CORE Group Overview

CORE Group generates collaborative action and learning to improve and expand community-focused public health practices for underserved populations around the world.

The American

people want to

help…U.S. NGOs respond.

Life without CORE Group

The realities of the field

Stronger approaches, tools, joint training,

run programs together CORE network collaboration makes resources go further, and work better.

Life with CORE Group

Our similarities. We all…

Support health programs for underserved people in other countries, especially women and children Focus on community approaches with local partners Put our hearts “into the field” Measure our impact

We differ by… Vision and mission Size U.S. location Age of organization Funding sources Technical approaches

What brings CORE members together?

And then, our diversity helps us help each other.

New in 2011: Now there are three ways to join our

Community Health Network

Non-profit, citizen supportedCommunity-focused workApplication processOne-year “courting period”Active participation requiredMembers support staff time for involvement

1. Member Organization

2. Associate Organization: Addressing community health issues, but not necessarily non-profit and/or citizen supported. E.g. academia, cooperating agencies, professional associations, advocacy groups, private sector

3. Individual Associate: Community health professional not employed by org. eligible for NGO membership, e.g. consultant, staff of other organization

2011: NEW categories for participation

Adventist Development and Relief Agency ~ Africare ~ African Medical and

Research Foundation ~ Aga Khan Foundation ~ AME-SADA ~ ACDI/VOCA ~

American India Foundation ~ American Red Cross ~ American Refugee Committee

~ CARE International ~ Catholic Medical Mission Board ~ Catholic Relief Services ~

ChildFund International ~ Christian Reformed World Relief Committee ~ Concern

Worldwide ~ Counterpart International ~ Curamericas Global, Inc. ~ Episcopal

Relief and Development ~ Food for the Hungry ~ Freedom from Hunger ~ Future

Generations ~ Global Health Action ~ Haitian Health Foundation ~ Health Alliance

International ~ HealthRight International ~ Helen Keller International ~

more…

Who are our members?

Hesperian Foundation ~ HOPE Worldwide ~ IMA World Health ~Institute for

OneWorld Health ~ International Medical Corps ~ International Relief and

Development ~ International Rescue Committee ~ International Youth

Foundation ~ La Leche League International ~ Medical Care Development

International ~ Medical Teams International ~ Mercy Corps ~ Partners for

Development ~ PATH ~ Pathfinder International ~ Physicians for Peace ~ Plan

International ~ Population Services International ~ PCI ~ Project HOPE ~ Relief

International ~ Samaritan’s Purse ~ Salvation Army World Service ~ Save the

Children ~ WellShare International ˜ White Ribbon Alliance for Safe

Motherhood ~ World Connect ~ World Concern Development Organization

~World Lung Foundation ~ World Relief ~ World Vision

More members…

Boston University Center for Global Health and Development

American College of Nurse-Midwives

Institute of Reproductive Health, Georgetown University

International Union Against Tuberculosis & Lung Disease (The Union)

Women’s Refugee Commission

Associate Organizations

Why is it the missing piece of the health system puzzle?Hard for government to reach (end of the line)Entails complex, in-depth effort, often difficult conditionsHope held out for short cutsCan be ignored

Why is it necessary?Most “health care” takes place at home, in communityMay be the only way to reach some populationsPotential for deep-rooted, lasting changeMillennium Development Goals: 4, 5, 6, 8

The “Community Health” Approach

How do we advance Community Health? CORE catalyzes action and collaboration in the field.

Practitioners Implementation Innovation

Scholars Research Documentation Theory

Advocates Policymaking Resource allocation

Infor

m re

sear

ch ag

enda

,

prov

ide lin

ks to

field.

Assure critical, timely

resources & policies. Su

ppor

t evid

ence

base

, idea

s

Share the vivid realities.

Framework: Irene Tinker

CORE Group

Cross-cuttingSocial and Behavior ChangeMonitoring and EvaluationKnowledge ManagementNetwork StrengtheningmHealth (mobile technologies for health)Community Health SystemsSustainability

Specific health fociMaternal health incl. reproductive health/family planningNewborn, infant and child healthNutritionInfectious diseases: Malaria, Pneumonia, Diarrhea, HIV/AIDS, TB,

Pandemic Influenza, others

Focus areas / Communities of Practice

CORE Group’s Community Health

Network

Global Health Program Initiatives

Global Policy and Advocacy

PractitionerAcademy

CORE Group advances community health in partnership with:

• Members and Associates working in 180 countries• Donors• Universities• Advocates• Multilaterals• Global Alliances• Country partners• Governments• Private sector• Other organizations (health, educ., agric, etc.)• Networks

How CORE Group advances community health worldwide

Diffusion of Innovations

Technical WorkingGroups

CORE Group’s Global Health Program Initiatives

1. Promotion of Nutrition in the Community ContextIncluding active membership in the Thousand Days Partnership to Scale-Up Nutrition.

2. Strengthening Community Mother-Child CarePreparing communities and households for safe motherhood and healthy newborns.

3. Scale-up of Community Case Management of Sick ChildrenScaling up locally-based diagnosis and treatment in partnership with families and communities.

4. Assuring Integrated Prevention and Care for Infectious DiseasesEnabling community-oriented, integrated care for people with multiple illnesses.

Strategic Approaches within each Initiative:• Global and country partnerships• Social and behavioral change• “Community health systems” strengthening• Evidence-based development/ implementation research• Advocacy and global learning

Widely Disseminated & Used

•Barrier Analysis (discovering what blocks change)

•Care Groups (community organizing for health)

•Case Studies (education on the realities of the field)

•Community-Integrated Mgmnt of Childhood Illnesses (C-IMCI)

•Community-based Family Planning Curriculum

•Community-based Tuberculosis Programming Guidance

CORE Group Products

Widely Disseminated & Used

•Designing for Behavior Change Curriculum

•Lot Quality Assurance Sampling (monitoring tool)

•Positive Deviance / Hearth (for malnutrition)

•Partnership-Driven Quality (building community connections)

•Pandemic Curriculum for Community/District Emergency

Preparedness and Response

CORE Group Products

CORE Group Products

Recently Developed•Nutrition Program Design Assistant (choosing the right intervention)

• Essential Nutrition Actions (key messages for communities)

•Community Case Management of Sick Children: Guide and Graphic

•Guidance on Equity (making sure a program reaches everyone)

•Home-based Actions for Newborn Care

•Helping Babies Breathe Guide (saving lives during the first minute of life)

• Polio Secretariats & Subgrants: Angola, Ethiopia, India,

Nepal, Sudan

• Malaria Secretariats: Kenya, Tanzania, Uganda, Zambia

• Pan Flu Preparedness Planning (with IFRC): Bangladesh,

Egypt, Ethiopia, Honduras, Nepal, Uganda

• Regional Workshops and Trainings: Worldwide

• Collaboration Grants: Benin, Cambodia, Haiti, Rwanda

CORE Group Country-level Activities

Polio Secretariats & Human Pandemic Preparedness Project• Nat’l models created & adapted in each country• Coordination, collaboration including governments, int’l & in-country

NGOs, others• Technical leadership & application

– Conceptual frameworks/thought leadership– Practical tools, solutions for implementation at national, district & community

levels– Subgrants to NGO members to apply, refine solutions– Global and nat’l dissemination through extensive networks

CORE Group National Efforts

World Relief creates Care Group Model. WR/Food for the Hungry pioneer model in MozambiqueM & E data → Model works!

Donor support

Policy Impact:USAID (CSHGP, FFP), UNICEF now support Care Group approach

Others adopt the Model

42%U5MR,

682 lives saved

Others adopt the

Model

Others adopt the Model

WR refines, expands use of

the Model; publishes

Johns Hopkins University

input

CORE Group involves many organizations to create “How To” tools, collect impact data,

define approach, influence policy. This increases awareness, interest, understanding,

quality, replicability, credibility and buy-in.

Higher reduction in under-five

mortality then average

FH adapts, expands use of the Model (CS, Title II)

From innovation in the field…

… to LARGE SCALE IMPACT

• Ten years ago, 2 NGOs using approach—now 19 NGOs, 30 projects, 14 countries

• Care Group model featured in UNICEF’s 2008 State of the World’s Children Report.

• Care Group approach used in $70 million USAID I-LIFE project in Malawi.

• GOMoz has shown interest in scale-up for use with health extension workers.

• Website with training tools

Interaction 300+ orgs. working on disaster relief, refugee assistance, sustainable development, health, agriculture, etc.

Members: Technical staffPractitioner AcademyProduct, program development

Focus on “Hill” Health Advocacy, PolicyAll aspects of health, all levels

CEOs, Exec. DirectorsHigh level int’l policy forumsDevelopment of org. standardsBest practices

What makes CORE Group unique?

Global Health Council 500+ organizations, 5000 individuals as advocacy voice targeting legislators, global policymakers, field programs, and more.

CORE Group55+ members synergize to advance the field of community health programming, building on evidence-based experience.

Progress in global health…

Demands collaboration between government and non-governmental actors

Calls for coordination at the national, intermediate and community levels

Requires a robust response to areas that have been neglected, such as child and maternal mortality, and strengthening comprehensive primary health care.

--Global Health Recommendations 2009: PIH, Francois-Xavier Bagnoud Center, Physicians for Human Rights, HAI, RESULTS and Action Aid

CORE Group’s role in Global Health

“CORE Group’s development and dissemination of specialized tools and resources for:

– strengthening health systems, – developing and standardizing effective behavior change strategies, – mobilizing communities and – monitoring programs

have grown tremendously, and are rated highly by members, academics, cooperating agencies, and consultants.”

--External evaluation Full text at www.coregroup.org/evaluation

CORE Group External Evaluation (2009)

Members view CORE Group as

“dynamic, friendly, and technically

relevant, with a practical

community-level focus.”

--External evaluation

To what end?

CORE Group increases the ease and pace of

community health practitioners’ impact in the field.

CORE Group generates collaborative action and learning to improve and expand community-focused public health practices for underserved populations around the world.

As a collaborative body, we are always interested in new partnerships for community health.

contact@coregroupdc.orgwww.coregroup.org