Rabia Mathai, DrPH, MPH, MS, PhD Senior Vice President Global Program Policy & Planning

1. Rabia Mathai, DrPH, MPH, MS, PhD Senior Vice President Global Program Policy & Planning Catholic Medical Mission Board Presented at Faith-Based Organizations as Pioneers and Partners in Health Systems Development, May 31, 2005, Omni Shoreham Hotel, Washington DC

2. Faith-based response to HIV/AIDS • FBOs have long delivered health, social, and educational services • 40-50% of health care in poor countries is delivered by private religious organizations • WHO estimates 1 in 5 organizations engaged in HIV/AIDS programming is faith-based • Leading bilateral and multilaterals have called for increased integration of FBOs within international health community

3. And yet the evidence-based body of knowledge on the role of FBOs in addressing HIV and AIDS has been so limited

4. Commissioned by the Catholic Medical Mission Board (CMMB) Independently designed, conducted and analyzed by Global Health Council Designed to explore secular and faith-based leaders’ perceptions on past, present and suggested future roles of FBOs Questions based on Global Strategy Framework on HIV/AIDS themes ” About the Study

5. GHC highly experienced in conducting international multi-country research studies

6. Largest global healthcare • membership organization

7. Leadership with demonstrated • qualities of adhering to the • scientific truth

8. A tool to generate dialogue and action at multiple levels: advocacy, policy, program, resource mobilization, leadership, partnership, for addressing HIV & AIDS

9. How can FBOs leverage their vast assets, including their health and other support systems to strengthen and scale-up in-country National Response to HIV&AIDS?

10. How can FBOs systematically monitor and evaluate their programs, document and disseminate best practices and lessons learned

11. How can FBOs collectively and individually, contribute towards enhancing the evidence-based knowledge through scientific studies

12. How could FBOs leverage their work to increase their funding at all levels, through in-country & international funding sources? 3X5 divided by ½= #s Women on ARVs?

13. What about FBOs increasing and strengthening collaboration with other secular organizations in mounting a scale-up HIV and AIDS response?

14. FBOs increasing and strengthening the capacities of religious leadership and other clergy in increasing their knowledge about HIV & AIDS prevention, care, support, and treatment?

15. PARTNERSHIPS • CMMB (ESTB IN 1928) WORKS WITHIN NATIONAL AND WHO GUIDELINES • CMMB STRIVES TO STRENGTHEN NATIONAL RESPONSES THROUGH CAPACITY BUILDING OF IN-COUNTRY PARTNERS FOR SCALE-UP PROGRAMMING • CMMB WORKS WITH OTHER FAITH-BASED AND SECULAR PARTNERS • AFFECTED COMMUNITIES INCLUDING PLAs FORM AN INTEGRAL PART OF CMMB PROGRAMS

16. Networking & Collaboration: with Local and International Partners Includingwith Governments

17. CMMB FBO PARTNERS EXAMPLES KEC CHAK CHAZ SACBC CBCN CHA-GHANA CBCI CHAI CMAI MARYKNOLL CHINA CBC-PNG, SI FBO NETWORKS IN LAC CMMB’s strength is in its partnerships, CMMB works with FBOs and secular organizations……

18. Catholic Healthcare in India • Catholics 2.1% of 1 Billion people • Contributes 26% of total healthcare • 5000 healthcare facilities:750 Hospitals & over 4000 Dispensaries & Primary Health Centers (85% in rural areas) • 114 Nursing Schools, 6 Medical Schools, and 600 Sister Doctors • Spread out in 147 dioceses, • 15,000 secondary schools Part

19. HIGHLIGHTS: CMMB INITIATIVES • ACTION FOR FAMILY HEALTH - IMCI and HIV AND AIDS in Latin America & Caribbean • BORN TO LIVE - PMTCT Global, including National Scale-up in Kenya • CHOOSE TO CARE - Southern Africa South Africa, Swaziland, Namibia, Botswana, Lesotho • AIDS-RELIEF - Anti Retroviral Therapy PEPFAR US Govt. Funds in Africa/Caribbean • CHINA NURSES CARE & INDIA INITIATIVE

20. IMCI. Action for Family Health Latin America & Caribbean CATHOLIC HEALTH NETWORKS, MINISTRIES OF HEALTH , LOCAL COMMUNITIES, UNIVERSITIES, OTHER PRIVATE ORGANIZATIONS

21. Haiti and Dominican Republic Honduras El Salvador Nicaragua Latín America and the Caribbean Region Integrated Management of Childhood Illnesses PAHO/MOH -CARITAS-CMMB-BMSF 40 sites in 3 diocese 46 IMCI sites in 9 dioceses 43 IMCI sites in 7 dioceses planned 80 sites in 8 dioceses 89 sites in 8 dioceses

22. Honduras El Salvador Nicaragua Dominican Republic Haiti

23. IMCI Activities. LAC Region Dec 2003 – Feb 2005 Total # of patients only for the last quarter

24. CHOOSE TO CARE • CHOOSE TO CARE: FIVE YEAR HIV/AIDS PREVENTION, CARE AND SUPPORT PROGRAM, IN COLLABORATION WITH THE SOUTH AFRICAN BISHOPS CONFERENCE (SACBC) • OVER140 PROJECTS IN FIVECOUNTRIES SOUTH AFRICA, BOTSWANA, NAMIBIA, SWAZILAND AND LESOTHO • OVER 20 ARE NOW PEPFAR ARV SITES CMMB-SACBC-BMSF-CBOs

25. CHOOSE TO CARE: FOCUS CAPACITY BUILDING AND OTHER INTERVENTIONS: • HOME BASED CARE AND SUPPORT INCLUDING PEOPLE LIVING WITH HIV/AIDS AND AIDS ORPHANS: 160,000 home care patients, 3900 treated in hospice facilities, and 145,000 AIDS orphans and patients assisted • PREVENTION EDUCATION FOR COMMUNITIES, ESPECIALLY ADOLESCENTS: 360,000 youth reached • SENSITIZATION OF CHURCH LEADERSHIP AND CHURCH COMMUNITIES: 98% of SA diocese reached with HIV/AIDS community-based programs and religious leaders sensitized

26. AIDS-Relief: Contribution to Providing Durable & Sustainable ART Catholic Relief Services, Institute of Human Virology, Catholic Medical Mission Board, The Futures Group, Interchurch Medical Assistance Target of 14900 Exceeded in Year 1

27. BORN TO LIVE- PMTCT • In 2002 August, at a National PMTCT Technical Meeting, the Kenya Government announced a National Scale-up Plan • Also, released a tool-kit in the form of National PMTCT Guidelines, Policies, and Procedures to facilitate this process • CMMB responded with partnering with FBOs and Secular Orgs) in strengthening the National Response through BORN TO LIVE- 42 of the 60 PMTCT sites active

29. COUNTRIES- HAITI, KENYA, NIGERIA, PNG, S/AFRICA, SWAZILAND, ZAMBIA

30. AIDS HAS A WOMAN’S FACEKofi Annan • Our faith-based partners: • Kenya Episcopal Conference, • Churches Health Assoc of K • Participating FBO facilities, • and their communities. • USAID/Kenya • Ministry of Health • Technical Resource Groups: • NARESA, KEMRI

31. CHINA NURSES CARE A NATIONAL HIV and AIDS NURSING LEADERSHIP INITIATIVE PARTNERS: CMMB-UIC-MARYKNOLL CHINA PROJECT-GOVERNMENT-WHO-HONGKONG AIDS FOUNDATION-CHINA NURSING COUNCIL- PROVINCIAL NURSING DEPTS. AND ASSOCS.

32. Provincial Trainings

33. NURSES TRAINED BY PROVINCE2003-2004 (TOTAL=1005) PILOT WORKSHOPS • Xi’an (Shaanxi) 40 • Taiyuan (Shanxi) 90 PROVINCIAL TRAININGS • Beijing` 100 • Shenyang (Liaoning) 145 • Xi’an 240 • Chengdu (Sichuan) 260 TRAINING-OF-TRAINERS • Xi’an 75 • Chengdu 55

34. Churches Concerted Action Against HIV AND AIDS in India Partners: • CMMB • Catholic Bishops Conf. CBCI/CHAI • Faith-based Health Associations • Universities • Government • UNICEF • Communities

35. MEMBERSHIP Statistics Catholic Health Facilities Membership Decentralized in 11 Regional Geographic Clusters

36. THANK YOU