using faith-based assets to improve child survival: the role of faith communities in social and...
Post on 15-Dec-2015
216 Views
Preview:
TRANSCRIPT
Using Faith-Based Assets to Improve Child Survival: The Role of Faith
Communities in Social and Behavior Change Communication (SBCC)
Christian Health Association of Nigeria (CHAN) Experiences
Presented by Nanle Peter Walman
Director of Programmes CHAN
January 15, 2015
Overview of CHAN • Founded in 1973, CHAN is a faith-based
association of 500 Christian Health facilities, 35 schools of nursing and midwifery and other medical training schools in Nigeriao Sustainable, decentralized structure that
permeates into hard-to-reach communities.
oMandate of reaching the unreachedoVision: Delivering holistic, efficient and
responsive healthcare for all people in Nigeria
CHAN Role in Child Survival
Continuum of Care and Human life cycle
Christian
Family
Church
Christian Health Facilities & training Institutions
Household (Family)
Immunisation • CHAN
Partnership with FMOH and UNICEF
Nutrition and micronutrient supplementation • Made available -
172,250 Vit A and 1,287 multi
Deworming of children from 1-5 years -168250
Home visits Hygiene and
sanitation including hand washing education
Family health
Community and Outreach
Developing scriptural texts and sermons on child survival interventions
Community and church advocacy and social mobilisation for action
Primary health care services to hard to reach communities via mobile services–no discrimination
Immunisation (FMOH/UNICEF)
Health promotion, education and prevention
Advocacy initiatives
Health Facility
HR for health Capacity building for
health staff -e.g. integrated management of childhood illnesses
MNCH services• Access to care:
Christian health facilities
• ANC/PNC• Nutrition Member institutions
for health training:• Schools of
Nursing and Midwifery,
• Schools of Health Technology - training CHWs
• Medical colleges And more…
CHAN’s Role in Child Survival
CHAN Immunization Case Study • CHAN worked with the FMOH and UNICEF on a
campaign for Expanded Programme on Immunisation (NPI) o Targets in the MOU were:• Children under five years for immunisation
800,000• Pregnant women for Tetanus Toxoid vaccine
200,000• Total Children and Pregnant women
1,000,000
CHAN Immunization Case Study o Implementation strategy included:
o Mobilizing religious and community leaders to provide information on rationale and benefits of immunizing children and pregnant women
o Mobilizing religious leaders to guide community members to immunization sites by developing a sharing a database of sites with them and coaching them on directing people to the sites nearest them.
o Mobilizing and orient health care workers on the vaccination program
o Developing and distributing print and radio jingles on the importance of immunization
o Training CHAN health staff across the country in each geopolitical zones
CHAN Immunization Case Study • Results
o 120% achievement was recorded of children and pregnant women who were vaccinated (in one week)
o Attributed to the following factors:• Involvement of religious leaders and community
leaders as gatekeepers - dispelling false beliefs around vaccine & FP
• Experience in primary health care programme and ability to reach the hard to reach areas with vaccines
• Infrastructural upgrade of CHAN and its Member institutions in a cold chain system
CHAN Immunization Case Study o As such, the FMOH and UNICEF donated to CHAN
additional materials to support routine immunization:• Cold box vaccine carriers and refrigerators,
equipment and generators for cold room equipped for vaccine storage:o Jos for Northern states o Imo for Eastern states o Ibadan for Western States
CHAN Immunization Case Study Lesson Learnt:oChurch leaders are movers and
shakers that if well mobilized can make interventions effective and sustainable
oTapping into a Church capillary system is a sustainable way for reaching the smallest unit of the society
CHAN Advocacy with Church Leaders to increase
Government involvement and support
• Problem statement: Health facilities are limited or do not exist in hard-to-reach areas and CHAN mission health facilities fill a gap; however, because they remote, there is limited awareness and a lack of funding to maintain them.
• Objective :To train members and Church leaders in advocacy to increase funding for critical care.o Renovate and equip of hospitalso Improve schools of Nursing and Midwifery, which were on the verge of
closure o Strengthen HR for health facilities,
CHAN Advocacy with Church Leaders to increase
Government involvement and support
Outcome: • Budgetary allocation for mission health facilities - Over 5 billion naira
from the government of Anambra state between 2007 to 2014.
o 22 well equipped ambulances o Renovations to 3 colleges of nursing and midwifery o Construction of access roads to the hospitals and other health facilitieso Construction of new chest units and renovation of existing structures o Posting of specialized health staff to hospitals at the expense of
government
All these were made possible because the different church leaders from different denominations cooperated and worked together.
Using the HC3 I-Kit for SBCC programming
• A rich, practical and context-related guide • Inclusion of religious text and developing of
sermons for religious leaders• The guide roadmap and its content allow
for:o Simulation and adaptation o Participation by different stakeholderso Stimulating leaders and faith communities to
take action o Educating the different stakeholders that have
level of influence on child survival
• CHAN developed its 5-year strategic plan on SBCC for optimal breastfeeding using the I-Kit
top related