davis care group_overview
DESCRIPTION
CORE Group Fall Meeting 2010. Care Groups: Lessons Learned, Project Evaluations 2009-2011. - Tom Davis, Food for the HungryTRANSCRIPT
Care Groups: Lessons Learned, Project Evaluations 2009-2011
Tom DavisSenior Director of Program Quality ImprovementFood for the Hungry
Spread of Care Groups
• Twelve years ago, only two PVOs (WR and FH) using the model. Now….
• 20 or more organizations• 16 or more countries
Organizations known to be using Care Groups:
ADRAAfricare
American Red CrossCARE
Concern WorldwideCatholic Relief Services
CuramericasEmmanuel International
Food for the HungryGOAL
International AidInternational Medical Corps
International Rescue CommitteeMedical Teams Interenational
PathfinderPLAN
Salvation Army World ServiceSave the Children
World ReliefWorld Vision
Countries where Care Groups are known to be in use:
BoliviaBurundi
CambodiaDRC
EthiopiaGuatemala
HaitiIndonesia
KenyaLiberiaMalawi
MozambiqueNiger
PhilippinesRwandaUgandaZambia
Reduction in U5MR (BLSC, updated)
• U5MR across projectsPerc. Reduction in Estimated U5MR (Bellagio Lives Saved Calculator)in Ten CSHGP Care Group Projects in 6 countries
23% 27%33%
42%36% 32% 29%
14%
26% 30%
18%
33%
0%5%
10%15%20%25%30%35%40%45%50%
CSHGP Project
% R
ed. U
5MR
U5MRReduc.
Estimated Lives Saved Across Care Group Projects
Total Est. Lives Saved, CG Projects (modeled, with similar $2.5M budget)
0
1000
2000
3000
4000
5000
6000
7000
WR/M
alaw
i
WR/R
wanda
WR/M
oz (V
ur 1
)
WR/M
oz (V
ur2)
WR/M
oz (V
ur4)
WR/C
ambo
dia
Plan/K
enya
FH/Moz
DAP
FH/Moz
CS
Avg. C
SHGP
Es
t. L
ive
s S
av
ed
Total LS(Modeled)
For modeling, factors in budget amt. vs. 3M.
Comparisons
• Evidence that Care Groups have routinely outperformed the average U5MR reduction of CSHGP projects (by 67%). (Note: CSHGP includes CGs)
• Care Group projects save on average 49% more lives than the average CG project (7% more if removing outliers), ranging from 88% to 492% of the average. 5 of 9 projects outperformed the average number of lives saved.
• … but some evidence of under-estimation of lives saved when using the LIST and BLSCs as compared to direct measurement:• 37% U5MR reduction (BLSC) for FH/Moz CSHGP, 30% with LIST, but 81% reduction in
U2MR by direct community measurement by CGVs (retros. study pending).
• 7% U5MR reduction (BLSC) for FH/Moz DAP (only 4 indicators “fit” with BLSC), but 73% reduction in U5MR for same period from retrospective mortality study (JHU).
• 33% U5MR reduction for WR/Moz (Vur II, BLSC), 42% reduction in retrospective study (published), and 62% U5MR reduction from direct community measurement.
• Possible reasons for differences: CGs affect many indicators, and usually many MCH interventions, but not all indicators measured in KPCs (so BLSC and LIST may not capture all changes). We need to do better measurement.
Institutional Deliveries (Proj Districts vs. Comparison Districts)
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4000
5000
6000
1s 2006 1s 2007 1s 2008 Oct09-Mar10
Period
No
. of
Del
iver
ies Caia,Chemba,
Marin (Proj Dists)
Buzi, Chib (CompDistricts)
E
X
A
M
P
L
E
No RH intervention … but RH impact (through promoting antenatal care during maternal nutrition module).
(Presentations)
CareGroupInfo.org
So...
• zx
Other Results: Mortality Rate Trends, Selected Gaza Districts Before and After
USAID-funded World Relief CSHG Projects
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250
300
1986
1987
1988
1989
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1991
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1993
1994
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1998
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2002
2003
2004
Year
Dea
ths
per
Th
ou
san
d L
ive
Bir
ths
U5MR
IMR
CMR
USAID Child Survival Grant Project Period
Pre-Project Period (9 yrs)
84% decrease in U5MR (0-59m);69% decrease in IMR (0-11m);100% decrease in CMR (12-59m)
8% decrease in U5MR (0-59m);3% decrease in IMR (0-11m);12% decrease in CMR (12-59m)
Mortality Rate Trends, Selected Sofala DistrictsBefore and After USAID-funded FH/Mozambique DAPs
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1990
1991
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2004
Year
Dea
ths
per
Th
ou
san
d L
ive
Bir
ths
U5MR
IMR
CMR
USAID FH/Mozambique DAP Project Period (DAP 1 and half
of DAP 2)
Pre-Project Period (7 yrs)
81% decrease in U5MR (0-59m);63% decrease in IMR (0-11m);100% decrease in CMR (12-59m)
18% decrease in U5MR (0-59m);42% decrease in IMR (0-11m);53% increase in CMR (12-59m)
Closing• Questions?• Important to continue to focus on cost per life saved
and to find ways to boost project populations.
• CORE’s role is important in providing a structure that enables PVOs/ NGOs / other practitioners to share and diffuse lessons learned and innovations, and to equip them to take lessons learned out to a broader audience (e.g., national MOHs, multilaterals). (CORE’s involvement in TOPS Project will help with this.)
• Application of BCC lessons to other sectors?
The preceding slides were presented at theCORE Group 2010 Fall Meeting
Washington, DC
To see similar presentations, please visit:www.coregroup.org/resources/meetingreports