First we’ll take a moment to consider the very rationale for CORE’s existence. We’ll start simple with the rationale for CORE Group’s very existence. The shapes within the United States represent our diverse membership of US non-profit organizations
The three driving forces that together make up the field of international development—none expendable, yet often weakly linked.
62% decrease in under five deaths in Sofala Province and 42% reduction in U5MR in Gaza Province, Mozambique. $305 per Life Saved in FH’s current CG project. The Diffusion of Innovation grants that paid for documentation and a CG manual. Add that more than 10 years ago only 2 PVOs were using the model.
Mention coalition for CS
Revisit original question of “health system response” in terms of project design. Rather than the formal health system, think community health system.
ACDI/VOCA ~ Adventist Development and Relief Agency ~ African Medical and Research Foundation ~ Africare ~ Aga Khan Foundation ~ AME-SADA ~ American India Foundation ~ American Red Cross ~ CARE International ~ Catholic Medical Mission Board ~ Catholic Relief Services ~ Christian Children’s Fund ~ Christian Reformed World Relief Committee ~ Concern Worldwide ~ Counterpart International ~ Curamericas Global, Inc. ~ Food for the Hungry ~ Freedom from Hunger ~ Future Generations ~ Global Health Action ~ Haitian Health Foundation ~ Health Alliance International ~ HealthRight International ~ Helen Keller International ~ Hesperian Foundation ~ HOPE worldwide ~
IMA World Health ~ International Medical Corps ~ International Relief and Development ~ International Rescue Committee ~ International Youth Foundation ~ La Leche League International ~ MAP International ~ Medical Care Development International ~ Medical Teams International ~ Mercy Corps ~ Partners for Development ~ PATH ~ Pathfinder International ~ Physicians for Peace ~ Plan International ~ Population Services International ~ Project Concern International ~ Project HOPE ~ Relief International ~ Salvation Army World Service ~ Save the Children ~ WellShare International ˜ White Ribbon Alliance for Safe Motherhood ~ World Neighbors ~ World Relief ~ World Vision
Why is it the missing piece of the health system puzzle?
Hard for government to reach (end of the line)
Entails complex, in-depth effort, sometimes difficult conditions
Hope held out for short cuts
Can be ignored
Why is it necessary?
Most “health care” takes place at home, in community
May be the only way to reach some populations
Potential for deep-rooted, sustainable change
Millennium Development Goals: 4, 5, 6, 8
The “Community Health” Approach
CORE doesn’t run programs in “the field.” Inform research agenda, provide links to field . Assure critical, timely resources & policies. Support evidence base, ideas Share the vivid realities. CORE doesn’t run programs in “the field.” How do we advance Community Health? Framework: Irene Tinker CORE Group
Listserves: CORE Community; Working Groups; Job listings
Case Studies, Curricula: range of topics
Databases: Child health and development; Consultants
Webpages: Vetted content for Working Groups, other topics
Resources for Practitioners
World Relief creates Care Group Model. WR/Food for the Hungry pioneer model in Mozambique M & E data -> Model works! Others adopt the Model 42% U5MR, 682 lives saved Others adopt the Model Others adopt the Model WR refines, expands use of the Model; publishes CORE Group involves many organizations to create “How To” tools, collect impact data, define approach, influence policy. This increases awareness, interest, understanding, quality, replicability, credibility and buy-in. Avg. 30% est. reduction in U5MR (7 projects; 67% higher than CSHGP avg.) FH adapts, expands use of the Model (CS, Title II) From innovation in the field… … to LARGE SCALE IMPACT Donor support Policy Impact: USAID (CSHGP, FFP), UNICEF now support Care Group approach Johns Hopkins University input
Ten years ago, 2 NGOs using approach—now 19 NGOs, 30 projects, 14 countries
Care Group model featured in UNICEF’s 2008 State of the World’s Children Report.
Care Group approach used in $70 million USAID I-LIFE project in Malawi.
GOMoz has shown interest in scale-up for use with health extension workers.
Members: Technical staff Practitioner Academy Product, program development Focus on “Hill” Health Advocacy, Policy All aspects of health, all levels CEOs, Exec. Directors High level int’l policy forums Development of org. standards What makes CORE Group unique? Interaction 172 orgs. advocate for better international education, health care, agriculture, business, etc. Global Health Council 500+ organizations, 5000 individuals as advocacy voice targeting legislators, global policymakers, field programs, and more. CORE Group 50 members synergize to advance the field of community health programming , building on evidence-based experience.
CORE Group recommends: Community-based integrated approaches