1 Million Community Health Workers Campaign: Innovation for Primary Health Systems Strengthening in...
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1 Million Community Health Workers Campaign:
Innovation for Primary Health Systems Strengthening in Africa
Dr. Joanna RubinsteinThe Earth Institute, Columbia University
Ahimsa Round TableAnnecy, June 17, 2013
1 M CHWs Campaign
• Why CHWs?• Why now?• How?
Opportunity: Achieve the Millennium Development Goals (MDGs) and improve public health in Africa
Challenge: Scaling up of Community Health Workers (CHWs) programs throughout the continent using enabling technologies
Goal: Reach one million trained, mobile phone equipped and deployed CHWs by 2015
Countdown to 2015
Community Health Workers - Who are they?
• Literate• Men and Women• All Ages• Locally Based• Paid and Full Time• Nominated by the Community
CHWs - Program
Case Management
Continuity of Care
Supportive SupervisionHealth Education
Rapid Training Systems
Data Driven ManagementDisease Surveillance
Performance Standards
Innovation
• New cadre of health professionals• Bed nets, diagnostics, vaccines, drugs• Technology – mobile phones, broadband• Partnerships• Financing
Partnerships for Global HealthLocal and Global
• Community• Government• UN Agencies• Academia• NGOs• Private Sector
Dertu, KenyaMay 2008
How Digital Technology is Fueling the MDGs
ADDED VALUE OF SMARTPHONES
Part II
• Service-delivery focused user-interface Built in algorithms for point-of-
service decision support Multimedia including audio and
image support• Real-time data submitted via internet
(2G, 3G) to improve: Case management Public health surveillance CHW supervision
• SMS for appointment reminders• One cloud server
1. Rapid training and deployment of CHWs (national scale up plans)
2. Establishment of real-time monitoring system of CHWs activities and progress towards health goals
3. Improvement of scalable management systems that lead to improved performance over time
• Led by a Steering Committee comprised of key organizations and experts from UN agencies, academia, private sector and civil society
• Call upon governments and international partners to mobilize financing in support of these goals
• Work with all members of the African Union that request assistance to provide technical support for the scaling up of CHW programs
Campaign Goals
Campaign Activities
• “Operations Room”• Managing Scale-Up • Rapid Training Systems • Sustainable Financing &
GovernanceSupport:-ITU/UNESCO Broadband-Commission for Development-MDG Advocates-AU, governments
Builds upon work of the Taskforce Report (2011)
UN Sustainable Development Solutions Network www.unsdsn.org and the Post
2015 Development
Society’s commitment to four interconnected objectives: • economic development• social inclusion • environmental sustainability • good governance (including security).
SDSN Sustainable Development Goals
Achieve health & wellbeing at all ages