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Allison-Flynn-session-2c-CCIH-2017

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Allison Flynn, MPH, Health and Nutrition Program Advisor, World Relief shares the organization's Care Group Model to engage communities in their own health and lessons learned over the last 25 years of successful child survival efforts.

Published in: Healthcare
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Allison-Flynn-session-2c-CCIH-2017

  1. 1. 25 Years of Child Survival: Lessons Learned Allison Flynn, MPH Program Advisor, Health & Nutrition CCIH Annual Conference, 14 July 2017
  2. 2. 2017 © World Relief25 Years of Child Survival: Lessons Learned History 21 USAID CSHGP grants in 10 countries from 1987-2015 Child Survival interventions: Immunization, IMCI, Breastfeeding, Nutrition, MNC, FP Developing new evidence-based methods for SBC at the community level through Care Groups, Nutrition Weeks, and PD/Hearth (early adopter)
  3. 3. 2017 © World Relief25 Years of Child Survival: Lessons Learned The Care Group Model Groups of 10 volunteers each reach 10-15 of their neighbors with behavior change messages twice each month Multiplicative impact for 100% saturation Support, participation, integration $5-8 per beneficiary/year Edward, A, Ernst, P, Taylor, C, Becker, S, Mazived, E, & Perry, H. Examining the evidence of under-five mortality reduction in a community-based programme in Gaza, Mozambique. Transactions of the Royal Society of Tropical Medicine and Hygiene 2007;(101)8:814-822. Ricca, J, Prosnitz, D, Perry, H, Edward, A, Morrow, M, Ernst, P, & Ryan, L. Comparing estimates of child mortality reduction modelled in LiST with pregnancy history survey data for a community- based NGO project in Mozambique. BMC Public Health 2011;(11)Suppl 3: S35. United Nations Children’s Fund. Focus on Mozambique: Reducing under-five mortality through a community-based programme. The State of the World’s Children 2008; p.59. http://www.fsnnetwork.org/care-groups-training-manual-program-design-and-implementation
  4. 4. 2017 © World Relief25 Years of Child Survival: Lessons Learned 0 0 0 64 29 11 0 9.4 29 0 36 40 86.4 15.8 0 17 0 60 91.1 0 0 47 62 50 40 0 28 37 0 50 79.7 95 55 0 80 0 99 96.7 0 20 40 60 80 100 120 Exclusive Breastfeeding Baseline Final Evaluation
  5. 5. 2017 © World Relief25 Years of Child Survival: Lessons Learned 0 13.8 41 8 0 0 42 0 30 66.9 0 60.3 43 69.8 0 83 88 0 69 50.3 0 10 20 30 40 50 60 70 80 90 100 ITN Use the Previous Night Baseline Final Evaluation
  6. 6. 2017 © World Relief25 Years of Child Survival: Lessons Learned 57 23.4 0 3.9 18 0 0 0 0 0 38.6 90 99.6 0 19.9 90.6 0 0 0 0 94 85.3 0 20 40 60 80 100 120 Handwashing with Soap at 2+ Key Times Baseline Final Evaluation
  7. 7. 2017 © World Relief25 Years of Child Survival: Lessons Learned 0 0 0 18 67 9 88 22 0 0 0 0 0 0 0 0 0 45 42 0 0 0 81 80 47.4 95 85 0 0 0 0 0 0 0 0 0 91 60 0 10 20 30 40 50 60 70 80 90 100 2+ ANC Visits Baseline Final Evaluation
  8. 8. 2017 © World Relief25 Years of Child Survival: Lessons Learned 0 0 68 35 46 62 77 0 0 37 27.6 29.9 17.1 71 2 10 0 31.5 45 0 0 70 94.4 54 98 81 81.9 0 96 50 44 94.8 89 60 64 0 80 63 0 20 40 60 80 100 120 Appropriate Care Seeking for Child with Fever or Rapid Breathing Baseline Final Evaluation
  9. 9. 2017 © World Relief25 Years of Child Survival: Lessons Learned 19 61.3 119 138 3 23.1 45 67 0 20 40 60 80 100 120 140 160 Infant Mortality Rate Baseline Final Evaluation
  10. 10. Lessons Learned
  11. 11. 2017 © World Relief25 Years of Child Survival: Lessons Learned Grassroots Engagement Church engagement: from barrier to beacon Increasing community ownership and changing norms Local leaders and businesses
  12. 12. 2017 © World Relief25 Years of Child Survival: Lessons Learned Volunteerism is the Hinge Respect, Trust, Support, Accountability Care Groups, Pastors, Grandmothers, CHWs Adult Learning Principles for Behavior Change Power of Peer Learning Gender and Family
  13. 13. 2017 © World Relief25 Years of Child Survival: Lessons Learned Engagement with MOH is critical for immediate success and long- term sustainability. “Don’t screen for what you can’t treat” Advocacy at all levels Joint monitoring and ownership Integrating community outreach into MOH systems as policy for national scale-up Data Scaling up new models for community health
  14. 14. 2017 © World Relief25 Years of Child Survival: Lessons Learned From then...
  15. 15. 2017 © World Relief25 Years of Child Survival: Lessons Learned To Now
  16. 16. worldrelief.org

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