Post on 24-Jan-2015
description
Improving Maternal Newborn Health in
Bangladesh through Community Health
Systems Strengthening
The Peoples Institution Model
Kohima Daring
Nancy TenBroek
Alan Talens
World Renew
Global Health Practitioners Conference CORE GROUP
Washington DC October 16,2014
"No problem can be solved by the same
kind of thinking that created it."
Albert Einstein
Child Survival Interventions
Elements of C-IMCI 1. Improving partnership
between facilities and communities they serve.
2. Increasing appropriate care and information from CB service providers
3. Integrating promotion of key family practices critical for child health/nutrition
.
1. Shift power to the people. Emphasis on community mobilization, empowerment and local governance.
2. The community “owning “ Of the treatment /referral Services making it culturally accessible within locality.
3. Empowerment of the Household and community To change their health Behavior.
SUSOMA’s five
IRs are based on
an expanded
version of the
national C-IMCI
Framework
PRIMARY GROUPS
Community Leadership Structure
Community Based Organization
PEOPLES’ INSTITUTION
Ministry of Health and Family Welfare, IMCI
DGHS Civil Surgeon, DDFP
District Health Complex, Doctors, Nurses
UHFPO, UFPO, UNO
Upazilla Health Complex Doctors, Nurses, MA, HA
Union leaders
HFW Centers SCMO FWV FWA/HA CBSA
Central Coordinating Committee (CCC)
People’s Institution (PI) Health Sub-team
Females
Males
Primary Group (PG)
PI
Community Clinics (CC) CHCP, HA, MA
Independent Service Providers
Private Facilities
UTAC
Mgmt & Coordination Mtgs
HMIS Matching Mtgs
World Renew Child Survival Project
Local Implementing NGOs PARI & SATHI
PI Participation in the District Technical Advisor Committee ( DTAC)
CHV
TBA
Peoples
Institution
Health Facility Centers
Supervision
Recognition
Linking
resources
Community
Community Health System
95
75
64
77
70
69
95
72
53
69
54
64
95
69
46
59
50
60
60
64
40
55
48
58
60
61
37
49
42
52
50
38
16
21 17
33
50
33
13 2 15
8 0
10
20
30
40
50
60
70
80
90
100
Health Outcome
Health Services
Community Capacity
Ecological, human, economic,political
and policy environment
Organizational Capacity
Organizational Viability
CSSA April,14 CSSA October,13 CSSA April,13 CSSA October,12 CSSA April,12 CSSA October,11 BaselineIndices SUSOMA PI Sustainability Assessment
Comparing ANC utilization by Wealth Quintile
“ There is no power for
change greater than a
community discovering what it
cares about.”
Margaret Wheatley