Dr. Thiam Ismael Nutrition & Child Survival Officer West African Health Organization

1. Building Partnerships for Scaling Up Community Case Management of Childhood Illnesses The WAHO Experience Dr. Thiam Ismael Nutrition & Child Survival Officer West African Health Organization

2. PAYS MEMBRES OOAS - WAHO MEMBERS STATES

3. WAHO • Specialized Agency of the Economic Community of The 15 West African States (ECOWAS Commission) • Fusion of 2 West Africa Regional Organization for Health • OCCGE (Francophone countries) • WAHC (Anglophone countries)

4. Heads of State and GovernmentsConferenceHighest Decision making Body for ECOWAS and WAHO; The Council Of Ministers of ECOWAS: Formulates recommendations to the Head of States Conference; The Assembly of Health Ministers:leadership on competencies in public health Policy Bodies r r

5. WAHO: Guiding Principles ·       Enable existing health programmes in the sub-region through capacity building and networking ·    Support community-focused, evidence-based health interventions ·   Promote the transfer and sharing of sub-regional health resources

6. WAHO Mission The attainment of the highest possible standards and protection of health for the peoples in the sub region, through: - Harmonization of policies -Pooling resources and co operation for a collective and strategic control of the health problems of the sub region. Goal Mobilize adequate resources to improve health indicators : - Coordination of health policies, - Capacity building - Research and information management. Funding - Community Levy - Partners

8. Building partnerships: Learn from Experiences • Recommendations of Saly Workshop (Dakar,2003) • IMCI Focal Points meeting (Ouagadougou 2004) • Documentation of Pneumonia (Senegal 2005)

9. Building Partnership: Roles and Responsibilities of Partners Partnership for Child Survival (Dakar 2005) UNICEF: Accelerated Strategy for Child Survival BASICS/ USAID: Supports Child survival Interventions WHO • Scale up C-IMCI AWARE-Rh/USAID: • Documentation/Replication: Best Practices of CCM WAHO: • Core Principle: Reaching Communities • Scale up C-IMCI

10. Partnership: Joint Documentation of C-IMCI • Documentation: 4 Countries • Partners: WAHO,WHO,AWARE-RH/USAID • Constraints for Scaling Up • Poverty • Illiteracy • Resources: (human, material and Financial) • Health System: • Access • Quality of care • Supervision, M&E • Coordination: Regional and Country Level

11. PARTNERSHIP & ADVOCACY Based on: The Findings of the Documentation The Experience on CCM of ARI Senegal • WAHO/ECOWAS Assembly of Health at the 6th AHM, encouraged countries to support CCM of ARI and accelerate C-IMCI

12. Partnership: Resources Mobilization Initiative: WAHO/WHO & Africa 2010/USAID in Burkina Faso, Mali Liberia and Senegal

13. Initiative WAHO/Africa 2010/USAID • Objectives • Set partnership for implementation of CCM Support National Stakeholders meetings to obtain buy-in from all players to implement CCM • Develop action plan for implementation • Document and disseminate lessons learnt

14. Initiative in Senegal: Scale up CCM interventions in Fatick • Why Fatick? • Poverty • High mortality in under 5 • Priority area of The WB Nutrition Project • Opportunities: • Partnership & Coordination • Involvement of Local government • Leadership and dynamism of the RMT

15. Stakeholders meeting (Nov 07) • Objectives: • Share most recent information on CCM within the country and the Region • Establish partnership to support the Initiative to scale up CCM: leadership MOH, its partners, the private sector and NGOs/CBOs • Identify key CCM interventions • Develop an action plan for implementation • Document and et disseminate experiences and lessons learned

16. Progress (2007) • Mapping of CCM Intervention supported by Partners • BASICS/USAID : ARI, Malaria (IPT) –Diarrhea « Case de sante » Peri Netal and Neo natal • PSSC/CCF/USAID : Malaria (IPT) • World Vision, WB Project: Malaria (IPT) • AcDev : Peri and Neo Natal health • IRD, University & Institut Pasteur: Research • Identification of key Interventions • Action Plans for implementation • Training sessions for CHW underway

17. Progress: Stakeholders in Coordination and Partnership • Local Government: Decentralization • MOH: (Malaria, AIDS, Nutrition) • BASICS • WB Project (Multisectoral/Contractualization) • USAID • ADB • University (Gates), IRD, Institut Pasteur : Research • NGOS (WV, ARAF, CCF, PROMERA, ACDEV…) • Local Media network • Private Sector (GSK) • Others potential partners: Intrah, MSH, Netmark • Next partners meetings: 18 June, Sept. 25, Dec 9

18. Challenges in the Region • Provide TA to MOH to harmonize protocols on CCM • Continue to strengthen coordination among partners • Improve quality of services of the Health System • Incentive for Community Health workers • Human and financial resources shortage • Sustainability

19. CONCLUSION • One Actor alone cannot Address the under 5 mortality through the Life Life Cycle in West Africa Sub Region • Building Partnership and Coordination Critical to scale up CCM interventions, for achieving the MDG, in the current economic, demographic and epidemiologic transition, in West Africa