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Board Presentation June 29 2011



GHA Program Staff presentation to the Board of Directors June 29, 2011

GHA Program Staff presentation to the Board of Directors June 29, 2011



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  • These are some questions that we as an organization need to keep asking ourselves so we keep our work focused.
  • So given all that we would like to do, what do we have to contend with? Are there other elements missing here?
  • M-health as a tool for CHWs; We work with community groups or representatives, who will work with us to identify or hone whichever intervention or program.
  • WE may not be doing this right now, but we should be thinking this way.

Board Presentation June 29 2011 Board Presentation June 29 2011 Presentation Transcript

  • Haiti Programs FY 2012 Board Meeting June 29, 2011
  • GHA in Haiti…Areas of involvement Approaches Outcomes/Outputs # Trained CHWs, TBAs Clinic support # patients seen at clinic  Community­ (mobile & stationery) based health  #births assisted by  outreach TBAs Supporting CHWs,  TBAs # vaccinations  provided by CHWs Animal  # families participating  husbandry Farmer training  in goat training and support  # pregnant goats  distributed Technical interventions in health: General health promotion (CHWs), MCH (primarily  through TBA outreach) primary health care (at health facility, includes HIV testing);  Other technical interventions: skill­building in goat care; follow­up care
  • What do we have to work with…• What does community‐based mean?• What already exists in the community &what can be  leveraged?• Where & how will our interventions work? • Is there a need for ____ intervention?• And, how we can get from interventions/programs to  community‐led initiatives? View slide
  • What makes up acommunity(as we would Adolescents  NGO/CBO/imagine it)? (with raging  (other services)… Municipal/ hormones) political  council Family unit…adult male,  female,  Local committee‐‐ children, infants,  health, savings,  Pregnant  grand parents, womens groups women aunts, uncles…. Care groups Etc, etc? Church/FBO Children  under 5 Inst. Mechanism  Clinic/dispensary/ (state) CHW/TBA/ hospital Animal  HW View slide
  • Bringing it all together… Specific interventions (FP,  WASH, clinical  e  referrals and care,  ld b ers  u h  co t HIV/STI, micro  This rs/fa ings  e v l  credit, training‐ oth ps/sa icipa m u un skill building,??) gro ps/m ils u nc gro cou Any number and types  The state, also  of services by other  a service  NGOs/ provider Clip art, source: all over the internet INGOs/CBOS
  • What does a CHW do now?
  • What could a CHW do? Source: Earth Institute, Columbia Univ, 2010
  • CHW sub­system as part of the PHC systemSource: Earth Institute, Columbia Univ, 2010
  • Goat Program training—what we do now
  • Goat Program training—what we could do
  • Goat Program services—what we do now
  • Goat Program services—what we could do
  • Integration? Between Health and Rural Development • Working within the same communities (serving the same population) • Linking community‐based animal health workers with CHWs • Community groups (micro credit/finance) that could also be care  groups (for health promotion) • Work with partners that provide other services (Fonkoze, UPA) • What’s been done elsewhere and what can work?
  • From projects and programs to community‐ driven change…. Conventional Community Health… GHA’s approach should be based on... • Goal: decreased infant/maternal  • Goal: Self‐reliant healthy communities mortality, fixed interventions • Focus: community organization around  • Focus: programs and activities needs, and priorities • Agenda: set by organization • Agenda: set by community • Generally not sustainable; changes  • Has great potential to be sustainable  do not last if program stops since is community‐driven • Poorest of poor still excluded • Specific targeting of poorest • Values remain unchanged • Values will be transformedRef: Tear fund (1999)
  • Outputs for FY 2012:• 25  newly trained CHWs  in Leogane commune• 19 newly CHWs in Petit­Goave (PG) commune• 3 day­long TBA refresher trainings• 5­day refresher training  for CHWs in Leogane and PG• 10 group meetings with CHWs/TBAs (refresher trainings, support,  supervision)• Re­start the community health committees in Petit­Goave (in partnership  with the UCS; 12 committees, 10 meetings each)• Cholera prevention and treatment training for health committee members  in partnership with UCS in PG commune• 3500­4000 patient visits at Olivier clinic (in partnership with Methodist  Church of Haiti)
  • Outputs, contd: • 2500­3000 patients seen at mobile clinics organized by Olivier. • Adapt  and update CHW training curriculum• Conduct needs assessment project (identify new technical interventions   within community­based health & development)• Based on results from assessment, seek and obtain funding for  community­based health systems strengthening in Petit­Goave• Conduct independent, external evaluation of Goat Program and identify  tangible growth initiatives and opportunities (also based on assessment  project) • 300 farmers trained in goat care & husbandry (& 300 goats distributed)• 2400 follow­up goat care sessions provided (average of 200 families a  month)
  • Building our own capacity (in FY ’12)• New vehicle• Two new hires• New field office• Staff professional development/team‐building• Needs assessment to identify technical  intervention and feasible strategic partnerships• Moving from Output (e.g. training numbers) to   Impact (e.g. improvement in health indicators)• From training to programming—target setting,  from output to impact;