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Ccih2019 poster-sessions-flash-presentations

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In this interactive session, known as a Flash Presentation, speakers gave a brief PowerPoint presentation followed by a poster session and Q&A. Speakers included Lebo Mothae, Mpub, Executive Director, Christian Health Association of Lesotho; Generose Mulokozi, PhD, ASTUTE Team Leader, IMA World Health; Wilma Mui, MPH, Program Associate, World Faiths Development Dialogue; Norest Hama, MSc, Health Technical Manager, World Vision International Zimbabwe; and Simon Ssentongo, BS Econ and Stats, Uganda Protestant Medical Bureau.

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Ccih2019 poster-sessions-flash-presentations

  1. 1. Localizing solutions for sustained interventions and improved health and wellbeing of Basotho Ms Lebohang Mothae Executive Director Christian Health Association of Lesotho ( CHAL) Contacts: Mobile: +266 59705640 Email: ed@chal.org.ls/ mothael@chal.org.ls Web: www.chal.org.ls Friday, June 7, 2019 1Local solutions for local problems
  2. 2. Socio-economic dynamics Friday, June 7, 2019 Local solutions for local problems 2 CHAL Facilities along busy boarders CHAL Facilities at mountainous districts
  3. 3. Friday, June 7, 2019 Local solutions for local problems 3 One size does not fit all Community Health Needs Men not accessing services Low immunization coverage High defaulter rates Health Interventions /Programs GBV Campaigns Stepping stone training Partnerships Multi Month Dispensing Community/health Facilitylinks HCCommittee Gatekeepers Churchesandschools VillageHealthWorkers Familyandpartner suppport Socio-economic dynamics •Migration •Povertyand unemployment •Teenagepregnancies •GBV Strong and resilient Health systems Partnerships Public leadership and governance Community participation
  4. 4. Maseru and Berea District Performance Friday, June 7, 2019 Local solutions for local problems 4 Father taking a daughter for immunization and for wife’s ART refill
  5. 5. Friday, June 7, 2019 Local solutions for local problems 5 Thank You!!!
  6. 6. Ensuring People’s Empowerment in Nutrition Through Home Visits in Tanzania Generose Mulokozi, PhD ASTUTE Project Team Leader, IMA World Health June 2019
  7. 7. Addressing Stunting in Tanzania Early (ASTUTE) • Through UK aid-funded 5 year project, IMA aims to improve nutrition in 5 Lake regions of Tanzania and reduce stunting in children under 5 years • Close collaboration with Government of Tanzania • Negotiation for behaviour change in MIYCAN, ECD, WASH is conducted by CHWs during home visits to project beneficiaries
  8. 8. Home Visit Negotiation Process • Moves beyond typical one-way message sharing and involves caregivers directly in step-by-step communication, including: • Greeting • Asking about practice • Listening about current situation • Identifying best practices & challenges • During discussion, caregiver & CHW agree on 1- 2 realistic practices to try • During follow-up visits, CHW determines whether caregiver tried the new practice(s) and discusses any challenges and necessary adaptations
  9. 9. Home Visit Achievements • From July 2017 to April 2019, the project conducted over 10 million visits to nearly 3 million households • On average, each CHW conducted two more home visits per month (26) than the expected number (24) • ASTUTE project has trained 7,800 district health workers and other service providers as well as over 6,000 CHWs • In addition to caregivers, CHWs involved other household members - fathers, grandmothers, mothers-in-laws, older siblings - in brainstorming discussions on ways to achieve success in behavior change
  10. 10. Faith and Universal Health Coverage: How can we strengthen secular- religious partnerships? Wilma Mui Program Associate
  11. 11. Universal Health Coverage • WHO: “all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship” • What does this mean in practice?
  12. 12. Research Question How, and in which technical areas, are faith- inspired organizations engaged in national health policy processes that can be linked to achieving UHC?
  13. 13. Interviewees
  14. 14. Faith, Healing, and the Health System: Qualitative Findings from Operational Research in Northern Zimbabwe Presenter: Norest Hama
  15. 15. Project Overview • Location: Gokwe North and Gokwe South Districts • Duration: 2017-2019 • Goal: Increase vaccination coverage through strengthened EPI services and improved utilization Project Implementation was supported by Pfizer Foundation. Operational Research Overview • Key Demand Creation Approach: Channels of Hope model to catalyze faith leaders and congregations as key actors to improve care seeking. • Research: To capture process improvement opportunities and qualitative learnings about immunization utilization progress and challenges among ultra conservative churches.
  16. 16. Qualitative Findings “ukaenda kuchipatara unenge watsvaka mumwe Mwari” Going to a hospital implies seeking another God. ◼ Qualitative Highlights • Theological shifts • COH strongly promotes and articulates harmonization of biomedicine and faith • Faith leaders publicly seeking care • Collaboration with traditional authority ◼ Challenges/Opportunities • Non-leader male involvement • Apostolic leader recognition • Increased adolescent and youth participation • Simplified theological materials • Male leader focused platforms Focus group discussion with Zumba church leaders.
  17. 17. 23%Increase in immunization coverage among ultra conservative churches in both districts. (43% at baseline to 66% at final evaluation)
  18. 18. Uganda Protestant Medical Bureau Partnering for impact: a case of the Inter-Bureau Coalition in accelerating epidemic control in North Eastern Uganda
  19. 19. www.upmb.co.ug Health in Totality The HIV Epidemic Burden in Uganda (2018) • 1.3m People living with HIV • 50,000 new infections • 26,000 AIDS related deaths • 73% adults living with HIV on antiretroviral Treatment • 68% of Children living with HIV on antiretroviral treatment Source: UNAIDS data 2018 https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf
  20. 20. www.upmb.co.ug Health in Totality PARTNERSHIPS FOR THE GOAL
  21. 21. www.upmb.co.ug Health in Totality The Inter Bureau Coalition (IBC) Inter-Bureau Coalition (IBC) Uganda Muslim Medical Bureau Uganda Protestant Medical Bureau Uganda Catholic Medical Bureau Diocesan Health Office (Local Church) Faith Based Health Facilities Uganda Orthodox Medical Bureau Ministry of Health Implementing Partners District Health Offices Funding Agencies

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