NEW YORK, NY. - June 22, 2009 - With the financial support and collaboration of The Merck Company Foundation, the Earth Institute at Columbia University is launching an ambitious initiative to strengthen community health services for over 400,000 people in ten African countries under the Millennium Villages project. The initiative will advance the development of a professional cadre of approximately 800 community health workers, filling a critical gap in primary health care provision for isolated and rural communities throughout the continent.

"We are thrilled to be partnering with Merck on this critical initiative," says Jeffrey Sachs, Director of the Earth Institute. "Training a professional cadre of community health workers in rural Africa is one of the most immediate and effective ways to reduce needless deaths and help communities to escape from the poverty trap. With Merck’s support and collaboration we will be able to advance this program significantly and create tools that will be useful throughout the world. Merck has a long history of pioneering leadership in the scale-up of disease control in low-income settings, so it is special honor to partner with them on this new, important project."

This new focus builds on existing efforts and applied research that have led the Earth Institute and its partners to rethink the function of Community Health Workers and identify ways of enhancing their effectiveness. With targeted support from The Merck Company Foundation, the Millennium Villages project will extend its Community Health Worker training and reform program to all 14 village cluster sites, promoting a robust package of management skills, communications, leadership and innovative information and communication technologies.

"Improving access to health care means more than making medicines and vaccines available," says Geralyn Ritter, Vice President, Global Public Policy and Corporate Responsibility at Merck & Co., Inc. "Important factors for long-term sustainability in health care provision also include strengthening health care infrastructure and helping to build local health care capacity through training and support. Merck is proud to collaborate with the Earth Institute on this important initiative to help increase access to basic health services for thousands of people living in sub-Saharan Africa."

Working in collaboration with the Ministries of Health in Ethiopia, Ghana, Kenya, Malawi, Mali, Nigeria, Rwanda, Senegal, Tanzania, and Uganda, the new initiative will ensure that the community health workers are skilled, well trained, properly remunerated, regularly supervised and fully integrated into their countries’ health care system. These evidence-based approaches will serve as a demonstration to spur the expansion of the supported Community Health Worker approach to the national level. As a result of these efforts, the communities and public health officials will be equipped with the tools necessary to achieve substantial improvements in the treatment and containment of malaria and other common diseases, improvements in nutrition, and overall reductions in childhood and maternal mortality.

About the Earth Institute at Columbia University
The Earth Institute at Columbia University is the world’s leading academic center addressing the challenges of sustainable development. Our mission is to mobilize the sciences, education and public policy to achieve a sustainable Earth. The Earth Institute was established in 1996 and is home to more than 30 research centers and programs, including a network of over 800 faculty, researchers and their students spanning the fields of public health, environmental engineering, Earth science, social sciences and the biological sciences. Our flagship applied research and outreach program is the Millennium Villages project, proving that by fighting poverty through community-led initiatives, rural Africa can achieve the Millennium Development Goals -global targets for reducing extreme poverty and hunger by half and improving education, health, gender equality and environmental sustainability-by 2015. For more information, visit www.earth.columbia.edu.

About Merck & Co, Inc. and The Merck Company Foundation

About Merck
Merck & Co., Inc. is a global research-driven pharmaceutical company dedicated to putting patients first. Established in 1891, Merck currently discovers, develops, manufactures and markets vaccines and medicines to address unmet medical needs. The company devotes extensive efforts to increase access to medicines through far-reaching programs that not only donate Merck medicines but help deliver them to the people who need them. Merck also publishes unbiased health information as a not-for-profit service. For more information, visit http://www.merck.com.

About The Merck Company Foundation
The Merck Company Foundation is a U.S.-based, private charitable foundation. Established in 1957 by the global research-driven pharmaceutical company Merck & Co., Inc., the Foundation is funded entirely by the Company and is Merck's chief source of funding support to qualified non-profit, charitable organizations. Since its inception, The Merck Company Foundation has contributed more than $560 million to support important initiatives that address societal needs and are consistent with Merck’s overall mission to enhance the health and well-being of people around the world. For more information, visit www.merckcompanyfoundation.org

Merck & Co., Inc.

Merck & Co., Inc.

At Merck, known as MSD outside of the United States and Canada, we are unified around our purpose: We use the power of leading-edge science to save and improve lives around the world. For more than 130 years, we have brought hope to humanity through the development of important medicines and vaccines. We aspire to be the premier research-intensive biopharmaceutical company in the world – and today, we are at the forefront of research to deliver innovative health solutions that advance the prevention and treatment of diseases in people and animals. We foster a diverse and inclusive global workforce and operate responsibly every day to enable a safe, sustainable and healthy future for all people and communities. For more information, visit www.merck.com and connect with us on Twitter, Facebook, Instagram, YouTube and LinkedIn.

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