Rabia Mathai, DrPH, MPH, MS, PhD Senior Vice President Global Program Policy & Planning Catholic Medical Mission Board Presented at Faith-Based Organizations.

Rabia Mathai, DrPH, MPH, MS, PhDSenior Vice PresidentGlobal Program Policy & PlanningCatholic Medical Mission Board

Presented at Faith-Based Organizations as Pioneers and Partners in Health Systems Development, May 31, 2005, Omni Shoreham Hotel, Washington DC

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

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

About the Study• 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

– ”

•GHC highly experienced in conducting international multi-country research studies

•Largest global healthcare membership organization

•Leadership with demonstratedqualities of adhering to thescientific truth

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

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?

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

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

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?

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

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

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

Networking & Collaboration: with

Local and International Partners

Including with Governments

CMMB FBOPARTNERS

EXAMPLESKECCHAKCHAZSACBCCBCNCHA-GHANACBCICHAICMAIMARYKNOLLCHINACBC-PNG, SIFBO NETWORKS IN LAC

CMMB’s strength is in its partnerships, CMMB works with FBOs and secular organizations……

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

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

IMCI. Action for Family HealthLatin America & Caribbean

IMCI. Action for Family HealthLatin America & Caribbean

CATHOLIC HEALTH NETWORKS,

MINISTRIES OF HEALTH , LOCAL COMMUNITIES, UNIVERSITIES, OTHER

PRIVATE ORGANIZATIONS

Haiti and Dominican Republic

Latín America and the Caribbean RegionIntegrated Management of Childhood Illnesses

PAHO/MOH -CARITAS-CMMB-BMSF

Honduras

NicaraguaEl Salvador

43 IMCI sites in 7 dioceses

planned

46 IMCI sitesin 9 dioceses

89 sites in 8 dioceses80 sites in 8 dioceses

40 sites in3 diocese

Dominican Republic

Honduras

NicaraguaEl Salvador

COUNTRY 2003 2004 2005 CommunitiesEL SALVADOR 60/8 72/8 80/8 166NICARAGUA 40/8 61/8 89/8 400HONDURAS * 52/5 40/3 250HAITI 13/8 39/7 45/9 0DOM. REP. * 43/7 43/7 In progressTOTAL 113/24 267/35 297/37 816

IMCI PROGRAM. ACTION FOR FAMILY HEALTH

Haiti

IMCI Activities. LAC RegionIMCI Activities. LAC RegionDec 2003 – Feb 2005Dec 2003 – Feb 2005

Type of Training El Salvador Honduras Nicaragua Haiti Dom. Rep. Total

# of Workshops 17 5 21 14 9 66Clinical 79 41 94 159 48 421Neonatal IMCI 0 22 0 4 0 26Essential Drugs 55 0 76 55 45 231Community IMCI 338 0 33 32 52 455HIV/PMTCT 60 50 70 0 0 180

Total # of trainees 532 113 273 250 145 1313Total # of patients 15,054 8,879 18,003 20,000 N/A 61,936

Total # of patients only for the last quarter

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

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

AIDS-Relief: Contribution to Providing Durable &

Sustainable ARTCatholic Relief Services, Institute of Human Virology,

Catholic Medical Mission Board, The Futures Group, Interchurch Medical Assistance

Target of 14900 Exceeded in Year 1

BORN TO LIVE- PMTCT

• In 2002 August, at a National PMTCTTechnical 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

CMMB Global PMTCT Program Summary Nov 2004

1,118

193,785

164,456

41,02446,439

35,208

12,361

34,081

1,590 3,238 2,695

0

50,000

100,000

150,000

200,000

250,000

Total #Trained

Total # 1stANC

Total # GroupHIV VoluntaryCounseling

Total #IndividualWomen

Counseling

Total # Group HIV Voluntary

Testing

Total #IndividualWomenTesting

Total # HIV+ve Mothers

Total Delivery Total #HIV+veMothers

Delivered

Total #HIV+veMothers

ReceivedNevirapine

Total # Infantswho Received

Nevirapine

Selected Program Indicators

Num

ber o

f Clie

nts

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

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

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.

Provincial Trainings

NURSES TRAINED BY PROVINCE2003-2004 (TOTAL=1005)

PILOT WORKSHOPS• Xi’an (Shaanxi) 40• Taiyuan (Shanxi) 90PROVINCIAL TRAININGS• Beijing` 100• Shenyang (Liaoning) 145• Xi’an 240• Chengdu (Sichuan) 260TRAINING-OF-TRAINERS• Xi’an 75• Chengdu 55

Churches Concerted Action Against HIV AND AIDS in India

Partners: • CMMB• Catholic Bishops Conf. CBCI/CHAI• Faith-based Health Associations• Universities• Government• UNICEF• Communities

Catholic Health Facilities Membership Decentralized in 11 Regional Geographic Clusters

CHAT 434

CHAKE 468

CHAKA 268

CHAAP 316

CHAW 281

CHAMP 306

RUPCHA 283

CHABI 270

OCHA 128

WBCHA 108

NECHA 238

MEMBERSHIP Statistics

THANK YOU