actions first boosting impact of community health programs. september 26, 2012
DESCRIPTION
Peter Gottert, our long-time (25 years for some of us....) colleague specializing in community-based strategies to health-related behavior change, will share some basic principles from his own experiences in the field--particularly in Africa. Peter says "Many community programs are simply too complicated to be scaled up." His presentation will include a series of “observations and practical tips that focus on how to streamline the design of community-based strategies in order to dramatically improve results." Note that Peter has developed the presentation along with Mary Carnell, JSI (with whom he has worked on many USAID projects), and plans to give the presentation with her again at JSI on September 21. (This presentation does not focus specifically on Alive & Thrive activities.)TRANSCRIPT
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Actions First: Boosting Impact of Community Health Programs
Brownbag , September 30, 2012
FHI 360
Peter Gottert
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Peter Gottert ( Presenter)
Alive & Thrive , GHPN
• Presenter
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Actions First:
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Observations & practical tips 4
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to boost impact
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of community health programs
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Streamline
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Direct the Rider: What our
mind tells us - what we think.
Motivate the Elephant: What our
heart tells us – what we feel.
Shape the Path: Change the situation
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9 Observations
1. Trusted messengers: Gold standard
2. Streamline for scale
3. Research: Let’s be smart
4. Frontline tools: Clarity is ½ the battle11
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9 Observations (con’t)
5. Short workshops: Win-win
6. Targets boost impact
7. Boredom is bad
8. Clone early adopters.
9. Media: Capture the pulse12
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The trusted messenger
Observation #1
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Streamline
Scale Up
Observation #2
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Streamline
TargetsTraining Tools
Research
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No Scale No Impact
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One page strategy
Community Strategy
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Community Strategy
#3 Research
#4 Tools
#5 Training #6 Targets
#7 Boring is bad
#8 Clone early adopters
#9 Media
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ActionsFirst
ActionsFirst
Research: Let’s be
smartObservation #3
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Actions
Small Do-able
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Fascinating infant feeding traditions in Mali.
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Analysis Paralysis
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Mothers, Give only breast milk to your baby for the first 6 months
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No you don’tLet the trusted messengers do their
job
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Reach
Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
Boost Impact
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Frontline Tools: Clarity is 1/2 the battle
Observation #4 32
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A Good Tool:
Shapes the
Path
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Child Nutrition Card • Clarifies actions • Helps parents track progress
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Family-Family-friendlyfriendlyhealth health card…card… 36
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King of clarity 40
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What looks like resistance is often
a lack of claritya lack of clarity
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Streamlining Opportunity
2
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Short workshops: Win-win
Observation #5
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Targets boost impact
Observation #6
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Targets maintain momentum 46
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Ethiopia – typical target: Earn ~200 Smart and Strong
Certificates
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Boring is Bad Observation #7 49
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Home Visits 50
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Facilitate experience sharing 52
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Provide social support 53
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How behaviors are negotiated
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Lessons Learned Working with partners is an efficient way of
expanding programs.
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Powerful messengers
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Clone early adopters Observation #8 61
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We can do this !! 65
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Social norms shift 66
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Capture the pulse
Observation #9
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Drive the program
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USAID BASICS Madagascar Project Immunization Coverage
USAID BASICS Madagascar Project Immunization Coverage
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BCG Completelyvaccinated
1996 baseline
1998 non-intensive
1998 IMCI
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Essential Services in Ethiopia Project
Directory/Presenter/Filename 73
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Figure 12. Percentage of Respondents with ‘High’ Social Support, Group Cohesion and Collective Efficacy Time Since Certification
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Thank You 75
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Discussion
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