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Global Health Action-Haiti

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Presented at the June 29 Board meeting. Lays out our plans for Haiti.

Presented at the June 29 Board meeting. Lays out our plans for Haiti.

Published in: Health & Medicine

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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.
  • Transcript

    • 1. Board Meeting June 29, 2011 Haiti Programs FY 2012
    • 2. Areas of involvement Approaches Outcomes/Outputs Community-based health outreach Animal husbandry Clinic support Supporting CHWs, TBAs Farmer training and support # Trained CHWs, TBAs # patients seen at clinic (mobile & stationery) #births assisted by TBAs # vaccinations provided by CHWs # families participating in goat training # pregnant goats distributed GHA in Haiti… 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: skill-building in goat care; follow-up care
    • 3. 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?
    • 4. Family unit…adult male, female, children, infants, grand parents, aunts, uncles…. Clinic/dispensary/ hospital Church/FBO CHW/TBA/ Animal HW Children under 5 Local committee-- health, savings, women's groups Care groups Municipal/ political council NGO/CBO/ (other services)… Inst. Mechanism (state) What makes up a community (as we would imagine it)? Pregnant women Socio-cultural context Etc, etc? Adolescents (with raging hormones)
    • 5. Any number and types of services by other NGOs/ INGOs/CBOS Specific interventions (FP, WASH, clinical referrals and care, HIV/STI, micro credit, training-skill building,??) The state, also a service provider This could be mothers/fathers groups/savings groups/municipal councils Clip art, source: all over the internet Bringing it all together…
    • 6. What does a CHW do now?
    • 7. What could a CHW do? Source: Earth Institute, Columbia Univ, 2010
    • 8. CHW sub-system as part of the PHC system Source: Earth Institute, Columbia Univ, 2010
    • 9. Goat Program training—what we do now
    • 10. Goat Program services—what we do now
    • 11. Goat Program training—what we could do
    • 12. Goat Program services—what we could do
    • 13. 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?
    • 14.
      • Conventional Community Health…
      • Goal: decreased infant/maternal mortality, fixed interventions
      • Focus: programs and activities
      • Agenda: set by organization
      • Generally not sustainable; changes
      • do not last if program stops
      • Poorest of poor still excluded
      • Values remain unchanged
      • GHA’s approach should be based on...
      • Goal: Self-reliant healthy communities
      • Focus: community organization around needs, and priorities
      • Agenda: set by community
      • Has great potential to be sustainable since is community-driven
      • Specific targeting of poorest
      • Values will be transformed
      From projects and programs to community-driven change…. Ref: Tear fund (1999)
    • 15. Outputs for FY 2012:
      • 25 newly trained CHWs in Leogane commune
      • 19 newly CHWs in Petit-Goave (PG) commune
      • 3 day-long TBA refresher trainings
      • 5-day refresher training for CHWs in Leogane and PG
      • 10 group meetings with CHWs/TBAs (refresher trainings, support, supervision)
      • Re-start the community health committees in Petit-Goave (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
      • 3500-4000 patient visits at Olivier clinic (in partnership with Methodist Church of Haiti)
    • 16. Outputs , contd:
      • 2500-3000 patients seen at mobile clinics organized by Olivier.
      • Adapt and update CHW training curriculum
      • Conduct needs assessment project (identify new technical interventions within community-based health & development)
      • Based on results from assessment, seek and obtain funding for community-based health systems strengthening in Petit-Goave
      • 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 follow-up goat care sessions provided (average of 200 families a month)
    • 17. 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;

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