Transcript Report of the Workshop “Reaching Communities for Child

Household/Communitiy - IMCI
PVOs Developing a Framework
The C/IMCI Timeline:
Oct. 97’
1992
WHO/UNICEF
LAUNCHES IMCI
UNICEF Meetings
with PVO particip
produces mandate
for HH/C IMCI
Sept. 97’
Santo Domingo
Meeting recog.
Importance of
HH/C-IMCI
1992-1997
Early efforts focus on
Health worker skills and
system improvements
IAWG estab with
UNICEF leadership
to develop HH/CIMCI guidelines
Feb. 98’
Durban Mtg consensus on
16 key practices and role
of HH/C IMCI in
promoting them
Jun. 00’
CORE Mtg. at
PAHO
acknowledging role
of PVOs in
advancing HH/C
IMCI
Feb. 99’
CORE Working
Group on IMCI
formed
1998-99
Reaching Communities for Child Health:
Advancing PVO/NGO Technical Capacity and
Leadership for Household and
Community Integrated Management of
Childhood Illness
(HH/C IMCI)
Baltimore, Maryland
January 17-19, 2001
BASICS II
CSTS
The CORE Group:
Child Survival Collaboration and
Resources Group
The CORE Group
Conceived in September 1996 by PVOs
at annual meeting
Established June 1997 with financial
support from USAID
Board elected April 1998
Legal entity: In progress
The CORE Group
Composed of 37 international NGOs who
have been awarded USAID Child Survival
Grants over the past 16 years
Over 80 grants serving over 250 million
children and women of child-bearing age
Presence in over 140 countries
Collectively serve over 600 million
beneficiaries
The CORE Group
Combined revenues of over
US $2 billion/year
Rely on indigenous staff & leadership
Demonstrated capacity to deliver services,
training & technical assistance to the poor
Contribute to development through
empowerment, capacity building, service
delivery and innovation
The Workshop Goal:
To enhance the capacity of CORE
PVOs to take greater leadership in the
development and implementation of national and district household and community
IMCI (HH/C IMCI) Programs
Desired Workshop Outcomes:

Clear understanding of the PVO/NGO role in the development and implementation
of HH/C IMCI Programs,

Increased understanding and application of lessons learned, better practices, and
approaches that can be used in HH/C IMCI programming,

Increased understanding of processes that will enhance PVO/NGO leadership roles
in HH/C IMCI at national, district, and community levels,

HH/C IMCI implementation options tool that is related to ongoing PVO/NGO
activities.
“The driving force of the workshop, and one of its
most promising outcomes, was the evolution of a
consensus that articulates a clear vision and
dynamic framework for community IMCI. It provides
PVOs with a clear structure for assessing programs,
for future programming, and for advocating for
resources necessary to fully operationalize C-IMCI.”
The participants were equipped with…
1. Their vast experience and knowledge they brought
with them.
2. 12 examples of successful community-based
approaches to child helath by 8 different organizations
in 10 different countries around the world.
3. A draft framework policy paper developed by CSTS
and BASICS : ‘Community-based Approaches to
Child Health’.
The CSTS/BASICS Policy Paper was helpful in laying out 4
‘Options’ that PVOs have used to improve child health…
1. CLOSER LINKS BETWEEN HEALTH FACILITIES
AND THE COMMUNITIES THEY SERVE
2. IMPROVED CARE OUTSIDE OF HEALTH
FACILITIES
3. INTEGRATED PROMOTION OF KEY FAMILY
PRACTICES CRITICAL FOR CHILD HEALTH AND
NUTRITION
4. MULTI-SECTORAL APPROACH TO CHILD
HEALTH AND DEVELOPMENT
A key objective of the workshop was to reach consensus on
revision and use of the framework to put forward a concise but
clear proposal for HH/C IMCI. In doing so the following
questions were important to consider
1. How will HH/C IMCI be different than what we are
doing now?
2. What will be the relationship between the HH/C
IMCI and the other two components?
3. What will be the PVO role in promoting the new
framework?
DEFINING A
HH/C-IMCI FRAMWORK…
“HOUSEHOLD AND COMMUNITY
‘INTEGRATED MANAGEMENT OF CHILDHOOD
ILLNESSES’ IS A METHODOLOGY THAT
OPTIMIZES A MULTISECTORAL PLATFORM
FOR CHILD HEALTH AND NUTRITION THAT
INCLUDES THREE LINKED REQUISITE
ELEMENTS”
The 3 Linked Elements
Element #1: Partnerships between health facilities and
the communities they serve
Element #2: Appropriate & accessible care &
information from community-based providers
Element #3: Integrated Promotion of Key Family
Practices critical for child health & nutrition
Why “elements”?
“Components” – No: Term already used for
the three components of IMCI
“Options” – No: Want to explain that all are
integral parts of HH/C-IMCI
“Definitions” – No: Suggests lack of
flexibility in implementation
The Multi-Sectoral Platform
(MSP) for
Child Health and Nutrition
Multi-Sectoral Platform (MSP)
Multisectoral approach similar to
Comprehensive Primary Health Care:
Water and Sanitation
Education
Agriculture
Income generation
Social/Political sector
Capacity building etc.
The multi-sectoral platform that must be optimized
for HH/C IMCI to be supported and sustained
Principles of HH/C-IMCI
HH/C IMCI PRINCIPLES
 HH/C IMCI can be implemented at a national, district and/or community
level, as appropriate
 HH/C IMCI can be implemented with or without components #1 and #2
(Systems or Facility IMCI) as feasible
 Elements are requisite for HH/C IMCI (except element #1 if facilities are
inaccessible)
 HH/C IMCI can be implemented by multiple actors or by a single
organization
 HH/C IMCI recognizes the importance of curative and preventive
interventions in the community for reducing child morbidity and
mortality
 Phased introduction of promotion of key family practices is acceptable
 Phasing of elements is acceptable
Formulated by workshop participants
Next Steps
The Framework
•
A small working group reviews and refines proposed HH/C-IMCI
framework within next two months – by mid-March (CORE,
BASICS, CSTS)
•
CORE presents framework to the IMCI IAWG in early February for
review, comment and endorsement.
•
Revised framework is sent to all participants in late March for
comment and review.
•
Small working group revises framework based on input by May
•
Finalized framework is presented and disseminated at CORE annual
May meeting
Next Steps
The Workshop Report
•
Workshop report will be disseminated at CORE annual meeting in
May including the revised framework
•
Preface of the report will be a open proposal to donor community
and partners to enable PVOs to implement and test the proposed
HH/C-IMCI framework
Next Steps
CORE
•
At the CORE annual meeting in May, each PVO that is interested
proposes a plan to use and test the HH/C-IMCI framework
•
Plan is developed at the meeting for the review, within one year of
the application of the HH/C-IMCI framework, as used by PVOs at
country, district and community levels
•
CORE uses framework, definition and principles to develop short
policy paper and advocacy tool