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CBFA Revitalisation Project 14th May 07

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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]

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