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Thursday, April 25, 2013


Sustainability and Accountability: Of What? To Whom? How Do We Know When We Have It?

Janine Schooley, Senior Vice President for Programs, PCI
Eric Sarriot, Director, Center for Design and Research in Sustainable Health & Human Development (CEDARS), ICF International
Patricia Murray, Program Associate for Health, Plan International USA

Sustainability has long been one of those words that is used more than it is understood, that every proposal for funding has to address, but that very seldom gets measured. During this session, PCI, Plan USA and CEDARS made the argument that testing for sustainability, both during and post projects, is essential for achieving lasting impact. The session engaged participants in thinking through how best to test for sustainability and how best to overcome challenges and constraints related to sustainability and its measurement. Participants also strategized on how best to attract resources to be able to do more sustainability testing, especially post project.

Post-Project Sustainability Study- Schooley
Testing for Sustainbility: Lessons from the Post-Intervention Study in Taita-Taveta District, Kenya- Murray

Concurrent Sessions

Measuring Local Capacity Strengthening: The Good, the Bad, and the Ugly

Carol Underwood, Senior Research Advisor for Research and Evaluation, Johns Hopkins Center for Communication Programs
Carol B. Makoane, Technical Officer for HIV/AIDS Programs, Project Concern International

Local ownership and decision-making are essential elements of effective development. How do you define ownership, and how do you have contributed to improving it? How to incorporate local ownership and decision-making from the program-design phase? What are good examples to learn from? In this session, participants learned from two different LCS measurement experiences, and engaged in group work to further identify the most common barriers, pitfalls and dilemmas and recommendations for measuring capacity and its impact.

Community Capacity: Means to Improved Health Practices or an End-in-Itself- Underwood
Building Bridges Between Civil Society and Governement Through Capacity Building of the CSO Sector: Experience and Results from Botswana- Makoane

Strengthening and Expanding iCCM

Paul Freeman, Clinical Assistant Professor, Dept. Global Health at University of Washington
Alfonso Rosales, Maternal & Child Health Technical Specialist, World Vision
Yves Cyaka, Malaria and Child Survival Technical Advisor, Population Services International

Presenters in this session illustrated key findings and tools in expanding iCCM, including the case-control EOP evaluation of the USAID funded iCCM project implemented in rural Benin by Management Sciences for Health (MSH), July 2009 to 2012; the development process of developing the various tools, a description of them, and preliminary results on the applicability of tools among illiterate CHWs; and the expansion efforts and share preliminary results from an endline study that measured impact on child mortality.

EOP Evaluation of BASICS iCCM Project Benin 2009 to 2012- Freeman
Integrating Newborn Interventions into Community Case Management in rural South Sudan- Rosales
CIDA CCMImpact Project: Cameroon- Cyaka

Innovation and Integration: How mHealth Can Strengthen the Work of CHWs

Sarah Shannon, Executive Director, Hesperian Health Guides
Gwyn Hainsworth, Senior Advisor for Adolescent Sexual and Reproductive Health, Pathfinder
Eric Silfen, Chief Medical Officer, Philips Healthcare
Marie Solange Ngueko, CIDA Program Coordinator, ACMS/Population Service International Cameroon
Kelly L’Engle, FHI360 (Moderator)

This session will provided an overview, and examples, of the different ways that mHealth tools can support CHWs  -- ranging from data collection, clinical decision support, content delivery, training, and telemedicine. Presenters shared successes and challenges in implementing a variety of mHealth tools into projects that build capacity of CHWs and other frontline health workers.  An interactive discussion among participants and presenters explored the potential and channels to integrate mHealth activities into community-based health programs and information systems.

Innovation and Integration: How mHealth Can Strengthen the Work of CHWs- Shannon
Leveraging Mobile Technology to Strengthen the Work of Community Health Workers- Hainsworth
Innovation and Integration- Silfen
mHealth- Ngueko

Lunch Roundtables

PowerPacked PowerPoint Presentations

David Marsh, Senior Advisor, Save the Children

This session included an introduction to and demonstration of a “self-instructional” slide-deck that illustrates 50 tips plus questions and answers to share experience. 

PowerPacked PowerPoint- Marsh

Approaches to Improve Malaria Outcomes through Changing Knowledge, Attitudes, and Behavior: Evidence, Information gaps, and Recommendations for the Future

Debra Prosnitz, Program Manager for Malaria Communities Program and Technical Advisor for CSHGP, ICF International

This roundtable presented the results of an analysis of a select group of CSHGP projects, which examines the comparability of malaria-specific quantitative data and availability and depth of qualitative data to determine whether outcomes and impact of behavior change communication strategies and messages can be systematically assessed across the larger portfolio of projects. Gaps in information and recommendations for improved data collection and reporting were summarized.

A Review of the Approaches to Improve Malaria Outcomes through Changing Knowledge, Attitudes, and Behavior in USAID's Child Survival and Health Grants Program- Prosnitz

K4Health Family Planning Advocacy Toolkit Focus Group

Adrienne Allison, Project Director, Birth Spacing Integration, World Vision
Elizabeth Futrell, Technical Writer, Knowledge for Health, Johns Hopkins Center for Communications Programs

Participants were introduced to the first "field trial" of the newest K4Health Toolkit on Advocacy for Family Planning. 

Adolescent Health

Mychelle Farmer, Technical Advisor for Health and HIV, Catholic Relief Services
Beth Outterson, Advisor, Adolescent Health, Save the Children 

The adolescent health lunch roundtable discussed our existing project assessing adolescent health programs within CORE Group and proposed new projects for the coming year. Please join us if you share our desire for innovative approaches to adolescent health in the context of CORE Group programs.

Concurrent Sessions

Newborn Health

Steve Wall, Senior Advisor for Technical Support, Save the Children/Saving Newborn Lives

Participants learned about new secondary analysis of Saving Newborn Lives research highlighting how local care-seeking behaviors influence the design, implementation and potential effectiveness of implementation.  Participants also discuss newborn health approaches related to participatory community approaches, equity, private sector, and scale-up. 

Care Seeking for Newborn Illness: A Changing Paradigm?- Steve Wall

Environmental Enteropathy: Going Beyond Nutrition to Understand Child Growth and Development

Laura Smith, PhD Candidate, Cornell University
Julia Rosenbaum, Behavior Change Specialist, FHI360
Renuka Bery, WASH integration Specialist, FHI 360

Infants and young children in low income countries are frequently ingesting high quantities of fecal bacteria and pathogens through mouthing soiled fingers and play items, and soil and poultry feces in the environment. Frequent childhood infections from such exposures affect mother-child interaction and child feeding behavior, with cumulative negative consequences on growth and development. Recent evidence suggest that chronic fecal-oral transmission of pathogenic and non-pathogenic microbes inflame the small intestine mucosal lining and result in a highly permeable gut, with impaired barrier and absorptive functions, and subsequent  chronic immune stimulation. Evidence is mounting that these processes contribute to stunting and may also cause anemia, both well-described risk factors for deficits in child development. A feces free environment is critical to reducing exposure to pathogenic microbes. This session examined the results of fecal-oral transmission to small children, and explored solutions to addressing this problem. Presenters highlighted community-led total sanitation, explored interventions to provide a clean play and infant feeding environment and discussed the required behavior change and appropriate technologies, designed for rugged environments and conducive to increase child protection without limiting infant play and exploration. 

EE: Going Beyond Nutrition to Understand Child Growth and Development- Smith
Total Sanitation- Rosenbaum
A Day in the Life- Bery

Highlights from FY 2012 Final Evaluations of Three CSHGP’s Operations Research Projects

Elena McEwan, Senior Health Technical Advisor, Catholic Relief Services
Jennifer Nielsen, Senior Program Manager for Nutrition and Health, Helen Keller International Dennis Cherian, Acting Senior Director, Health and HIV, World Vision
Florence Nyangara, Senior Research and Evaluation Specialist; MCHIP/ICF International (Moderator)

This session featured three Child Survival and Health Grants Programs that conducted Operations Research studies since FY2008 through FY 2012/13. The projects were funded by USAID for five-years to test innovative solutions to overcoming programming barriers for the uptake of high impact maternal, newborn, and child health interventions. The studies were conducted in Nicaragua, Nepal, and Afghanistan by CRS, HKI, and World Vision, respectively. The presenters presented their findings and how they were achieved.

AAMA Operations Research Process: 2008-2012- Nielsen

Write Better First Drafts and Save Time! Tips for Forceful Writing

David Marsh, Senior Advisor, Save the Children

Ever since earning a MINUS 20 on his first sophomore writing assignment in high school, David Marsh has strived (striven?) to improve his writing. Now he thinks he can improve others’ writing. Come and see.  This session will be an interactive presentation with time to practice editing and writing, applying the suggested guidelines.

Grammar?- Marsh
Grammar for Qualitative Statements- Marsh
Quiz- Marsh

Heroes, Tools, and the Community "Link"

Mary Beth Powers, Chair, Frontline Health Workers Coalition
Sarah Shannon, Executive Director, Hesperian Foundation
Gloria Ekpo, HIV/AID Technical Specialist, World Vision

This workshop introduced participants to some innovative efforts to develop greater recognition and appreciation of the lifesaving care that health workers provide around the world, including the REAL Awards and World Health Worker Week. Participants learned about the World Health Worker Week engagement toolkit that provides guidance on ways to mobilize communities, partners, and policy makers in support of frontline health workers. This session also provided an overview of the writing and design strategies used by Hesperian to create accessible health information for CHWs, focusing on the use of images in Hesperian materials which are critical for low-literacy audiences and trainings across languages, in particular. 

Frontline Health Workers- Powers
Innovations for Developing Low-Literacy Materials to Empower Community Health Workers- Shannon
Making the Community "Link": Experience from the Community Linkages Project in Swaziland- Ekpo

Early Childhood Development

Nicole Richardson, Early Childhood Development and Orphans and Vulnerable Children Specialist, Save the Children
Julia Rosenbaum, Deputy Director and Senior Behavior Change Specialist, WASHplus Project/FHI360
Antony Duttine, Rehabilitation Technical Advisor, Global Health , Handicap International
Patricia Murray, Program Associate for Health, Plan International; Hanna Jamal, Program Associate, Plan International
Shannon Senefeld, Global Director of Health and HIV, Catholic Relief Services

This session shared promising practices in ECD programming and also encouraged practioners to think about new and innovative ways to address ECD. The session included four presentations covering 1.) the Essential Package; 2.) Integrating WASH, Nutrition andECD; 3.) ECD and Disabilities; and 4.) ECD, Disabilities, and Emergencies. 

The Essential Package- Richardson
Why WASH, Nutrition, and ECD Matter- Rosenbaum
Early Childhood Development: Are we Failing When it Doesn't Happen?- Duttine

But We Will Always Be Here!  How to Assure Sustainable Benefits after Food Aid Programs Shut Down

Beatrice Rogers, Professor of Economics and Food Policy, Friedman School of Nutrition Science and Policy, Tufts University

This session reported on the results of a four-country study assessing the sustainability of program activities and impacts after the programs themselves shut down.  The study was done in Bolivia, Honduras, Kenya, and India, and focused on the Title II Food for Peace programs that were terminated around 2009 as a result of a change in policy that restricted Title II programs to a limited set of high priority countries. The field work incorporated three rounds of qualitative interviews with key stakeholders (beneficiaries, local partners, community based organizations, people involved in the supply chain for agricultural products...) at the time of program exit and each year for the next two years, and a quantitative survey in each country which replicated the end line evaluation two years later, to provide quantitative estimates of program impact indicators two years after the programs ended. 

But We Will Always Be Here- Rogers

No Longer Hidden: Putting Youth at the Center of the Post-MDG Agenda

Mychelle Farmer, Technical Advisor for Health and HIV, Catholic Relief Services
Beth Outterson, Advisor, Adolescent Health, Save the Children
Elizabeth Berard, Youth Advisor, USAID

This session focused on recent developments in adolescent health. The session started with panel presentations about the relationship of adolescent health to the post-MDG agenda, followed by a discussion to enhance our understanding of global policies in health and development, as they pertain to youth. Participants learned about the gaps in our global database in adolescent health, and engaged in small group discussions that will assist CORE Group to develop key messages that promote adolescent health within the post-2015 agenda.

Adolescent Health- No Longer Hidden- Farmer
The Incomplete Puzzle- Emerging Data on Adolescent Health- Outterson
USAID Policy on Youth in Development- Berard

CORE Group Community Health Network

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