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International Federations First
Aid/Community Based First Aid
14th May 2007
Prepared by Grace LoSenior Health Officer in First
Aid - IFRC
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A core activityfor majority ofthe 185 NSmembersvoluntary spirit, solidarity
Long experienceand capacity in FA training(including generating resources)
International Federations FA policy (underrevision)includes all types of FA/CBFAactivities
CBFA - humanitarian values (nondiscrimination) and RC/RC principles, disaster
preparedness and response, develops capacityof volunteers/communities, public healthpriorities
First Aid/Community Based FA
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training
Emergencyresponse
volunteers
Healthpromotion
commercial
community
First aidFirst aid
training
Emergencyresponse
volunteers
Healthpromotion
commercial
community
First aidFirst aid
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Federation is supporting NSin
ALLtypes FA training (local needs)
Community-based approach in FA
FA services and community actions
Quality with standards
First-aiders, volunteers andcommunities
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NS can choose to carry out any types of the
above training, community engagement and
activities according to its strategic directions,capacity and not forgettingthe mission of the
Red Cross/Red Crescentto improve
the lives of vulnerable people by
mobilising the power of humanity
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First Aid
Strategy 2010
Global Agenda
Federation of the Futureframework foraction
Global health & care strategy
Global and operational alliance
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A GLOBAL AGENDAof the Federationwe believe
FA/CBFA canreducethe number of deaths, injuries andimpact from disasters.
FA/CBFA canreducethe number of deaths, illnesses and
impact from diseases and public health emergencies.
FA/CBFA can increaselocal community, civil society andRed Cross Red Crescent capacity to address the most
urgent situations of vulnerability.
FA/CBFA canpromoterespect for diversity and humandignity, and reduce intolerance, discrimination andsocial exclusion.
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FA/CBFA has the potentialto support
NS to achieve these goals
FA/CBFA can be the route into
strengthening foundation/traditional
activities to develop our work with
vulnerable communities
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CBFA before now - CBFA started in 1990sPHC and RC/RC outreach
good approach
Implemented by NSdifferent descriptionand
different approaches Seen as in competition with traditional FAdriven by
Secretariat
NS use tools (manuals), do training but lack capacityin supporting systemsvolunteers, communitystructures, M&E..not able to show results (oftenonly number of people trained?) and impact
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CBFA revitalisation projectphase 1
Started in July 2005 (supported by the Finnishand Swedish RC)
mapping of CBFA evaluation
consultation with NS/health delegates/healthadvisors
Completed in Jan 2006
CBFA evaluation report with recommendations
CBFA framework and fact sheet in 4 officiallanguages
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CBFA frameworkin 4 official languages
Introduction
Characteristics of approach/program
Potential of CBFA
Guiding principles
Key stages of implementation
Good practiceNepal, Eritrea
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CBFA aims To broaden the baseof existing NS
traditional first aid training by using an
community based approachto includeaspects of community health (such as
prevention, health promotionand control of
common diseases), disaster preparedness
and responseand the role and actions of
volunteers and their branches.
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Community Actions
CBFA/FA Volunteers RC
Branches
Common accidents
and injuries
RC/RC principles
volunteers + branches
Disaster
preparedness +
response
Community
Local community groups
Community leaders
Government officialsVulnerable groups
Data analysis
Focus Group
Interviews
Meetings with
community leaders
and stake holders
Direct observationsField visit
Community survey
First Aid Volunteers/
facilitators/ coaches
Common public
health issues
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Characteristics of CBFA Community-based approachworking with
the communities
Strengthening RC/RC volunteers and
branches Broadening the scope - not training only
Strong action links with DP/DR, publichealth priorities in ordinary and emergencytimes
Impact and behavioural changes
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Key lessons learnt in CBFA Aboutvolunteersand
their management
About community
actionsaction andresult oriented
Aboutworking withvulnerable groups(who/where/how)
Aboutneeds andprioritiesidentified bythe vulnerable people
Aboutsustainability
About developing trustand capacitywithcommunities
Aboutlearning andfinding solutionsfor ourown problems
Aboutlong terminvolvement
Aboutworking withother sectorsandcommunity partners toreduce risk factors andpromote health
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Continued CBFA is Not only about
another training
Not only aboutinformation andskills sharing
Not only accessibleto the easy to
reach populations Not only about FA
as a vertical activity
Notonly about one-off activities
Not only for NS indevelopedcountries
Not of a lowerquality
Notcompeting withother FA
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Dissemination and use of the framework
In different regional meetings including Europe FAeducation network meeting
Briefing of delegates Briefing with ICRC (corporate dept)
Guide and reference in evaluation and review
Planning tool
Marketing tool
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Tools development - phase 2
Started in mid June 2006
Regional consultative workshops conducted inAsia Pacific and Africa regionsNS, PNS
Consultation with CBFA network in MENA Update/CH commission/health
advisors/regional health/NS via electronicnewsletters
Technical consultation with colleagues in HCdpt/OD/Principles & Values/DP
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The process to date Draft of the CBFA in actionvolunteers
manual
Draft of the CBFA in actionfacilitatorsmanual
Draft of the implementation guide
Draft chapter on coaching(malariatoolbox)
Draft of household tools- starting
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Some of the materials will be ready
for field testing in July
Although no workshops/trainings
have been done so far, there has
been a lot of interest and revitalised
energygenerated.
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What are the added values of this new
approach?
Learning by doing
Commitmentfrom all levels of NS
It makes senseintegratedapproach
We need volunteers coming from thecommunities
We need to support our volunteers
We need qualityservice and to see results
Householdvisitsconcrete actions CBFA add valuesto other NS activities
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What does it mean? Impact and resultsM&E
Community projects and activities to supportvolunteers
Community participation
Innovative ideas
How and in what areas to work with other sectorsDM, PHIE, PSS, risk reduction, others.
Who is to do whatroles and responsibilities
Harmonised approach - same goal, sameobjectives, same indicators
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Update NS and regions MENACBFA network and activities (needs to incorporatenew approach), Yemenoperational alliance
Asia Pacific
PMIwould like to take part in piloting materials(funding for the next 3 years in Aceh);
Laos shows some interest
Myanmarlearning review, interested to pilotmaterials
Mongoliainterested to pilot materials and the newapproach
DPRKongoing CBFA programme
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Continued. PakistanICRC FA reviewFA strategy
including CBFAto incorporate new approach
Sri Lanka? Field testing materials, ?
integrate with community health framework Afghanistanongoing CBFA program
Nepalwould like to pilot the new approach
Pacific region
funding for next 3 years for CBFAprogrammesinterest to pilot materials
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Continued..Europe First Aid learning with vulnerable groupstaskforce
and good practice guide
Central Asiaevaluation and ? Funding and ?supportin CBFA programme
Africa
EastAfrica ?Kenya, Somalia, Rwanda, Burundi, Sudan
Central Africa ?
West Africa?Nigeria, using ARCHI tools
Southern Africamainly traditional first aid
Americas
On going community based programmes
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Phase 3 - Finalising tools and implementation
First 6 months of phase 3
Field test and finalise draft materials (over
6 months focus in 2 NS)July to end of 07 Orientation workshops national
Regional and national facilitatorsworkshops
National volunteers learning workshops Finalise publications end of Jan 2008
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Continued (after the initial 6 months)
Pilot project and evaluation of CBFAprogramme in 2 NS over a fullimplementation cycle (2 to 3 years) - (needs to be jointly supported with OD,volunteering and community development) starts in Jan/Feb 2008
Global CBFA/FA meetingstrategic and
implementation plan till 2010April 2008 Review of CBFA revitalising project by mid2008
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Pilot projectlooking for answers What impact have the volunteers and communities involved
made in reducing vulnerability and increasing capacities?
How are things done and happening differentlywhat kind
of changes?Has the NS changed?
Human resource investmentwhat is the return?
What is left behindwhen the project is concluded?
How about quality and coverage?
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The Federation of the Future - we need to:
Increase coveragescale up what we do
Reach to the vulnerablereduce
vulnerability
Deliver good quality programs and service
Measure output and impact
Improve the way we work together as a
Federationoperational alliance
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Volunteers make a difference
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It is a challenging time but an
exciting opportunity
Contact [email protected] 41 22 730 4351
mailto:[email protected]:[email protected]