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Ellis-Hadwin Health Legacy

Ellis-Hadwin Health Legacy

The Ellis-Hadwin Legacy is a £2.9 million fund set up to deliver a 3-year health programme in Africa, specifically in Burundi, Sierra Leone and South Sudan. It will run from September 2016 to July 2020.

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.

Key information

Location

Burundi, Sierra Leone, South Sudan

Timescale

September 2016 - July 2020

Programme value

£2.9 million

Funded by

Ellis-Hadwin Legacy

Children from Bumpeh community draw the risks and hazards they face, this is part of the Participatory Vulnerability and Capacity Assesments (PVCA) process of involving the community to understand the risks and offer solutions to the challenges they face.

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.

Our approach

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 sexual and reproductive health interventions in Narok county, which has the highest teenage pregnancy rates in the country (41%).

The project aims to reduce teenage pregnancy and improve nutrition amongst pregnant adolescent girls, adolescent mothers and their babies.

We are also partnering with Unilever for innovative communications on healthy diets among adolescent girls in schools.

In Nigeria, the HL is supporting the integration and scale-up of nutrition into a UK Aid Match (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

The HL is allowing us to increase the robustness and credibility of our health evidence, and to examine what works and what does not. This includes developing learning and research relationships as well as developing the capacity of staff and partners.

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

Read more about our work across the three strands in Burundi, South SudanSierra Leone, Kenya and Nigeria.

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

This paper is the product of a collaboration between ODI and Christian Aid Ireland to assess the relevance of adaptive approaches.

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

Contact us

Want to know more? If you have any enquiries about our work, please contact us