It will focus on testing our community health approach in fragile and supply challenged settings where longer term programming can be extremely challenging, understanding what approaches are most suitable.
In addition to improving poor women and men’s access to essential health care, the legacy is intended to support Christian Aid to strengthen our evidence base, communicate our impact and leverage other funding through testing approaches, match funding and relationship building.
Burundi, Sierra Leone, South Sudan
September 2016 - July 2020
Children from Bumpeh community in Sierra Leone draw the risks and hazards they face, this is part of the Participatory Vulnerability and Capacity Assessments (PVCA) process of involving the community to understand the risks and offer solutions to the challenges they face.
The programme is being delivered across three strands of work:
1. Testing and adapting
Testing and adapting our community health framework approach in supply and resource challenged settings including Burundi, South Sudan and Sierra Leone.
This means developing context-specific programmes designed to meet the challenges of working in each environment. To achieve this, we are piloting a number of initiatives, including the use of a flexible adaptive programming approach which has enabled us to apply Participatory, Vulnerability, Capacity Assessments (PVCA) for the first time in our health programming.
Read the project's theory of change
2. Integrating health programming
Exploring options for flexible funds to support countries to strengthen the integrated nature of their health programming.
In Kenya the Health Legacy (HL) is supporting integration of adolescent nutrition with SRH interventions in Narok county, which has the highest teenage pregnancy rates in the country (41%).
The project aims to reduce teenage pregnancy and improve the nutrition outcomes for adolescent girls, adolescent mothers and their babies.
We are also partnering with Unilever for innovative behaviour change communications on healthy diets among adolescent girls in schools.
In Nigeria the HL is supporting the integration and scale up of nutrition into a UKAM funded project that is focusing on integrated Community Case Management (ICCM) of common childhood illnesses, which include Malaria, Pneumonia, and diarrhoea among children under five years.
Through the HL, maternal and child nutrition education will be intensified, as well as community level screening and referral of severe cases of malnutrition.
3. Evidence and learning
To increase the robustness and credibility of our health evidence, and to prove what works and what does not. This includes developing learning and research relationships as well as carrying out staff and partner capacity development.
We have identified and developed a plan to carry out research and generate learning under the following themes over the next three years:
- Women’s economic empowerment and health
- The extent to which the community health framework is relevant in fragile and resource constrained contexts
- Health and resilience
Find out more in this video - Christian Aid's health work in Burundi
Crisis modifier in adaptive programming
Based on learning from Christian Aid’s Resilience programmes such as BRACED, the HL is using a 'crisis modifier' approach as a way of building flexibility into the funding structure.
This will enable country programmes to proactively respond to risks that threaten the success of the project, by supporting individuals, communities and organisations to prepare and respond in a timely manner.
To date project design and inception workshops, as well as PVCAs and context analyses, have been conducted. The project implementation commenced in August 2017.
Baseline surveys are also underway in Burundi and Sierra Leone.
Reports and resources
Christian Aid’s community health framework sets out how every member of society can enjoy the right to health services, based on our programme expe
The Health Legacy Theory of Change tests the assumption that the Christian Aid Community Health approach is appropriate and effective for fragile s
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