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CORE Polio:  Integration in practice  CORE Group Spring Meeting May 2011
A Starting Point <ul><li>Integration – service delivery </li></ul><ul><ul><li>Clinical  </li></ul></ul><ul><ul><li>Communi...
Global Polio Eradication Initiative THEN NGOs & civil society Communities
Some Realities Global vaccine supply and policy Health system material infrastructure Health system human resources Econom...
Global Polio Eradication Initiative NOW Global vaccine supply and policy Health system material infrastructure Health syst...
The Birth of CORE Polio <ul><li>Initial idea was actual to integrate polio into Child Health and Survival Grant Program </...
 
Growth of CORE Polio as a platform Polio campaigns and  Surveillance Measles  (health promotion) Integrated campaigns (mea...
How it works in Africa <ul><li>Malaria IEC in Ethiopia and Angola </li></ul><ul><ul><li>Malaria BCC messages included with...
How it works in India - 1 <ul><li>India hygiene and sanitation </li></ul><ul><ul><li>Community resistance to sole focus on...
How it works in India - 2 <ul><li>Same staff at all levels </li></ul><ul><li>Developed new messages and carefully designed...
 
ITN use in integrated campaign
Reasons to integrate <ul><li>Logistical </li></ul><ul><ul><li>Measles, VitA, nets during polio campaign </li></ul></ul><ul...
Some thoughts… <ul><li>Range of technical assistance needs </li></ul><ul><li>Potentially multiple relationships, especiall...
Issues to consider going forward <ul><li>Local capacity building  </li></ul><ul><ul><li>with multiple health system counte...
Thank You! <ul><li>Dora Ward, CORE Group Polio Project  [email_address] </li></ul>
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Core polio integration in practice lynch

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Core polio integration in practice lynch

  1. 1. CORE Polio: Integration in practice CORE Group Spring Meeting May 2011
  2. 2. A Starting Point <ul><li>Integration – service delivery </li></ul><ul><ul><li>Clinical </li></ul></ul><ul><ul><li>Community-based </li></ul></ul><ul><li>Not… </li></ul><ul><ul><li>Organizational (WHO + UNICEF + MOH + Rotary + CDC + USAID…) </li></ul></ul><ul><ul><li>Financial (funding streams by activity, donor) </li></ul></ul><ul><ul><li>Systems (integrated family health unit vs. EPI + infectious disease + maternal…) </li></ul></ul>
  3. 3. Global Polio Eradication Initiative THEN NGOs & civil society Communities
  4. 4. Some Realities Global vaccine supply and policy Health system material infrastructure Health system human resources Economics Culture & Politics Other vaccine preventable diseases Conflict Food insecurity Vitamin A deficiency Malaria HIV/AIDS Sanitation & hygiene
  5. 5. Global Polio Eradication Initiative NOW Global vaccine supply and policy Health system material infrastructure Health system human resources Economics Culture & Politics Other vaccine preventable diseases Conflict Food insecurity Vitamin A deficiency Malaria HIV/AIDS Sanitation & hygiene
  6. 6. The Birth of CORE Polio <ul><li>Initial idea was actual to integrate polio into Child Health and Survival Grant Program </li></ul><ul><ul><li>NGO/PVOs reach hard-to-reach and resistant </li></ul></ul><ul><ul><li>And represent reality on the ground to GPEI </li></ul></ul>
  7. 8. Growth of CORE Polio as a platform Polio campaigns and Surveillance Measles (health promotion) Integrated campaigns (measles, VitA, nets) Routine Immunization (defaulter tracing, health worker skills) Handwashing promtion other sanitation
  8. 9. How it works in Africa <ul><li>Malaria IEC in Ethiopia and Angola </li></ul><ul><ul><li>Malaria BCC messages included with polio-related ones by same volunteers </li></ul></ul><ul><ul><li>Monitoring as integrated as possible </li></ul></ul><ul><ul><ul><li>A single monitoring report to central in-country which they can parse as needed </li></ul></ul></ul><ul><ul><ul><li>Integrated population based surveys </li></ul></ul></ul><ul><ul><li>Dedicated malaria field supervision staff </li></ul></ul>
  9. 10. How it works in India - 1 <ul><li>India hygiene and sanitation </li></ul><ul><ul><li>Community resistance to sole focus on polio </li></ul></ul><ul><ul><li>Highly efficient transmission </li></ul></ul><ul><ul><li>Promotion of handwashing and other hygiene behaviors </li></ul></ul>
  10. 11. How it works in India - 2 <ul><li>Same staff at all levels </li></ul><ul><li>Developed new messages and carefully designed SM activities and integrated them into polio/immunization social mobilization </li></ul><ul><li>Completely integrated M&E </li></ul>
  11. 13. ITN use in integrated campaign
  12. 14. Reasons to integrate <ul><li>Logistical </li></ul><ul><ul><li>Measles, VitA, nets during polio campaign </li></ul></ul><ul><li>Content </li></ul><ul><ul><li>Hygiene and sanitation </li></ul></ul><ul><li>A mixture </li></ul><ul><ul><li>Routine immunization </li></ul></ul>
  13. 15. Some thoughts… <ul><li>Range of technical assistance needs </li></ul><ul><li>Potentially multiple relationships, especially with health system counterparts </li></ul>
  14. 16. Issues to consider going forward <ul><li>Local capacity building </li></ul><ul><ul><li>with multiple health system counterparts </li></ul></ul><ul><ul><li>On skills required for integrated service delivery </li></ul></ul><ul><li>Volunteer fatigue vs. “thirst for knowledge” </li></ul>
  15. 17. Thank You! <ul><li>Dora Ward, CORE Group Polio Project [email_address] </li></ul>

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