In the past few decades, most foreign healthcare aid in Africa has been disease-specific, without provision for the underlying, fragmented health systems. Sub-optimal communication between multiple stakeholders, including faith-based organizations, governmental entities, NGOs and traditional healers, has lead to duplicity of provision in some areas, but deficiency in others. The needs of those with diseases not specified as eligible by major funding sources go largely unmet. This panel will explore the paradigm shift within Global Health towards investment in sustainable, integrated health systems – building the workforce, establishing comprehensive primary care services, and ensuring accountability.


Bill BriegerDr. William Brieger is a Certified Health Education Specialist and has a Doctorate in Public Health (DrPH) in international health from the Johns Hopkins University and a Masters in Public Health (MPH) from the University of North Carolina, Chapel Hill. He is a Professor in the Health Systems Program of the Department of International Health at the Johns Hopkins Bloomberg School of Public Health and serves as JHPIEGO’s Senior Malaria Specialist. Bill taught at the African Regional Health Education Center at the University of Ibadan, Nigeria, from 1976 to 2002. He is internationally renowned for his expertise in the social and behavioral aspects of tropical disease control and prevention, with special emphasis on malaria, onchocerciasis and guinea worm.

He has served as a consultant for the International Health Programs Office and the Malaria Branch of the U.S. Centers for Disease Control and Prevention, as malaria expert for the VOICES malaria advocacy project of the Johns Hopkins University’s Center for Communications Programs, and as a consultant to the World Bank, the African Program for Onchocerciasis Control, UNICEF, US Peace Corps and various USAID implementing partners in the areas of tropical disease control, HIV/AIDS prevention, program evaluation and community participation. Bill was a member of the Mectizan Expert Committee that advises Merck’s Mectizan Donation Program onchocerciasis control efforts.

Bill participated in the development and field testing of the original Roll Back Malaria Needs Assessment Instruments, developed background documents for the Abuja Summit, provided consultation on overcoming bottlenecks in Global Fund malaria grants in Nigeria, conducted malaria needs assessments in Ghana and Burkina Faso, provided team building training for the National Malaria Program in Mali, and participates in the RBM Harmonization Working Group. In addition, he teaches three internet-based courses: training methods/continuing education for health workers, urban health and social and behavioral foundations of primary health care in the distance education program of The Johns Hopkins University, and is one of the coordinators of the internet-based Certificate in Global Health of the Department of International Health.

He has published more than 140 scientific articles including ones focused on the social and cultural aspects of disease control, training of community health workers and peer educators, and community participation strategies in disease control efforts ranging from including malaria, onchocerciasis and guinea worm. Bill also serves on the Editorial Boards of several peer-reviewed journals and provides manuscript reviews for many scientific publications. At JHU he teaches courses on social and behavioral foundations of primary health care, training methods and continuing education, and urban health in developing countries.


Claire PierreDr. Claire Pierre, born in Haiti, is a summa cum laude graduate of Howard University’s six-year combined accelerated BS-MD program. She trained in internal medicine at the Cambridge Health Alliance (CHA), where she served as chief medical resident and later as clinical director of quality informatics, a role that focused on health care improvement and the use of information technology to support safe and effective patient-centered care. In 2009, Dr. Pierre assisted Dr. Paul Farmer as a volunteer at the UN Office of the Special Envoy to Haiti with President Bill Clinton. In 2010, she joined the earthquake rescue and relief efforts in Haiti where she remained to work with the Interim Haiti Recovery Commission, as the senior health adviser and sector lead. In this role, she worked closely with the Ministry of Health, country donors, multinational organizations, and partners across sectors on key policies and programs to support the long term reconstruction of the health sector in Haiti. She currently serves as director of the Program in Health Systems Strengthening and Social Change in Harvard Medical School’s Department of Global Health and Social Medicine.