Lara Villar of Catholic Medical Mission Board describes the organization's CHAMPS (CHildren And Mothers Partnerships) model for improving the health of vulnerable women and children. The program addresses the leading causes of maternal and child death and seeks proven solutions through encouraging partnerships.

1. STRENGTH IN PARTNERSHIPS
CMMB’S CHAMPS model for improving the health of
vulnerable women and children

2. ABOUT CMMB 2

3. Our Vision:
A world in which every human life is valued and quality healthcare is available to all.
• CMMB has over 100 years of experience working in international health
• 2.4 billion people worldwide lack access to quality healthcare
• 98% of all donations directly support health programs
• 1.2 million people served in 2013
Strategic Vision 2014-2020:
Improving the health of women and children by focusing on the leading causes of mortality and
morbidity.
• To do this, we are starting a movement of partners called CHAMPS (CHidren And Mothers
PartnershipS), implementing proven solutions that save women’s and children’s lives
• By 2020, there will be 20 CHAMPS in five countries: Haiti, Kenya, Peru, South Sudan and
Zambia
WHO ARE WE?
3

4. Healthy women have healthy children and create healthy, sustainable communities.
In most of the world women are primary caregivers to their children, and spend many hours
every day retrieving water from distant wells and cooking for their families. Globally, women
perform 66% of the work but earn only 10% of the income and own only 1% of the property.
6.6M
children under five years
old die every year
75%
of these deaths are from
preventable diseases
of women who die of pregnancy
and childbirth complications
live in the developing world
99%
% of all deaths: children under 5
98% in the
developing
world
4
WHY WOMEN AND CHILDREN?

5. 6.6M
children under five years old die per year
(75% of all deaths) from 5 preventable
diseases
287,000women die every year of
maternal causes
HIVis still killing more than 740,000
women per year in the developing world.
Chronic diseases like
hypertension, diabetes and cervical cancer
are the new epidemic in the developing world.
If a family experiences a maternal death, that
family is 55%more likely to experience
the loss of a child. Maternal death
significantly affects the survival of children
already in the family.
5
WHAT KILLS WOMEN AND CHILDREN?
42% Perinatal conditions
20% Diarrhea
24% Respiratory infections
11% Malaria
3% HIV

6. • Respiratory infectious
diseases
• Pregnancy, delivery and
perinatal conditions
• Diarrhea
• HIV
• Malaria
• Key chronic diseases
• Nutrition
• Immunization
• Water and sanitation
AREAS OF FOCUS PROGRAMS
Traditional:
• Grants: health programs
• Volunteer program
• Medical donation
program
New:
• CHAMPS
GLOBAL IMPACT
Preventable causes of death of
children and their mothers
6
CMMB’S NEW MODEL

7. • Large scale social change comes from better cross sector coordination
rather than from isolated interventions of individual organizations.
• To achieve sustainable impact in women and children’s health, we are
committed to work long-term with communities in CHAMPS programs,
bringing together key players to create collective impact.
• We believe that greater progress could be made if non-profits,
government, corporations and the public were brought together around a
common agenda to create collective impact.
7
CHAMPS: PARTNERSHIPS FOR COLLECTIVE IMPACT

8. 8
More rigorous and specific than simple collaboration
Common Agenda
Shared
Measurement
Mutually
reinforcing
Activities
Continuous
Communication
Backbone
Organization
All participants share a vision for change including a common
understanding of the problem and a joint approach to solving it
Data is collected and results measured across all participants; participants
hold each other accountable
Participant activities are differentiated yet coordinated
Consistent and open communication across the players to build trust,
assure mutual objectives
Separate organization(s) with staff and specific skills to serve as the
backbone and coordinate participating organizations
COLLECTIVE IMPACT: MULTIPLE PARTNERS, SHARED COMMITMENT

9. KENYA SOUTH SUDANZAMBIAHAITI PERU
• Under five mortality
rate: 76
• Maternal mortality
rate: 350
• Expenditure on health
per capita: $58
• Under five mortality
rate: 18
• Maternal mortality
rate: 67
• Expenditure on health
per capita: $289
• Under five mortality
rate: 88
• Maternal mortality
rate: 440
• Expenditure on
health per capita:
$87
• Under five mortality
rate: 73
• Maternal mortality
rate: 360
• Expenditure on health
per capita: $36
• Under five mortality
rate: 104
• Maternal mortality
rate: 2054
• Expenditure on health
per capita: $32
• Under five mortality rate: 5.3
• Maternal mortality rate: 13
• Expenditure on health per capita: $5456
OECD Countries (Organization for Economic Co-operation and Development)
AN UNBEARABLE INEQUALITY
• Under five mortality rate per 1,000 live births
• Maternal mortality rate per 100,000 live births
WHERE WE WORK

10. THE CHAMPS MODEL
5
countries
20
CHAMPS
2 2

11. CRITICAL ELEMENTS TO ACHIEVE IMPACT & SUSTAINABILITY
11
CHAMPS is a long term (15 year) program/commitment with a
specific community to improve women’s and children’s health.
1. Long-term commitment
to effect change
2. Community ownership and
readiness
4. Partnering with local and
international players with mutually
reinforcing capacities
Approach to partnership for collective impact
3. Integrated model working along
the entire continuum of care
5. Shared measurement
system

12. 1. LONG-TERM COMMITMENT TO EFFECT CHANGE
• Build trust and mutual respect with community
• Assess community needs; plan and design interventions collaboratively
• Implement program initiatives in a phased approach
• Measure progress and adjust course
• Transition to full community ownership
Equitable
access to quality
health services
Reduced women’s
and children’s
mortality and
achievement of
targeted health-
related MDGs
A healthy and
productive
community
12
Years 1-5 Years 6-10 Years 11-15

13. Partner with communities with potential
for achieving sustainable impact:
 Greatest need in areas of focus:
 High children’s and women’s
mortality
 Communities that can be empowered
to own the program:
 An existing health system on the
ground
 Community self-organization for
health
 Community contribution
 Communities that can accommodate
the model:
 Existing facilities to accommodate
volunteers/visitors
 Accessibility and security
2. COMMUNITY OWNERSHIP & READINESS

14. The CHAMPS model is an end-to-end health approach at the community level that reinforces
and works at every level across the continuum of care.
Primary care health
facility at the community
level
Secondary or tertiary
health facility - referral
systems
Clinic to community to clinic -
outreach health services that
mobilize health workers to provide
services to remote populations
Community, household,
and individual level in
the community
CHAMPS partners undertake specific activities at which they excel at different levels in a way
that supports and is coordinated with the actions of others. 14
3. INTEGRATED MODEL WORKING ALONG THE ENTIRE CONTIUUM OF CARE

15. Common Agenda =
Community CHAMPS Design
Based on the common agenda, local and international partners will work together on
specified sets of activities and along all levels of the continuum of care.
Anchor partner
Corporations
Foundations
Associations
Bi and multi-lateral
agencies
Individuals
NGOs
Health facility
Referral hospital
Ministry of Health
Associations
Faith community
Community health
committee
Local organizations
Local International
15
4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY
REINFORCING CAPACITIES

16. 16
What kind of capacities will be required from partners?
• People with a broad spectrum of professional profiles for short-term and long-term
volunteer opportunities:
o Institutional knowledge
o Technical expertise
o General support
• Community and clinical health infrastructure
• Medical supplies and medicines
• Cash to fund project activities for specific interventions
• Willingness to advocate on behalf of the people without access to quality health care
4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY
REINFORCING CAPACITIES

17. 17
4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY
REINFORCING CAPACITIES
CHAMPS provide a platform for deep engagement and shared experiences between communities
and partners at institutional and individual levels.
Examples:
• Compelling content
(videos, pictures,
stories) for websites
and newsletters
• Reporting on collective
impact and progress
• Fostering relationships
between individual
supporters and
individuals and families
in the community
• Using technology for
communications with
videos, pictures, etc…
• Visiting the community

18. Agreement on the ways success will be measured and reported is critical. We propose
the following shared goals:
18
5. SHARED MEASUREMENT SYSTEM

19. 19
CHAMPS IN ACTION: HUANCAYO, PERU
Bon Secours Health
System (from 2010)
Johnson & Johnson
(from 2010)
PAHO (from 2010)
Agnes Varis (from 2012)
Regis University
(from 2014)
MOH (from 2010)
CBOs (from 2010)
San Martin de
Porres University
(progressive
engagement)
UPLA University
(progressive
engagement)
We are currently working in 3
sectors of the Chilca District,
training doctors and nurses on IMCI
and neonatal resuscitation, training
adults on health practices and
learning methodologies, and
conducting community mobilization
and surveillance activities to ensure
children’s health and nutritional
conditions.
Local International

20. 20
CHAMPS IN ACTION: CÔTES-DE-FER, HAITI
Catholic Health Partners
Johnson & Johnson
Food for the Poor
Water for Life
Hite & Associates
MOH
The community of
Cotes-de-Fer and
CBOs
Ministry of Public
Works – Southeast
Department
Sisters of Charity of
Saint Louis
We are currently finalizing plans
with architects and engineers to
build a hospital on land donated by
the community, initiating trainings
of community health workers
around safe motherhood, children’s
health and nutrition, and
conducting a formalized community
assessment.
Local International
Long-term (1-year)
voluntarism

21. Partners.
 Health systems
 Universities
 Peer NGOs (international and local)
 Faith community/religious groups
21
WHAT DO WE NEED THE MOST FOR FUTURE CHAMPS?

22. Thank you.