder and Group CEO, Zafin." Chris will be a game changer for the company, and will help open up various options and opportunities in the world of Fintech with his proven track record as an innovator and execution expert in digital banking across diverse geographies." As a leading financial technology provider, Zafin’s mission is to make banking better for both the customer and the bank. Our award-winning platform, miRevenue, helps banks deepen customer relationships by uniting common customer, product, pricing and billing functions in one integrated solution. Today, financial institutions of all sizes use miRevenue to increase revenue, enhance operational efficiency, streamline regulatory compliance and enable a connected digital banking ecosystem. Each year, our clients trust miRevenue to process billions of transactions for hundreds of millions of their customers across retail banking, cash management, wealth management and custody services. As a proud Canadian company, Zafin’s 100 percent retention rate underscores our proven track record as a trusted partner for our clients. For more information, please visit www.zafin.com.


News Article | December 6, 2016
Site: www.theguardian.com

Priti Patel has made a strong commitment to disability rights in her role as secretary of state for international development, firmly stating that UK aid will improve lives for disabled people in developing countries. Disability should be entwined in “every single aspect of what we do in the development space as the United Kingdom”, she said in an announcement yesterday. When she first looked at the disability figures, after taking up the ministerial role five months ago, Patel said she found them “staggering”. There are one billion disabled people in the world, 80% of them in developing countries. In a speech marking the International Day of Persons with Disabilities, Patel stated that the department’s current disability framework “does not go far enough”. “Children with disabilities around the world are totally excluded from going to school. Children around the world with disabilities are four times more prone to violence. That is just appalling. And we can do something about that.” Patel wants the UK Department for International Development (DfID) to lead the world on this issue. “Where we go, others will follow,” she said, adding that the DfID will “do the heavy lifting”. She wants the department to collect more data, gather evidence for effective programmes and involve disabled people more to achieve this. NGO staff in the UK working in disability and development were surprised and impressed by her comments. Tim Wainwright, chief executive of ADD International, an NGO supporting disabled people living in poverty in Africa and Asia, said he was “absolutely delighted”. He said disability is a neglected area of development that is 20 years behind other areas, and thinks it’s the first time there has been such senior commitment to disability in development, not only in the UK, but worldwide. “Because DfID is a global leader, many others will be influenced by what they say.” Patel said she wanted to make sure “that disabilities are addressed both systematically and consistency through all our development objectives”. Wainwright was impressed by the commitment not only to designated disability programmes but the integration of disability inclusion into all of the DfID’s work. Hannah Loryman, senior policy officer at disability charity CBM UK, said that Patel’s speech, along with support for disability in the recently published aid reviews, could have “a huge impact”. “At the moment there’s so little funding for disability that there’s so many areas where it would be really helpful,” said Loryman. “It was good to hear her commit to education, because education is key for getting people into work and for combatting stigma.” Dominic Haslam, director of policy and programme strategy at Sightsavers, an international disability charity, said the secretary of state’s commitment represents “a monumental leap”. He added: “As well as challenging itself, DfID will be challenging others to step up and change the lives of 800 million people living with disabilities in developing countries.” Patel’s commitment reinforces the sustainable development goal (SDG) promise to “leave no one behind”. Anthony Ford-Shubrook, UN young leader and youth ambassador for AbleChildAfrica, welcomed this: “For the first time ever, disabled people were included in the goals which is a momentous step forward. I hope we can all work towards making the SDGs happen. But the clock is already ticking, so let’s get to work and ensure that no one is left behind.” As well as more inclusive education, Patel voiced a commitment to giving more support to people in the refugee crisis affected by disability. “Unicef estimate that for every child who dies in conflict, three acquire a permanent disability,” she said. “So that is the scale of the challenge. This is incredibly hard and it’s difficult. But you know what? It means we have the opportunity to step up to really start to address it.” Earlier this year, when she was employment minister, Patel pushed through a bill in the House of Lords that will affect disabled people in the UK by cutting employment and support allowance. Despite concern in the development sector at Patel’s appointment after she said she plans to overhaul aid based on “core Tory values”, Wainwright is encouraged by her commitment to disability. “I judge people by their actions,” he said. “There’s a lot of things being said about Priti Patel but I think what matters is what she does in the role. And in terms of the area that I know, she’s saying all the right things.” Join our community of development professionals and humanitarians. Follow @GuardianGDP on Twitter. Join the conversation with the hashtag #Dev2030.


News Article | December 22, 2016
Site: www.theguardian.com

Vast amounts of plastic clog the seas and beaches of Lamu. With support from Mike and his team, who work all hours of the day and night in some of the most remote and risky parts of Kenya, a women’s enterprise has been established to collect the plastic and turn it into trinkets, crafts and art pieces to sell. Mike and his team also support several microfinance village savings and loans associations (VSLAs), enabling people in the community to access financial credit by pooling their resources. I met Mike when he was training young people in monitoring marine turtle nesting. One young man told me he wanted to grow up to be like Mike – a sentiment I heard repeated by young people across the community. Nominated by Alexis Barnett Edith oversees Sightsavers’ Connecting the Dots project, which trains young Ugandans with disabilities and places them in internships and jobs. “It’s so much more than a job for her. Edith doesn’t just ensure their practical wellbeing or ability to earn a living; she works to build up the confidence that so many other people have knocked out of them,” says Kate McCoy, who nominated her. Edith works tirelessly to ensure they know their potential, stresses that they have as much to offer as anyone else, and empowers them to stand up – not just for themselves but for all people with disabilities. After the 2001 economic crisis left 50% of the Argentinean population living in poverty, Mario started a social movement to kick poverty’s ass. He created the El Desafío Foundation and developed a theory of change focusing on two areas: youth development and stimulating civic participation. He created an urban innovation lab for actions in public space, including free, public mini libraries in the city, urban art and a Happy Cities Festival. He took personal risks to do this; taking a second mortgage on his home and quitting a comfortable job at Nike. “Mario has inspired thousands, changed the lives of hundreds of children and given hope to people in a country that is desperately looking for honest leaders,” says Jorn Wemmenhove, who nominated him. “He is a true changemaker and gamechanger. His innovative ideas are making a revolution on how social work should be done and how to approach real solutions to poverty.” Alin has worked tirelessly to promote the human rights of his community in south central Somalia for more than two decades. He founded Isha Human Rights Group in Baidoa in 1999, where warlords were committing serious human rights violations against local clans. In 2009, when al-Shabaab took control of areas where Isha Human Rights Group operated, the group continued to be a vocal and visible figure in the community. Hilowle was arrested and tortured by al-Shabaab, but managed to escape the country with the help of other human rights defenders in his community. He now lives in exile in Sweden but still continues to support and defend his community. Nominated by Linnea Gelot Bassam Hawas Quru was one of many Yazidis forced to flee their homeland before the Islamic State-led genocide in Iraq in 2014. Finding himself in a refugee camp, Quru decided to use his experiences to help others. He joined the International Medical Corps as a community health worker and helped thousands gain access to medical supplies, despite considerable personal risk. “In the remotest areas, where children have no access to vital vaccinations, Bassam organises trips to local towns where they are available,” says Larissa Schneider who nominated him. “He has worked in Kapartu camp, supporting a 28,000-strong population, leading health promotion services and working to address psychological scars from the conflict. Not only have disease outbreaks decreased, but health and hygiene practices among residents have leapt forward meaning that many more can avoid succumbing to common diseases.” In the past year, Ruth has provided counselling to hundreds of people who have passed through the hospitalAnandaban Hospital in Nepal. This includes people who have experienced anxiety and depression due to being excluded or discriminated against because of leprosy; some have even been disowned by their families. “Ruth is a humble lady with a huge heart and has spent her life supporting the mental health of those most in need,” says GuardianWitness user SianTLM, who nominated her. “Many have said that Ruth’s care and compassion has helped to rebuild their sense of dignity and self-esteem.” Robert travels many miles every day, crossing rough terrain to support the newest generation of HIV/Aids orphans in Uganda. He visits families to offer them emotional support and teach them about basic sanitation and hygiene, farming and household management – life skills they haven’t been able to learn from their parents. “Young people look to Robert for guidance and they often come to see him as part of the family. Many of them call him ‘uncle’,” says Azita Shamsolahi, who nominated Tamuzade. Noelene Nabulivou wears many hats. She advocates for action on climate change, sustainable development, and gender equality – and she has an amazing ability to link all the work she does. She founded the Diverse Voices and Action for Equality, which has emerged from a grassroots collection of advocates to a respected and well-regarded NGO. The organisation focuses on climate justice, violence against women, human rights and LGBTQI rights – creating a space in a devout country where young people can express themselves and their sexuality. Noelene represents her community, specifically women, to ensure that the voices of the Pacific are heard locally and globally. Nominated by Marita Manley Hongthong Sirivath works in Laos to educate local people on their land and legal rights. “Hongthong always impresses me with his optimism and energy,” says Justine Sylvester. “Since he was a teenager, he has worked to improve the lives of rural people in Laos. He is an expert in so many areas and he inspires everyone to stay positive and keep focused when things are tough. Hongthong is one of the busiest people I’ve ever met, yet he always has an aura of calm, a ready smile and a kind word.” As a first responder and mentor, Mauricio plays an instrumental role at the Honduran Red Cross, but his unwavering dedication to migrant human rights has made a major impact within his community. “Mauricio was part of the initial efforts to address the humanitarian needs of migrants being deported from Mexico back to Honduras,” says Kari Williams, who nominated Mauricio. “For more than three years, he led the migrant reception centre in Corinto, a town along the Honduras-Guatemala border, with a dedicated team of volunteers and limited resources. His leadership, advocacy, and dedication helped to lead the way for a new Honduran Migrant Reception Centre, which continues to provide much needed services to Hondurans being deported back from Mexico daily.” Máxima Acuña has become one of the leading voices in Peru’s anti-mining movement: speaking for the thousands of Peruvians affected by projects destroying their land and water supplies. Máxima has bravely stood her ground against the second biggest gold mining company in the world, Newmont, which sought to drain the pristine Lake Azul (near her 18-acre farm) and turn it into a waste pit for mine by-products. The lake is one of the only freshwater sources for the local community, and Máxima often risks her own wellbeing while standing up for the right to live on her own land. Nominated by GoldmanPrize via GuardianWitness Grace Makonyola was a dedicated volunteer for years before becoming Maternity Worldwide’s Malawi regional director. Working with a small local team, Grace has established women’s groups in 80 villages to provide maternal and newborn healthcare information. She has facilitated income generation programmes to empower women to become financially-independent, and trained skilled birth attendants to safely deliver babies. Nominated by Kirsty Erridge When international aid failed to provide countless Yemenis with their basic need, two friends decided to take action. Fatik Abdullah al-Rodaini, a Yemeni journalist in Sana’a, and Riaz Karim, a humanitarian in London, founded the Mona Relief Organisation, a grassroots charity for humanitarian relief and development aid. The Mona Relief Organisation is committed to offering critical aid to the poorest and and most vulnerable people in Yemen, and since its conception, has fed more than 7 million people in the country. Nominated by Alkarim Haji via GuardianWitness Esther Nyambu works to give women and girls in Niger, Burundi and Nigeria access to lifesaving health services. She recently spearheaded the IRC’s reproductive health response, enabling more than 20,000 women to access reproductive health services in Borno State, Nigeria. Esther also helped to open the only health care facility in Bakassi IDP camp, focusing on women who were pregnant or had experienced complications due to mismanaged deliveries. “Esther has tirelessly served, sacrificed and spoken out on behalf of the needs of women and families affected by crisis,” says Rita Nehme, policy and practice officer at IRC. “She has demonstrated extraordinary courage, working in some of the world’s most difficult environments. Her career is a reminder of our collective responsibility to ensure reproductive health services are available in crises, and of the immense potential and impact we stand to make when we live up to it.” Nominated by Rita Nehme Driven by the piles of refuse washing ashore Versova beach each day, lawyer Afroz Shah founded Versova Resident Volunteers, the biggest beach clean-up initiative in the world. Since its conception in October 2015, the group has been recognised by United Nations Environment Programme’s executive director, Erik Solheim, who visited the site on the first anniversary of the clean up. “On any given weekend, between 20 and 40 volunteers scavenge for garbage, joined by around eight municipality workers,” says GuardianWitness user cruisechelsea who nominated Afroz. “Together they pick up, on average, three tonnes of garbage in two hours each Saturday and Sunday. During the week, the unforgiving tide brings more.” Is there someone you’d like to recognise as an NGO hero? Why not tell us about them in the comments. Join our community of development professionals and humanitarians. Follow @GuardianGDP on Twitter.


LOS ANGELES--(BUSINESS WIRE)--The board of directors of the Conrad N. Hilton Foundation announced today that it approved 27 grants totaling $35.7 million during the fourth quarter of 2016, which brings the amount of grants awarded for 2016 to more than $111 million, which surpasses the amount of grants awarded in 2015. The Foundation also approved a new strategic approach for the Hilton Foundation’s Children Affected by HIV and AIDS program area, which will officially commence on January 1, 2017. Over the past year, the Foundation has been working to reflect on lessons learned together with partners and stakeholders in order to make modifications to its grantmaking strategy for the Children Affected by HIV and AIDS Strategic Initiative. The Sustainable Development Goals (SDGs) were used as a guiding framework and determined how best to contribute the Foundation’s relatively limited philanthropic dollars to this ambitious call to action. Over the next five years, the Foundation’s Young Children Affected by HIV and AIDS program area will field test approaches to delivering effective, quality programming that has the potential to improve developmental outcomes for young children (0-5 years) affected by HIV and AIDS in Kenya, Malawi, Mozambique, Tanzania and Zambia. The objectives will be to: “We are pleased to end the year with an announcement of $35.7 million in funds to organizations all over the world,” said Peter Laugharn, president and CEO of the Hilton Foundation. “We are confident that the new strategy for our Children Affected by HIV and AIDS program area will strengthen the work of our partners with the ultimate goal of improving developmental outcomes for all young children affected by HIV and AIDS in five key countries in Eastern and Southern Africa.” Grants in the fourth quarter of 2016 were awarded to a total of 27 organizations spanning across the Hilton Foundation’s priority areas, including organizations serving the most disadvantaged and vulnerable people both in the U.S. and internationally. Following is an overview of all grants awarded in the fourth quarter of 2016: Children Affected by HIV and AIDS – Aga Khan Foundation USA was awarded $1.5 million to build capacity of the early childhood development workforce in high HIV prevalence communities East and Southern Africa, while Alliance for Open Society International Inc. was awarded $500,000 to support the Global Partnership for Education's efforts to establish the Better Early Learning and Development at Scale Initiative. Finally, Catholic Relief Services was given a grant in the amount of $400,000 for planning a phase two program to strengthen the ability of Catholic Sisters to meet the developmental needs of children affected by HIV and AIDS. Safe Water – $3 million was awarded to Water for People to implement the model of Everyone Forever for sustainable water services in Kamwenge District of Uganda. $1 million was granted to IRC International Water and Sanitation Centre to create the foundation for an ambitious learning and collective action initiative that will catalyze development of SDG 6 in Burkina Faso, Niger and Uganda. Stanford University received a grant in the amount of $435,000 to facilitate the design of a monitoring, evaluation, and learning framework and theory of change for the Foundation's Safe Water strategy. Finally, Water.org will receive $200,000 to build the foundation necessary to implement a WaterCredit model in Ghana. Avoidable Blindness – Three grants were awarded to organizations working towards elimination of trachoma as a public health problem in Mali and Niger. The Carter Center was granted $5.1 million, and $5.975 million was awarded to Helen Keller International for this effort. Sightsavers, Inc. was awarded $650,000 to contribute to the elimination of trachoma in Mali. Foster Youth – The John Burton Foundation received $600,000 to strengthen the high school to college transition process for foster youth in Los Angeles County. Additionally, the National Center for Youth Law was granted $1.6 million to support the development of a collective impact campaign that will increase access to reproductive and sexual health care, and information to significantly reduce the number of unwanted pregnancies among foster youth in Los Angeles County. Finally, $1 million was awarded to the New York Foundling for educational support for foster youth from eighth grade through college through the Road to Success Program. Homelessness – Brilliant Corners received a grant in the amount of $1.2 million to support capacity-building and strategic planning to ensure the continued expansion and implementation of Los Angeles County's Flexible Housing Subsidy Pool. Corporation for Supportive Housing was awarded $3 million to invest in the Just In Reach Pay For Success program, a partnership with the Los Angeles County Health Agency to connect frequent users of the homeless system and Los Angeles County Jail with permanent supportive housing. $300,000 was awarded to Housing California to support the development of a coordinated, cross-sector policy effort aimed at increasing state funding for permanent supportive housing for chronically homeless individuals in California. Substance Use Prevention – School-Based Health Alliance was awarded $1 million to support a second phase of work to implement youth Screening, Brief Intervention and Referral to Treatment (SBIRT) in school-based health clinics. The Addiction Medicine Foundation received a grant in the amount of $1 million to continue efforts to increase the number of physicians trained in prevention and early intervention and addiction medicine. Multiple Sclerosis – The University of California, San Francisco received a grant in the amount of $900,000 to continue development of the Bioscreen, a precision medicine disease management tool for those with Multiple Sclerosis. Catholic Sisters – The Catholic Volunteer Network was awarded $1.7 million to expand the work of the organization’s From Service to Sisterhood initiative, a program that connects congregations of sisters with lay-women volunteers. $780,000 was granted to Leadership Conference of Women Religious to provide support for the expansion of the Leadership Pathways program to include a focus on the dramatic transitions and transformations that are facing religious life today. A grant in the amount of $500,000 was awarded to the Conrad N. Hilton Fund for Sisters to establish a special fund within the Conrad N. Hilton Fund for Sisters to augment its support of canonical leadership conferences globally. Saint Leo University was granted $420,000 to develop and pilot an online certificate-granting program for SLDI alumnae and other Catholic sisters in Africa. Finally, Catholic Theological Union at Chicago was granted $360,000 to support the development and implementation of a 30-month curriculum designed to prepare and accompany of core team from 25 religious communities to serve as the catalyst and resource to guide their communities through practices around interculturality. Catholic Education – The Catholic Education Foundation was granted $1 million to support tuition assistance for low-income students attending Catholic schools within the Archdiocese of Los Angeles. Finally, a grant in the amount of $900,000 was awarded to Casa Pacifica Centers for Children & Families to support the Building New Foundations of Hope capital campaign, and Wild Salmon Center was granted $700,000 to support the North Pacific Salmon Stronghold Initiative ($500,000) and to provide general operating support ($200,000). For more detailed information on our grantmaking, please visit hiltonfoundation.org/grants. The Conrad N. Hilton Foundation was created in 1944 by international business pioneer Conrad N. Hilton, who founded Hilton Hotels and left his fortune to help the world’s disadvantaged and vulnerable people. The Foundation currently conducts strategic initiatives in six priority areas: providing safe water, ending chronic homelessness, preventing substance use, helping children affected by HIV and AIDS, supporting transition-age youth in foster care, and extending Conrad Hilton’s support for the work of Catholic Sisters. In addition, following selection by an independent international jury, the Foundation annually awards the $2 million Conrad N. Hilton Humanitarian Prize to a nonprofit organization doing extraordinary work to reduce human suffering. In 2016, the Humanitarian Prize was awarded to The Task Force for Global Health, an international, nonprofit organization that works to improve health of people most in need, primarily in developing countries. From its inception, the Foundation has awarded more than $1.4 billion in grants, distributing $107 million in the U.S. and around the world in 2015. The Foundation’s current assets are approximately $2.5 billion. For more information, please visit www.hiltonfoundation.org.

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