Rabia Mathai, DrPH, MPH, MS, PhD Senior Vice President Global Program Policy & Planning
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Transcript of Rabia Mathai, DrPH, MPH, MS, PhD Senior Vice President Global Program Policy & Planning
Rabia Mathai, DrPH, MPH, MS, PhDSenior Vice PresidentGlobal Program Policy & PlanningCatholic Medical Mission Board
Presented at Faith-Based Organizations as Pioneers and Partners in Health Systems Development, May 31, 2005, Omni Shoreham Hotel, Washington DC
Faith-based response to HIV/AIDS
• FBOs have long delivered health, social, and educational services– 40-50% of health care in poor countries is
delivered by private religious organizations • WHO estimates 1 in 5 organizations engaged
in HIV/AIDS programming is faith-based• Leading bilateral and multilaterals have
called for increased integration of FBOs within international health community
And yet the evidence-based body of knowledge on the role of FBOs in addressing HIV and AIDS has been so limited
About the Study• Commissioned by the Catholic Medical Mission Board (CMMB)• Independently designed, conducted and analyzed by Global
Health Council• Designed to explore secular and faith-based leaders’ perceptions
on past, present and suggested future roles of FBOs• Questions based on Global Strategy Framework on HIV/AIDS
themes
– ”
•GHC highly experienced in conducting international multi-country research studies
•Largest global healthcare membership organization
•Leadership with demonstratedqualities of adhering to thescientific truth
A tool to generate dialogue and action at multiple levels: advocacy, policy, program, resource mobilization, leadership, partnership, for addressing HIV & AIDS
How can FBOs leverage their vast assets, including their health and other support systems to strengthen and scale-up in-country National Response to HIV&AIDS?
How can FBOs systematically monitor and evaluate their programs, document and disseminate best practices and lessons learned
How can FBOs collectively and individually, contribute towards enhancing the evidence-based knowledge through scientific studies
How could FBOs leverage their work to increase their funding at all levels, through in-country & international funding sources? 3X5 divided by ½= #s Women on ARVs?
What about FBOs increasing and strengthening collaboration with other secular organizations in mounting a scale-up HIV and AIDS response?
FBOs increasing and strengthening the capacities of religious leadership and other clergy in increasing their knowledge about HIV & AIDS prevention, care, support, and treatment?
PARTNERSHIPS• CMMB (ESTB IN 1928) WORKS WITHIN
NATIONAL AND WHO GUIDELINES
• CMMB STRIVES TO STRENGTHEN NATIONAL RESPONSES THROUGH CAPACITY BUILDING OF IN-COUNTRY PARTNERS FOR SCALE-UP PROGRAMMING
• CMMB WORKS WITH OTHER FAITH-BASED AND SECULAR PARTNERS
• AFFECTED COMMUNITIES INCLUDING PLAs FORM AN INTEGRAL PART OF CMMB PROGRAMS
Networking & Collaboration: with Local and International Partners
Including with Governments
CMMB FBOPARTNERS
EXAMPLESKECCHAKCHAZSACBCCBCNCHA-GHANACBCICHAICMAIMARYKNOLLCHINACBC-PNG, SIFBO NETWORKS IN LAC
CMMB’s strength is in its partnerships, CMMB works with FBOs and secular organizations……
Catholic Healthcare in India
• Catholics 2.1% of 1 Billion people• Contributes 26% of total healthcare• 5000 healthcare facilities:750 Hospitals &
over 4000 Dispensaries & Primary Health Centers (85% in rural areas)
• 114 Nursing Schools, 6 Medical Schools, and 600 Sister Doctors
• Spread out in 147 dioceses, • 15,000 secondary schools
HIGHLIGHTS: CMMB INITIATIVES• ACTION FOR FAMILY HEALTH - IMCI and HIV AND AIDS in Latin America & Caribbean • BORN TO LIVE - PMTCT Global, including
National Scale-up in Kenya• CHOOSE TO CARE - Southern Africa
South Africa, Swaziland, Namibia, Botswana, Lesotho
• AIDS-RELIEF - Anti Retroviral Therapy PEPFAR US Govt. Funds in Africa/Caribbean
• CHINA NURSES CARE & INDIA INITIATIVE
IMCI. Action for Family HealthLatin America & Caribbean
CATHOLIC HEALTH NETWORKS,
MINISTRIES OF HEALTH , LOCAL COMMUNITIES, UNIVERSITIES, OTHER
PRIVATE ORGANIZATIONS
Haiti and Dominican Republic
Latín America and the Caribbean RegionIntegrated Management of Childhood Illnesses
PAHO/MOH -CARITAS-CMMB-BMSF
Honduras
NicaraguaEl Salvador
43 IMCI sites in 7 dioceses
planned
46 IMCI sitesin 9 dioceses
89 sites in 8 dioceses80 sites in 8 dioceses
40 sites in3 diocese
Dominican Republic
Honduras
NicaraguaEl Salvador
COUNTRY 2003 2004 2005 CommunitiesEL SALVADOR 60/8 72/8 80/8 166NICARAGUA 40/8 61/8 89/8 400HONDURAS * 52/5 40/3 250HAITI 13/8 39/7 45/9 0DOM. REP. * 43/7 43/7 In progressTOTAL 113/24 267/35 297/37 816
IMCI PROGRAM. ACTION FOR FAMILY HEALTHHaiti
IMCI Activities. LAC RegionIMCI Activities. LAC RegionDec 2003 – Feb 2005Dec 2003 – Feb 2005
Type of Training El Salvador Honduras Nicaragua Haiti Dom. Rep. Total# of Workshops 17 5 21 14 9 66Clinical 79 41 94 159 48 421Neonatal IMCI 0 22 0 4 0 26Essential Drugs 55 0 76 55 45 231Community IMCI 338 0 33 32 52 455HIV/PMTCT 60 50 70 0 0 180
Total # of trainees 532 113 273 250 145 1313Total # of patients 15,054 8,879 18,003 20,000 N/A 61,936Total # of patients only for the last quarter
CHOOSE TO CARE• CHOOSE TO CARE: FIVE YEAR HIV/AIDS
PREVENTION, CARE AND SUPPORT PROGRAM, IN COLLABORATION WITH THE SOUTH AFRICAN BISHOPS CONFERENCE (SACBC)
• OVER140 PROJECTS IN FIVECOUNTRIES SOUTH AFRICA, BOTSWANA, NAMIBIA, SWAZILAND AND LESOTHO
• OVER 20 ARE NOW PEPFAR ARV SITES
CMMB-SACBC-BMSF-CBOs
CHOOSE TO CARE: FOCUSCAPACITY BUILDING AND OTHER INTERVENTIONS:
• HOME BASED CARE AND SUPPORT INCLUDING PEOPLE LIVING WITH HIV/AIDS AND AIDS ORPHANS: 160,000 home care patients, 3900 treated in hospice facilities, and 145,000 AIDS orphans and patients assisted
• PREVENTION EDUCATION FOR COMMUNITIES, ESPECIALLY ADOLESCENTS: 360,000 youth reached
• SENSITIZATION OF CHURCH LEADERSHIP AND CHURCH COMMUNITIES: 98% of SA diocese reached with HIV/AIDS community-based programs and religious leaders sensitized
AIDS-Relief: Contribution to Providing Durable &
Sustainable ARTCatholic Relief Services, Institute of Human Virology,
Catholic Medical Mission Board, The Futures Group, Interchurch Medical Assistance
Target of 14900 Exceeded in Year 1
BORN TO LIVE- PMTCT• In 2002 August, at a National PMTCT
Technical Meeting, the Kenya Government announced a National Scale-up Plan
• Also, released a tool-kit in the form of National PMTCT Guidelines, Policies, and Procedures to facilitate this process
• CMMB responded with partnering with FBOs and Secular Orgs) in strengthening the
National Response through BORN TO LIVE- 42 of the 60 PMTCT sites active
CMMB Global PMTCT Program Summary Nov 2004
1,118
193,785
164,456
41,02446,439
35,208
12,361
34,081
1,590 3,238 2,6950
50,000
100,000
150,000
200,000
250,000
Total #Trained
Total # 1stANC
Total # GroupHIV VoluntaryCounseling
Total #IndividualWomen
Counseling
Total # Group HIV Voluntary
Testing
Total #IndividualWomenTesting
Total # HIV+ve Mothers
Total Delivery Total #HIV+veMothers
Delivered
Total #HIV+veMothers
ReceivedNevirapine
Total # Infantswho Received
Nevirapine
Selected Program Indicators
Num
ber o
f Clie
nts
COUNTRIES- HAITI, KENYA, NIGERIA, PNG, S/AFRICA, SWAZILAND, ZAMBIA
AIDS HAS A WOMAN’S FACEKofi Annan
• Our faith-based partners: Kenya Episcopal Conference, Churches Health Assoc of K
• Participating FBO facilities, and their communities.
• USAID/Kenya
• Ministry of Health
• Technical Resource Groups: NARESA, KEMRI
CHINA NURSES CAREA NATIONAL HIV and AIDS NURSING
LEADERSHIP INITIATIVE
PARTNERS: CMMB-UIC-MARYKNOLL CHINA PROJECT-GOVERNMENT-WHO-HONGKONG AIDS FOUNDATION-CHINA NURSING COUNCIL-PROVINCIAL NURSING DEPTS. AND ASSOCS.
Provincial Trainings
NURSES TRAINED BY PROVINCE2003-2004 (TOTAL=1005)
PILOT WORKSHOPS• Xi’an (Shaanxi) 40• Taiyuan (Shanxi) 90PROVINCIAL TRAININGS• Beijing` 100• Shenyang (Liaoning) 145• Xi’an 240• Chengdu (Sichuan) 260TRAINING-OF-TRAINERS• Xi’an 75• Chengdu 55
Churches Concerted Action Against HIV AND AIDS in India
Partners: • CMMB• Catholic Bishops Conf. CBCI/CHAI• Faith-based Health Associations• Universities• Government• UNICEF• Communities
Catholic Health Facilities Membership Decentralized in 11 Regional Geographic Clusters
CHAT 434
CHAKE 468
CHAKA 268
CHAAP 316
CHAW 281
CHAMP 306
RUPCHA 283
CHABI 270
OCHA 128
WBCHA 108
NECHA 238
MEMBERSHIP Statistics
THANK YOU