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1 Million Community Health Workers Campaign: Innovation for Primary Health Systems Strengthening in Africa

1 Million Community Health Workers Campaign: Innovation for Primary Health Systems Strengthening in Africa . Dr. Joanna Rubinstein The Earth Institute, Columbia University Ahimsa Round Table Annecy, June 17, 2013. 1 M CHWs Campaign. Why CHWs? Why now? How?. Countdown to 2015.

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1 Million Community Health Workers Campaign: Innovation for Primary Health Systems Strengthening in Africa

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  1. 1 Million Community Health Workers Campaign: Innovation for Primary Health Systems Strengthening in Africa Dr. Joanna Rubinstein The Earth Institute, Columbia University Ahimsa Round Table Annecy, June 17, 2013

  2. 1 M CHWs Campaign • Why CHWs? • Why now? • How?

  3. Countdown to 2015 Opportunity: Achieve the Millennium Development Goals (MDGs) and improve public health in Africa Challenge: Scaling up of Community Health Workers (CHWs) programs throughout the continent using enabling technologies Goal: Reach one million trained, mobile phone equipped and deployed CHWs by 2015

  4. Community Health Workers - Who are they? • Literate • Men and Women • All Ages • Locally Based • Paid and Full Time • Nominated by the Community

  5. CHWs - Program Disease Surveillance Data Driven Management Supportive Supervision Health Education Case Management Performance Standards Rapid Training Systems Continuity of Care

  6. Innovation • New cadre of health professionals • Bed nets, diagnostics, vaccines, drugs • Technology – mobile phones, broadband • Partnerships • Financing

  7. Partnerships for Global HealthLocal and Global • Community • Government • UN Agencies • Academia • NGOs • Private Sector

  8. How Digital Technology is Fueling the MDGs Dertu, Kenya May 2008

  9. Service-delivery focused user-interface • Built in algorithms for point-of-service decision support • Multimedia including audio and image support • Real-time data submitted via internet (2G, 3G) to improve: • Case management • Public health surveillance • CHW supervision • SMS for appointment reminders • One cloud server Part II Added value of Smartphones

  10. Campaign Goals Campaign Activities Rapid training and deployment of CHWs (national scale up plans) Establishment of real-time monitoring system of CHWs activities and progress towards health goals Improvement of scalable management systems that lead to improved performance over time Led by a Steering Committee comprised of key organizations and experts from UN agencies, academia, private sector and civil society Call upon governments and international partners to mobilize financing in support of these goals Work with all members of the African Union that request assistance to provide technical support for the scaling up of CHW programs

  11. “OperationsRoom” Managing Scale-Up Rapid Training Systems Sustainable Financing & Governance Support: -ITU/UNESCO Broadband-Commission for Development -MDG Advocates -AU, governments Builds upon work of the Taskforce Report (2011)

  12. UN Sustainable Development Solutions Network www.unsdsn.org and the Post 2015 Development Society’s commitment to four interconnected objectives: • economic development • social inclusion • environmental sustainability • good governance (including security).

  13. SDSN Sustainable Development Goals Achieve health & wellbeing at all ages

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