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Plan kenya care_groups

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CORE Group Fall Meeting 2010. Local Lessons on Care Groups. - Laban Tsuma (MCHP, formerly w/PLAN)

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Plan kenya care_groups

  1. 1. Local Lessons on Care Groups Core Fall Meeting September 14, 2010 Plan Kenya
  2. 2. Outline <ul><li>Plan Kenya- Standard CS in Kilifi (2004-2009) </li></ul><ul><li>Adoption of the Care Group Strategy </li></ul><ul><li>Lessons learned </li></ul><ul><li>Conclusions </li></ul>
  3. 3. Map 1
  4. 4. Plan Kenya KIDCARE Project 1 GOAL Sustainably reduce child mortality and morbidity in Kilifi BENEFICIARIES WRA 64,381 U5 46,354 INTERVENTIONS & LOE MALARIA NUTRITION IMMUNIZATION PNEUMONIA DIARRHEA HIV/AIDS 25% 20% 15% 15% 15% 10% PARTNERS Kilifi Community, MOH, Plan, AKHSK, PSI, AMKENI, KEMRI-Wellcome TRUST
  5. 5. Plan Kenya KIDCARE Vision for Sustainability Fathers as active caretakers of sick children Extension of the health system to where the communities live Re-organization of the community from the village level to the household level to ensure more active engagement with health benefits and communication INFLUENCERS (CENTRAL MOH) LOCAL MOH CHILD CORPS PARENTS GUARDIANS VHCs/DHCs/CBOs PARTNERS
  6. 6. Plan Kenya KIDCARE Project 2 <ul><li>The project to adopt a ten-cell (Miji kumi) model akin to one that had been used for political mobilization in the period before Kenya re-adopted multiparty democracy. Only much later was it realized that in the Miji kumi model the project had unwittingly adopted the care-group model with all it core elements of multiplication of volunteer effort, peer support and community mobilization for health action. </li></ul><ul><li>. </li></ul><ul><li>8 frontline staff (Promoters) reached all the 357 villages’ population of 257,000 persons . This was made possible because each Promoter got in touch with upto 100 CHWs every two weeks (through 10 SuperCHWs who are unpaid volunteers) </li></ul>
  7. 7. Household vs Homestead
  8. 8. Plan Kenya KIDCARE Org. Structure CGV HH HH HH HH HH HH CGV HH HH HH HH HH HH HH HH HH HH CGV PROMOTER CHW CHW SUPER CHW SUPER CHW SUPER CHW CHW CHW CHW CHW HH HH HH HH CGV HH Each homestead (nominates a care group volunteer 10 care group volunteers form a care group and nominates a CHW. A SuperCHW was nominated from each group of 10 CHWs. This was an unpaid volunteer A promoter who is a paid project staff was responsible for 10-15 SuperCHW The social unit targeted for interventions is the household. These are usually found clustered in homesteads
  9. 9. Indicators Baseline Coverage % Endline Coverage % Target % % Children (0-23mths) underweight 26.6 14.4 21.6 % Children (0-23mths) births attended by SBA 12.9 35.4 % Mothers of children (0-23mths)who received 2TT 24.0 66.7 60 % Infants (0-5mths) exclusively breastfed in last 24 hrs 21.1 54.9 31 % Children (0-23mths) fully vaccinated by 12mnths 62.2 76.5 74 % Children (0-23mths) who slept under ITN last night 20.7 76.7 60 % Mothers of children (0-23mths) who know 2 ways of preventing HIV 41.4 66.0 70
  10. 10. Lessons Learned <ul><li>Born out of shared vision </li></ul><ul><li>Project catalyzed not project led </li></ul><ul><li>Took time to set up </li></ul><ul><li>Care Group Volunteers represented homesteads instead of “10 households” </li></ul><ul><li>Rapid BCC: solidarity, endorsement by HH </li></ul><ul><li>Spin-offs: VSL/Microenterprise, CLTS </li></ul><ul><li>Did not work well in peri-urban centers </li></ul>
  11. 11. The preceding slides were presented at the CORE Group 2010 Fall Meeting Washington, DC To see similar presentations, please visit: www.coregroup.org/resources/meetingreports

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