Polio Eradication as a Platform for Integration_6.15.11_Bisrat

Polio Eradication as a Platform for Integration Filimona Bisrat (MD, MPH), CORE Group Polio Project June 15, 2011 Global Health Council 38 th Annual International Conference Omni Shoreham Hotel, Washington, DC

CORE Group Ethiopia
CORE began polio work in Ethiopia in Nov. 2001
3 programs (malaria., EPI, polio eradication)
Partnering with 9 International & 11 local NGOs
Covering 132 Woredas in 8 Regions & one City Administration
Reaching a total population of 11,458,933
CORE Ethiopia Secretariat housed in CCRDA

Hard to reach
and rural areas
Pastoralist populations
Porous borders with Sudan, Kenya Somalia & Djibouti

CORE Group Ethiopia Projects
Funded by: USAID
7 regions, 19 Zones & 55 Woredas
Beneficiaries
Total population of 4,576,557
< 1 yr 101,648
< 5 yr 618,360
< 15 yr 1,905,903
11 NGOs
(7 intl. & 4 local)
5 yr. grant up to 2012
Funded by : GAVI through FMOH
4 regions & 40 Districts
Beneficiaries
< 1 yr 60,947
< 5 yr 115,405
7 NGOs
(4 intl. & 3 local)
1.8 M USD for 2 yrs.
Funded by Global Fund through FMOH
6 regions, 1 CA & 100 Districts
Beneficiaries
Pregnant Women 264,929
< 5 yr - 874,353
14 NGOs
(4 intl. & 10 local)
3.9 M USD for 3 yrs
CORE GROUP POLIO PROJECT GAVI CSO Support Project Malaria FMOH/GF Project

“ Secretariat Model” as a platform
Integration among PVOs/NGOs between CSO and other national and global stakeholders
Opportunity to address other issues through same community level structures
Routine immunization
Integrated disease surveillance
Malaria

The CGE Secretariat Members
International
CARE
CCF
CRS
Plan
SC-US
WVE
IRC
AMREF
PCI
KHI
Key Partners
FMoH
USAID
WHO
UNICEF
CCRDA
Rotary International
Local Partners
PC
ATCC
HCS
EECMY
AdCS
BCS
JeCCDO
M4M
TYA
TRTA
APDA

Secretariat Model Approach
Democratic decision process
Coordination, technical backstopping and quality assurance of the activities through Representation at national and international forums
Documentation of impact/outcomes
Integrated implementation at community level focused on awareness and demand creation and support to service delivery
Capacity building for government staff as well as NGO/PVOs at central, regional and woreda levels

CORE Ethiopia Organogram Director Communication Officer Monitoring & Evaluation Officer Program Director CGPP Focal Person GAVI Focal Person Malaria Focal Person Senior Finance Officer Finance Officer Admin. & Liaison Officer Admin Assistant Driver Focal Persons/Program Officers/ are assigned based on geographical location in order to make supervision & follow up activities for all the three projects

Achievements

Representation of Community-level Expertise
National Level
Inter-agency Coordination Committee (ICC)
New vaccine initiative
National Malaria Task Force
Coordination Against Malaria in Ethiopia – Steering committee member
International level
WHO’s AFRO Task Force for Immunization
GAVI Civil Society Task Force & steering committee member

Major Outcomes of State-Level Advocacy
Participation of Presidents and senior officials Regional states on Immunization increased
Regional interagency Coordination Committee (ICC) established
Woreda EPI taskforce established at Woreda level
Penta 3 coverage has become one the evaluation criteria for Woreda administration councils
Gambella Regional President participates in polio campaign

In CORE Group Polio Project Areas

Routine Immunization Baseline & Midterm in CGPP Areas CARD RETENTION * Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.

Routine Immunization Baseline & Midterm in CGPP Areas * Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures. OPV0 OPV0 OPV0 OPV3 OPV3 OPV3 Penta1 Penta1 Penta1 Penta3 Penta3 Penta3 * * * * * * * * * Baseline n=883 Midterm n=286 Baseline n=602 Midterm n=281 Baseline n=593 Midterm n=263

Lessons Learnt
Manage larger coverage geographically and in beneficiaries including previously silent areas
Able to create joint action against polio as well as other killer diseases that are rampant in the country .
Enhancing the capacity of partners’ staff and front line health workers as well as volunteer community health workers
Obtained recognition of its joint effort and awarded additional funds from GAVI Alliance CSO support and Global fund Malaria Project to extend its coverage and capacity.
Accorded seat on ICC as well as other policy bodies and representation to international bodies by FMOH

Challenges
Establishing trust
Among IPVOs
Gaining confidence of external stakeholders in CSO capacity
Administrative policies vary widely across partner organization
Variation in technical capacity of partners

The Way Forward
Expansion in relation to geography and type of interventions to other unreached areas
Best mix of technical areas?
Role beyond 2012/eradication of polio
Incorporation of secretariat as bona fide in-country NGO to continue collaborative efforts to improve women’s and children’s health

Social Mobilization Activities

Thank You!

Polio Eradication as a Platform for Integration_6.15.11_Bisrat

by CORE Group on Jun 30, 2011

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