Allison Flynn, MPH, Health and Nutrition Program Advisor, World Relief shares the organization's Care Group Model to engage communities in their own health and lessons learned over the last 25 years of successful child survival efforts.

1. 25 Years of Child Survival:
Lessons Learned
Allison Flynn, MPH
Program Advisor, Health & Nutrition
CCIH Annual Conference, 14 July 2017

2. 2017 © World Relief25 Years of Child Survival: Lessons Learned
History
21 USAID CSHGP grants in 10 countries from
1987-2015
Child Survival interventions: Immunization,
IMCI, Breastfeeding, Nutrition, MNC, FP
Developing new evidence-based methods for
SBC at the community level through Care
Groups, Nutrition Weeks, and PD/Hearth
(early adopter)

3. 2017 © World Relief25 Years of Child Survival: Lessons Learned
The Care Group Model
Groups of 10 volunteers each reach 10-15 of their neighbors with
behavior change messages twice each month
Multiplicative impact for 100% saturation
Support, participation, integration
$5-8 per beneficiary/year
Edward, A, Ernst, P, Taylor, C, Becker, S, Mazived, E, & Perry, H. Examining the evidence of under-five mortality reduction in a community-based programme in Gaza, Mozambique. Transactions of
the Royal Society of Tropical Medicine and Hygiene 2007;(101)8:814-822.
Ricca, J, Prosnitz, D, Perry, H, Edward, A, Morrow, M, Ernst, P, & Ryan, L. Comparing estimates of child mortality reduction modelled in LiST with pregnancy history survey data for a community-
based NGO project in Mozambique. BMC Public Health 2011;(11)Suppl 3: S35.
United Nations Children’s Fund. Focus on Mozambique: Reducing under-five mortality through a community-based programme. The State of the World’s Children 2008; p.59.
http://www.fsnnetwork.org/care-groups-training-manual-program-design-and-implementation

4. 2017 © World Relief25 Years of Child Survival: Lessons Learned
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5. 2017 © World Relief25 Years of Child Survival: Lessons Learned
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7. 2017 © World Relief25 Years of Child Survival: Lessons Learned
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8. 2017 © World Relief25 Years of Child Survival: Lessons Learned
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Final Evaluation

9. 2017 © World Relief25 Years of Child Survival: Lessons Learned
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10. Lessons Learned

11. 2017 © World Relief25 Years of Child Survival: Lessons Learned
Grassroots Engagement
Church engagement: from barrier to beacon
Increasing community ownership and changing norms
Local leaders and businesses

12. 2017 © World Relief25 Years of Child Survival: Lessons Learned
Volunteerism is the Hinge
Respect, Trust, Support, Accountability
Care Groups, Pastors, Grandmothers, CHWs
Adult Learning Principles for Behavior Change
Power of Peer Learning
Gender and Family

13. 2017 © World Relief25 Years of Child Survival: Lessons Learned
Engagement with MOH is critical for immediate success and long-
term sustainability.
“Don’t screen for what you can’t treat”
Advocacy at all levels
Joint monitoring and ownership
Integrating community outreach into MOH systems as policy for
national scale-up
Data
Scaling up new models for community health

14. 2017 © World Relief25 Years of Child Survival: Lessons Learned
From then...

15. 2017 © World Relief25 Years of Child Survival: Lessons Learned
To Now

16. worldrelief.org