STRENGTH IN PARTNERSHIPS CMMB’S CHAMPS model for improving the health of

vulnerable women and children

ABOUT CMMB 2

Our Vision: A world in which every human life is valued and quality healthcare is available to all. • CMMB has over 100 years of experience working in international health • 2.4 billion people worldwide lack access to quality healthcare • 98% of all donations directly support health programs • 1.2 million people served in 2013 Strategic Vision 2014-2020: Improving the health of women and children by focusing on the leading causes of mortality and morbidity. • To do this, we are starting a movement of partners called CHAMPS (CHidren And Mothers

PartnershipS), implementing proven solutions that save women’s and children’s lives • By 2020, there will be 20 CHAMPS in five countries: Haiti, Kenya, Peru, South Sudan and

Zambia

WHO ARE WE?

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Healthy women have healthy children and create healthy, sustainable communities. In most of the world women are primary caregivers to their children, and spend many hours every day retrieving water from distant wells and cooking for their families. Globally, women perform 66% of the work but earn only 10% of the income and own only 1% of the property.

6.6M children under five years

old die every year

75% of these deaths are from

preventable diseases

of women who die of pregnancy and childbirth complications live in the developing world

99% % of all deaths: children under 5

98% in the developing world

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WHY WOMEN AND CHILDREN?

6.6M children under five years old die per year (75% of all deaths) from 5 preventable

diseases

287,000 women die every year of maternal causes

HIV is still killing more than 740,000 women per year in the developing world.

Chronic diseases like hypertension, diabetes and cervical cancer are the new epidemic in the developing world.

If a family experiences a maternal death, that

family is 55% more likely to experience the loss of a child. Maternal death significantly affects the survival of children already in the family.

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WHAT KILLS WOMEN AND CHILDREN?

42% Perinatal conditions 20% Diarrhea 24% Respiratory infections 11% Malaria 3% HIV

• Respiratory infectious diseases

• Pregnancy, delivery and perinatal conditions

• Diarrhea • HIV • Malaria • Key chronic diseases • Nutrition • Immunization • Water and sanitation

AREAS OF FOCUS PROGRAMS Traditional: • Grants: health programs • Volunteer program • Medical donation

program New: • CHAMPS

GLOBAL IMPACT

Preventable causes of death of children and their mothers

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CMMB’S NEW MODEL

• Large scale social change comes from better cross sector coordination rather than from isolated interventions of individual organizations.

• To achieve sustainable impact in women and children’s health, we are committed to work long-term with communities in CHAMPS programs, bringing together key players to create collective impact.

• We believe that greater progress could be made if non-profits, government, corporations and the public were brought together around a common agenda to create collective impact.

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CHAMPS: PARTNERSHIPS FOR COLLECTIVE IMPACT

8 More rigorous and specific than simple collaboration

Common Agenda

Shared Measurement

Mutually reinforcing Activities

Continuous Communication

Backbone Organization

All participants share a vision for change including a common understanding of the problem and a joint approach to solving it

Data is collected and results measured across all participants; participants hold each other accountable

Participant activities are differentiated yet coordinated

Consistent and open communication across the players to build trust, assure mutual objectives

Separate organization(s) with staff and specific skills to serve as the backbone and coordinate participating organizations

COLLECTIVE IMPACT: MULTIPLE PARTNERS, SHARED COMMITMENT

KENYA SOUTH SUDAN ZAMBIA HAITI PERU • Under five mortality

rate: 76 • Maternal mortality

rate: 350 • Expenditure on health

per capita: $58

• Under five mortality rate: 18

• Maternal mortality rate: 67

• Expenditure on health per capita: $289

• Under five mortality rate: 88

• Maternal mortality rate: 440

• Expenditure on health per capita: $87

• Under five mortality rate: 73

• Maternal mortality rate: 360

• Expenditure on health per capita: $36

• Under five mortality rate: 104

• Maternal mortality rate: 2054

• Expenditure on health per capita: $32

• Under five mortality rate: 5.3 • Maternal mortality rate: 13 • Expenditure on health per capita: $5456

OECD Countries (Organization for Economic Co-operation and Development)

AN UNBEARABLE INEQUALITY

• Under five mortality rate per 1,000 live births • Maternal mortality rate per 100,000 live births

WHERE WE WORK

THE CHAMPS MODEL

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countries 20

CHAMPS 2 2

CRITICAL ELEMENTS TO ACHIEVE IMPACT & SUSTAINABILITY

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CHAMPS is a long term (15 year) program/commitment with a specific community to improve women’s and children’s health.

1. Long-term commitment to effect change

2. Community ownership and readiness

4. Partnering with local and international players with mutually

reinforcing capacities

Approach to partnership for collective impact

3. Integrated model working along the entire continuum of care

5. Shared measurement system

1. LONG-TERM COMMITMENT TO EFFECT CHANGE

• Build trust and mutual respect with community • Assess community needs; plan and design interventions collaboratively • Implement program initiatives in a phased approach • Measure progress and adjust course • Transition to full community ownership

Equitable access to quality health services

Reduced women’s and children’s mortality and achievement of targeted health-related MDGs

A healthy and productive community

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Years 1-5 Years 6-10 Years 11-15

Partner with communities with potential for achieving sustainable impact: Greatest need in areas of focus:

High children’s and women’s mortality

Communities that can be empowered to own the program: An existing health system on the

ground Community self-organization for

health Community contribution

Communities that can accommodate the model: Existing facilities to accommodate

volunteers/visitors Accessibility and security

2. COMMUNITY OWNERSHIP & READINESS

The CHAMPS model is an end-to-end health approach at the community level that reinforces and works at every level across the continuum of care.

Primary care health facility at the community

level

Secondary or tertiary health facility - referral

systems

Clinic to community to clinic - outreach health services that

mobilize health workers to provide services to remote populations

Community, household, and individual level in

the community

CHAMPS partners undertake specific activities at which they excel at different levels in a way that supports and is coordinated with the actions of others. 14

3. INTEGRATED MODEL WORKING ALONG THE ENTIRE CONTIUUM OF CARE

Common Agenda =

Community CHAMPS Design

Based on the common agenda, local and international partners will work together on specified sets of activities and along all levels of the continuum of care.

Anchor partner

Corporations

Foundations

Associations

Bi and multi-lateral agencies

Individuals

NGOs

Health facility

Referral hospital

Ministry of Health

Associations

Faith community

Community health committee

Local organizations

Local International

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4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY REINFORCING CAPACITIES

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What kind of capacities will be required from partners? • People with a broad spectrum of professional profiles for short-term and long-term

volunteer opportunities: o Institutional knowledge o Technical expertise o General support

• Community and clinical health infrastructure

• Medical supplies and medicines

• Cash to fund project activities for specific interventions

• Willingness to advocate on behalf of the people without access to quality health care

4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY REINFORCING CAPACITIES

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4. PARTNERING WITH LOCAL AND INTERNATIONAL PLAYERS WITH MUTUALLY REINFORCING CAPACITIES

CHAMPS provide a platform for deep engagement and shared experiences between communities and partners at institutional and individual levels.

Examples: • Compelling content

(videos, pictures, stories) for websites and newsletters

• Reporting on collective impact and progress

• Fostering relationships between individual supporters and individuals and families in the community

• Using technology for communications with videos, pictures, etc…

• Visiting the community

Agreement on the ways success will be measured and reported is critical. We propose the following shared goals:

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5. SHARED MEASUREMENT SYSTEM

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CHAMPS IN ACTION: HUANCAYO, PERU

Bon Secours Health System (from 2010)

Johnson & Johnson (from 2010)

PAHO (from 2010)

Agnes Varis (from 2012)

Regis University (from 2014)

MOH (from 2010)

CBOs (from 2010)

San Martin de Porres University

(progressive engagement)

UPLA University (progressive

engagement)

We are currently working in 3 sectors of the Chilca District,

training doctors and nurses on IMCI and neonatal resuscitation, training

adults on health practices and learning methodologies, and

conducting community mobilization and surveillance activities to ensure

children’s health and nutritional conditions.

Local International

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CHAMPS IN ACTION: CÔTES-DE-FER, HAITI

Catholic Health Partners

Johnson & Johnson

Food for the Poor

Water for Life

Hite & Associates

MOH

The community of Cotes-de-Fer and

CBOs

Ministry of Public Works – Southeast

Department

Sisters of Charity of Saint Louis

We are currently finalizing plans with architects and engineers to

build a hospital on land donated by the community, initiating trainings

of community health workers around safe motherhood, children’s

health and nutrition, and conducting a formalized community

assessment.

Local International

Long-term (1-year) voluntarism

Partners. Health systems Universities Peer NGOs (international and local) Faith community/religious groups

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WHAT DO WE NEED THE MOST FOR FUTURE CHAMPS?

Thank you.