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Ccih 2014-cmmb-champs-lara-villar


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Lara Villar of Catholic Medical Mission Board describes the organization's CHAMPS (CHildren And Mothers Partnerships) model for improving the health of vulnerable women and children. The program addresses the leading causes of maternal and child death and seeks proven solutions through encouraging partnerships.

Published in: Health & Medicine
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Ccih 2014-cmmb-champs-lara-villar

  1. 1. STRENGTH IN PARTNERSHIPS CMMB’S CHAMPS model for improving the health of vulnerable women and children
  2. 2. ABOUT CMMB 2
  3. 3. Our Vision: A world in which every human life is valued and quality healthcare is available to all. • CMMB has over 100 years of experience working in international health • 2.4 billion people worldwide lack access to quality healthcare • 98% of all donations directly support health programs • 1.2 million people served in 2013 Strategic Vision 2014-2020: Improving the health of women and children by focusing on the leading causes of mortality and morbidity. • To do this, we are starting a movement of partners called CHAMPS (CHidren And Mothers PartnershipS), implementing proven solutions that save women’s and children’s lives • By 2020, there will be 20 CHAMPS in five countries: Haiti, Kenya, Peru, South Sudan and Zambia WHO ARE WE? 3
  4. 4. Healthy women have healthy children and create healthy, sustainable communities. In most of the world women are primary caregivers to their children, and spend many hours every day retrieving water from distant wells and cooking for their families. Globally, women perform 66% of the work but earn only 10% of the income and own only 1% of the property. 6.6M children under five years old die every year 75% of these deaths are from preventable diseases of women who die of pregnancy and childbirth complications live in the developing world 99% % of all deaths: children under 5 98% in the developing world 4 WHY WOMEN AND CHILDREN?
  5. 5. 6.6M children under five years old die per year (75% of all deaths) from 5 preventable diseases 287,000women die every year of maternal causes HIVis still killing more than 740,000 women per year in the developing world. Chronic diseases like hypertension, diabetes and cervical cancer are the new epidemic in the developing world. If a family experiences a maternal death, that family is 55%more likely to experience the loss of a child. Maternal death significantly affects the survival of children already in the family. 5 WHAT KILLS WOMEN AND CHILDREN? 42% Perinatal conditions 20% Diarrhea 24% Respiratory infections 11% Malaria 3% HIV
  6. 6. • Respiratory infectious diseases • Pregnancy, delivery and perinatal conditions • Diarrhea • HIV • Malaria • Key chronic diseases • Nutrition • Immunization • Water and sanitation AREAS OF FOCUS PROGRAMS Traditional: • Grants: health programs • Volunteer program • Medical donation program New: • CHAMPS GLOBAL IMPACT Preventable causes of death of children and their mothers 6 CMMB’S NEW MODEL
  7. 7. • Large scale social change comes from better cross sector coordination rather than from isolated interventions of individual organizations. • To achieve sustainable impact in women and children’s health, we are committed to work long-term with communities in CHAMPS programs, bringing together key players to create collective impact. • We believe that greater progress could be made if non-profits, government, corporations and the public were brought together around a common agenda to create collective impact. 7 CHAMPS: PARTNERSHIPS FOR COLLECTIVE IMPACT
  8. 8. 8 More rigorous and specific than simple collaboration Common Agenda Shared Measurement Mutually reinforcing Activities Continuous Communication Backbone Organization All participants share a vision for change including a common understanding of the problem and a joint approach to solving it Data is collected and results measured across all participants; participants hold each other accountable Participant activities are differentiated yet coordinated Consistent and open communication across the players to build trust, assure mutual objectives Separate organization(s) with staff and specific skills to serve as the backbone and coordinate participating organizations COLLECTIVE IMPACT: MULTIPLE PARTNERS, SHARED COMMITMENT
  9. 9. KENYA SOUTH SUDANZAMBIAHAITI PERU • Under five mortality rate: 76 • Maternal mortality rate: 350 • Expenditure on health per capita: $58 • Under five mortality rate: 18 • Maternal mortality rate: 67 • Expenditure on health per capita: $289 • Under five mortality rate: 88 • Maternal mortality rate: 440 • Expenditure on health per capita: $87 • Under five mortality rate: 73 • Maternal mortality rate: 360 • Expenditure on health per capita: $36 • Under five mortality rate: 104 • Maternal mortality rate: 2054 • Expenditure on health per capita: $32 • Under five mortality rate: 5.3 • Maternal mortality rate: 13 • Expenditure on health per capita: $5456 OECD Countries (Organization for Economic Co-operation and Development) AN UNBEARABLE INEQUALITY • Under five mortality rate per 1,000 live births • Maternal mortality rate per 100,000 live births WHERE WE WORK
  10. 10. THE CHAMPS MODEL 5 countries 20 CHAMPS 2 2
  11. 11. CRITICAL ELEMENTS TO ACHIEVE IMPACT & SUSTAINABILITY 11 CHAMPS is a long term (15 year) program/commitment with a specific community to improve women’s and children’s health. 1. Long-term commitment to effect change 2. Community ownership and readiness 4. Partnering with local and international players with mutually reinforcing capacities Approach to partnership for collective impact 3. Integrated model working along the entire continuum of care 5. Shared measurement system
  12. 12. 1. LONG-TERM COMMITMENT TO EFFECT CHANGE • Build trust and mutual respect with community • Assess community needs; plan and design interventions collaboratively • Implement program initiatives in a phased approach • Measure progress and adjust course • Transition to full community ownership Equitable access to quality health services Reduced women’s and children’s mortality and achievement of targeted health- related MDGs A healthy and productive community 12 Years 1-5 Years 6-10 Years 11-15
  13. 13. Partner with communities with potential for achieving sustainable impact:  Greatest need in areas of focus:  High children’s and women’s mortality  Communities that can be empowered to own the program:  An existing health system on the ground  Community self-organization for health  Community contribution  Communities that can accommodate the model:  Existing facilities to accommodate volunteers/visitors  Accessibility and security 2. COMMUNITY OWNERSHIP & READINESS
  14. 14. The CHAMPS model is an end-to-end health approach at the community level that reinforces and works at every level across the continuum of care. Primary care health facility at the community level Secondary or tertiary health facility - referral systems Clinic to community to clinic - outreach health services that mobilize health workers to provide services to remote populations Community, household, and individual level in the community CHAMPS partners undertake specific activities at which they excel at different levels in a way that supports and is coordinated with the actions of others. 14 3. INTEGRATED MODEL WORKING ALONG THE ENTIRE CONTIUUM OF CARE
  15. 15. Common Agenda = Community CHAMPS Design Based on the common agenda, local and international partners will work together on specified sets of activities and along all levels of the continuum of care. Anchor partner Corporations Foundations Associations Bi and multi-lateral agencies Individuals NGOs Health facility Referral hospital Ministry of Health Associations Faith community Community health committee Local organizations Local International 15 4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY REINFORCING CAPACITIES
  16. 16. 16 What kind of capacities will be required from partners? • People with a broad spectrum of professional profiles for short-term and long-term volunteer opportunities: o Institutional knowledge o Technical expertise o General support • Community and clinical health infrastructure • Medical supplies and medicines • Cash to fund project activities for specific interventions • Willingness to advocate on behalf of the people without access to quality health care 4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY REINFORCING CAPACITIES
  17. 17. 17 4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY REINFORCING CAPACITIES CHAMPS provide a platform for deep engagement and shared experiences between communities and partners at institutional and individual levels. Examples: • Compelling content (videos, pictures, stories) for websites and newsletters • Reporting on collective impact and progress • Fostering relationships between individual supporters and individuals and families in the community • Using technology for communications with videos, pictures, etc… • Visiting the community
  18. 18. Agreement on the ways success will be measured and reported is critical. We propose the following shared goals: 18 5. SHARED MEASUREMENT SYSTEM
  19. 19. 19 CHAMPS IN ACTION: HUANCAYO, PERU Bon Secours Health System (from 2010) Johnson & Johnson (from 2010) PAHO (from 2010) Agnes Varis (from 2012) Regis University (from 2014) MOH (from 2010) CBOs (from 2010) San Martin de Porres University (progressive engagement) UPLA University (progressive engagement) We are currently working in 3 sectors of the Chilca District, training doctors and nurses on IMCI and neonatal resuscitation, training adults on health practices and learning methodologies, and conducting community mobilization and surveillance activities to ensure children’s health and nutritional conditions. Local International
  20. 20. 20 CHAMPS IN ACTION: CÔTES-DE-FER, HAITI Catholic Health Partners Johnson & Johnson Food for the Poor Water for Life Hite & Associates MOH The community of Cotes-de-Fer and CBOs Ministry of Public Works – Southeast Department Sisters of Charity of Saint Louis We are currently finalizing plans with architects and engineers to build a hospital on land donated by the community, initiating trainings of community health workers around safe motherhood, children’s health and nutrition, and conducting a formalized community assessment. Local International Long-term (1-year) voluntarism
  21. 21. Partners.  Health systems  Universities  Peer NGOs (international and local)  Faith community/religious groups 21 WHAT DO WE NEED THE MOST FOR FUTURE CHAMPS?
  22. 22. Thank you.