CORE Group Overview
CORE Group generates collaborative action and learning to improve and expand community-focused public health practices for underserved populations around the world.
The American
people want to
help…U.S. NGOs respond.
Life without CORE Group
The realities of the field
Stronger approaches, tools, joint training,
run programs together CORE network collaboration makes resources go further, and work better.
Life with CORE Group
Our similarities. We all…
Support health programs for underserved people in other countries, especially women and children Focus on community approaches with local partners Put our hearts “into the field” Measure our impact
We differ by… Vision and mission Size U.S. location Age of organization Funding sources Technical approaches
What brings CORE members together?
And then, our diversity helps us help each other.
Non-profit, citizen supportedCommunity-focused workApplication processOne-year “courting period”Active participation requiredMembers support staff time for involvement
CORE Group Membership Criteria
ACDI/VOCA ~ Adventist Development and Relief Agency ~ African Medical
and Research Foundation ~ Africare ~ Aga Khan Foundation ~ AME-SADA ~
American India Foundation ~ American Red Cross ~ CARE International ~
Catholic Medical Mission Board ~ Catholic Relief Services ~ Christian
Children’s Fund ~ Christian Reformed World Relief Committee ~ Concern
Worldwide ~ Counterpart International ~ Curamericas Global, Inc. ~ Food for
the Hungry ~ Freedom from Hunger ~ Future Generations ~ Global Health
Action ~ Haitian Health Foundation ~ Health Alliance International ~
HealthRight International ~ Helen Keller International ~ Hesperian
Foundation ~ HOPE worldwide ~
Who are our members?
IMA World Health ~ International Medical Corps ~ International Relief
and Development ~ International Rescue Committee ~ International
Youth Foundation ~ La Leche League International ~ MAP International ~
Medical Care Development International ~ Medical Teams International
~ Mercy Corps ~ Partners for Development ~ PATH ~ Pathfinder
International ~ Physicians for Peace ~ Plan International ~ Population
Services International ~ Project Concern International ~ Project HOPE ~
Relief International ~ Salvation Army World Service ~ Save the Children ~
WellShare International ˜ White Ribbon Alliance for Safe Motherhood ~
World Neighbors ~ World Relief ~ World Vision
More members…
Why is it the missing piece of the health system puzzle?Hard for government to reach (end of the line)Entails complex, in-depth effort, sometimes difficult conditionsHope held out for short cutsCan be ignored
Why is it necessary?Most “health care” takes place at home, in communityMay be the only way to reach some populationsPotential for deep-rooted, sustainable changeMillennium Development Goals: 4, 5, 6, 8
The “Community Health” Approach
Practitioners Implementation Innovation
Scholars Research Documentation Theory
Advocates Policymaking Resource allocation
CORE doesn’t run programs in “the field.”
Info
rm re
sear
ch ag
enda
,
prov
ide lin
ks to
field
.
Assure critical, timely
resources & policies. Su
ppor
t evid
ence
base
, idea
s
Share the vivid realities.
CORE doesn’t run programs in “the field.”How do we advance Community Health?
Framework: Irene Tinker
CORE Group
Cross-cuttingMonitoring and EvaluationSocial and Behavior Change
TechnicalNewborn, infant and child healthMaternal healthNutritionInfectious diseases
Malaria, Pneumonia, Diarrhea, HIV/AIDS, TB, Pandemic Influenza, and others
Focus areas
CORE Group’s Community Health
Network
Global Health Program Initiatives
Global Policy and Advocacy
PractitionerAcademy
CORE Group advances community health in partnership with:
• Member NGOs working in 180 countries• Universities• Advocates• Multilaterals• Global Alliances• Country partners• Donors• Governments• Private sector• Other organizations (health, educ., agric, etc.)
How CORE Group advances community health worldwide
Diffusion of Innovations
Technical WorkingGroups
CORE Group’s Global Health Program Initiatives
1. Promotion of Nutrition in the Community Context Saving lives through preventive measures during the most critical nutritional period in a person’s life.
2. Strengthening Community Mother-Child CarePreparing communities and households for safe motherhood and healthy newborns.
3. Scale-up of Community Case Management of Sick ChildrenScaling up locally-based diagnosis and treatment in partnership with families and communities.
4. Assuring Integrated Prevention and Care for Infectious DiseasesEnabling community-oriented, integrated care for people with multiple illnesses.
Strategic Approaches within each Initiative:
• Global and country partnerships• Social and behavioral change• “Community health systems” strengthening• Evidence-based development/ implementation research• Advocacy and global learning
Approaches & Tools: PD/Hearth, Barrier Analysis, Nutrition Pathways, C-IMCI, Designing for Behavior Change,
Lot Quality Assurance Sampling, Community-Based TB Guidance, Case Studies, PDQ, Care Groups.
Polio and Malaria Secretariats: Country-level
Global Fund Evaluation
Pandemic Flu Preparedness Model for Community/District Emergency Management
Sample Products and Projects
Resources for Practitioners
Listserves: CORE Community; Working Groups; Job listings
Case Studies, Curricula: range of topics
Databases: Child health and development; Consultants
Webpages: Vetted content for Working Groups, other topics
World Relief creates Care Group Model. WR/Food for the Hungry pioneer model in MozambiqueM & E data → Model works!
Donor support
Policy Impact:USAID (CSHGP, FFP), UNICEF now support Care Group approach
Others adopt the Model
42%U5MR,
682 lives saved
Others adopt the
Model
Others adopt the Model
WR refines, expands use of
the Model; publishes
Johns Hopkins University
input
CORE Group involves many organizations to create “How To” tools, collect impact data,
define approach, influence policy. This increases awareness, interest, understanding,
quality, replicability, credibility and buy-in.
Avg. 30% est. reduction in
U5MR (7 projects; 67% higher than CSHGP
avg.)
FH adapts, expands use of the Model (CS, Title II)
From innovation in the field…
… to LARGE SCALE IMPACT
• Ten years ago, 2 NGOs using approach—now 19 NGOs, 30 projects, 14 countries
• Care Group model featured in UNICEF’s 2008 State of the World’s Children Report.
• Care Group approach used in $70 million USAID I-LIFE project in Malawi.
• GOMoz has shown interest in scale-up for use with health extension workers.
Members: Technical staffPractitioner AcademyProduct, program development
Focus on “Hill” Health Advocacy, PolicyAll aspects of health, all levels
CEOs, Exec. DirectorsHigh level int’l policy forumsDevelopment of org. standards
What makes CORE Group unique?
Interaction 172 orgs. advocate for better international education, health care, agriculture, business, etc.
Global Health Council 500+ organizations, 5000 individuals as advocacy voice targeting legislators, global policymakers, field programs, and more.
CORE Group50 members synergize to advance the field of community health programming, building on evidence-based experience.
CORE Group recommends:Community-based integrated approaches
“Demands collaboration between government and non-governmental actors…”
“Calls for coordination at the national, intermediate and community levels…”
“Requires a robust response to areas that have been neglected, such as child and maternal mortality, and strengthening comprehensive primary health care.”
Global Health Recommendations 2009: PIH, Francois-Xavier Bagnoud Center, Physicians for Human Rights, HAI, RESULTS and Action Aid
Progress in Global Health…
To what end?
CORE Group generates collaborative action and learning to improve and expand community-focused public health practices for underserved populations around the world.
As a collaborative body, we are always interested in new partnerships for community health.