Three Decades of CSHGP Results: A High Impact Partnership between PVOs, Governments, Vulnerable Communities and the American People

Courtesy: HIP

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Outline of the Session and Input Requested

Topline messages we want the report to convey

Outline for the report and some of the examples we will use to populate the report

Input needed Your reactions to the messaging Thoughts about examples that help

explain the impact of the CSHGP

NOTE: THIS IS A DRAFT FOR THE OUTLINE/CONCEPTS FOR A PAPER – it is a working document seeking input

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Overview & Take-Away Message

For almost three decades, a unique multi-faceted partnership between the U.S. government and PVOs has developed and delivered results in terms of stronger health systems and better health outcomes. It has mobilized U.S. citizens, national and local governments and civil society, including vulnerable communities, in 60+countries around a common goal: to prevent child and maternal deaths.

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Message 1

The partnership resulted in demonstrated increases in coverage of essential health services and practices that saved lives of vulnerable women and children while also strengthening the capacity of the health system and communities to sustain this impact over time.

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Message 2

The grantees by approaching the community as a resource and partner, demonstrated again and again that integrated community-based primary health care is a low-cost and effective strategy for strengthening health systems in resource poor areas and improving population-level health.

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Message 3

The program built the accountability of government actors to address community-level health needs, promoting citizen participation and democracy, while also holding PVOs to account by making all data open and available on a public website.

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Message 4

The partnership included strategic technical assistance & facilitated learning exchange (CORE) that helped document and disseminate

effective MNCH programs spread learning about how to best

deliver and expand the reach of life saving interventions,

contributed to stronger health systems and social services through capacity building with local NGOs, governments and private sector partners

Innovation in Progra

ms

Shared

Learning via CORE

TA& Capacity Bldg

Strengthened systems & SOTA

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Message 5

The program has advanced global standards of practice which now promote packages of care that were often piloted, documented and improved under the CSGHP, e.g., community- IMCI, iCCM, ENC, etc.

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Message 6

While the policy climate shifted over the years with different administrations/priorities, the match requirement connected citizens with this foreign assistance priority:

that is, that the United States remains a leader in reducing hunger and poor health among children and women around the world.

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In conclusion – TBD…

Lessons learned through this program should continue to be spread in programs , especially that: social & behavior change is best achieved when

interpersonal communication led by local change agents is at heart of the strategy;

ideas for health system strengthening can emerge from the district and sub-district health systems & influence the larger system;

results can be replicated across boundaries when technical assistance, program learning and exchange, and strong partnerships are built into program design

OTHERS?

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Section 1: Historical Perspective on CSHGP Evolution & Core Principles

A strategic investment of the US government built on a strong foundation: PVO’s existing grassroots presence Commitment to working in the hardest to

work places with the most vulnerable populations

Commitment to Community-based Solutions and health system strengthening with an eye toward the gaps in the peripheral system

Partnership as a modality of implementation at all levels

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Section 2: Contributions/Achievements

Bang for the Buck Activating Communities as

a Resource rather than Recipient

Innovative Solutions that contributed to SOTA

Modeling Effective Partnerships

Wider Influence on PVOs/GH Community

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Bang for the Buck:

Results of PVO programs suggest impact, cost-effectiveness, sustainability, leverage.1. Poor performing areas

exceed national averages2. LiST analysis estimates

impact3. Cost-effectiveness4. Sustainability5. Leverage & match

Examples:• World Relief/Cambodia• Concern Bangladesh

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Activating Communities as a Resource rather than a Recipient

Engagement of CH groups/women’s groups (PLAN Cameroon)

Community HIS allowing for DDM (Curamericas CBIO)

Empowering CHWs (HKI Nepal) Linking communities to Health services

(Concern Rwanda) Engaging community voices in

regional/national dialogue (Future Generations Peru)

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Innovation in the CSHGP

“Introducing and scaling up high impact interventions through innovative community oriented approaches/policy relevant practical evidence and lessons to address persisting bottlenecks in marginalized and underserved populations”

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Innovation to Practice

1. Helping to test, evaluate and introduce innovative technologies and approaches; 

2. Serving as a platform for amplifying, replicating state of the art technologies and approaches; 

3. Through our in-country presence, serving as an informed and credible voice in our collective effort to inform and influence policy and practice. 

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Innovative Solutions that Advanced the SOTA

Integrated CCM Pilots conducted in CSHGP project sites in

Ethiopia & Rwanda contributed to national policy shifts, with other in-country stakeholders

Chlorhexidine Nepal National MOH requested Plan to conduct a

community-level delivery pilot to assess the acceptability of Chlorhexidine in CSHGP project site due to strong community engagement and partnerships with District MOH (complementing other MOH pilots with JSI)

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Innovative Solutions for SBC

Positive Deviance/Hearth

(need example application) CARE Groups(World Relief, Food for the Hungry, Mozambique) M-health applications

(HAI-Timor Leste) Others?

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Modeling Effective Partnerships

USG-PVOs, PVOs-US Public, USAID DC & Missions, PVOs-Local Govts, Community groups – local MOH authorities

CORE Group –open source mentality allows for accelerated tool development, co-creation of solutions Humanitarian Pandemic Preparedness

2007 Finalizing and disseminating CCM

Essentials Polio Eradication Initiative

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Wider Influence of CSHGP on PVOs, National Policy, and Global Health

PVO capacity built – moving from receiving to providing TA (HKI but could use more examples)

PVO adoption of tools developed by TA providers for multi-sector use (KPC, LQAS – examples needed)

National policies embrace C-IMCI and iCCM (Plan Cameroon)

CCM Essentials used to create WHO/UNICEF guidance

Care Group methodology…

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Your reactions/input welcome!

Reactions to the messages Examples that you could share? Uses of such a document?