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USAID program, 1997-2002 Smaller Healthier Families. The t hree pillars…. 1. Partnership. 2. National level support. 3. Community level support. …..must be balanced. 1. Partnership. 3. Community level support. 2. National level support. Partnership. GAIN ICC IEC Task force
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The three pillars…. 1. Partnership 2. National level support 3. Community level support
…..must be balanced 1. Partnership 3. Community level support 2. National level support
Partnership • GAIN • ICC • IEC Task force • RH Task force • DDM
National level support • Policy/Norms and Standards • Strategic approaches • System strengthening • Improved quality of services
Breastfeeding Women’s Nutrition Complementary Feeding Iodine Vitamin A Essential Nutrition (small doable actions) Feeding of sick children Anemia
4 Method FP Training Program(small doable actions) Five day formal training: • 4 methods: orals, injectibles, barriers and LAM • Counseling and IEC materials • Logistics and HMIS tools • 2 clinic-based half days • Start-up kit
Cold-chain spare-parts Drug/contraceptive logistics IEC materials Health System Strengthening
Pre-service training in medical and nursing schools • Sustainable training strategy • Increased cost-effectiveness
Communitylevel • Community empowerment mobilization and education • Community based distribution and Social Marketing • Link between community and health centers
Champion Communities Empowering Measuring change Celebrating success
Who? SMALL DO-ABLE ACTION Why? How? Promote Positive Behaviors • Large numbers of community volunteers • Community animators from existing organizations • Short skill-based training with the family-friendly health card as focus.
The way forward 1. Partnership 2. National level support 3. Community level support
The way forward • Continuing and strengthening partnership • Continuing and expanding work at the National level • Expanding community involvement Champion communes and social marketing