CHRISTIAN HEALTH ASSOCIATIONS IN AFRICA Presented at CCIH Annual Conference May 29, 2005 Frank E. Dimmock P.O. Box 1266, Lilongwe MALAWI [e-mail]

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CHRISTIAN HEALTH ASSOCIATIONS IN
AFRICAPresented at CCIH Annual ConferenceMay
29, 2005Frank E. DimmockP.O. Box 1266,
LilongweMALAWIfdimmock_at_malawi.net
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(No Transcript)
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• Countries with CHAs - 12
• Lesotho CHAL
• Zimbabwe ZACH
• Zambia CHAZ
• Malawi CHAM
• Tanzania CSSC
• Kenya CHAK KEC
• Uganda UPMB, UCMB
• Sudan - CHAS
• Nigeria - CHAN
• Ghana CHAG
• Liberia CHAL
• Sierra Leone - CHASL

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• Characteristics of the Associations
  Southern Africa

LESOTHO founded in 1974, 8 hospitals 75 HCs,
40 of NHS, decentralised in 1984 to HSAs,
formal agreement w/ GoL in 1991, Professional
staff salaries 20 operating budget/yr from
GoL. Currently being restructured to District
level. All health facilities digitally mapped.
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ZIMBABWE founded in 1974, 52 hospitals 68
HCs, 45 of NHS, 8 DDH, fees set by Gvt., Gvt.
Grant reduced by revenue amt., Gvt supports
training schools.
ZAMBIA founded in 1970, 30 Hospitals 60 HCs,
30 of NHS, Professional staff paid by GRZ,
MoU signed in 1996, Church Hospitals given 75
operating budget, decentralised to District
Health Boards, CHAZ now includes
non-institutional members. Mapping of facilities
in process (05/05)
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MALAWI founded in 1966, 28 Hospitals 125 HCs,
37 of NHS, MoU signed in 2002, All
established positions reimbursed by GoM,
Decentralisation now w/ district-level service
agreements. All Health facilities digitally
mapped.
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• CHA features contd
  East Africa

TANZANIA founded in 1992, 81 Hospitals 2 TH,
68 HCs, 21 DDH w/ 100 op expenses covered by
Gvt., 48 NHS, Block grants to Church
hospitals, service agreements in prep.
KENYA founded as CHAK in 1982, 24 Hospitals,43
HCs, 298 disp., 51 Church Health Progs., 40
NHS, restructured in 97, Area Coord. Cttees.,
new CHAK-GoK TWG formed, no gvt. grants recd
since 1996. Digital mapping of Health facilities
in process KEC Catholic Health
Association
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UGANDA UPMB founded in 1955, 17 Hospitals,
115 HCs, 20 NHS, annual service-level
agreements _at_ district level, Gvt. seconded
staff. - UCMB - founded in 1955, 27
Hospitals, 232 HCs, 32 NHS, Gvt. supports 30
operating expenses, PPPH office assists in
collaboration w/ Gvt. PNfP providers CR from fees
43. 30 from gvt support. Service contracts
since 2000. PPPH office established to enhance
collaboration. Digital mapping of all Health
Services in process
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• SUDAN CHAS Founded on Friday, May 6, 2005. Lead
• Agency in the formation is CEAS (Churches
  Ecumenical Action Sudan) Currently 4 general
  hospitals, 30 specialist hospitals, 5 training
  schools mostly managed by IFBOs 30 HS provided
  by Christian INGOs Sudan Churches

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• Features contd West Africa

NIGERIA - CHAN
GHANA CHAG Founded in 1967, 34 NHS,
Developed QA Accreditation system
LIBERIA CHAL Founded in 1975, 5 Hosp, 67 HCs,
47 NHS, collab w/ MoH/SW in CBR, WASH, FLE,
PSS.. Little institutional support
SIERRA LEONE - CHASL
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Central African Republic
ASSOMESCA
Rwanda
BUFMAR
Togo
APROMESTO
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• Other Countries with Networks or Coordinating
  Agencies

Namibia NCC
Democratic Republic of Congo SANRU 50 NHS
by FBOs
Botswana AMMB
Angola CICA
Cameroon FEMEC
Ethiopia CRDA
Senegal EPSCM
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• Summary Characteristics of Associations
• History of health networking (CMC of WCC
  established in 1968)
• Members provide significant portion of National
  H.S. training of Health personnel
• Formal agreement / MoU with Government service
  agreements
• _at_ District level
• Participate in National Health Planning Policy
  setting
• Have implemented and facilitated health
  programmes
• Most related w/ WCC, EPN, and other international
  bodies

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• Core Functions of CHAs
• Advocacy (Planning Policy Setting)
• Technical Assistance Training (constructive
  encouragement)
• Capacity building / Institutional strengthening
  (SP, OD, HR)
• Resource Mobilisation / Administration
  (facilitate partnerships)
• Research (ARHAP, HIV/AIDS)
• Monitoring Evaluation (establishing standards)
• Joint procurement (MEDS, JMS) equipment
  maintenance
• Communication, Health Information

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• Government Donors
• Association
• Member Health Church
• Units/Programmes Leaders

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• Challenges of Christian Health Associations
• Mandate / Authority (advisory vs control)
• Financial Sustainability
• Membership composition accountability
• Diversity of membership (capacity variance)
• Relationship balance (with 4 corners)
• Communication (external and internal)
• Coverage (Geographic and programme)
• Leadership (turnover and commitment)
• Publicity (profile evidence)