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  • 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.

Transcript

  • 1. CORE Group Overview
  • 2.
    • CORE Group generates collaborative action and learning to improve and expand community-focused public health practices for underserved populations around the world.
  • 3. The American people want to help… U.S. NGOs respond . Life without CORE Group
  • 4. The realities of the field Stronger approaches, tools, joint training, run programs together CORE network collaboration makes resources go further, and work better. Life with CORE Group
  • 5.
    • Our similarities.
    • We all…
      • Support health programs for underserved people in other
      • countries, especially women and children
      • Focus on community approaches with local partners
      • Put our hearts “into the field”
      • Measure our impact
    We differ by… Vision and mission Size U.S. location Age of organization Funding sources Technical approaches What brings CORE members together? And then, our diversity helps us help each other.
  • 6.
    • Non-profit, citizen supported
    • Community-focused work
    • Application process
    • One-year “courting period”
    • Active participation required
    • Members support staff time for involvement
    CORE Group Membership Criteria
  • 7.
    • 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 ~
    Who are our members?
  • 8.
    • 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
    More members…
  • 9.
    • 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
  • 10. 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
  • 11.
    • Cross-cutting
    • Monitoring and Evaluation
    • Social and Behavior Change
    • Technical
    • Newborn, infant and child health
    • Maternal health
    • Nutrition
    • Infectious diseases
      • Malaria, Pneumonia, Diarrhea, HIV/AIDS, TB, Pandemic Influenza, and others
    Focus areas
  • 12. CORE Group’s Community Health Network Global Health Program Initiatives Global Policy and Advocacy Practitioner Academy
    • CORE Group advances community health in partnership with:
    • Member NGOs working
    • in 180 countries
    • Universities
    • Advocates
    • Multilaterals
    • Global Alliances
    • Country partners
    • Donors
    • Governments
    • Private sector
    • Other organizations
    • (health, educ., agric, etc.)
    How CORE Group advances community health worldwide Diffusion of Innovations Technical Working Groups
  • 13. CORE Group’s Global Health Program Initiatives
    • Promotion of Nutrition in the Community Context
    • Saving lives through preventive measures during the most critical nutritional period in a person’s life.
    • 2. Strengthening Community Mother-Child Care
    • Preparing communities and households for safe motherhood and healthy newborns.
    • 3. Scale-up of Community Case Management of Sick Children
    • Scaling up locally-based diagnosis and treatment in partnership with families and communities.
    • 4. Assuring Integrated Prevention and Care for Infectious Diseases
    • Enabling community-oriented, integrated care for people with multiple illnesses.
    • Strategic Approaches within each Initiative:
    • Global and country partnerships
    • Social and behavioral change
    • “ Community health systems” strengthening
    • Evidence-based development/ implementation research
    • Advocacy and global learning
  • 14.
    • Approaches & Tools: PD/Hearth, Barrier Analysis,
    • Nutrition Pathways, C-IMCI, Designing for Behavior Change, Lot Quality Assurance Sampling, Community-Based TB Guidance, Case Studies, PDQ, Care Groups.
    • Polio and Malaria Secretariats : Country-level
    • Global Fund Evaluation
    • Pandemic Flu Preparedness Model for Community/District Emergency Management
    Sample Products and Projects
  • 15.
    • 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
  • 16. 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
  • 17.
    • 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.
  • 18. 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.
  • 19. CORE Group recommends: Community-based integrated approaches
  • 20.
    • “ Demands collaboration between government and non-governmental actors…”
    • “ Calls for coordination at the national, intermediate and community levels…”
    • “ Requires a robust response to areas that have been neglected, such as child and maternal mortality , and strengthening comprehensive primary health care.”
    • Global Health Recommendations 2009 : PIH, Francois-Xavier Bagnoud Center, Physicians for Human Rights, HAI, RESULTS and Action Aid
    Progress in Global Health…
  • 21. To what end?
  • 22. CORE Group generates collaborative action and learning to improve and expand community-focused public health practices for underserved populations around the world.
  • 23.
    • As a collaborative body, we are always interested in new partnerships for community health.
    • [email_address]
    • www.coregroup.org