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Her current work involves the integration of a health systems into AMDD's work where she is responsible for the Human Resources for Maternal Survival program, and is overall project manager of the Health Systems Strengthening for Equity: The Power and Potential of the Mid-level provider Project. Prior to joining AMDD, Dr de Pinho was a policy advisor to the UN Millennium Project and was one of the authors of the task force final report: "Who's got the power? Transforming health systems for women and children". In South Africa, she was a senior lecturer in the University of Cape Town, directed the Oliver Tambo Fellowship Programme focused on capacity building for senior public health managers, and was a researcher within the Women's Health Research Unit. She has also worked as a health service manager and clinician in both rural and urban areas of South Africa.
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