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ADVANCING PARTNERS &
COMMUNITIES
January 20, 2015
Liz Creel
Project Director/JSI
Tanvi Pandit-Rajani,
Senior Technical Advisor/JSI
Our Focus
Advanceglobal
leadership & advocacy
for improved
community health,
including FP
Strengthen NGO
technical and
organizationalcapacity
Expand NGO
community-based
programs through
grants
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.
Ensuring Effective Policies Reach People
5|
​
 Selection
 Scope
 Support (training, materials, commodities)
 Supervision & management
 Incentive structures
 Referrals
 Monitoring & reporting
 …
What we know
Fragmentation is achallenge
6|
A Call for a
“3 Ones Approach”
National Strategy
Coordinating Body
M&E Framework
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|
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
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|
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|
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|
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
13|
Draft Policy Decision Tool
(Notmeant to be read)
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|
​
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|
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)
17|
The whole is more than the sum of its parts.
18|
Questions?

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Advancing Partners and Communities project: An overview

  • 1. ADVANCING PARTNERS & COMMUNITIES January 20, 2015 Liz Creel Project Director/JSI Tanvi Pandit-Rajani, Senior Technical Advisor/JSI
  • 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
  • 13. 13| Draft Policy Decision Tool (Notmeant to be read)
  • 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)
  • 17. 17| The whole is more than the sum of its parts.