Beyond the Building Blocks: A literature review

Emma Sacks Community Health and Implementation Research Specialist,

MCSP

WHO Building Blocks

Are the blocks sufficient?

• “The six WHO building blocks or core components describe the elements required for a health system to function.”

World Health Organization, 2010

• In reality: • Only shows some of the functions • Built around funding streams • Other than “health workforce,” ignores people and

institutions, key actors, processes and relationships

How can we improve on the building blocks?

• To better reflect relationships between health system components

• To make the contributions of community health more explicit

• To better guide: • Planning • Resource allocation • Program implementation • Global learning

Methods

• Reviewing the literature • Starting with meta reviews, peer-reviewed • Inclusion of project reports

• Convening of ‘practitioner-experts’ • Small working group based out of MCSP / CORE group • Fall CORE group meeting 2014 • Spring CORE group meeting 2015 (YOU!)

• Iteration of the model-dialogue with broader set of experts, including USAID, PMNCH, UN, Bank…

Working Diagram

Components of Health Systems included in the review

• Community organizing and mobilization • Community based service delivery • Social capital • Societal partnerships (multi-sectoral) • Household production of health • Social determinants of health • Community based health information systems

How you can help us! (aka activity guidance)

• Choose a rapporteur • Use the framework as a starting point—

everything can change! • Choose a component of the model (or as

much of it as you want) to discuss as a group (maximum of 6 people) • Change/add the blocks • Draw the necessary connections between them • Justify your changes/additions

• After 40 min, report back to the whole group

Beyond the Building Blocks: Current work and future directions

Eric Sarriot,

Team Lead, Community Health and Civil Society Engagement, MCSP

Where does this work fit?

• Bring focus and attention to Community Health & neglected areas

• Communication and Advocacy -> Feed into Global Discussions • MCSP – USAID – OHS -> EPCMD Agenda • WHO – PMNCH -> Global strategy

What’s on the Global Horizon (1) Strategies

What’s on the Global Horizon (1I) Evidence & Standards of Evidence

Focus Partners

Social and Behavioral Interventions

WHO, USAID, PMNCH, UNICEF, NORAD, MCSP, etc.

Community Health MCSP-JHU

Thank You! And Acknowledgements

• Work started with Alfonso Rosales, Alan Talens, Joseph Petraglia following the CORE Fall Meeting 2014 with Karen Cavanaugh (USAID), Ngashi Ngongo (UNICEF) and Amalia Del Riego Abreu (PAHO)

• MCHIP veterans: Henry Perry, Jim Ricca • Thanks to Kath Shelley, Reeti Hobson and

Alisha Weisser for assistance on the literature review

• Thanks to David Peters for insight • Advancing Partners in Communities

An Emerging & Shared Agenda!

Thank you!

• Please fill out the handout and return to us • Indicate if you’d like to be on an email list to

follow and contribute to this process • Include any references / project experiences that

should be included • Include any ideas for increasing global advocacy

and how the CORE Group can play a role in this process

For more information, please visit www.mcsprogram.org

This presentation was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Cooperative Agreement AID-OAA-A-14-00028. The contents are the responsibility of the authors and do not

necessarily reflect the views of USAID or the United States Government.

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