Global Health Action-Haiti


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Presented at the June 29 Board meeting. Lays out our plans for Haiti.

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  • These are some questions that we as an organization need to keep asking ourselves so we keep our work focused.
  • So given all that we would like to do, what do we have to contend with? Are there other elements missing here?
  • M-health as a tool for CHWs; We work with community groups or representatives, who will work with us to identify or hone whichever intervention or program.
  • WE may not be doing this right now, but we should be thinking this way.
  • Global Health Action-Haiti

    1. 1. Board Meeting June 29, 2011 Haiti Programs FY 2012
    2. 2. Areas of involvement Approaches Outcomes/Outputs Community-based health outreach Animal husbandry Clinic support Supporting CHWs, TBAs Farmer training and support # Trained CHWs, TBAs # patients seen at clinic (mobile & stationery) #births assisted by TBAs # vaccinations provided by CHWs # families participating in goat training # pregnant goats distributed GHA in Haiti… Technical interventions in health: General health promotion (CHWs), MCH (primarily through TBA outreach) primary health care (at health facility, includes HIV testing); Other technical interventions: skill-building in goat care; follow-up care
    3. 3. What do we have to work with… <ul><li>What does community-based mean? </li></ul><ul><li>What already exists in the community &what can be leveraged? </li></ul><ul><li>Where & how will our interventions work? </li></ul><ul><li>Is there a need for ____ intervention? </li></ul><ul><li>And, how we can get from interventions/programs to community-led initiatives? </li></ul>
    4. 4. Family unit…adult male, female, children, infants, grand parents, aunts, uncles…. Clinic/dispensary/ hospital Church/FBO CHW/TBA/ Animal HW Children under 5 Local committee-- health, savings, women's groups Care groups Municipal/ political council NGO/CBO/ (other services)… Inst. Mechanism (state) What makes up a community (as we would imagine it)? Pregnant women Socio-cultural context Etc, etc? Adolescents (with raging hormones)
    5. 5. Any number and types of services by other NGOs/ INGOs/CBOS Specific interventions (FP, WASH, clinical referrals and care, HIV/STI, micro credit, training-skill building,??) The state, also a service provider This could be mothers/fathers groups/savings groups/municipal councils Clip art, source: all over the internet Bringing it all together…
    6. 6. What does a CHW do now?
    7. 7. What could a CHW do? Source: Earth Institute, Columbia Univ, 2010
    8. 8. CHW sub-system as part of the PHC system Source: Earth Institute, Columbia Univ, 2010
    9. 9. Goat Program training—what we do now
    10. 10. Goat Program services—what we do now
    11. 11. Goat Program training—what we could do
    12. 12. Goat Program services—what we could do
    13. 13. Integration? Between Health and Rural Development <ul><li>Working within the same communities (serving the same population) </li></ul><ul><li>Linking community-based animal health workers with CHWs </li></ul><ul><li>Community groups (micro credit/finance) that could also be care groups (for health promotion) </li></ul><ul><li>Work with partners that provide other services (Fonkoze, UPA) </li></ul><ul><li>What’s been done elsewhere and what can work? </li></ul>
    14. 14. <ul><li>Conventional Community Health… </li></ul><ul><li>Goal: decreased infant/maternal mortality, fixed interventions </li></ul><ul><li>Focus: programs and activities </li></ul><ul><li>Agenda: set by organization </li></ul><ul><li>Generally not sustainable; changes </li></ul><ul><li>do not last if program stops </li></ul><ul><li>Poorest of poor still excluded </li></ul><ul><li>Values remain unchanged </li></ul><ul><li>GHA’s approach should be based on... </li></ul><ul><li>Goal: Self-reliant healthy communities </li></ul><ul><li>Focus: community organization around needs, and priorities </li></ul><ul><li>Agenda: set by community </li></ul><ul><li>Has great potential to be sustainable since is community-driven </li></ul><ul><li>Specific targeting of poorest </li></ul><ul><li>Values will be transformed </li></ul>From projects and programs to community-driven change…. Ref: Tear fund (1999)
    15. 15. Outputs for FY 2012: <ul><li>25 newly trained CHWs in Leogane commune </li></ul><ul><li>19 newly CHWs in Petit-Goave (PG) commune </li></ul><ul><li>3 day-long TBA refresher trainings </li></ul><ul><li>5-day refresher training for CHWs in Leogane and PG </li></ul><ul><li>10 group meetings with CHWs/TBAs (refresher trainings, support, supervision) </li></ul><ul><li>Re-start the community health committees in Petit-Goave (in partnership with the UCS; 12 committees, 10 meetings each) </li></ul><ul><li>Cholera prevention and treatment training for health committee members in partnership with UCS in PG commune </li></ul><ul><li>3500-4000 patient visits at Olivier clinic (in partnership with Methodist Church of Haiti) </li></ul>
    16. 16. Outputs , contd: <ul><li>2500-3000 patients seen at mobile clinics organized by Olivier. </li></ul><ul><li>Adapt and update CHW training curriculum </li></ul><ul><li>Conduct needs assessment project (identify new technical interventions within community-based health & development) </li></ul><ul><li>Based on results from assessment, seek and obtain funding for community-based health systems strengthening in Petit-Goave </li></ul><ul><li>Conduct independent, external evaluation of Goat Program and identify tangible growth initiatives and opportunities (also based on assessment project) </li></ul><ul><li>300 farmers trained in goat care & husbandry (& 300 goats distributed) </li></ul><ul><li>2400 follow-up goat care sessions provided (average of 200 families a month) </li></ul>
    17. 17. Building our own capacity (in FY ’12) <ul><li>New vehicle </li></ul><ul><li>Two new hires </li></ul><ul><li>New field office </li></ul><ul><li>Staff professional development/team-building </li></ul><ul><li>Needs assessment to identify technical intervention and feasible strategic partnerships </li></ul><ul><li>Moving from Output (e.g. training numbers) to </li></ul><ul><li>Impact (e.g. improvement in health indicators) </li></ul><ul><li>From training to programming—target setting, from output to impact; </li></ul>