This powerpoint discusses the APC (Global TA project) that works to provide information for local action ensuring effective policies reach people through help from grants to support NGO’s that can help bridge global efforts with local needs. A Call for a “3 One’s Approach” is one national strategy coordinating body M&E framework. This strategy works at a global and country level and uses practical tools to assess policy. Authors are Liz Creel and Tanvi Pandit-Rajani
2. Our Focus
Advanceglobal
leadership & advocacy
for improved
community health,
including FP
Strengthen NGO
technical and
organizationalcapacity
Expand NGO
community-based
programs through
grants
3. Providing Information for Local Action
Community health programs are
fragmented.
APC is developing approaches and
tools to harmonize programs.
APC is helping to advance global
and local efforts for scale up.
5. 5|
Selection
Scope
Support (training, materials, commodities)
Supervision & management
Incentive structures
Referrals
Monitoring & reporting
…
What we know
Fragmentation is achallenge
6. 6|
A Call for a
“3 Ones Approach”
National Strategy
Coordinating Body
M&E Framework
7. 7|
Activity Objective
Global Level: support
harmonization and policy efforts
for CHS through practicaltools
and approaches
Country Level: improve
the policy environment for CHS
by through policy analysis and
priority setting
CommunityHealth Systems
8. 8|
Practical Tools to Assess Policy
Work in progress
Audience: Policymakers, Program
Managers, Donors, Implementers
Purpose: to identify policy gaps and
inform areas for policy action
SurveyPolicy Decision Framework
Audience: Policymakers, TA
Providers
Purpose: to visually identify policy
gaps and highlight areas for policy
action
CHS Catalog
Audience: Policymakers, Program
Managers, Donors, Implementers
Purpose: provides (1) inventory (2)
country profiles of national policies
and programs
9. WhatistheCommunityHealthSystemsCatalog?
1. Policies & Strategies
2. Management
• health sectorstructure
• programdescription
3. Service Providers
• structure,level, type
• selection
• training
• retention& remuneration
servicedelivery
Information“Hub”forUSAID/PRH’s25prioritycountries
10. 10|
Haiti created a cadre of CHWs
after the 2011 earthquake as
an approach to strengthen
their health system.
Management of CHWs
in Nigeria is highly
decentralized, and
community health
policies date back to
the 1970’s.
Each of Ethiopia’s health
extension workers serves
a population of
approximately 2,500
Tanzania has four
different community
health cadres.
Across India, there are
>850,000 ASHAs
who make up one of
the country’s three
CHW cadres.
TheCHS Catalogsharesdatafrom
countries aroundtheworld
11. 11|
Community Health Systems Catalog
.
Source: Wikipedia
In 2010, Zambia trained appx 300 CHWs,
with an aim to train 5200 by 2018.
# of country policies surveyed that
include community-based FP provision
Provides information onissueswecare about
12. 12|
Practical Tools to Assess Policy
Work in progress
Audience: Policymakers, Program
Managers, Donors, Implementers
Purpose: to identify policy gaps and
inform areas for policy action
SurveyPolicy Decision Framework
Audience: Policymakers, TA
Providers
Purpose: to visually identify policy
gaps and highlight areas for policy
action
CHS Catalog
Audience: Policymakers, Program
Managers, Donors, Implementers
Purpose: provides (1) inventory (2)
country profiles of national policies
and programs
14. 14|
Practical Tools to Assess Policy
Work in progress
Audience: Policymakers, Program
Managers, Donors, Implementers
Purpose: to identify policy gaps and
inform areas for policy action
SurveyPolicy Decision Framework
Audience: Policymakers, TA
Providers
Purpose: to visually identify policy
gaps and highlight areas for policy
action
CHS Catalog
Audience: Policymakers, Program
Managers, Donors, Implementers
Purpose: provides (1) inventory (2)
country profiles of national policies
and programs
15. 15|
is flexible to supportcountries at different stages
The Process
APC Core Support In-Country Investment
Analyze
policies &
current
situation
Collect data Validate data
& agree on
priorities
Develop
strategy and
Costed Plan
Implement,
disseminate&
monitor plan
• Decision
Framework
• CHS
Catalog
• Interviews &
FGDs
• Priority
Setting Tool
16. 16|
What’s Next?
Pilot policy assessment approach in 2 countries (TZ,
Zambia, other?)
Conduct global consultation to enhance tools
Share experiences and tools to inform policy
discussions
Package information into online resource with key data
Expand CHS catalog to include MCH and nutrition (w/
MCSP and SPRING)