CSHGP—MCHIP—CORE Group USAID Bureau for Global Health CSHGP MCHIP PVO/NGO Support CORE Group 36 projects 28 countries 23 PVOs Grantee Support CSHGP Support Program learning MCHIP Synergies Strategic Diffusion Program Learning MCHIP Synergies PMI MCP 12 projects 9 PMI countries 11 Organizations (Some local NGOs)

CSHGP Partnership Model CSHGP 23 US PVOs, 28 countries MNCH (4 categories, 32 projects) 70% of MNCH projects Innovation/OR Category TB (4 projects) CORE Group Community Health Network 57 NGO Members 6 Associate Org. 15 Individual Assoc. Collaborating member of MCHIP Consortium MCHIP (FY 2009 –13) JHPIEGO, JSI, ICF Macro, JHU-IIP, Save, PATH, PSI, Broad Branch

Collaborative Resources & Activities Health Equity Guidance & Checklist Considerations for Incorporating health Equity into Project Designs: A Guide for Community-Oriented Maternal, Neonatal, and Child Health Projects Care Group & CHW Performance TAGs Dec. 8 th & 9 th 2010 CCM Essentials Guide CCM TAG Sept. 16, 2011

CSHGP—Initially for CSHGP PVOs/NGOs to strengthen their ability to reach some of the most underserved populations in developing countries; emphasis for equity considerations included in RFA and CORE Group— Fall & Spring Meetings (Fall meeting 09; Gender Equity Spring 10; Fall meeting 10, Spring meeting 2011) “Equity in Health: Ensuring Access, Increasing Use” with Keynote Speaker published author Anirudh Krishna and Equity Video MCHIP—Relevance for MCHIP country programs (included in workplan development, Yr3 activity planning including Equity Checklist) Health Equity Guidance & Checklist

Checklist: Six- Step Process: 1.Understand the equity issues in the project area 2.Identify the disadvantaged group on which to focus 3.Decide what is in project’s manageable interest to change 4.Define equity goals, objectives, and a project-specific definition of equity 5.Determine equity strategies and activities 6.Develop equity-focused M&E

Care Group & CHW Performance TAGs CSHGP—Featured and participated in TAGs, highlighting community-oriented projects with CHWs, learning around CHW systems, linkages to larger USAID and global efforts CORE Group—Linking Care Group TAG to explore questions around scale-up and linkages to national CHW systems; leading task force on Community Health systems and program learning mechanisms to facilitate continuous learning on CHW issues MCHIP—Hosted TAGs and are linking next steps to planning and focus on CHWs at national scale

Key Messages Care Groups are not meant to replace CHWs but they provide a means to extend the reach of CHWs to achieve high levels of household level behavior change associated with mortality reduction. Implementation of Care Groups at scale requires partnership with MOH, NGOs and communities.

CareGroupInfo.org

CCM Essentials Guide CSHGP—Contributed to evidence base and guide development; implementing and scaling-up CCM; participated in TAG CORE Group—Coordinated the development, production and dissemination of the guide; on-going program learning through meetings and Community Health Network mechanisms and hosted recent CCM TAG MCHIP—Taking to scale in country programs, hosting iCCM Task Force and collaboratively developing indicators, benchmarks, and guidelines

CSHGP - CCM The Child Survival and Health Grants Program contribute to CCM in 12 countries (Sudan, Benin, Niger, Nepal, Uganda, Zambia, Burundi, Liberia, India, Afghanistan, Ethiopia, Rwanda). There are 18 projects in total contributing to global and national learning to inform policy. These projects collectively reach 1,613,624 children under the age of five. Seven of the 18 projects are implementing integrated community case management (malaria, diarrhea, pneumonia) while others focus on a single disease area. Meredith Crews, USAID

CSHGP - CCM World Vision (2 – Sudan, Afghanistan) CARE (2 – Rwanda, Nepal) CHS Benin Concern Worldwide (3 – Niger, Burundi, Rwanda) HealthRight Nepal Medical Teams Uganda Save the Children (2 – Zambia, Ethiopia) Curamericas Liberia Episcopal Relief & Development Uganda CRWRC India Plan Nepal Relief International Niger World Relief Burundi Meredith Crews, USAID

CCM TAG Post CCM Essentials Guide activities… CIDA Programs (IRC, PSI, Save) Barriers & Challenges/Solutions & Best Practices -Procurement& Supply Chain Management -Training -Supervision -CHW – Motivation & Incentives Expanded Impact Project (IRC, CW, WR) mHealth & CCM IMCI Working Group → Community Child Health -CCM Task Force → CCM TAG

CCM TAG Survey: next level of CCM implementation challenges and resource gaps 1)Advocacy and Relations with MOH 2)Training 3)Supervision 4)Supply Chain Management 5)M&E and/or Research 6)Quality of Care Organizations surveyed include: ChildFund International, Concern Worldwide, Curamericas, Save the Children, World Relief, and World Vision Country specific programs referenced include: Burundi, Honduras, Liberia, Niger, Rwanda, and Senegal

CSHGP—MCHIP—CORE Group USAID Bureau for Global Health CSHGP MCHIP PVO/NGO Support CORE Group PMI MCP Global Leadership in Community-Focused Health

CSHGP Partnership Model CSHGP CORE Group MCHIP Saving Lives