Myth or Fact

1
Myth or Fact?

• A Dialogue about Community-based Approaches to
  Child Health

2
Panelists

• Nazo Kureshy, Team Leader
• Child Survival and Health Grants Program
• USAID Bureau for Global Health
• Karen LeBan, Executive Director,
• The CORE Group
• Dr. Henry Perry
• Future Generations

• Dr. Jim Ricca
• Capacity Development Advisor
• Child Survival Technical Support Project
• Macro International Inc.
• Leo J. Ryan, Director
• Child Survival Technical Support Project
• Macro International Inc.

3
Myth or Fact?

• Community-based health programs that use monetary
  incentives and lots of "perks" undermine the
  concept of voluntary participation and create
  expectations that cannot be sustained.

4
Myth or Fact?

• Randomized control trials, the sine qua non of
  health research, is inappropriate, misleading and
  unnecessarily expensive for assessment of
  community-based health programs.

5
Myth or Fact?

• NGOs should only implement health programs that
  can be taken up by the government when they leave.

6
Myth or Fact?

• Improving access to quality maternal health care
  is the absolute priority for maternal health
  funding. No funding should be spent on
  community-based initiatives, such as TBA
  training, other than community-based demand
  creation and advocacy.

7
Myth or Fact?

• Most community health workers do not have the
  skills or services that communities most value,
  therefore, alternative modes of reaching the
  community would be more valuable and
  cost-effective.

8
Myth or Fact?

• The end goal that should be measured through a
  community mobilization approach is empowerment
  outcomes and outputs it's impossible to predict
  health outcome with a true community mobilization
  approach within a 3-5 year project timeframe.