Getting to the Heart of the Matter: Communities and Health Systems Strengthening


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Getting to the Heart of the Matter: Communities and Health Systems Strengthening

The State of CORE

Karen LeBan, Executive Director, CORE Group

CORE Spring Meeting, April 27,2010

Published in: Health & Medicine
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  • Third meeting in a row to focus on communities role in health systems strengthening!
  • Our mission: There is evidence-based data to show how to prevent mortality of women and children, and our meeting will focus on these areas: newborn health, CCM of major childhood killers, maternal care, nutrition and family planning. However, there is less data and understanding as to what constitutes a healthy community esp. a sustainable healthy community – in terms of key program strategies, dollar cost. Our meeting will explore dimensions of the community context that impact on health and wellness. We are looking for advice and guidance on which of these subject areas CORE should pursue more in the future.
  • - Presentation by Carol Underwood, JHU, 4/09, CORE Spring Meeting
  • The IMCI WG held a TAG meeting this fiscal year to look at the CIMCI framework and to develop a framework for better understanding community health. This diagramn reflects some of their preliminary thinking, and emphasizes the need for better understanding the community “inuts” that link directly to national programs.
  • We currently have 53 members sharing this common concern about community health.
  • We soon may have 56 organizations! The Board will re-examine membership criteria during the summer.
  • Each WG product responds to the member needs of practical on-the-ground experience, and has relevance to global community issues. WGs are the heart and soul of CORE and provide direction for practical products.
  • Presented to Ministers of Finance at the World Bank / IMF Meetings this past weekend emphasizing the importance of the -9 to +2 “window of opportunity” age range.
  • 22/85 endorsements are CORE Group members CORE Group responsible for high percentage of all endorsements. HKI part of steering committee!
  • Getting to the Heart of the Matter: Communities and Health Systems Strengthening

    2. 2. Welcome to Our Spring Meeting Getting to the Heart of the Matter: Communities and Health Systems Strengthening State of CORE Karen LeBan, Executive Director
    3. 3. A world of healthy communities where no women or child dies of preventable causes <ul><li>Newborn Health </li></ul><ul><li>CCM – diarrhea, pneumonia, malaria, newborn infection, malnutrition </li></ul><ul><li>Maternal Health </li></ul><ul><li>Nutrition </li></ul><ul><li>Family Planning </li></ul><ul><li>Water/Sanitation </li></ul><ul><li>Early Childhood Dev. </li></ul><ul><li>Gender Equity </li></ul><ul><li>Pro-poor Financing </li></ul><ul><li>Mental health </li></ul><ul><li>Community Systems </li></ul><ul><li>m-Health </li></ul>
    4. 4. Why Focus on Community? <ul><li>“ Even if one has experienced empowering cognitive and behavioral changes, it is difficult to argue that one is empowered as long as those personal and interpersonal changes have no impact on socially unjust situations which affect one’s life.” (Margot Breton) </li></ul><ul><li>Sustainable improvement in health conditions requires attention to individual AND </li></ul><ul><li>contextual factors </li></ul><ul><li>Community is the most immediate </li></ul><ul><li>day-to-day context most people face </li></ul>
    5. 5. Community Resiliency <ul><li>“ Our challenge is how to create those democratic spaces, legitimate spaces at the local level within which you can participate, your voices are heard and you have some say in the making of decisions.” </li></ul><ul><li>- Arif Hasan </li></ul><ul><li>Community Resilience: A Cross-Cultural Study </li></ul><ul><li>Fetzer Institute / Wilson Center Seminar </li></ul>
    6. 6. Facility-based curative & preventive services Priority national disease control programs Household & community health-related programs <ul><li>Participatory women’s groups </li></ul><ul><li>Community case management </li></ul><ul><li>Peer Support Groups </li></ul><ul><li>Religious Groups </li></ul><ul><li>Routine systematic home visitation (CHWs) </li></ul><ul><li>Outreach services by mobile health teams </li></ul><ul><li>Community Governance Structures </li></ul>Framework for Maximum Improvement in Community Health From CIMCI TAG,11/09
    7. 7. 53 Members ACDI/VOCA Adventist Development and Relief Agency Africare African Medical and Research Foundation Aga Khan Foundation American India Foundation American Red Cross AME - SADA CARE International Catholic Medical Mission Board Catholic Relief Services ChildFund International Christian Reformed World Relief Committee Concern Worldwide Counterpart International Curamericas Global, Inc. Food for the Hungry Freedom from Hunger Future Generations Global Health Action Haitian Health Foundation Health Alliance International HealthRight International Helen Keller International Hesperian Foundation HOPE Worldwide IMA World Health International Relief and Development International Aid International Medical Corps International Rescue Committee International Youth Foundation La Leche League International MAP International Medical Care Development International Medical Teams International Mercy Corps Partners for Development PATH Pathfinder Int. Physicians for Peace PLAN International Population Services International Project Concern International Project HOPE Relief International Salvation Army World Service Save the Children WellShare International White Ribbon Alliance for Safe Motherhood World Neighbors World Relief World Vision
    8. 8. New Members Vote <ul><li>Ballots Due (Today) </li></ul><ul><li>American Refugee Committee International </li></ul><ul><li>Episcopal Relief and Development </li></ul><ul><li>Institute for One World Health </li></ul><ul><li>Applicants in “One Year Courting Period” </li></ul><ul><li>Infante Sano </li></ul><ul><li>Medicines for Humanity </li></ul><ul><li>The Hunger Project </li></ul><ul><li>World Concern Development Organization </li></ul><ul><li>World Lung Foundation </li></ul>
    9. 9. External Evaluation Excerpts <ul><li>“ CORE Group’s development and dissemination of specialized tools and resources for strengthening health systems, developing effective behavior change strategies, mobilizing communities and monitoring programs have grown tremendously and are highly rated by members, academics, cooperating agencies and consultants.” </li></ul><ul><li>“ Key Accomplishments: </li></ul><ul><li>Technical knowledge development and PVO capacity building </li></ul><ul><li>Global standards and best practices development in key interventions </li></ul><ul><li>Linking global-level program and policy forum with community practitioners and perspectives.” </li></ul>
    10. 10. FY10 Working Group Highlights <ul><li>HIV/AIDS: HIV/AIDS and TB SOTA </li></ul><ul><li>IMCI: Technical Meeting on the C-IMCI Framework; </li></ul><ul><li>Malaria: Maternal Anemia TAG and Workshop// RBM Partnership Board </li></ul><ul><li>M&E: Equity Guidance </li></ul><ul><li>Nutrition: Nutrition Program Design Assistant Tool </li></ul><ul><li>SBC: Designing for Behavior Change TOT </li></ul><ul><li>SMRH: HBLSS Curriculum Revision and ACNM MOU </li></ul><ul><li>TB: Elluminate on TB Essential Drugs; Booth at IUATLD Meeting </li></ul>
    11. 11. FY10 CORE Staff Highlights <ul><li>Community Case Management Essentials Guide and CCM Graphic </li></ul><ul><li>H2P (Humanitarian Pandemic Preparedness) – 16 country program review, Bangladesh lessons learned workshop, Community Preparedness Curriculum </li></ul><ul><li>Website Revision </li></ul><ul><li>Mobile Health Coordination </li></ul><ul><li>Nutrition Global Action Plan Framework </li></ul><ul><li>Polio Project - Welcome to Frank Conlon </li></ul><ul><li>Development of CORE Initiatives that cut across WGs </li></ul>Leadership of a Neutral Space that Promotes Coordination and Partnership Development
    12. 12. Recent CORE Group Publication Releases <ul><li>CCM Essentials - In progress for 3 years, created with Save the Children, BASICS, MCHIP, USAID with support from , WHO, UNICEF </li></ul><ul><li>Nutrition Program Design Assistant Tool – A 3 year product of the CORE Nutrition Working Group, Save the Children, FANTA-2/AED. </li></ul>
    13. 13. CCM Essentials - In progress for 3 years, created with Save the Children, BASICS, MCHIP, USAID, and CORE Group.
    14. 14. Community Case Management Essentials
    15. 15. Nutrition Design Assistant Tool
    16. 17. Lots of CORE member Endorsements 1 of 2
    17. 18. CORE member endorsements 2 of 2
    18. 19. Our Program Initiatives <ul><li>Strengthening Community Mother-Child Care </li></ul><ul><li>Scale-Up of Community Case Management </li></ul><ul><li>Nutrition in the Community Context </li></ul><ul><li>Assuring Integrated Prevention and Care for Infectious Diseases </li></ul>See Nancy Newton to give your input
    19. 20. Resources Cooperative Agreement Ends 9/30/2010! Partnership will Continue Member of Global Development Alliance with Laerdal / AAP on Newborn Rescusitation Working with MCHIP on CCM, Equity, CHWs Will expand partnership in FY11 Supporting CORE Polio Project Communication Efforts In search of Partners who want to be part of and contribute to our COMMUNITY HEALTH NETWORK! In search of FUNDING OPPORTUNITIES (RFAs) where CORE’s Network Niche and Community Focus would be an ASSET: Examples: TOPS and IDEA
    20. 21. Thank you to our Spring Meeting Sponsors CORE Group Members and Working Groups Presentors, Partners and Guests Table Sponsors Organizational Sponsor Social Gathering at Berthas Restaurant Financial Support Resource Material Providers
    21. 22. Have a Great Meeting! Tell us What you Think! Use our Daily Evaluation Forms!