Something must have been in the air the day of our first spring meeting planning call in January. It was unanimous consent that as a community we needed to improve our data skills, an agreement that rarely happens on our first call.
So the question was Why Data and Why Now? Of course, many of our organizations are being pushed by the global trend for new “innovations” and the USAID CSGHP focus on operations research. After years of RCT domination, there’s a new outcry for more realist evaluations that help understand the relationship between the intervention and its context. And then, especially in global health, the MDG Countdown to 2015 reports are highly influential determining where donor resources are invested. With linkages to the UN Secretary General’s Every Woman Every Child Initiative and the Accountability Commission there’s also new advocacy and new infographics to increase the per capita expenditure on global health problems around the globe.
So what does the data tell us about MDG4 and 5 progress? We ARE making a difference. The rate of child survival is increasing having dropped from 10 million deaths five years ago to 7.8 million today. And we know where the emphasis is needed: reducing newborn mortality, and under-nutrition, and improving maternal health and education, and family planning. We also see that inspite of a world where almost one-half of children live in urban centers that if you’re born in a rural area you are twice as likely to die; and if you’re born poor anywhere you are two to three times more likely to die than if you are rich.
Has the data worked to convince policymakers? YES! The USG is investing in a broad child survival agenda through it’s Saving Lives at Birth Grand Challenge, the 5 th birthday campaign, the Child Survival Call to Action that will be hosted with UNICEF, India and Ethiopia in June – two countries that have made significant community health investments that have resulted in a large decrease in child deaths. These initiatives are more broad based than in the past in that they include nutrition and family planning, interventions that have been seriously underfunded for the past decade.
The data is also important to help us understand how the world tectonic plates are shifting. By 2050 it’s expected that 7 out of 10 people will live in urban areas. Every year the world’s population is increasing by about 60 million people, with expectations of another billion people by around 2025. Our world is seeing the economic powers shift as the new middle income countries (such as Brazil, Russia, India, China, South Africa) rise. We are already seeing India, for example, investing more of its GDP to its country health , from about $16 / capita a few years ago to $76 /capita today. We see poverty across all countries rather than concentrated in the LDCs and an aging population putting the NCD agenda high on the list of priorities. We can see private development assistance increase beyond official development assistance. Now is the time to advocate for a new set of MDGs that will guide us toward a common future.
As the Aga Khan said…. It’s critical we are all working together for our future.
Where does CORE Group fit in and why are we important to this changing world? We are member-led. We foster collaborative action and learning. We reach the underserved with evidence-based high-impact interventions and innovations. Our organizations reach 720 million people worldwide. We work together with other similar organizations as well as scholars, advocates and donors.
How do we work together? We’re always evolving, but our “Community Health Network” now has 59 members organizations, 11 associate organizations and 16 individual associates that share our mission, plus partners around the world who join us via our listserves. Our 9 volunteer working groups, 4 interest groups (mhealth, NCD, adolescents and immunization) and thematic groups (such as Humanitarian Photography) enable us to learn together, diffuse our learning to others, and work to improve global community health policies.
We’ve just voted in five new member organizations this meeting, although one of them The Grandmothers Project has decided to join us as an Associate due to their staffing capacity to get involved with governance issues. We have an additional two organizations in the one year courting period. Please get to know these organizations and make them feel welcome.
This year already our Working Groups have had some major accomplishments in addition to sharing of best practices and arranging technical updates. A State of the Art meeting on Nutrition Assessment , Counseling and Support was attended by 48 organizations from 9 countries to enable better programmatic integration between HIV/AIDS, Nutrition and Health. The Community Case Management Essentials Guide was produced in French thanks to support from PSI and MCHIP. Our SMRH Working Group produced a newborn flipbook, a family planning linkages paper and field tested an SBC for FP module in Zambia with ChildFund. We’ve started a pediatric TB taskforce and are partnering with WHO to produce a CB Guide on TB Prevention, Care and Treatment. Our SBC WG has convened a monthly bookclub to review the latest SBC information.
We don’t just produce new tools. As staff, we work with you and others to be sure these tools are diffused and used. For example, the newborn care flipbook has now been translated into Kiswahili and Kalenjin by a volunteer, and URC is adapting the booklet in French through their bilateral program in Benin.
As staff, we are also involved in global issues to promote the work that you do. CHWS are the big topic of the moment and several of our organizations are involved in the USG CHW Evidence Summit this June. I am linked with MCHIP to develop guidance for national CHW programs – if anyone has interest in becoming involved with this, please come and talk to me. Through a private donation, we’be been able to issue an m-Health competiton, the winners will be shortly announced. We have a big push on social media and communications with a new video we’re launching today on the CORE Group Secretariat model, focusing on the amazing work done by our colleagues from CGPP Inida. We stay involved as we can with major global initiatives such as the Thousand Days Initiative.
Our Practitioner Academy, launched this January, brought 14 of us to the Comprehensive Rural Health Project in Jamkhed, India to learn from some of the most amazing CHWS in the world (still active in their 70s!) We collaborated with WV to help design a regional workshop on CCM, and our working groups have conducted a number of Webinars available on our web.
CORE Group is the manager of the Food Security and Nutrition Network through the USAID Funded Title II TOPS project. We will be hosting the second regional FSN Network meeting in Ethiopia this June, and we have just launched a new FSN Network website filled with tools and documents. The TOPS / FSN Taskforces have collaborated with our WGs adapting and using CORE Group tools for other sectors.
As a network, our budget is very lean, with 8 staff and around $1.5 million / year, and is becoming more diversified. through MCHIP, the TOPS project, World Vision Polio, World Learning for Family Planning, and a family foundation. We are trying to grow our foundation funding, private gifts and citizen support through the combined federal campaign. Our World Learning and Polio funding will end this year. We need to be proactive in selection of funding opportunities that match working group directions. We encourage you to contact us when you see an RFA or opportunity where our diffusion and knowledge management niche will not compete with our members but instead provide that neutral safe environment for joint product development, ownership and use.
Networks are needed more than ever. As stated in a global health book from the Carter Center, collaboration is imperative for success. Yet, as we saw last year wit h the demise of the HIV/AIDS Alliance, and more recently, with the impending closure of the GHC, networks are fragile. Our business models don’t cover our true costs and we need donor investment to help support the collective.
Why Invest in CORE? We are part of the solution offering a unique niche to increase the ease and pace of community health impact. We are a neutral convener where competing organizations can collaborate, where each organization doesn’t need to recreate the wheel, where professional can advance the quality of their work together, such as through this meeting focusing on data use.
I want to thank all of you for your contributions to this meeting. This meeting is by you and about you. I want to especially thank Claire Boswell, Lynette Friedman, Alyssa Christenson and Ann Hendrix-Jenkins for coordinating this meeting this year – each meeting is always complicated and exciting. I want to thank USAID for supporting the meeting through our various funding streams. I want to acknowledge our special guests from CGPP India: Roma Solomon, Director and Manaj Choudhary, M&E Advisor , who helped keep India polio free for one year!
Now for the excitement: I’d like to ask Ann Hendrix-Jenkins and Rowena Luk to give us an update on the mHealth competition, and then Demet Gural, our Vice- Chair of the board of directors to update us on board directions and present the board candidates. Thanks to you all.
1. COMMUNITY HEALTH NETWORK ANNUAL SPRING MEETINGApril 30 – May 4, 2012
2. Welcome to Our Spring Meeting Demystifying and Using Data For Community Health Impact State of CORE Karen LeBan, Executive Director
3. Why Focus on Data Use Now? • NGOs in Operations Research • Call for more “realist” evaluations of contextual factors influencing impact • MDG Progress Reports (Countdown to 2015) • UNSG Commission on Accountability • Increasing inequityWorld Malaria Day 2012
4. MDG ProgressChildren: 7.8 million deaths/yr 358,000+ female deaths Women during Age 15-49 pregnancy and childbirth Unmet need for family planning as high as 25%
5. USG Commitments to End Preventable Deaths • USG Evidence Summits: Family Planning, Maternal Health, CHWs…… • 5th Birthday Campaign (launched April 23) • Child Survival Call to Action: USG, UNICEF, India, Ethiopia (June 14-15) • AIDS Free Generation • Scaling Up Nutrition / Thousand Days • Saving Lives at Birth Grand ChallengesPhoto courtesy of Pinky Patel
6. Our Changing World • Urbanization • New Technologies • Rise of the Middle Income Countries: Increasing % of their GDP on health and development • Change in Poverty from LDCs to All countries • Aging • Rise in Private Development Demographics: AssistanceNext 1 billion in 17 years • Post MDGs
7. Successful Development“Successful development requires… “the interaction of many elements that creates a dynamic momentum, bringing together people from different classes, cultures and disciplines, welcoming partners who live across the street—and partners who live across the planet.” –His Highness the Aga Khan Global Philanthropy Forum, 2009
8. Our ImportanceCORE Group is a Member-led PVO that fosters collaborative action and learning to improve and expand community-focused public health practices for underserved populations around the world.Home of the Community Health Network, which brings together member organizations, associates, scholars, advocates, and donors reaching 720 million people worldwide.
9. Community Health Network 59 11 16 Partners Member INGOs Associate Organizations Individual Associates8 Technical Working Groups 4 Interest Groups Thematic Groups Program Learning & Diffusion Global policy advocacy for Community Health
10. Membership Changes Members Up for Vote Applicants in “One Year (5/12) Courting Period” American Friends of Guinea • Axios Foundation Handicap International • GOAL Operation Smile Partners in Health The Grandmothers Project (associate)
11. FY12 Working Group Highlights In addition to sharing of best practices and arranging technical updates • Community Child Health: CCM Essentials French Edition; CCM Technical Advisory Group meeting – Report available • SBC: Book Reviews; Work with TOPS to adapt the DBC Curriculum • SMRH: Taking Care of a Baby at Home After Birth Flipbook; Family Planning SBC Module field test in Zambia; Family Planning Linkages Paper • TB: Pediatric TB Taskforce; DraftHIV/AIDS with Nutrition: Nutrition Community-based TB EssentialsAssessment, Counseling, and Support (2 Guideday SOTA)
12. New Tools Linking Family Planning and Community Health CCM reference guide Essentials now in French! Posted on Healthy Newborn WebsitePresented at MCHIP Dhaka PPH meeting May 2012 Translated into Kiswahili & KalenjinURC adapting in French in Benin
13. FY12 CORE Group Staff Highlights • M-Health CommCare Competition – announcement this morning! • Pediatric TB Small Grant Competition • Communications / Social Media: Secretariat Model Video, Practitioner Academy, Gender Equity with Isatou Jallow • Polio Partners Project – final push for global eradication – expected new RFACHWs: USG CHW • Scaling-Up Nutrition Civil SocietyEvidence Summit; MCHIPCHW National Scale Review; Task Team / Thousand Days InitiativeCHW Central; CommunityHealth Systems
14. Practitioner Academy • WV Regional CCM Workshop Rwanda (3/2012) Webinars • Community Child Health: Why Does Diarrhea Matter? Preventing a Million Needless Deaths Per Year; Integrated CCM in DRC, Malawi and Senegal • Malaria: Mosquito Essentials • TB: CB TB Treatment for Men, Women and Children: Successes and Challenges in the Field--An Overview from India; Childhood TB: An MSF Field Perspective; Pediatric TB: The Basics.Comprehensive Rural Health Project:Jamkhed India (February 2012)
16. FY12 Resources Knowledge Diffusion, CSHGP Program Learning, CCM, Equity, CHWs, Anemia, Nutrition, TB, Helping Babies Breathe Food Security and Nutrition Network CORE Polio Partners Project Communication EffortsWorld Learning Flexible Fund (Family Planning)Grants Solicitation and Management PRIVATE Resources Foundations / Private Donations Membership: Fees / Registration Combined Federal Campaign In search of FUNDING OPPORTUNITIES where CORE Group’s Network Niche and Community Focus would be an ASSET
17. Networks Needed More than Ever"Collaboration is imperative for success. The complexity of global health problems far exceed the capacity of individual organizations and governments to deal with them effectively.”--James E. Austin, Harvard Business School
18. Why CORE Group? • Serves unique function as neutral convener • Provides professional development • Small but indispensible • Rapid global networking: creates multidirectional linkages that connect all levels • Fosters strategic collaboration • Doesn’t compete with members • No need to reinvent wheel • Increases ease and pace of field impactPhoto courtesy of AMREF Working together to create a world of healthy communities where no women or child dies of preventable causes
19. Thank you to our Spring Meeting Supporters CORE Group Members, Associates and Working GroupsMeeting Coordinator: Claire Boswell Presenters, Partners and GuestsMeeting Facilitator:Lynette Friedman Table SponsorsMeeting Organizer:Alyssa Christenson CORE Group Staff Meeting Liaison: Special Guests CGGPAnn Hendrix-Jenkins India: Roma Solomon and Manaj Choudhary
20. Coming NextmHealth Award Winners: Ann Hendrix-Jenkins, Rowena LukBoard Directions and Board Candidates: Demet Gural
21. Bongiorno from Bellagio! I am sorry to miss the CORE Group Spring Meeting and being with all of you to discuss Demystifying & Using Data for Community Health Impact. But as you can see, I am in quite an idyllic setting for work and contemplation.Bette Gebrian and I are writingabout using data to improvecommunity health in rural Haiti…so we are with you in spirit.Wishing you a successful andproductive meeting and awonderful time! Judy