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  TENDER NO. AMREF/09/03/2026/004 PRINTING OF MALARIA FACILITY REPORTING TOOLS

  Amref Health Africa in Kenya invites sealed bids from eligible candidates for the printing of Malaria Facility Reporting Tools in lots as listed below;

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  4. Research Papers

     Sustaining HIV gains towards the UNAIDS 95 95 95 targets amid a shifting funding landscape in Sub Saharan Africa

     Sub‑Saharan Africa has made major strides toward the UNAIDS 95‑95‑95 goals, but abrupt donor funding cuts—most notably the 2025 suspension of PEPFAR disbursements—now threaten hard‑won progress. A review of 15 studies and reports (2020–2025) shows that decreased financing is already disrupting HIV testing, ART initiation, and viral load monitoring through supply shortages, reduced outreach, and strained laboratory capacity, with projections of sharply rising infections and AIDS‑related deaths if unmitigated. The impacts are uneven, widening inequities between well‑resour

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  5. Research Papers

     The supply chain lens of the burden of antimicrobial resistance in Sub-Saharan Africa

     Antimicrobial resistance (AMR) is a critical global health challenge, with Sub-Saharan Africa (SSA) experiencing the highest mortality rates due to weak health systems, regulatory gaps, and widespread misuse of antimicrobials. While policy and clinical responses have been extensive, the role of pharmaceutical supply chains in exacerbating AMR remains underexplored. This study, using a narrative review and policy analysis, reveals that SSA’s pharmaceutical supply chains suffer from minimal local production, heavy reliance on imports, fragmented private distribution, and poor inventory ma

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  6. Research Papers

     Challenges and opportunities for greater public-private partnership for the implementation of the WHO operational framework for building climate resilient health systems to improve malaria control and elimination in Sub-Saharan Africa: a rapid review

     This rapid review identifies the challenges and opportunities for greater Public-Private Partnerships (PPPs) in implementing the WHO Operational Framework for building climate-resilient health systems to control malaria in Sub-Saharan Africa (SSA). Climate change threatens malaria gains by promoting vector breeding, requiring urgent adaptive measures. The analysis found challenges like weak policy frameworks and bureaucracy, but also opportunities in health workforce training and co-production of research. The study concludes that PPPs remain a viable, necessary alternative for adapting the WH

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  7. Research Papers

     The Vaccine Trust Framework: mixed-method development of a tool for understanding and quantifying trust in health systems and vaccines

     This study developed and validated a contextually grounded Vaccine Trust Framework to better understand and measure trust in vaccines across low- and middle-income countries. Using an exploratory sequential mixed-methods approach, ethnographic research in Nigeria, Kenya, and Pakistan informed the creation of a framework encompassing four domains—health system promise, health system delivery, vaccine promise, and vaccine delivery—across 15 measurable dimensions. A nationally representative survey of caregivers in Kenya and Pakistan confirmed the framework’s validity, showing strong associ

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  8. Research Papers

     The impact and social return on investment (SROI) of health workforce training in fragile, conflict-affected settings—a study of the Maridi Health Sciences Institute (MHSI) in South Sudan

     This study evaluated the long-term social impact of pre-service health workforce training at Maridi Health Sciences Institute (MHSI) in South Sudan, particularly in fragile and conflict-affected settings. Using Social Return on Investment (SROI) analysis, researchers gathered data from 596 respondents through literature reviews, focus group discussions, and key informant interviews. The study found that MHSI significantly benefited graduates, communities, and government stakeholders, with improved professionalism, healthcare access, and sustained outcomes lasting over five years. The SROI rati

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  9. Research Papers

     Facilitators and barriers of Community Case management of Malaria implementation in Homabay, Busia and Kakamega Counties, Kenya

     This mixed-methods study assessed the facilitators and barriers to the uptake of Community Case Management of malaria (CCMm) in Kenya, where trained community health volunteers (CHVs) provide malaria diagnosis and treatment at the household level. Among 528 surveyed households, 72% had received malaria services, and 85% expressed satisfaction with CHV services. Key facilitators included availability of malaria commodities, functional referral systems, and support supervision. However, barriers such as stockouts of diagnostic kits and antimalarials, myths about mosquito nets, and poor road acce

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  10. Research Papers

      Bridging the policy-action gap: a scoping review of climate-resilient malaria control policies in Kenya and Zambia with recommendations for strengthening the WHO framework

      This study examined policy-action gaps in climate-resilient malaria control strategies in Kenya and Zambia, where climate change has intensified malaria risks through altered weather patterns and extended mosquito breeding seasons. Using a systematic literature review guided by the PRISMA model, the study analyzed 19 peer-reviewed articles and policy documents published since 2010. It identified key challenges including weak health infrastructure, inadequate funding, poor integration of climate data, and fragmented stakeholder coordination. The lack of clear implementation metrics and cross-se

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