Actions first boosting impact of community health programs. september 26, 2012
76
Actions First: Boosting Impact of Community Health Programs Brownbag , September 30, 2012 FHI 360 Peter Gottert 1
description
Peter Gottert, our long-time (25 years for some of us....) colleague specializing in community-based strategies to health-related behavior change, will share some basic principles from his own experiences in the field--particularly in Africa. Peter says "Many community programs are simply too complicated to be scaled up." His presentation will include a series of “observations and practical tips that focus on how to streamline the design of community-based strategies in order to dramatically improve results." Note that Peter has developed the presentation along with Mary Carnell, JSI (with whom he has worked on many USAID projects), and plans to give the presentation with her again at JSI on September 21. (This presentation does not focus specifically on Alive & Thrive activities.)
Transcript of Actions first boosting impact of community health programs. september 26, 2012
Actions First: Boosting Impact of Community Health Programs
Brownbag , September 30, 2012
FHI 360
Peter Gottert
1
Peter Gottert ( Presenter)
Alive & Thrive , GHPN
• Presenter
2
Actions First:
3
Observations & practical tips 4
to boost impact
5
of community health programs
6
Streamline
7
8
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
9
10
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
13
Streamline
Scale Up
Observation #2
14
Streamline
TargetsTraining Tools
Research
15
No Scale No Impact
16
One page strategy
Community Strategy
17
Community Strategy
#3 Research
#4 Tools
#5 Training #6 Targets
#7 Boring is bad
#8 Clone early adopters
#9 Media
18
ActionsFirst
ActionsFirst
Research: Let’s be
smartObservation #3
19
Actions
Small Do-able
20
Fascinating infant feeding traditions in Mali.
21
Analysis Paralysis
22
Mothers, Give only breast milk to your baby for the first 6 months
23
24
25
No you don’tLet the trusted messengers do their
job
26
Reach
Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
Boost Impact
27
Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
28
Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
29
Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
30
Reach Year 1 Year 2 Year 3 Year 4 Year 5
100%
80%
60%
40%
20%
31
Frontline Tools: Clarity is 1/2 the battle
Observation #4 32
A Good Tool:
Shapes the
Path
33
34
Child Nutrition Card • Clarifies actions • Helps parents track progress
35
Family-Family-friendlyfriendlyhealth health card…card… 36
37
38
39
King of clarity 40
What looks like resistance is often
a lack of claritya lack of clarity
41
Streamlining Opportunity
2
42
43
Short workshops: Win-win
Observation #5
44
Targets boost impact
Observation #6
45
Targets maintain momentum 46
Ethiopia – typical target: Earn ~200 Smart and Strong
Certificates
47
48
Boring is Bad Observation #7 49
Home Visits 50
51
Facilitate experience sharing 52
Provide social support 53
54
55
How behaviors are negotiated
56
57
Lessons Learned Working with partners is an efficient way of
expanding programs.
58
Powerful messengers
59
60
Clone early adopters Observation #8 61
62
63
64
We can do this !! 65
Social norms shift 66
Capture the pulse
Observation #9
67
Drive the program
68
69
70
71
USAID BASICS Madagascar Project Immunization Coverage
USAID BASICS Madagascar Project Immunization Coverage
94
78
0
10
20
30
40
50
60
70
80
90
100
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
74
Thank You 75
Discussion
76
