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The CSHGP Review_Mary Beth Powers_5.8.14


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The CSHGP Review_Mary Beth Powers_5.8.14

  1. 1. Three Decades of CSHGP Results: A High Impact Partnership between PVOs, Governments, Vulnerable Communities and the American People Courtesy: HIP
  2. 2. Outline of the Session and Input Requested  Topline messages we want the report to convey  Outline for the report and some of the examples we will use to populate the report  Input needed  Your reactions to the messaging  Thoughts about examples that help explain the impact of the CSHGP 2 NOTE: THIS IS A DRAFT FOR THE OUTLINE/CONCEPTS FOR A PAPER – it is a working document seeking input
  3. 3. Overview & Take-Away Message For almost three decades, a unique multi- faceted partnership between the U.S. government and PVOs has developed and delivered results in terms of stronger health systems and better health outcomes. It has mobilized U.S. citizens, national and local governments and civil society, including vulnerable communities, in 60+countries around a common goal: to prevent child and maternal deaths. 3
  4. 4. Message 1 The partnership resulted in demonstrated increases in coverage of essential health services and practices that saved lives of vulnerable women and children while also strengthening the capacity of the health system and communities to sustain this impact over time. 4
  5. 5. Message 2 The grantees by approaching the community as a resource and partner, demonstrated again and again that integrated community- based primary health care is a low-cost and effective strategy for strengthening health systems in resource poor areas and improving population-level health. 5
  6. 6. Message 3 The program built the accountability of government actors to address community-level health needs, promoting citizen participation and democracy, while also holding PVOs to account by making all data open and available on a public website. 6
  7. 7. Message 4 The partnership included strategic technical assistance & facilitated learning exchange (CORE) that  helped document and disseminate effective MNCH programs  spread learning about how to best deliver and expand the reach of life saving interventions,  contributed to stronger health systems and social services through capacity building with local NGOs, governments and private sector partners Innovation in Programs Shared Learning via CORE TA& Capacity Bldg 7
  8. 8. Message 5 The program has advanced global standards of practice which now promote packages of care that were often piloted, documented and improved under the CSGHP, e.g., community- IMCI, iCCM, ENC, etc. 8
  9. 9. Message 6 While the policy climate shifted over the years with different administrations/priorities, the match requirement connected citizens with this foreign assistance priority: that is, that the United States remains a leader in reducing hunger and poor health among children and women around the world. 9
  10. 10. In conclusion – TBD… Lessons learned through this program should continue to be spread in programs , especially that:  social & behavior change is best achieved when interpersonal communication led by local change agents is at heart of the strategy;  ideas for health system strengthening can emerge from the district and sub-district health systems & influence the larger system;  results can be replicated across boundaries when technical assistance, program learning and exchange, and strong partnerships are built into program design  OTHERS? 10
  11. 11. Section 1: Historical Perspective on CSHGP Evolution & Core Principles A strategic investment of the US government built on a strong foundation:  PVO’s existing grassroots presence  Commitment to working in the hardest to work places with the most vulnerable populations  Commitment to Community-based Solutions and health system strengthening with an eye toward the gaps in the peripheral system  Partnership as a modality of implementation at all levels 11
  12. 12. Section 2: Contributions/Achievements  Bang for the Buck  Activating Communities as a Resource rather than Recipient  Innovative Solutions that contributed to SOTA  Modeling Effective Partnerships  Wider Influence on PVOs/GH Community 12
  13. 13. Bang for the Buck: Results of PVO programs suggest impact, cost-effectiveness, sustainability, leverage. 1. Poor performing areas exceed national averages 2. LiST analysis estimates impact 3. Cost-effectiveness 4. Sustainability 5. Leverage & match Examples: • World Relief/Cambodia • Concern Bangladesh 13
  14. 14. Activating Communities as a Resource rather than a Recipient  Engagement of CH groups/women’s groups (PLAN Cameroon)  Community HIS allowing for DDM (Curamericas CBIO)  Empowering CHWs (HKI Nepal)  Linking communities to Health services (Concern Rwanda)  Engaging community voices in regional/national dialogue (Future Generations Peru) 14
  15. 15. Innovation in the CSHGP 15 “Introducing and scaling up high impact interventions through innovative community oriented approaches/policy relevant practical evidence and lessons to address persisting bottlenecks in marginalized and underserved populations”
  16. 16. Innovation to Practice 16 1. Helping to test, evaluate and introduce innovative technologies and approaches; 2. Serving as a platform for amplifying, replicating state of the art technologies and approaches; 3. Through our in-country presence, serving as an informed and credible voice in our collective effort to inform and influence policy and practice.
  17. 17. Innovative Solutions that Advanced the SOTA Integrated CCM  Pilots conducted in CSHGP project sites in Ethiopia & Rwanda contributed to national policy shifts, with other in-country stakeholders Chlorhexidine  Nepal National MOH requested Plan to conduct a community-level delivery pilot to assess the acceptability of Chlorhexidine in CSHGP project site due to strong community engagement and partnerships with District MOH (complementing other MOH pilots with JSI) 17
  18. 18. Innovative Solutions for SBC  Positive Deviance/Hearth (need example application)  CARE Groups (World Relief, Food for the Hungry, Mozambique)  M-health applications (HAI- Timor Leste)  Others? 18
  19. 19. Modeling Effective Partnerships  USG-PVOs, PVOs-US Public, USAID DC & Missions, PVOs-Local Govts, Community groups – local MOH authorities  CORE Group –open source mentality allows for accelerated tool development, co-creation of solutions  Humanitarian Pandemic Preparedness 2007  Finalizing and disseminating CCM Essentials  Polio Eradication Initiative 19
  20. 20. Wider Influence of CSHGP on PVOs, National Policy, and Global Health  PVO capacity built – moving from receiving to providing TA (HKI but could use more examples)  PVO adoption of tools developed by TA providers for multi-sector use (KPC, LQAS – examples needed)  National policies embrace C-IMCI and iCCM (Plan Cameroon)  CCM Essentials used to create WHO/UNICEF guidance  Care Group methodology… 20
  21. 21. Your reactions/input welcome!  Reactions to the messages  Examples that you could share?  Uses of such a document? 21