In this interactive session, known as a Flash Presentation, speakers gave a brief PowerPoint presentation followed by a poster session and Q&A. Speakers included Lebo Mothae, Mpub, Executive Director, Christian Health Association of Lesotho; Generose Mulokozi, PhD, ASTUTE Team Leader, IMA World Health; Wilma Mui, MPH, Program Associate, World Faiths Development Dialogue; Norest Hama, MSc, Health Technical Manager, World Vision International Zimbabwe; and Simon Ssentongo, BS Econ and Stats, Uganda Protestant Medical Bureau.

1. Localizing solutions for sustained interventions
and improved health and wellbeing of Basotho
Ms Lebohang Mothae
Executive Director
Christian Health Association of Lesotho ( CHAL)
Contacts:
Mobile: +266 59705640
Email: ed@chal.org.ls/ mothael@chal.org.ls
Web: www.chal.org.ls
Friday, June 7, 2019 1Local solutions for local problems

2. Socio-economic dynamics
Friday, June 7, 2019 Local solutions for local problems 2
CHAL Facilities
along busy
boarders
CHAL Facilities at
mountainous
districts

3. Friday, June 7, 2019 Local solutions for local problems 3
One size does not fit all
Community Health Needs
Men not accessing services
Low immunization coverage
High defaulter rates
Health Interventions /Programs
GBV Campaigns
Stepping stone training
Partnerships
Multi Month Dispensing
Community/health
Facilitylinks
HCCommittee
Gatekeepers
Churchesandschools
VillageHealthWorkers
Familyandpartner
suppport
Socio-economic
dynamics
•Migration
•Povertyand
unemployment
•Teenagepregnancies
•GBV
Strong and resilient Health systems
Partnerships
Public leadership and governance
Community participation

4. Maseru and Berea District Performance
Friday, June 7, 2019 Local solutions for local problems 4
Father taking a daughter for immunization and
for wife’s ART refill

5. Friday, June 7, 2019 Local solutions for local problems 5
Thank You!!!

6. Ensuring People’s
Empowerment in
Nutrition Through Home Visits
in Tanzania
Generose Mulokozi, PhD
ASTUTE Project Team Leader, IMA World Health
June 2019

7. Addressing Stunting in Tanzania Early (ASTUTE)
• Through UK aid-funded 5 year project,
IMA aims to improve nutrition in 5
Lake regions of Tanzania and reduce
stunting in children under 5 years
• Close collaboration with Government
of Tanzania
• Negotiation for behaviour change in
MIYCAN, ECD, WASH is conducted
by CHWs during home visits to project
beneficiaries

8. Home Visit Negotiation Process
• Moves beyond typical one-way message sharing
and involves caregivers directly in step-by-step
communication, including:
• Greeting
• Asking about practice
• Listening about current situation
• Identifying best practices & challenges
• During discussion, caregiver & CHW agree on 1-
2 realistic practices to try
• During follow-up visits, CHW determines whether
caregiver tried the new practice(s) and discusses
any challenges and necessary adaptations

9. Home Visit Achievements
• From July 2017 to April 2019, the project conducted
over 10 million visits to nearly 3 million households
• On average, each CHW conducted two more home
visits per month (26) than the expected number
(24)
• ASTUTE project has trained 7,800 district health
workers and other service providers as well as over
6,000 CHWs
• In addition to caregivers, CHWs involved other
household members - fathers, grandmothers,
mothers-in-laws, older siblings - in brainstorming
discussions on ways to achieve success in
behavior change

10. Faith and Universal Health
Coverage:
How can we strengthen secular-
religious partnerships?
Wilma Mui
Program Associate

11. Universal Health Coverage
• WHO: “all people and communities can use the
promotive, preventive, curative, rehabilitative and
palliative health services they need, of sufficient
quality to be effective, while also ensuring that the
use of these services does not expose the user to
financial hardship”
• What does this mean in practice?

12. Research Question
How, and in which technical areas, are faith-
inspired organizations engaged in national health
policy processes that can be linked to achieving
UHC?

13. Interviewees

14. Faith, Healing, and the Health System:
Qualitative Findings from Operational
Research in Northern Zimbabwe
Presenter: Norest Hama

15. Project Overview
• Location: Gokwe North and Gokwe South
Districts
• Duration: 2017-2019
• Goal: Increase vaccination coverage through
strengthened EPI services and improved
utilization
Project Implementation was supported by Pfizer Foundation.
Operational Research Overview
• Key Demand Creation Approach: Channels of Hope
model to catalyze faith leaders and congregations as
key actors to improve care seeking.
• Research: To capture process improvement
opportunities and qualitative learnings about
immunization utilization progress and challenges
among ultra conservative churches.

16. Qualitative Findings
“ukaenda kuchipatara unenge watsvaka mumwe
Mwari” Going to a hospital implies seeking
another God.
◼ Qualitative Highlights
• Theological shifts
• COH strongly
promotes and
articulates
harmonization of
biomedicine and
faith
• Faith leaders
publicly seeking
care
• Collaboration with
traditional authority
◼ Challenges/Opportunities
• Non-leader male
involvement
• Apostolic leader
recognition
• Increased adolescent
and youth participation
• Simplified theological
materials
• Male leader focused
platforms
Focus group discussion with Zumba church leaders.

17. 23%Increase in immunization
coverage among ultra
conservative churches in
both districts. (43% at
baseline to 66% at final
evaluation)

18. Uganda Protestant Medical Bureau
Partnering for impact: a case of the Inter-Bureau
Coalition in accelerating epidemic control in North
Eastern Uganda

19. www.upmb.co.ug Health in Totality
The HIV Epidemic Burden in Uganda (2018)
• 1.3m People living with
HIV
• 50,000 new infections
• 26,000 AIDS related
deaths
• 73% adults living with
HIV on antiretroviral
Treatment
• 68% of Children living
with HIV on
antiretroviral
treatment
Source: UNAIDS data 2018
https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf

20. www.upmb.co.ug Health in Totality
PARTNERSHIPS FOR THE GOAL

21. www.upmb.co.ug Health in Totality
The Inter Bureau Coalition (IBC)
Inter-Bureau Coalition
(IBC)
Uganda Muslim
Medical Bureau
Uganda Protestant
Medical Bureau
Uganda Catholic
Medical Bureau
Diocesan Health Office
(Local Church)
Faith Based
Health Facilities
Uganda Orthodox
Medical Bureau
Ministry of Health
Implementing
Partners
District Health Offices
Funding Agencies