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