Evidence drivers for effective partnerships

between faith groups and public sector

ACHAP 7TH BIENNIAL CONFERENCE PROGRAM The role of the faith based health services in contributing to universal health coverage in Africa

Jean Duff, Coordinator JLI F&LC

February 24, 2015

CAFOD AACC

Presentation Outline

• International Development Context

• World Bank; SDGs; UHC

• Opportunities for Faith Groups to strengthen Public Sector Partnerships

• About JLI F&LC and Learning Hubs

• Recommendations

World Bank Consultation

with International Faith Groups, Feb 18, 2015

World Bank’s twin Goals:

• Boosting shared prosperity

• Do-ability of Ending extreme poverty ( <$1.25 per day)

by 2030

>1b or 14.5% 2014 down to <3% by 2030

24% economic growth result of better health outcomes

President Jim Kim calls for :

• Global movement around the twin goals

• Solutions big enough for the challenge

• Preferential option for the poorest of the poor

• Country level full engagement with faith community

• Evidence based partnership with FGs..what works?

WHO on Universal Health Coverage:

“all people obtain health services they need without financial hardship”

Health System to Achieve UHC:

Meets priority needs thru people-centered integrated care by:

1. encouraging people to stay healthy and prevent illness

2. detecting health conditions early

3. treating disease

4. helping with rehabilitation

International Development Trends:

framing for strengthening partnerships for health

between public sector and faith groups • Community- based, sustainable, integrated health care

• Further gains in MCH, NCD will come from advances in prevention

• Priority on health-related attitude and behavior change

• Scaled-up evidence-based, locally adapted health solutions

• Funding favoring local partnership

• Donors’ country partnership frameworks requiring more substantial engagement of CS and Faith.

(GF WB)

• PPP/ Multi-sector alliances

• Ebola: twin necessity of faith-based health systems strengthening, and

accessing, mobilizing and equipping local faith networks

• Priority on equity and lowest income

• Emphasis on effectiveness and efficiency-- evidence & value for money

Opportunities for Faith Groups

to strengthen Public Sector Partnerships

• Document facilities and congregational assets,

and health outcomes

• Collaborate across denominational and faith lines to

deliver large scale capacity

• Faith-based health systems partner with faith leaders

on social and community mobilization for

prevention, emergency response

• Demonstrate outcomes for poorest of the poor

• Hold public and private partners accountable

• Make collective, evidence-based case to

governments for faith-based delivery & community

outreach

Joint Learning Initiative on Faith & Local Communities

International collaborative knowledge management platform, collecting and sharing evidence for faith groups’ activity and contributions

Goal : Collaboration among policy, practice and academia towards full engagement of faith groups in community health and development

• What do policy makers and practitioners want/need to know?

• What are the evidence drivers for effective partnerships?

• What do we already know?

Data on faith groups is limited and ‘silo-ed’

• How can what we know be better communicated to policy makers and practioners?

• Joint Learning Methodology (JLICA G. Foster)

JLIF&LC Steering Committee

ADRA Mark Webster

Anglican Alliance Rachel Carnegie

Christian Aid Loretta Minghella

Digni Jørn Lemvik

Episcopal Relief and

Development Rob Radtke

IMA World Health Rick Santos

Islamic Relief Atallah Fitzgibbon

Helen Stawski

McKinsey &

Company John Drew

Partnership for Faith

& Development Jean Duff

Samaritan’s Purse Chris Blackham

Tearfund Matthew Frost

(Co-Chair)

Traidmission Rob Kilpatrick

(Co-Chair)

UNAIDS Sally Smith

UNFPA Azza Karam

UNICEF David Ponet

University of

Cape Town/IRHAP Jill Olivier

World Vision

International Dan Ole Shani

Contribution of faith groups to delivery

of vaccines and immunizations

Strengthen capacity

of faith groups to care for community and to

collect and communicate data

5 Learning Hubs

Impact of faith groups

on promoting individual and community

resilience

Resilience Immunization

Local faith communities roles in prevention and

protection

Sexual and Gender Based

Violence

Impact of faith groups on HIV and Maternal health, with special

attention to PMTCT and skilled birth attendants

HIV & Maternal Health

Capacity Building

Learning Hub:

Resilience

What is the impact of faith groups in

promoting individual and community

resilience in humanitarian situations?

Anglican Alliance

Learning Hub: HIV and Maternal Health

What is are the activities and

impact of faith groups on HIV

and Maternal Health?

Learning Hub: Immunization

How do faith groups contribute

to the acceptance and delivery of

vaccines and immunizations?

Global Polio Eradication

Initiative

Learning Hub: Sexual &

Gender-based Violence

What are the activities and

contributions of local faith

communities in prevention of

SGBV and in care for survivors?

Samaritan's Purse

Learning Hub: Capacity building

for Local Faith

Communities

Christian Aid

What is being done to strengthen the

capacity of faith groups to care for

local communities, and to collect and

communicate data?

More information @ www.jliflc.com duffjean@gmail.com

Looking ahead

New Learning Hubs

• Child Health and Survival

• Peace and Conflict

• Other?

Conference: July 2015

“Effective partnerships between public sector and faith

groups towards ending extreme poverty”

Co-hosts: World Bank, USAID, DFID, German BMZ, and

others, in collaboration with JLIF&LC

JLI F&LC Invitations to CHAs

1. Please join Learning Hubs Start a new Learning Hub? 2. Exchange information on “what works”—and what doesn’t for effective partnerships Asset mapping Contracting mechanisms Quality of care Case studies Scalable models Best practice

3. ACHAP participation in July conference: bring evidence for effective partnerships to international development policy makers

Recommendations

strengthening faith groups’ partnership with public sector and donors

SOLUTIONS BIG ENOUGH FOR THE CHALLENGE! 1. Improve evidence base; document capacity, activity, outcomes, mechanisms. Share knowledge. New research partnerships with academia

Health service delivery capacity Community health care capacity

Congregational capacity for health

2. Scale up faith group collaboration cross denominational/faith joint facilities and faith communities networks equip and mobilize local faith leaders and communities 3. Make the case to the public sector authorize collective representation align with national plans

evidence: how faith groups deliver outcomes for people living on extremely low incomes

Exchange

Collaborate

Communicate

Sponsor/co-fund

Robust

Data

Faith Communities

Fully Engaged for

UHC and for a World

Without Extreme

Poverty

Questions for Conversation

• How to scale up mapping of faith

group facility and congregational

assets?

• How to facilitate sharing of info on

what works in faith groups w policy

makers and practitioners?

• Authorizing collective representation:

Multi-faith coordinating mechanisms?

• Examples of effective

partnerships..what makes for

success?

CRS

Infectious diseases such as pneumonia, diarrhoea and malaria are the leading

killers of children under age 5; roughly 44% of deaths in children under 5 occur

during the neonatal period

Malaria 7%

Injury 5%

AIDS 2%

Other 22%

Neonatal

44%

Pneumonia

17%

Diarrhoea

9%

Globally, nearly half of

all deaths among

children under 5 are

attributable to

undernutrition

Estimates are rounded, and therefore may not sum to 100%.

Global distribution of deaths among

children under age 5, by cause, 2012

Source: UNICEF Data & Analytics Section, as presented in APR Progress Report 2013.

10 promises for Children by Faith Groups

1.Breastfeed all newborns exclusively through the age of six months;

2. Immunize children and newborns

3. Eliminate all harmful traditions and violence against children

4. Feed children with proper nutritional foods and micronutrient supplements, where available, and de-worm

children;

5. For diarrhea, give oral rehydration salts (ORS) and daily Zinc supplements

6. Give children antibiotic treatment for pneumonia; promptly treat sick children

7. Have children drink water from a safe source,

8. Have all children wash their hands with soap and water

9. Have all children use a toilet or latrine, and safely dispose of children’s feces

10. In malarial areas, all children sleep nightly under LLIN, and seek proper malaria testing and treatment for

sick children

A Promise Renewed UNICEF 2014