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Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11
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Considerations For Incorporating Health Equity in Project Design_Talens_5.12.11

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  • 1. Closing the Gap by Design: Setting up a Maternal Newborn Health Program as if People Mattered.
    The Peoples Institution Model
    Alan Talens, MD, MPH
    Nancy TenBroek, MA
    Will Story , MPH
    EmdadHoque , MD, MPH
    CORE Group Spring Meeting
    Baltimore MD
    May 12,2011
  • 2. STRATEGIC THEMES
    Of CRWRC
    Constituent Engagement
    Relief and Development under Justice Umbrella
    Building Country Capacity
  • 3. Sub district performance assessed by using the “Proportions of births attended by skilled birth personnel” indicator.
  • 4. Netrokona District
  • 5. Antenatal Care (4 or more visits)
    OR=2.06 [ns]
    OR=Undef.
  • 6. Doer/Non-Doer for ANC
    Male
    Docs
    Waste
    Of money
    Mothers-In law
    approval
    Supers-
    tition
    Advantage
    Complete PE
    Husband
    Cooperation
  • 7. Qualitative Findings (PLA)
    “Heavy work for pregnant women is good”
    “Less food during pregnancy is beneficial”
    “Less food for moms after delivery will keep them fit”
  • 8.
  • 9. Goal of Project
    to reduce mortality and improve health status among the most marginalized mothers and newborns
    Study Questions:
    Does the PImodel lead to more equitable outcomes in MNH compared to the status quo?
    How does the Peoples Institution model reach the poor and marginalized women and children in their community?
  • 10. Community Mobilization
    +
    Community-IMCI
  • 11. PEOPLES’ INSTITUTION
  • 12.
  • 13. CHV
    Peoples
    Institution
    Health Sub Team
    Health Facilities
    TTBA
    Community People
    Child Survival Program
  • 14. PRIMARY GROUPS
  • Emergency Health Fund
    Monthly contribution of 2 Taka by members.
    Emergency Treatment
    Transportation
  • 18. Quantitative Equity Analysis
  • 19.
  • 20. Qualitative Multi-case Study Analysis
    Esytablishes the HOW
    Figure 1.
    Level of social Capital
    Level of community mobilization
    Closeness of household to health provider
    Lay providers are involved in care and referral
  • 21. Conclusion
    1.Active Community Mobilization and C-IMCI appear to be an Effective combination for an Equity Strategy
    2.Include equity in the design from the beginning
    3. Incorporating Equity in our programs in the right thing to , a moral obligation .
    Community Mobilization/
    Governance and C-IMCI as Equity Strategies
  • 22. Thank You

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