welcome & overview: state of core group/board directions_leban_5.10.11
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COMMUNITY HEALTH NETWORK
ANNUAL SPRING MEETINGMay 10-13, 2011
Welcome to Our Spring Meeting
EQUITY IN HEALTHEnsuring Access, Increasing Use
State of COREKaren LeBan, Executive Director
A Ten Year RetrospectivePAST SPRING MEETING THEMES
2001: Collaboration2002: Opportunities2003: Partnerships and Leadership2004: Maternal and Child Health Impact at Country Level2005: Scale and Scaling-Up2006: Quality2007: Innovations2008: Research2009: Health Systems Strengthening2010: Community Health System Strengthening2011: EQUITY
“of all forms of inequality, injustice in health care is the most shocking and inhumane” – Martin Luther King Jr.
Health Equity Defined
“Health equity is both the improvement of a health outcome of a disadvantaged group as well as a narrowing of the difference of this health outcome between advantaged and disadvantaged groups – without losing the gains already achieved for the group with the highest coverage”
- MCHIP (with CORE Group)
MDG 4 Progress- Mickey Chopra, UNICEF
Mean Coverage Index by Country
Variability in magnitude of inequities in countries with 50-60% overall coverage
- Cesar Victora (4/2011)
Magnitude in Inequities by Intervention in 38 countries
(Cesar Victora 4/2011)
Co-Coverage Equity Comparison-Cesar Victora (4/2011)
Water, antenatal care, skilled delivery, TT, BCG, DPT, measles, Vit A, bednets
Strategies to Improve EquityFrom Mickey Chopra (UNICEF), Cesar Victora (Federal University of Pelotas, Brazil)
• Measure It!
• Shift delivery of services within channels (i.e. Community Case Management)
• Appropriately shift delivery to different channels (new technology – i.e. malaria vaccine, delivery of Vitamin A with onchocerciasis)
• Improving the performance of an established delivery channel (increase efficiency, remove bottleneck; i.e. vouchers)
• Increase community demand and empowerment
• Target different populations appropriately • if coverage is low for everyone, target everyone • if coverage is low mostly for poor, target the poor
Formal Health System1. Health Services2. Health Workforce3. Health Information System4 . Essential Products, Vaccines, Technologies5. Health Financing6. Leadership and Governance
Community Health System1. Facility Outreach2. Private Health Sector3. Community Health Agents4. Leadership & Governance
Groups5. Community Support Groups6. Local communicators 7. Faith-based orgs. & Leaders8. Other Sector Groups /
Associations
Social Capital
Other factors, e.g. political, economic, environmental.
Health Outcomes
Components of a Community Health System
55 MembersACDI/VOCAAdventist Development and Relief
AgencyAfricareAfrican Medical and Research
FoundationAga Khan FoundationAmerican India Foundation American Red CrossAmerican Refugee CommitteeAME - SADACARE InternationalCatholic Medical Mission BoardCatholic Relief ServicesChildFund InternationalChristian Reformed World Relief
CommitteeConcern WorldwideCounterpart InternationalCuramericas Global, Inc.Episcopal Relief and DevelopmentFood for the Hungry
Freedom from HungerFuture GenerationsGlobal Health ActionHaitian Health FoundationHealth Alliance InternationalHealthRight InternationalHelen Keller InternationalHesperian Foundation HOPE WorldwideIMA World HealthInstitute for OneWorld HealthInternational Relief and
DevelopmentInternational Medical CorpsInternational Relief and
DevelopmentInternational Rescue CommitteeInternational Youth FoundationLa Leche League InternationalMedical Care Development
International
Medical Teams International Mercy CorpsPartners for DevelopmentPATHPathfinder InternationalPhysicians for PeacePLAN InternationalPopulation Services InternationalProject Concern InternationalProject HOPERelief InternationalSalvation Army World ServiceSave the ChildrenWellShare InternationalWhite Ribbon Alliance for Safe
MotherhoodWorld ConnectWorld Lung FoundationWorld ReliefWorld Vision
Membership Changes
2001 - 2010: 30 – 55 member organizations32 organizations joined, 7 organizations left
Members Up for Vote (5/11)
World Concern Development Organization
Samaritans Purse
Applicants in “One Year Courting Period”
• Project C.U.R.E.• Axios Foundation• Operation Smile• Partners in Health• Grandmothers Project
New Associates Launched March 2011!
Associate OrganizationsFor those organizations not
eligible to be members (because of 501c3, citizen support requirements) but committed to community health
Boston University Center for Global Health and Development
Institute for Reproductive Health – Georgetown University
American College of Nurse Midwives
Individual AssociatesFor community health
professionals
Kyung EndresPaul FreemanBonnie KittleGrace KreulenJudiann McNulty
FY11 Working Group Highlights
Community Child Health: Care Group Technical Advisory Group Meeting; MCHIP’s CHW at Scale TAG Meeting; CCM Essentials Promotion; Community Health Systems Paper; Elluminates: WHO CHW Training Materials, WV Timed and Targeted Counseling Curriculum for CHWs
HIV/AIDS: Integration Malaria: Elluminates: CRS community based malaria treatment and prevention
project in Benin; MCHIP Malaria Communities Program Project Results and Highlights; MCHIP Best Practices in Communication for Community-Based Malaria Programs
M&E: Equity Guidance (with MCHIP)Nutrition: Nutrition Program Design Assistant Training (with TOPS); Essential
Nutrition Action Framework; Scaling-Up NutritionSBC: PDQ, Institutional Memory, VolunteerismSMRH: IRH Faith and Family Planning Symposium; Helping Babies Breathe
Facilitators Guide; Elluminate: Disrespect and Abuse in ChildbirthTB: Booth at IUATLD Meeting ; Support to TBCAP, Stop TB Representation;
Elluminate: New Diagnostics
Thank you WG Co-Chairs!
Community Child HealthAlan Talens, Alfonso Rosales, Jeanne
Koepsell, Fe Garcia
HIV/AIDSJanine Schooley, Shannon Senefeld
MalariaEric Swedberg
M&ETodd Nitkin
NutritionBethann Cottrell, Jennifer Nielsen,
Kathryn Reider
SMRHJudy Lewis, Abdelhadi Eltahir, Sadia
Parveen
SBCMitzi Hanold, Marilyn Patton
TBKayt Erdahl, Charlotte Colvin
New CORE Activities – Spring Meeting Dialogue
• Nutrition CHN / FSN -- Tuesday-Kathryn Reider / Joan Jennings
• Community Health Systems - Tuesday-Fe Garcia / Karen LeBan
• Family Planning SBC Guide -- Wednesday-Ann Hendrix-Jenkins / Leah Elliot (ICF)
• Sustainability Initiative – Eric Sarriot – Wednesday
• Essential Newborn Actions -- Thursday-Rebecca Nerima, Atlas Corps Fellow Uganda
Essential Nutrition Actions Framework Guides
New Product!
Thursday lunch roundtable
FY11 CORE Staff Highlights
• CORE and FSN Spring Meeting• Communications: Website, Videos, EQUITY VIDEO• Mobile Health Coordination • Linkages with MCHIP and CSHGP Program Learning • TOPS – Food Security and Nutrition Network Launch and first annual
meeting• Polio Partners Project – Midterm Evaluation• Scaling-Up Nutrition Civil Society Task Team / Thousand Days Initiative• UN / Earth Institute 1 million CHW Campaign
Leadership of a Neutral Space that Promotes Coordination and Partnership Development
Facilitation of Working Group Technical Vision
Our Program Initiatives
• Strengthening Community Mother-Child Care
• Scale-Up of Community Case Management
• Nutrition in the Community Context
• Assuring Integrated Prevention and Care for Infectious Diseases
ResourcesKnowledge Diffusion, CSHGP Program Learning, CCM, Equity, CHWs, Anemia, Nutrition, TB, Helping Babies Breathe
Food Security and Nutrition Network
Supporting CORE Polio Partners Project Communication Efforts
Flexible Fund (Family Planning)
Foundation Funding / Membership / Registration / Combined Federal Campaign
In search of FUNDING OPPORTUNITIES (RFAs) where CORE’s Network Niche and Community Focus would be an ASSET
World LearningGrants Solicitation and Management
Thank you to our Spring Meeting Supporters
CORE Group Members, Associates and Working Groups
Presentors, Partners and Guests
Table Sponsors
Thanks to Shannon Downey for coordinating this meeting this year.
Coming Next
Polio Partners Project Update, Frank Conlon
TOPS and FSN Update, Mark Fritzler
Board Directions, Judy Lewis
Board Nominations, Mary Hennigan
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