The Apatug THV 50-40-10 program is a community development strategy operated in Apatug, Ecuador that aims to promote total health and well-being. It focuses on self-empowerment, holism, and is a low-cost, participatory strategy where the community identifies needs and plans responses. The program objectives are to develop local capacity for livelihood security and prevention of common diseases (50-40% of efforts) and treatment of diseases that cannot be prevented (10% of efforts). It is aligned with Ecuador's national priorities and the UN Millennium Development Goals. The expected 5-7 year program in Apatug focuses on priorities identified by the community through assessment tools,
The Total Health Village program in Tambayacu, Ecuador is a participatory community development strategy that facilitates self-empowerment. Through tools like needs assessments, the community identifies priorities related to livelihood, prevention of diseases, and access to treatment. They then work to solve their own problems in these areas. The 5-year program aims to improve holistic well-being for the 700 person community through initiatives related to agriculture, clean water, education, and more. It is low-cost at $4.16 per person per month and aligns with national and global health goals.
What is Participatory Hygiene and Satiation Transformation.docxrodgersomondi6
This document describes the Participatory Hygiene and Sanitation Transformation (PHAST) approach. PHAST is a community-driven methodology that actively involves community members in improving hygiene practices and sanitation facilities. It emphasizes participation at all stages to foster sustainable improvements. The document outlines the key principles of PHAST, which include community involvement, participatory learning, flexibility, empowerment and sustainability. It also describes the 7 steps and tools used in implementing PHAST, such as problem identification, analysis, community mapping and three-pile sorting.
1) Public health institutions and academia can play an important role in increasing prescription of ORS and zinc for diarrhoea management by endorsing the government's policy.
2) Their involvement lends credibility and convinces the public, as their opinion matters. It also gives value to recommended treatment products.
3) Faculty members should promote ORS and zinc use through teaching, training, research and advocacy because diarrhoea control is a national priority and improving treatment is within their academic and clinical interests. Increased prescription of ORS and zinc can reduce the burden of diarrhoeal diseases in India.
Scope of Rapid Action Learning to combat Public health hazards in IndiaMd Ehtesham
Md Ehtesham proposes researching the scope and impact of Rapid Action Learning (RAL) units in evaluating and improving India's efforts to achieve universal sanitation coverage under the Swachh Bharat Mission. RAL units are intended to analyze best practices, identify problems, and disseminate information to facilitate effective implementation of Community Led Total Sanitation. The research aims to assess how RAL units function at district and state levels and explore how RAL can contribute to addressing public health hazards and help scale up sustainable public health programs.
Integrating CTC in health care delivery systems in Malawi (Special Supplement...ssuserb3b109
The document summarizes a pilot program in Malawi that integrated Community-based Therapeutic Care (CTC) into the existing health system to treat malnutrition. The program decentralized services through health centers and community networks. Outcome indicators showed high coverage and cure rates. However, fully integrating the program posed challenges, such as strengthening supervision, stock monitoring, and communication between community and health structures. The success of the pilot provides opportunities to address malnutrition and support those with HIV/AIDS in a more sustainable way through local management and community networks.
The document provides a brief history of health care-associated infections (HAIs), noting that while some understanding of cleanliness and isolation existed historically, the true germ theory of disease was not widely accepted until the late 19th century work of Koch, Pasteur, Lister, Semmelweis, Holmes, and Nightingale. Early hospitals often lacked basic sanitation and infection control practices, leading to high rates of surgical site infections, puerperal fever, and other HAIs. Over time hospitals implemented some segregation, handwashing, instrument cleaning, and environmental sanitation practices which helped reduce HAI transmission, though the
Health and hygiene promotion best practices and lessons learnedSekretariat STBM
The document summarizes frameworks and models used to guide the development of the Health and Hygiene Communication Strategy of the Environmental Services Program (ESP) in Indonesia. It discusses the Fecal-Oral Transmission cycle of diarrheal disease and the hygiene improvement framework. The ESP model utilizes two approaches - the Clean, Green and Hygiene Kampung and School. The strategies aim to promote hygiene behaviors and decrease diarrhea rates through community mobilization and participation.
The Total Health Village program in Tambayacu, Ecuador is a participatory community development strategy that facilitates self-empowerment. Through tools like needs assessments, the community identifies priorities related to livelihood, prevention of diseases, and access to treatment. They then work to solve their own problems in these areas. The 5-year program aims to improve holistic well-being for the 700 person community through initiatives related to agriculture, clean water, education, and more. It is low-cost at $4.16 per person per month and aligns with national and global health goals.
What is Participatory Hygiene and Satiation Transformation.docxrodgersomondi6
This document describes the Participatory Hygiene and Sanitation Transformation (PHAST) approach. PHAST is a community-driven methodology that actively involves community members in improving hygiene practices and sanitation facilities. It emphasizes participation at all stages to foster sustainable improvements. The document outlines the key principles of PHAST, which include community involvement, participatory learning, flexibility, empowerment and sustainability. It also describes the 7 steps and tools used in implementing PHAST, such as problem identification, analysis, community mapping and three-pile sorting.
1) Public health institutions and academia can play an important role in increasing prescription of ORS and zinc for diarrhoea management by endorsing the government's policy.
2) Their involvement lends credibility and convinces the public, as their opinion matters. It also gives value to recommended treatment products.
3) Faculty members should promote ORS and zinc use through teaching, training, research and advocacy because diarrhoea control is a national priority and improving treatment is within their academic and clinical interests. Increased prescription of ORS and zinc can reduce the burden of diarrhoeal diseases in India.
Scope of Rapid Action Learning to combat Public health hazards in IndiaMd Ehtesham
Md Ehtesham proposes researching the scope and impact of Rapid Action Learning (RAL) units in evaluating and improving India's efforts to achieve universal sanitation coverage under the Swachh Bharat Mission. RAL units are intended to analyze best practices, identify problems, and disseminate information to facilitate effective implementation of Community Led Total Sanitation. The research aims to assess how RAL units function at district and state levels and explore how RAL can contribute to addressing public health hazards and help scale up sustainable public health programs.
Integrating CTC in health care delivery systems in Malawi (Special Supplement...ssuserb3b109
The document summarizes a pilot program in Malawi that integrated Community-based Therapeutic Care (CTC) into the existing health system to treat malnutrition. The program decentralized services through health centers and community networks. Outcome indicators showed high coverage and cure rates. However, fully integrating the program posed challenges, such as strengthening supervision, stock monitoring, and communication between community and health structures. The success of the pilot provides opportunities to address malnutrition and support those with HIV/AIDS in a more sustainable way through local management and community networks.
The document provides a brief history of health care-associated infections (HAIs), noting that while some understanding of cleanliness and isolation existed historically, the true germ theory of disease was not widely accepted until the late 19th century work of Koch, Pasteur, Lister, Semmelweis, Holmes, and Nightingale. Early hospitals often lacked basic sanitation and infection control practices, leading to high rates of surgical site infections, puerperal fever, and other HAIs. Over time hospitals implemented some segregation, handwashing, instrument cleaning, and environmental sanitation practices which helped reduce HAI transmission, though the
Health and hygiene promotion best practices and lessons learnedSekretariat STBM
The document summarizes frameworks and models used to guide the development of the Health and Hygiene Communication Strategy of the Environmental Services Program (ESP) in Indonesia. It discusses the Fecal-Oral Transmission cycle of diarrheal disease and the hygiene improvement framework. The ESP model utilizes two approaches - the Clean, Green and Hygiene Kampung and School. The strategies aim to promote hygiene behaviors and decrease diarrhea rates through community mobilization and participation.
This systematic review examines pathways to recover from open defecation (OD) in communities that have achieved open defecation free (ODF) status through community-led total sanitation and hygiene (CLTSH) interventions. The review assesses outcomes and impacts of ODF status on disease reduction, identifies challenges that can lead to ODF reversion, and explores options for maintaining ODF status over the long term. A comprehensive search of published and unpublished literature from 2007 to 2018 in multiple languages and databases was conducted. Key findings related to CLTSH implementation characteristics, obstacles to maintaining ODF status, and recommendations for effective long-term ODF are discussed.
The document analyzes Tanzania's readiness to accelerate implementation of its National Nutrition Strategy using Communication for Social and Behavior Change (SBCC). It assesses the current SBCC landscape, finding that while Tanzania has a history of strong nutrition education and cultural communication resources exist, capacity and materials are now limited. The assessment recommends developing a robust national SBCC strategy to build commitment, strengthen capacity, and harness various communication channels and technologies to promote pro-nutrition social change at scale.
The document summarizes a project to improve maternal and family health in Eastern Visayas, Philippines. The project will establish 11 cooperative-based health enterprises over 3 years to increase access to services for underserved groups. It aims to serve at least 15,000 clients through trained health promoters. The project will be funded by an EU grant and counterparts, with subgrants going to primary cooperatives to operate social health enterprises.
This document provides guidance for trainers on how to train and support community health promoters. It discusses CAWST's approach of using community health promoters and participatory learning tools to promote behavior change around water, sanitation, and hygiene. The document contains sections on the roles of community health promoters and trainers, techniques for behavior change communication, tools for working with households and communities, guidance on planning and implementing training programs, and case studies. The overall aim is to equip trainers with the skills and knowledge to effectively organize, train, and monitor community health promoters to improve health through improved water, sanitation, and hygiene.
This document provides guidance for trainers on how to train and support community health promoters. It discusses CAWST's approach of using community health promoters and participatory learning tools to promote behavior change around water, sanitation, and hygiene. The document contains sections on the roles of community health promoters and trainers, techniques for behavior change communication, tools for working with households and communities, guidance on planning and implementing training programs, and case studies. The overall aim is to equip trainers with the skills and knowledge to effectively organize, train, and monitor community health promoters to improve health through improved water, sanitation, and hygiene.
This document discusses coordinating disaster risk reduction (DRR) efforts in agriculture and food security across countries in the Zambezi River Basin. It outlines several discussion topics for country-level institutional coordination structures and mechanisms, including key DRR government entities, stakeholders in agriculture and food security, and links between DRR initiatives and conservation agriculture programs. The document also describes the objectives, pillars, outputs, and implementation arrangements of a project to strengthen resilience to food insecurity and agricultural losses from floods and droughts. The project will train farmers on improved practices, provide inputs, and strengthen coordination between national food security and DRR partners through knowledge sharing and monitoring.
Maternal Anemia within Child Survival Grants Program: Lessons Learned and a ...jehill3
The document reviews maternal anemia programs within the Child Survival Grants Program (CSGP) to identify effective components and barriers. It finds that while programs integrated recommended anemia interventions like iron supplementation and deworming, implementation challenges remained. Outcomes like anemia reduction were achieved in few projects. It recommends CSGP programs improve monitoring of iron tablet receipt and quality of antenatal care to better address maternal anemia.
This document discusses the Biovision Farmer Communication Program in Africa. It provides context on challenges facing smallholder farmers in Africa related to land degradation, climate change, and population growth. It then discusses the evolution of agricultural extension approaches in Kenya from a top-down model to more participatory approaches. The Biovision Foundation and Biovision Africa Trust are working to bridge research and application of sustainable agricultural practices to improve food security and livelihoods of smallholder farmers through farmer communication programs.
This document summarizes lessons learned from resilience-building and nutrition programs implemented in Ethiopia, Niger, northern Kenya, and other food-insecure regions. It finds that cash transfers and seasonal safety nets alone were insufficient, and longer-term, multisectoral interventions are needed to build communities' ability to withstand shocks. Successful approaches included integrated interventions across agriculture, water and sanitation, livelihoods, and nutrition; strengthening government response capacity; and coordinating humanitarian and development actors. The document also provides recommendations for international donors, policymakers, and practitioners to adopt resilience-building approaches.
This document presents a case study on developing a long-term strategy to combat health care problems among underprivileged people in India. It identifies key problems such as a focus on curative rather than preventive care, illiteracy, poor nutrition, children's workloads, and a lack of involvement from schools. Immediate responses proposed include using mobile health applications, organizing health camps, and encouraging collaborative efforts between different actors. The long-term strategy focuses on preventive health services, improving infrastructure and services through increased resources and public-private partnerships, empowering local governments, implementing community-based health insurance, and generating resources through targeted philanthropy programs. Roadblocks to implementation are also addressed.
The WFP Strategic Plan for 2008-2011 outlines 5 strategic objectives to guide the organization's work over that period: 1) save lives and protect livelihoods in emergencies, 2) prevent acute hunger and invest in disaster preparedness, 3) restore and rebuild lives after conflicts/disasters, 4) reduce chronic hunger and undernutrition, and 5) strengthen countries' capacities to reduce hunger. The plan represents a shift from WFP being solely a food aid agency to having a more robust set of tools like vouchers and cash to flexibly respond to hunger needs. Success requires partnerships with governments, other UN agencies, NGOs, and the private sector.
Building capacity for creating demand in support of malaria prevention and co...Malaria Consortium
Demand creation is the strategic combination of advocacy, communication and mobilisation approaches that seek to achieve increased community awareness of, and demand for, effective malaria prevention and treatment services.
Malaria Consortium's Support to National Malaria Programme (SuNMaP) demand creation strategy for prevention currently focuses on promoting the correct use of long lasting insecticidal nets (LLINs) and the use of intermittent preventive therapy (IPT) in pregnant women. For malaria treatment, demand creation focuses on promoting improved testing, prompt and proper use of artemisinin combination therapy (ACT) treatment for individual cases of malaria, and effective home management of fever, together with referrals of severe cases to a higher-level health facility.
This learning paper discusses SuNMap's experiences of planning and implementing demand creation in Nigeria, including SuNMaP's development of a comprehensive malaria communications plan. It presents what worked well and the challenges that remain to scale up demand creation activities and to consolidate the work already done.
Working Groups Report Out_CORE Group_10.17.13CORE Group
The document outlines the FY14 priorities and strategic plans for several working groups within CORE Group. Key points include:
- Monitoring long-lasting insecticide-treated nets and collaborating on social and behavior change strategies for malaria programs.
- Operationalizing frameworks for multisectoral collaboration on malaria and webinars on case management, prevention strategies, and insecticide resistance.
- Collaboration with various technical stakeholders on case management, community case management, and health communication.
- Integration of HIV/TB, early childhood development, and other initiatives for several working groups. Addressing strategic plans through learning, dialogue and collaborative action.
IRC's podcast series WASH Talk shares ideas on changes the water, sanitation and hygiene (WASH) sector has to make in order to contribute to achieving universal access by 2030. To do so speakers from all over the world are given a voice in this podcast series. Find out more on www.ircwash.org/washtalk .
These are the shownotes of the podcast on hygiene and handwashing with speakers Carolyn Moore (Global Handwashing Partnership), Thinley Dem (SNV Bhutan) and Adam Biran (London School of Hygiene and Tropical Medicine). They talk about the issues around hygiene and approaches to improving handwashing behaviour. Still a lot needs to be done to meet SDG 6.2 related to handwashing.
The CSHGP Review_Mary Beth Powers_5.8.14CORE Group
The document outlines the key messages and structure for a report on the impact of the Child Survival and Health Grants Program (CSHGP) over three decades. The report will highlight how the partnership between USAID, PVOs, governments, and communities:
1) Increased coverage of essential health services and practices, saving lives of women and children while strengthening health systems.
2) Demonstrated that community-based primary healthcare is an effective strategy for improving health in resource-poor areas.
3) Built accountability among governments and communities while also holding partners accountable.
4) Facilitated learning and sharing of effective programs through technical assistance and capacity building.
The document introduces community health agents (CHAs) in Tanzania to improve maternal and child health outcomes. It outlines the CHA's role in 3 areas: 1) improving household and community health practices, 2) enhancing community-based case management of childhood illnesses, and 3) strengthening the local health system. The CHA's activities include distributing health technologies, educating communities, monitoring pregnancies, treating childhood illnesses, and linking communities to health services and planning. The goal is for CHA interventions to generate better health outcomes by improving access, quality, and efficiency of services.
Lessons Learned from Working At Scale for Better Hygiene & Sanitation Practices WASHplus
The document discusses lessons learned from large-scale hygiene and sanitation programs in Ethiopia and Madagascar. Key points include:
1) Working at scale requires a systems approach that coordinates all stakeholders toward common goals like reducing disease. It is more than just scaling up isolated projects.
2) Successful programs in Ethiopia and Madagascar used a hygiene improvement framework, prioritized behavior change, sustainability, and wide coverage.
3) Starting with leadership buy-in, capacity building of local actors, and community-led approaches led to encouraging results and outcomes at scale. Flexibility and learning-by-doing were also important.
This innovation plan aims to increase awareness and improve behaviors around nutrition in one chiefdom in Sierra Leone. It will promote eating locally grown foods to complement dietary guidelines. Key activities include community meetings, radio programs, drama performances, and training farmers and mothers as nutrition champions. The plan seeks to strengthen coordination between existing nutrition structures and assess status. Target groups are women and children. Governance will ensure stakeholder participation and transparent management. Results will be evaluated through case studies and disseminated nationally and regionally to advocate for scaling up nutrition. The SUN network can support implementation through advocacy, monitoring, and analyzing nutrition policies.
El documento habla sobre una exposición de alimentos, platos típicos, artesanías, danzas y música de las regiones de la Costa, Sierra y Amazonía del Ecuador. Proporciona números de teléfono de contacto e invita a las personas a participar en este evento cultural y culinario que reunirá aspectos representativos de las diferentes regiones del país.
The document summarizes the results of a participatory development plan with the Valle del Toachi community in Ecuador. MAP International used the Ten Seed technique to identify problems in health, education, income, and rights by gathering input from community groups. Key issues identified included health, education, sources of income, and rights. The community worked with MAP to analyze their situation and priorities areas for intervention to promote integral health and empowerment.
This systematic review examines pathways to recover from open defecation (OD) in communities that have achieved open defecation free (ODF) status through community-led total sanitation and hygiene (CLTSH) interventions. The review assesses outcomes and impacts of ODF status on disease reduction, identifies challenges that can lead to ODF reversion, and explores options for maintaining ODF status over the long term. A comprehensive search of published and unpublished literature from 2007 to 2018 in multiple languages and databases was conducted. Key findings related to CLTSH implementation characteristics, obstacles to maintaining ODF status, and recommendations for effective long-term ODF are discussed.
The document analyzes Tanzania's readiness to accelerate implementation of its National Nutrition Strategy using Communication for Social and Behavior Change (SBCC). It assesses the current SBCC landscape, finding that while Tanzania has a history of strong nutrition education and cultural communication resources exist, capacity and materials are now limited. The assessment recommends developing a robust national SBCC strategy to build commitment, strengthen capacity, and harness various communication channels and technologies to promote pro-nutrition social change at scale.
The document summarizes a project to improve maternal and family health in Eastern Visayas, Philippines. The project will establish 11 cooperative-based health enterprises over 3 years to increase access to services for underserved groups. It aims to serve at least 15,000 clients through trained health promoters. The project will be funded by an EU grant and counterparts, with subgrants going to primary cooperatives to operate social health enterprises.
This document provides guidance for trainers on how to train and support community health promoters. It discusses CAWST's approach of using community health promoters and participatory learning tools to promote behavior change around water, sanitation, and hygiene. The document contains sections on the roles of community health promoters and trainers, techniques for behavior change communication, tools for working with households and communities, guidance on planning and implementing training programs, and case studies. The overall aim is to equip trainers with the skills and knowledge to effectively organize, train, and monitor community health promoters to improve health through improved water, sanitation, and hygiene.
This document provides guidance for trainers on how to train and support community health promoters. It discusses CAWST's approach of using community health promoters and participatory learning tools to promote behavior change around water, sanitation, and hygiene. The document contains sections on the roles of community health promoters and trainers, techniques for behavior change communication, tools for working with households and communities, guidance on planning and implementing training programs, and case studies. The overall aim is to equip trainers with the skills and knowledge to effectively organize, train, and monitor community health promoters to improve health through improved water, sanitation, and hygiene.
This document discusses coordinating disaster risk reduction (DRR) efforts in agriculture and food security across countries in the Zambezi River Basin. It outlines several discussion topics for country-level institutional coordination structures and mechanisms, including key DRR government entities, stakeholders in agriculture and food security, and links between DRR initiatives and conservation agriculture programs. The document also describes the objectives, pillars, outputs, and implementation arrangements of a project to strengthen resilience to food insecurity and agricultural losses from floods and droughts. The project will train farmers on improved practices, provide inputs, and strengthen coordination between national food security and DRR partners through knowledge sharing and monitoring.
Maternal Anemia within Child Survival Grants Program: Lessons Learned and a ...jehill3
The document reviews maternal anemia programs within the Child Survival Grants Program (CSGP) to identify effective components and barriers. It finds that while programs integrated recommended anemia interventions like iron supplementation and deworming, implementation challenges remained. Outcomes like anemia reduction were achieved in few projects. It recommends CSGP programs improve monitoring of iron tablet receipt and quality of antenatal care to better address maternal anemia.
This document discusses the Biovision Farmer Communication Program in Africa. It provides context on challenges facing smallholder farmers in Africa related to land degradation, climate change, and population growth. It then discusses the evolution of agricultural extension approaches in Kenya from a top-down model to more participatory approaches. The Biovision Foundation and Biovision Africa Trust are working to bridge research and application of sustainable agricultural practices to improve food security and livelihoods of smallholder farmers through farmer communication programs.
This document summarizes lessons learned from resilience-building and nutrition programs implemented in Ethiopia, Niger, northern Kenya, and other food-insecure regions. It finds that cash transfers and seasonal safety nets alone were insufficient, and longer-term, multisectoral interventions are needed to build communities' ability to withstand shocks. Successful approaches included integrated interventions across agriculture, water and sanitation, livelihoods, and nutrition; strengthening government response capacity; and coordinating humanitarian and development actors. The document also provides recommendations for international donors, policymakers, and practitioners to adopt resilience-building approaches.
This document presents a case study on developing a long-term strategy to combat health care problems among underprivileged people in India. It identifies key problems such as a focus on curative rather than preventive care, illiteracy, poor nutrition, children's workloads, and a lack of involvement from schools. Immediate responses proposed include using mobile health applications, organizing health camps, and encouraging collaborative efforts between different actors. The long-term strategy focuses on preventive health services, improving infrastructure and services through increased resources and public-private partnerships, empowering local governments, implementing community-based health insurance, and generating resources through targeted philanthropy programs. Roadblocks to implementation are also addressed.
The WFP Strategic Plan for 2008-2011 outlines 5 strategic objectives to guide the organization's work over that period: 1) save lives and protect livelihoods in emergencies, 2) prevent acute hunger and invest in disaster preparedness, 3) restore and rebuild lives after conflicts/disasters, 4) reduce chronic hunger and undernutrition, and 5) strengthen countries' capacities to reduce hunger. The plan represents a shift from WFP being solely a food aid agency to having a more robust set of tools like vouchers and cash to flexibly respond to hunger needs. Success requires partnerships with governments, other UN agencies, NGOs, and the private sector.
Building capacity for creating demand in support of malaria prevention and co...Malaria Consortium
Demand creation is the strategic combination of advocacy, communication and mobilisation approaches that seek to achieve increased community awareness of, and demand for, effective malaria prevention and treatment services.
Malaria Consortium's Support to National Malaria Programme (SuNMaP) demand creation strategy for prevention currently focuses on promoting the correct use of long lasting insecticidal nets (LLINs) and the use of intermittent preventive therapy (IPT) in pregnant women. For malaria treatment, demand creation focuses on promoting improved testing, prompt and proper use of artemisinin combination therapy (ACT) treatment for individual cases of malaria, and effective home management of fever, together with referrals of severe cases to a higher-level health facility.
This learning paper discusses SuNMap's experiences of planning and implementing demand creation in Nigeria, including SuNMaP's development of a comprehensive malaria communications plan. It presents what worked well and the challenges that remain to scale up demand creation activities and to consolidate the work already done.
Working Groups Report Out_CORE Group_10.17.13CORE Group
The document outlines the FY14 priorities and strategic plans for several working groups within CORE Group. Key points include:
- Monitoring long-lasting insecticide-treated nets and collaborating on social and behavior change strategies for malaria programs.
- Operationalizing frameworks for multisectoral collaboration on malaria and webinars on case management, prevention strategies, and insecticide resistance.
- Collaboration with various technical stakeholders on case management, community case management, and health communication.
- Integration of HIV/TB, early childhood development, and other initiatives for several working groups. Addressing strategic plans through learning, dialogue and collaborative action.
IRC's podcast series WASH Talk shares ideas on changes the water, sanitation and hygiene (WASH) sector has to make in order to contribute to achieving universal access by 2030. To do so speakers from all over the world are given a voice in this podcast series. Find out more on www.ircwash.org/washtalk .
These are the shownotes of the podcast on hygiene and handwashing with speakers Carolyn Moore (Global Handwashing Partnership), Thinley Dem (SNV Bhutan) and Adam Biran (London School of Hygiene and Tropical Medicine). They talk about the issues around hygiene and approaches to improving handwashing behaviour. Still a lot needs to be done to meet SDG 6.2 related to handwashing.
The CSHGP Review_Mary Beth Powers_5.8.14CORE Group
The document outlines the key messages and structure for a report on the impact of the Child Survival and Health Grants Program (CSHGP) over three decades. The report will highlight how the partnership between USAID, PVOs, governments, and communities:
1) Increased coverage of essential health services and practices, saving lives of women and children while strengthening health systems.
2) Demonstrated that community-based primary healthcare is an effective strategy for improving health in resource-poor areas.
3) Built accountability among governments and communities while also holding partners accountable.
4) Facilitated learning and sharing of effective programs through technical assistance and capacity building.
The document introduces community health agents (CHAs) in Tanzania to improve maternal and child health outcomes. It outlines the CHA's role in 3 areas: 1) improving household and community health practices, 2) enhancing community-based case management of childhood illnesses, and 3) strengthening the local health system. The CHA's activities include distributing health technologies, educating communities, monitoring pregnancies, treating childhood illnesses, and linking communities to health services and planning. The goal is for CHA interventions to generate better health outcomes by improving access, quality, and efficiency of services.
Lessons Learned from Working At Scale for Better Hygiene & Sanitation Practices WASHplus
The document discusses lessons learned from large-scale hygiene and sanitation programs in Ethiopia and Madagascar. Key points include:
1) Working at scale requires a systems approach that coordinates all stakeholders toward common goals like reducing disease. It is more than just scaling up isolated projects.
2) Successful programs in Ethiopia and Madagascar used a hygiene improvement framework, prioritized behavior change, sustainability, and wide coverage.
3) Starting with leadership buy-in, capacity building of local actors, and community-led approaches led to encouraging results and outcomes at scale. Flexibility and learning-by-doing were also important.
This innovation plan aims to increase awareness and improve behaviors around nutrition in one chiefdom in Sierra Leone. It will promote eating locally grown foods to complement dietary guidelines. Key activities include community meetings, radio programs, drama performances, and training farmers and mothers as nutrition champions. The plan seeks to strengthen coordination between existing nutrition structures and assess status. Target groups are women and children. Governance will ensure stakeholder participation and transparent management. Results will be evaluated through case studies and disseminated nationally and regionally to advocate for scaling up nutrition. The SUN network can support implementation through advocacy, monitoring, and analyzing nutrition policies.
El documento habla sobre una exposición de alimentos, platos típicos, artesanías, danzas y música de las regiones de la Costa, Sierra y Amazonía del Ecuador. Proporciona números de teléfono de contacto e invita a las personas a participar en este evento cultural y culinario que reunirá aspectos representativos de las diferentes regiones del país.
The document summarizes the results of a participatory development plan with the Valle del Toachi community in Ecuador. MAP International used the Ten Seed technique to identify problems in health, education, income, and rights by gathering input from community groups. Key issues identified included health, education, sources of income, and rights. The community worked with MAP to analyze their situation and priorities areas for intervention to promote integral health and empowerment.
The document summarizes the results of a participatory development plan with the Valle del Toachi community in Ecuador. It finds that the community faces issues like lack of permanent jobs, gender roles that concentrate women's work at home, health problems like malnutrition in children and diseases in adults related to water quality, and sanitation issues with latrines contaminating water sources. The plan aims to address these problems by identifying risks, supporting livelihoods, and promoting health and empowerment through alliances with other organizations.
The document summarizes findings from a community needs assessment conducted in Apatug Village, Ecuador in April 2010. It describes the village's population, economic activities, health issues, education, and environmental concerns. Key findings include:
- The village's primary economic activities are agriculture, cattle raising, selling small animals, and day labor jobs. However, these are impacted by seasonal factors like drought.
- Access to health services and sanitation is limited. Diseases spread through contaminated water canals. Firewood collection impacts the environment.
- Education and poverty are also concerns. Most families own few animals and small plots of land, limiting their ability to generate income.
The document summarizes the findings of a community needs assessment conducted in Apatug Village, Ecuador in April 2010. It describes the village's population, economic activities, health issues, education, and other topics. The assessment utilized participatory methods like mapping and timelines to understand challenges facing the community from their perspective. Key findings included the village's reliance on subsistence farming and livestock, limited access to health services, water scarcity, and high levels of poverty.
This document provides an agenda for a workshop on food security and development being held in Quito, Ecuador. The workshop is being organized by Map International, Auburn University, and Houghton College, and will feature presentations from experts at various organizations including the World Food Program, UNICEF, Heifer International, and the International Center of Potatoes. The agenda lists eight presentations that will cover topics such as perspectives on food security from economists and sociologists, food security strategies in Ecuador, nutritional education and improvement initiatives, food sovereignty, social certification for small producers, cash transfer programs, and strengthening agricultural innovation for food security in the Andes region. Participants will engage in question periods after selected presentations.
This report summarizes the findings of a community needs assessment conducted in Apatug Village, Ecuador in April 2010. The assessment examined the population, economic activities, health, education, and other issues facing the community. Key findings include:
1) The population of 200 is 99% indigenous Chibuleo, with farming, cattle raising, and small businesses as primary income sources.
2) Access to health services and clean water are major issues, with sickness common due to contaminated water sources.
3) Poverty and lack of access to larger markets limit economic opportunities for residents dependent on subsistence agriculture and seasonal labor.
Este documento describe un curso internacional sobre sellos sustentables y responsabilidad social empresarial en el agro. El curso dura 12 semanas y cubre 7 módulos sobre conceptos como RSE, cambio climático y comercio justo. Está dirigido a productores, empresarios y estudiantes vinculados con la cadena agroalimentaria. Se ofrece en formato virtual con interacción en foros y chats con expertos invitados.
Este documento describe un curso internacional sobre sellos sustentables y responsabilidad social empresarial en el agro. El curso dura 12 semanas e incluye 7 módulos y conferencias de expertos. Los temas incluyen conceptos de RSE, sellos sustentables, desarrollo comunitario y ampliación de mercados. El curso está dirigido a productores, empresarios y estudiantes vinculados con la cadena agroalimentaria. Se ofrece en modalidad virtual con interacción en foros y chats.
1. Apatug THV 50-40-10®
THV
50 | 40 | 10®
promote. prevent. provide.
Total Health Village | Apatug | Ecuador | Latin America
A program of mapInternational
OVERVIEW
MAP’s ministry is grounded in a broad vision and understanding of health. MAP’s guiding principles state that among the many
human needs, it is called to focus on the ministry of Total Health. Total Health doesn’t describe the state of someone’s health but
rather the ways that individuals, families and communities can take responsible action to improve their well-being. Self-
empowerment and holism are therefore important dimensions of the THV.
The THV is a ‘low-input, high-impact strategy for achieving the Millennium Development Goals’.
It is a cost effective community development strategy that leads to Total Well Being; a way to impact a whole village of close to a
thousand people through a facilitative and low input cost strategy.
It is a completely participatory strategy where communities identify needs, analyze their situation, plan a response strategy, ac-
tively work with the CORP (Community’s Own Resource Persons) and ENGAGE actively in solving their own problems.
PURPOSE
In a growingly economically challenged world where health care resources are in short supply, costly and inadequate to meet the
demand; there is a need for communities to take ongoing, comprehensive action to improve their health and well being. The fol-
lowing are some critical features of the Apatug THV:
one: Operates in a clearly definable community (Apatug)
two: Program focus is on self empowerment strategies
three: The project has a well defined life cycle of 5-7 yrs
four: The holistic approach focuses on children
five: MAP works in active partnerships with other
organizations
six: Impacts are measurable and results are relevant to
community needs
seven: Interventions are cost-effective [$15/person/yr]
AREA OF INFLUENCE
Apatug is located in the Napo region of Ecuador, near the Tungura-
hua volcano. It is a rural community in the Andes Mountains, and they face issues
related to a lack of clean water, poor livelihood security, and live in fear of volcanic
eruptions.
Population of Apatug: 3,500
ALIGNMENT WITH MDGs, NATIONAL PRIORITY, AND MAP INTERNATIONAL’S STRATEGIC PRIORITIES
The THV’s development program is in alignment with the with the National priority of Ecuador, the MDGs (1,2,4,5,7, & 8), and
MAP’s strategy to promote, prevent, and provide essential medicines.
OBJECTIVES
The THV seeks to address personal and social health determinants so that individuals and communities may experience Total Health and wellbeing.
1. To develop local capacity for socioeconomic health determinants related to issues of livelihood security and com-
munity organization through strategies such as agriculture, animal husbandry, and trade development leading to
holistic well-being (50% of the effort)
2. To develop local capacity for the prevention of common diseases managing issues such as access to safe water,
sanitation, and other prevention leading to holistic health (40% of the effort)
3. To develop local capacity for treatment of those diseases that cannot be prevented, such as gastro-intestinal, respira-
tory, & systemic disorders so that disease incidence is drastically reduced (10% of the effort)
2. THV-001/Apatug/2011
This program uses modern participa- APATUG’S DEVELOPMENT PRIORITIES
tory techniques such as the Rapid The numbers on the HWVA diagram at left correspond with the
Household Foodsecurity Status As- numbers below. They are prioritized by the community, begin-
sessment tool (RFSA) and the Holistic ning with 1. Note how the distribution of priorities fits into the
Worldview Analysis tool (HWVA), to THV 50-40-10® model:
closely involve the community in de-
termining the activities that would Promote health:
address their contextual problems. 1. Implement micro watershed development
This therefore results in high impact
that is manifested as a strong sense of 2. Increase agricultural production
ownership and ongoing sustainability 6. Improve marketing of animals for sale
of the program. 7. Improve cattle rearing and care practices
8. Conduct a market study for improved trade
10. Study the education system in order to improve it
Holistic Worldview Analysis of Apatug 13. Improve agricultural practices including intro-
duction of new products
Prevent disease:
3. Improve efficiency of existing water sources
4a. Identify and control pollution spots
5. Prepare for disaster through volcano awareness
and mitigation
9. Develop a sewage system
11. Identify areas of water contamination and imple-
ment preventative measures, such as water filters
12. analyze existing practices and introduce CLTS
(community-led total sanitation)
Provide essential medicines:
4b. Research diseases (potential link with research
PROGRAM GOAL Facilitating partners)
The program goal is: self-empowerment 14. Identify diseases, educate, and find ways of pre-
so that communities vention and treatment
are able to
solve most of their RESOURCES NEEDED per annum (approximate)
own problems No Program Amount
1 Community organization & capacity building for pro- 5000
POINT OF ENTRY posal development
The strategy or framework for operation consists of finding a 2 Village profiling and needs assessment 3000
‘point of entry’ into the village. In Apatug, we gained trust with
the community through a relief response to the eruption of the 3 Community initiated program in livelihood and food 8000
Tungurahua volcano., thereby establishing credibility with the security
community.
4 Community initiated program production 6000
LENGTH OF PROJECT 5 Medicines and treatment support 2000
This project, which commenced in the summer of 2010, is ex- 6 Facilitation support 4500
pected to last 5-7 years. In order to achieve sustainability and
avoid dependence, the CORP (Community’s Own Resource Per- 7 Transport 1200
sons) will take over greater leadership around the third year of 8 Office space and dispensary 2000
the project, so that they will be able to access local and other
9 Administration and supervisory support 4000
development funds, functioning like an NGO.
10 Technical backstopping 2000
TOTAL 37,700
CONTACT DETAILS
For more details on the Dr. Ravi Jayakaran, Vice President, Global Programs rjayakaran@map.org | office: 404.492.6588
Apatug THV, please contact: Maggy Martinez, Ecuador Team Leader mmartinez@map.org | office: 593-2.2432580
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