Post on 24-May-2015
description
Actions First: Boosting Impact of Community Health Programs
Brownbag , September 30, 2012
FHI 360
Peter Gottert
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Peter Gottert ( Presenter)
Alive & Thrive , GHPN
• Presenter
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Actions First:
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Observations & practical tips 4
to boost impact
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of community health programs
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Streamline
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Direct the Rider: What our
mind tells us - what we think.
Motivate the Elephant: What our
heart tells us – what we feel.
Shape the Path: Change the situation
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9 Observations
1. Trusted messengers: Gold standard
2. Streamline for scale
3. Research: Let’s be smart
4. Frontline tools: Clarity is ½ the battle11
9 Observations (con’t)
5. Short workshops: Win-win
6. Targets boost impact
7. Boredom is bad
8. Clone early adopters.
9. Media: Capture the pulse12
The trusted messenger
Observation #1
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Streamline
Scale Up
Observation #2
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Streamline
TargetsTraining Tools
Research
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No Scale No Impact
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One page strategy
Community Strategy
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Community Strategy
#3 Research
#4 Tools
#5 Training #6 Targets
#7 Boring is bad
#8 Clone early adopters
#9 Media
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ActionsFirst
ActionsFirst
Research: Let’s be
smartObservation #3
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Actions
Small Do-able
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Fascinating infant feeding traditions in Mali.
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Analysis Paralysis
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Mothers, Give only breast milk to your baby for the first 6 months
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No you don’tLet the trusted messengers do their
job
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Reach
Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
Boost Impact
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
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Frontline Tools: Clarity is 1/2 the battle
Observation #4 32
A Good Tool:
Shapes the
Path
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Child Nutrition Card • Clarifies actions • Helps parents track progress
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Family-Family-friendlyfriendlyhealth health card…card… 36
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King of clarity 40
What looks like resistance is often
a lack of claritya lack of clarity
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Streamlining Opportunity
2
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Short workshops: Win-win
Observation #5
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Targets boost impact
Observation #6
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Targets maintain momentum 46
Ethiopia – typical target: Earn ~200 Smart and Strong
Certificates
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Boring is Bad Observation #7 49
Home Visits 50
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Facilitate experience sharing 52
Provide social support 53
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How behaviors are negotiated
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Lessons Learned Working with partners is an efficient way of
expanding programs.
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Powerful messengers
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Clone early adopters Observation #8 61
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We can do this !! 65
Social norms shift 66
Capture the pulse
Observation #9
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Drive the program
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USAID BASICS Madagascar Project Immunization Coverage
USAID BASICS Madagascar Project Immunization Coverage
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0
10
20
30
40
50
60
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90
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BCG Completelyvaccinated
1996 baseline
1998 non-intensive
1998 IMCI
Directory/Presenter/Filename 72
Essential Services in Ethiopia Project
Directory/Presenter/Filename 73
Figure 12. Percentage of Respondents with ‘High’ Social Support, Group Cohesion and Collective Efficacy Time Since Certification
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Thank You 75
Discussion
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