Global Health

IntraHealth Combination

In 2024, Global Communities combined with IntraHealth International, a longtime pioneer in solving global health challenges by focusing on health systems and the people who power them— health workers.

Our combined capabilities make us a partner of choice for countries who want to strengthen their everyday health offerings, make their health systems more resilient, and use data-based approaches to lead their own healthy futures.

About IntraHealth International

IntraHealth's Story

IntraHealth was born in 1979 as Intrah, the Program for International Training in Health, at the University of North Carolina at Chapel Hill School of Medicine. From the beginning, its focus was on health workers and their role in enhancing the health and well-being of women, families, and communities. IntraHealth incorporated as an independent nonprofit organization in 2003. Over 45 years, IntraHealth has worked in more than 100 countries, applying cutting-edge approaches in health workforce development, education and performance, and digital health to strengthen local capacity to achieve measurable improvements in maternal, newborn, and child health; HIV/AIDS; family planning and reproductive health; and other priority areas.

Current Projects

Scenes of FP counseling session taken at Clinique ABBEF.

INSPiRE Women’s & Newborn Health in West Africa

With funding from the Bill & Melinda Gates Foundation, IntraHealth developed a cost-effective model for integrating essential services for mothers, infants, and young children that is being implemented in 14,500+ health facilities in Francophone West Africa, with $30 million mobilized by countries from government and partner contributions to support scale-up.  The integration model gives women access to a comprehensive package of services during a single visit to the health facility, whether their entry point is for antenatal care during pregnancy, delivery services, postpartum care after delivery, or a return visit with a child. The services include essential maternal and infant care, nutrition, immunizations, and postpartum family planning for women who want to avoid an unintended pregnancy or one that is too closely spaced. Providing all of these services in one visit avoids missed opportunities, especially for women who live in rural and remote areas and must travel long distances to reach a health facility.

Countries: Burkina Faso, Côte d’Ivoire, Guinea, Mali, Mauritania, Niger, Senegal, Togo

The Challenge Initiative (TCI)

Since 2016, the global TCI program has been implemented in Francophone West Africa by IntraHealth, which serves as the regional hub. Funded by the Bill & Melinda Gates Foundation and Bayer AG, TCI is expanding access to high-quality family planning services in low-income urban areas across the region. The hub partners with local governments in 29 cities to rapidly expand a core package of proven, high-impact interventions to achieve healthier cities while also working to strengthen political and technical leadership and the management and coordination of local health systems. Cities self-select into the program through a competitive process and contribute their own resources to implement activities. Through this approach, the number of additional contraceptive users rose from 66,225 in the first phase (2016–2020) to 326,814 during the NextGen phase (as of July 2025). Over the same period, the project mobilized $1.2 million from municipalities to sustain and scale-up activities.

Countries: Benin, Burkina Faso, Côte d’Ivoire, Niger, Senegal, Togo

Scenes from a youth center offering FP services and education in Dangbo
IH-C2C-Mali

Classroom to Care (C2C)

The C2C project's investments lay the foundation for a more resilient health workforce, ready to meet maternal and newborn health challenges in underserved communities across Mali, Niger, and Senegal. With funding from Takeda Pharmaceutical Company, C2C supports 12 private health training institutions in the three countries to implement a competency-based approach that considers population and student needs and to establish effective partnerships with the public sector. The project is also helping the schools establish up-to-date skills labs and clinical practicum sites and develop eLearning platforms for access to educational resources and self-training. At the end of the project’s third year, 7,046 nursing and midwifery students—74% of whom are women—are benefitting from updated curricula adapted to local clinical practice.

Countries: Mali, Niger, Senegal

Care4CVD

Through Care4CVD, funded by Sanofi, IntraHealth is improving access to quality prevention, care, and treatment of cardiovascular diseases (CVDs) in Togo, focusing on the cities of Lomé and Sokodé. Recognizing the significant burden of hypertension (30%) and diabetes (5%) in Togo (World Health Organization STEPS survey, 2021), the project is working to:

  • Strengthen health workforce capacity by training 500+ doctors and nurses on management of hypertension and diabetes and equipping them with data-driven decision-making skills
  • Empower community health workers by building their capacity to identify and manage cardiovascular risk factors
  • Expand early detection and diagnosis by reaching community members with prevention messages, decentralizing screening, and facilitating timely referrals to health facilities.

Countries: Togo

Client Malemi Njile Igombe with health worker Amina Mang, Client Malemi Njile Igombe with health worker Amina Mang
Sudan, May 2009. ARV distribution office at the Nimule Hospital where Intrahealth works in conjunctions with Merlin.

Advancing HIV & AIDS Epidemic Control (AHEC)

AHEC provides life-saving HIV/AIDS prevention, care, and treatment services in 16 health facilities in South Sudan through funding from the US Department of State in collaboration with the Ministry of Health, the US President’s Emergency Plan for AIDS Relief (PEPFAR), and other stakeholders. Activities focus on HIV case identification, linkage to care, adherence to antiretroviral therapy (ART) to achieve viral suppression, and prevention of mother-to-child transmission of HIV. Over the past five years, over 520,000 South Sudanese have been tested for HIV through AHEC and received their results. The program supports more than 17,600 people living with HIV to receive ART, with 88% maintaining viral suppression. Over 140,000 pregnant women have learned their HIV status during- antenatal care. To sustain these gains, AHEC also works with partners to strengthen the supply chain for HIV-related commodities and improve data management.

Countries: South Sudan

Digitalizing Community Health Worker (CHW) Payments Program

With funding from the Bill & Melinda Gates Foundation, IntraHealth and the Government of Tanzania collaborated to design, test, and roll out a scalable, user-centered, unified digital payment system for government contract workers, starting with CHWs. This initiative builds on existing digital public infrastructure and supports the Tanzania Ministry of Health’s Integrated and Coordinated Community Health Worker program, which intends to recruit, train, and deploy over 137,000 health workers across the country by 2028. IntraHealth is working closely with the government to support CHW registration, tracking, and digital payments in 12 regions, including monitoring CHWs’ onboarding to mobile money platforms or formal banking systems to receive their monthly stipends and other inclusive financial services. By enabling reliable and timely payments for CHWs, the program aims to improve retention and incentivize high-quality care.

Countries: Tanzania

CAPTION
20180517
DACC Dr. Faustine Nkinga District aids control coordinator Ukerewe
RMO Joshua Stephen Monge

Regional Referral Hospital VMMC Clinic
Flora Kyenche, nurse didn't interview. Grey jacket over white dress, counseling session
Imelda V. Ngonyani, 37, cropped hair and brown dress, inside the room. Provides VMMC. Few people get info at the hospital so their should be signs about it and psa. Times like this when school is in it's slower. Many adults don't come because they are shy.
Two clients: 

---Charles Fita (green plaid shirt) The procedure went well not much pain. 3 daughters. 10 year old boy circumcised 3 years ago. Wife doesn't know but thinks she'll accept it. Other men on his parents' island are circumcised when they bathe. I know I have to wait 6 weeks but I sleep with my wife how can I resist.

---Emanueli Ayob Samweli, 19, Obama t-shirt. Heard about PSA. But parents encouraged to come. Haven't had a sexual partner yet but thinks it will protect me from HIV and other

Nancy Nyangere Kedhahabi (on phone Nurse with glasses) Lab coat, thick braid. Victoria D. Sitta.
Joyce K. Mbaga MC provider, black square on white blouse.

Background: IntraHealth is working in Tanzania, bringing a CDC program that helps promote young men to become circumcised in an effort to bring better health care and prevent the spread of HIV. IntraHealth Namuh Media. Photos by Josh Estey.

Special Initiatives

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iHRIS

IntraHealth's free, open source software helps countries around the world track and manage their health workforce data to improve access to services. Countries use iHRIS to capture and maintain high-quality information for health workforce planning, management, regulation, and training. iHRIS is built on a flexible framework that allows ministries of health, professional councils, and health service delivery organizations to adapt applications for a wide variety of uses. Developed in collaboration with national stakeholders beginning in 2005, with support from the US Agency for International Development (USAID), iHRIS was being used in 28 countries as of 2023. The iHRIS website offers resources for those exploring or using the software, including a demo application and an implementation toolkit.

11 May 2018.On the remote Island of Ukerewe on Lake Victoria, IntraHealth is working with local government counter parts to bring VMMC programs to the men of the community, helping to reduce the spread of HIV and improve over all health. .In the village of Namainda Itibi the local satellite health clinic is hosting IntraHealth’s four-week campaign. There we met with folks, did interviews and photographed some you people undergoing the process

.Husband and Wife -.Godfrey Musibha, 47, recently underwent VMMC after hearing about through a PSA. (at their home).“I knew I was HIV positive before I got the VMMC service
When I found out I was HIV positive I wanted to keep my wife HIV free
I am now a Lay Councilor for CDC and a village leader. I teach local community members about VMMC and how to use a condom properly. .Both my wife and I talk about feeling cleaner than before. .People I know loving with HIV I help train about prevention.”
Sikuwajdou Vumilia, 35, .“I met him only when he came to engage me in 2003. We have a half-acre farm .When I found out he was positive I had to accept because I would have no idea where to go
He didn’t tell me he was going to get circumcised. I was mad he didn’t tell me because why would he lie. I was happy he did it. It has had a positive impact on our sexual life. My youngest is 8 and I’ll advise her to protect herself when she grows up.”.
January, 23, fisherman
“Heard about the campaign through a PSA on the radio. .I was circumcised on March 7th.Wasn’t afraid because my mind was made up to do it
My wife had been insisting I do it
I haven’t seen her since I did it, and I haven’t told her about it because after she miscarried she went back to her families village and we haven’t met since then
My brother convinced me to do it, he said it’d help reduce disease
My three-year-old son has already been circumcised
My wife will be happy when she finds out. .She worries because I fish at night, so she thinks I might be sleeping around but I don’t. I love her after all.”
Nangale Ectina – (fisherman wearing checked wrapper)
Khadija Butemi, 21 (Woman in red hat –married couple).“I convinced my husband to get the procedure. .He got it through the campaign
He was frequently getting STI’s and passing them on to me
My husband was smelling
I convinced him because I was tired of this
I have seen changes in my sex life, and it feels better now too. .We have one daughter who is one-year-old. I want another but will wait another 5 years
I love and respect my husband so I won’t have other sexual partners. And I fear HIV.”

Jafer John, __ (Purple Adidas shirt - married couple).“We fisherman heard about the free VMMC services in March. We sat down together to decide .I enjoy sex more now. .Because what I learned about infections and HIV .I’d like to see these kinds of services scaled up and I advocate for other fisherman .I fish twice a day and I get 1500 to 3000 per fish.”.
Nanzula Jactaja, 43 (Community Health Worker).Community Sensitizer on HIV and TB.In 2003 my husband died of TB and left me with four young kids.A few years after my husbands death I learned about TB and realized he had died from it
In 2009 I was trained as a community health adviser.I am happy being a community health worker
I had TB for 6 months last year.At first my clients didn’t trust me
Now people cooperate when they understand what I am doing
At first  I cared for 11 people and now I over see 40 people, mostly are youth
I got two new clients this week and both were 18 male and female.
Experamila Paulo Nangero, 45 (Nurse).In 1994 I became a midwife, and since then I have been trained by lots of organizations
I only council on the procedures, but I assist the doctor
For the men and boys who come for VMMC the most popular age group is 10-29


Background:.IntraHealth is working in Tanzania, bringing a CDC program that helps promote young men to become circumcised in an effort to bring better health care and prevent the spread of HIV.  .IntraHealth.Namuh Media.Photos by Josh Estey., 11 May 2018.On the remote Island of Ukerewe on Lake Victoria, IntraHealth is working with local government counter parts to bring VMMC programs to the men of the community, helping to reduce the spread of HIV and improve over all health. .In the village of Namainda Itibi the local satellite health clinic is hosting IntraHealth’s four-week campaign. There we met with folks, did interviews and photographed some you people undergoing the process

.Husband and Wife -.Godfrey Musibha, 47, recently underwent VMMC after hearing about through a PSA. (at their home).“I knew I was HIV positive before I got the VMMC service
When I found out I was HIV positive I wanted to keep my wife HIV free
I am now a Lay Councilor for CDC and a village leader. I teach local community members about VMMC and how to use a condom properly. .Both my wife and I talk about feeling cleaner than before. .People I know loving with HIV I help train about prevention.”
Sikuwajdou Vumilia, 35, .“I met him only when he came to engage me in 2003. We have a half-acre farm .When I found out he was positive I had to accept because I would have no idea where to go
He didn’t tell me he was going to get circumcised. I was mad he didn’t tell me because why would he lie. I was happy he did it. It has had a positive impact on our sexual life. My youngest is 8 and I’ll advise her to protect herself when she grows up.”.
January, 23, fisherman
“Heard about the campaign through a PSA on the radio. .I was circumcised on March 7th.Wasn’t afraid because my mind was made up to do it
My wife had been insisting I do it
I haven’t seen her since I did it, and I haven’t told her about it because after she miscarried she went back to her families village and we haven’t met since then
My brother convinced me to do it, he said it’d help reduce disease
My three-year-old son has already been circumcised
My wife will be happy when she finds out. .She worries because I fish at night, so she thinks I might be sleeping around but I don’t. I love her after all.”
Nangale Ectina – (fisherman wearing checked wrapper)
Khadija Butemi, 21 (Woman in red hat –married couple).“I convinced my husband to get the procedure. .He got it through the campaign
He was frequently getting STI’s and passing them on to me
My husband was smelling
I convinced him because I was tired of this
I have seen changes in my sex life, and it feels better now too. .We have one daughter who is one-year-old. I want another but will wait another 5 years
I love and respect my husband so I won’t have other sexual partners. And I fear HIV.”

Jafer John, __ (Purple Adidas shirt - married couple).“We fisherman heard about the free VMMC services in March. We sat down together to decide .I enjoy sex more now. .Because what I learned about infections and HIV .I’d like to see these kinds of services scaled up and I advocate for other fisherman .I fish twice a day and I get 1500 to 3000 per fish.”.
Nanzula Jactaja, 43 (Community Health Worker).Community Sensitizer on HIV and TB.In 2003 my husband died of TB and left me with four young kids.A few years after my husbands death I learned about TB and realized he had died from it
In 2009 I was trained as a community health adviser.I am happy being a community health worker
I had TB for 6 months last year.At first my clients didn’t trust me
Now people cooperate when they understand what I am doing
At first  I cared for 11 people and now I over see 40 people, mostly are youth
I got two new clients this week and both were 18 male and female.
Experamila Paulo Nangero, 45 (Nurse).In 1994 I became a midwife, and since then I have been trained by lots of organizations
I only council on the procedures, but I assist the doctor
For the men and boys who come for VMMC the most popular age group is 10-29


Background:.IntraHealth is working in Tanzania, bringing a CDC program that helps promote young men to become circumcised in an effort to bring better health care and prevent the spread of HIV.  .IntraHealth.Namuh Media.Photos by Josh Estey.
fa-icons-health

iHRIS

IntraHealth's free, open source software helps countries around the world track and manage their health workforce data to improve access to services. Countries use iHRIS to capture and maintain high-quality information for health workforce planning, management, regulation, and training. iHRIS is built on a flexible framework that allows ministries of health, professional councils, and health service delivery organizations to adapt applications for a wide variety of uses. Developed in collaboration with national stakeholders beginning in 2005, with support from the US Agency for International Development (USAID), iHRIS was being used in 28 countries as of 2023. The iHRIS website offers resources for those exploring or using the software, including a demo application and an implementation toolkit.

Resources

Decentralizing Mali’s Health Workforce Information System

This technical brief presents how Mali digitized and decentralized health workforce management using iHRIS, the...

Using the Optimizing Performance and Quality Approach to Improve Human Resources for Health in Mali

IntraHealth’s Optimizing Performance and Quality (OPQ) approach is a holistic process that multiple countries have...

Developing Composite Indicators for Integrated Family Planning; Maternal, Newborn, and Child Health; and Nutrition Services

IntraHealth's INSPiRE project is designed to catalyze a model of integrated service delivery—and associated performance...

10 Years of Obstetric Fistula Care in Mali: A Case Study of Multisectoral, Holistic Treatment for Women and Girls

In Mali, obstetric fistula is a true public health problem. This report explores Mali as...

The Future of Global Health Starts Here: 7 Creative Approaches to Health Workforce Challenges

How do we come up with creative solutions to health workforce challenges? As these seven...

Strengthening School Management: A Guide for Optimizing the Use of Health Workforce Education Resources

Education institutions around the world are struggling to meet the increasing demand for more health...

Strengthening the Health Workforce for Improved Services: Results and Lessons Learned from CapacityPlus 2009-2015

CapacityPlus was a flagship USAID global project led by IntraHealth that focused on human resources...

Planning, Developing and Supporting the Health Workforce: Results and Lessons Learned from the Capacity Project, 2004-2009

The Capacity Project, led by IntraHealth, was USAID’s first global project focused on human resources...