1. Three Decades of CSHGP Results:
A High Impact Partnership between PVOs,
Governments, Vulnerable Communities and
the American People
Courtesy: HIP

2. Outline of the Session and
Input Requested
 Topline messages we want the report to convey
 Outline for the report and some of the examples
we will use to populate the report
 Input needed
 Your reactions to the messaging
 Thoughts about examples that help explain
the impact of the CSHGP
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NOTE: THIS IS A DRAFT FOR THE
OUTLINE/CONCEPTS FOR A PAPER – it is a
working document seeking input

3. Overview & Take-Away Message
For almost three decades, a unique multi-
faceted partnership between the U.S.
government and PVOs has developed and
delivered results in terms of stronger health
systems and better health outcomes. It has
mobilized U.S. citizens, national and local
governments and civil society, including
vulnerable communities, in 60+countries around a
common goal: to prevent child and maternal
deaths.
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4. Message 1
The partnership resulted in
demonstrated increases in
coverage of essential health
services and practices that saved
lives of vulnerable women and
children while also strengthening
the capacity of the health system
and communities to sustain this
impact over time.
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5. Message 2
The grantees by approaching the community
as a resource and partner, demonstrated
again and again that integrated community-
based primary health care is a low-cost and
effective strategy for strengthening health
systems in resource poor areas and improving
population-level health.
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6. Message 3
The program built the accountability of
government actors to address community-level
health needs, promoting citizen participation
and democracy, while also holding PVOs to
account by making all data open and available
on a public website.
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7. Message 4
The partnership included strategic
technical assistance & facilitated learning
exchange (CORE) that
 helped document and disseminate
effective MNCH programs
 spread learning about how to best deliver
and expand the reach of life saving
interventions,
 contributed to stronger health systems
and social services through capacity
building with local NGOs, governments
and private sector partners
Innovation in
Programs
Shared
Learning
via CORE
TA&
Capacity
Bldg
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8. Message 5
The program has advanced
global standards of
practice which now promote
packages of care that were
often piloted, documented
and improved under the
CSGHP, e.g., community-
IMCI, iCCM, ENC, etc.
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9. Message 6
While the policy climate shifted over the years
with different administrations/priorities, the
match requirement connected citizens with this
foreign assistance priority:
that is, that the United States remains a leader
in reducing hunger and poor health among
children and women around the world.
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10. In conclusion – TBD…
Lessons learned through this program should continue to be
spread in programs , especially that:
 social & behavior change is best achieved when
interpersonal communication led by local change agents is
at heart of the strategy;
 ideas for health system strengthening can emerge from the
district and sub-district health systems & influence the
larger system;
 results can be replicated across boundaries when technical
assistance, program learning and exchange, and strong
partnerships are built into program design
 OTHERS?
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11. Section 1: Historical Perspective on CSHGP
Evolution & Core Principles
A strategic investment of the US government built
on a strong foundation:
 PVO’s existing grassroots presence
 Commitment to working in the hardest to work
places with the most vulnerable populations
 Commitment to Community-based Solutions and
health system strengthening with an eye toward
the gaps in the peripheral system
 Partnership as a modality of implementation at all
levels
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12. Section 2:
Contributions/Achievements
 Bang for the Buck
 Activating Communities as a
Resource rather than Recipient
 Innovative Solutions that
contributed to SOTA
 Modeling Effective Partnerships
 Wider Influence on PVOs/GH
Community
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13. Bang for the Buck:
Results of PVO programs suggest
impact, cost-effectiveness,
sustainability, leverage.
1. Poor performing areas exceed
national averages
2. LiST analysis estimates impact
3. Cost-effectiveness
4. Sustainability
5. Leverage & match
Examples:
• World Relief/Cambodia
• Concern Bangladesh
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14. Activating Communities as a
Resource rather than a Recipient
 Engagement of CH groups/women’s groups
(PLAN Cameroon)
 Community HIS allowing for DDM (Curamericas
CBIO)
 Empowering CHWs (HKI Nepal)
 Linking communities to Health services (Concern
Rwanda)
 Engaging community voices in regional/national
dialogue (Future Generations Peru)
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15. Innovation in the CSHGP
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“Introducing and scaling up high impact
interventions through innovative
community oriented approaches/policy
relevant practical evidence and lessons to
address persisting bottlenecks in
marginalized and underserved
populations”

16. Innovation to Practice
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1. Helping to test, evaluate and introduce
innovative technologies and approaches;
2. Serving as a platform for
amplifying, replicating state of the art
technologies and approaches;
3. Through our in-country presence, serving as
an informed and credible voice in our
collective effort to inform and influence policy
and practice.

17. Innovative Solutions that Advanced
the SOTA
Integrated CCM
 Pilots conducted in CSHGP project sites in Ethiopia &
Rwanda contributed to national policy shifts, with other
in-country stakeholders
Chlorhexidine
 Nepal National MOH requested Plan to conduct a
community-level delivery pilot to assess the acceptability
of Chlorhexidine in CSHGP project site due to strong
community engagement and partnerships with District
MOH (complementing other MOH pilots with JSI)
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18. Innovative Solutions for SBC
 Positive Deviance/Hearth
(need example application)
 CARE Groups
(World Relief, Food for the
Hungry, Mozambique)
 M-health applications (HAI-
Timor Leste)
 Others?
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19. Modeling Effective Partnerships
 USG-PVOs, PVOs-US Public, USAID DC &
Missions, PVOs-Local Govts, Community
groups – local MOH authorities
 CORE Group –open source mentality allows
for accelerated tool development, co-creation
of solutions
 Humanitarian Pandemic Preparedness 2007
 Finalizing and disseminating CCM Essentials
 Polio Eradication Initiative
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20. Wider Influence of CSHGP on PVOs,
National Policy, and Global Health
 PVO capacity built – moving from receiving to
providing TA (HKI but could use more examples)
 PVO adoption of tools developed by TA providers
for multi-sector use (KPC, LQAS – examples
needed)
 National policies embrace C-IMCI and iCCM (Plan
Cameroon)
 CCM Essentials used to create WHO/UNICEF
guidance
 Care Group methodology…
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21. Your reactions/input welcome!
 Reactions to the messages
 Examples that you could share?
 Uses of such a document?
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