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Building High-Quality Community Health Systems for Vulnerable Communities

Explore the importance of community health systems in reaching vulnerable communities, their affordability, and their role in primary healthcare. Learn about the challenges and necessary elements for national scale implementation, including political will, frontline focus on quality and affordability, country planning, coordination, and integration. Discover the emerging "radically collaborative" organizations focused on equitable universal health coverage and the potential takeaways from countries that have achieved breakthroughs in life expectancy.

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Building High-Quality Community Health Systems for Vulnerable Communities

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  1. Funder’s Learning Initiative February 21st, 2019

  2. Community Health Systems Reach Vulnerable Communities … Because they are powered by them.

  3. High Quality Community Health Systems Deliver Results Source: Rockefeller Foundation/WHO Source: 1 Million Community Health Worker Task Force Report

  4. Community Health Systems Are Affordable and Integral to Primary Health

  5. The Path to National Scale is Challenging: Political Will + Frontline Focus on Quality, Affordability • (1) Country Planning • National CHW Taskforce Coordination • Primary health care integration • Political Support • (3) Capability Mapping / Fleet Management • Skill Map of Current CHW / Supervisors • Mobile Infrastructure • (2) Costing • Investment Projections • Refining Operational Assumptions • (4) Coverage / Implementation • Prioritization • Partner Support • Progress Indicators • (5) Commodities / Diagnostics • Work with Public Private Partnerships

  6. A New Generation of “Radically Collaborative” Organizations is Emerging: They are United by a Focus on Equitable Universal Health Coverage • Community Health Impact Coalition • Financing Alliance • AMP Health (management) • African Union “2 Million Community Health Worker Campaign • University of Global Health Equity (Rwanda) • 4 billion people without access to health care, 1 billion in remote/rural areas

  7. Are there big take away from countries that have achieved breakthroughs in life expectancy?… Source: Global Advantage Task Force Report

  8. …Quality, Affordable Community Health Systems Enhance Equity + Effectiveness of Primary Health Care Source: Global Advantage Task Force Report

  9. What’s next for Community Health Systems in America? • Funders should recognize related parts/projects as part of a whole: • Core support for Field-Building Research Centers (e.g. Penn Center) • Core operating support for state-level community health roadmaps & identify practical integration w/primary health care (e.g. North Carolina) • Support motivated community leaders and weave them into a larger network (e.g. RWJF culture of health leaders) • Build a coalition of high-performing domestic community health organizations to surface practical challenges in quality implementation at scale • Develop data-driven culture/platforms to support community health impact • And recognize the rich history that guides action today: historic success of Community Health Centers & Community Organizers for Health.

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