Rotary’s Family Health Days Featured at the World Bank

Today, in celebration of International Women’s Day, Marion Bunch, the founder of Family Health Days, participated in a well-attended event at the World Bank about inspiring women who made a difference in the world through innovative programs in the areas of education and health. The event was streamed online through World Bank Live, and a recording will soon be available if you missed it. What are family health days? Do these days make sense from a policy point of view? And who is Marion Bunch? This blog post answers these three questions.

Family Health days

What are family health days?

Imagine hundreds of thousands of families and individuals getting free health care for two or three days. Family Health Days makes this feasible. Individuals and families can be tested for HIV/AIDs as well as receive counseling. Testing and/or screening for tuberculosis, diabetes, high blood pressure, and other conditions such as cervical and breast cancer is provided. Children receive immunizations as well as Vitamin A supplements. Some sites also include dental clinic and hygiene education as well as eye examinations. Health counseling is also provided.

The program was launched in 2011 and is now active in a half dozen countries in sub-Saharan Africa and South Asia. The program is led by Rotary in partnership with the Coca-Cola Africa Foundation, the U.S. Mission – including the Centers for Disease Control, USAID and the health service delivery expertise of their implementing partners – and Ministries of Health that provide services and supplies at the sites. Media partners promote the days in each of the countries. Thousands of volunteers in each country, including many Rotarians, help in various ways.

Do family or child health days make sense from a policy point of view?

Intrigued by the concept of family health days, I conducted a rapid search of the literature and found that for purposes such as screening for illnesses and child immunization, holding such days appears to make a lot of sense. This type of programs appear to be beneficial and cost effective if implemented well.

For example, Fiedler and Chuko looked at the reach and cost of child health days in Ethiopia in 2008. They found that the program reached more than 10 million children at an average cost of half a dollar per child (one dollar when including measles). This made the program cost-effective, with potential additional benefits to be reaped through economies of scope in increasing coverage at delivery sites.

Palmer and others note in a 2010 article that child health days are becoming increasingly popular, implemented in more than 50 countries at the time of the study. They conclude that the days are helping countries achieve high and equitable coverage of essential health and nutrition services. Child health days were also recognized as beneficial in a 2013 World Health Organization report on essential nutrition actions for improving maternal, newborn, infant, and young child health and nutrition.

Improvements could be made, however. In a 2012 review of experiences integrating the delivery of maternal and child health services with childhood immunization programs, Wallace, Ryman, and Dietz emphasize the importance of proper planning and awareness when implementing these interventions, among other actions to reduce the risks of logistical difficulties, time-intensive interventions ill-suited for campaign delivery, concerns about harming existing services, and overlap of target age groups with other service delivery mechanisms. The review also revealed gaps in information about costs and impacts.

On costs, a 2014 paper by Fiedler and Semakula suggests that part of the reason why costs may appear so low in some countries (US$0.22 per child in their analysis for Uganda) is because of underpayment for Ministry of Health staff and volunteer allowances. Still, the authors find that child health days are successful in saving lives, making them highly cost-effective. Vijayaraghavan and others in a case study for Somalia also find child health days to be cost-effective in addressing leading causes of child mortality in a conflict settings. They rate child health days as one of health sector’s best buys in sub-Saharan Africa.

Who is Marion Bunch?

What is also interesting – especially as we celebrate International Women’s Day and the power of women to make a difference in the life of the less fortunate, is the personal story of Marion Bunch. Marion is the Chief Executive Officer of the Rotarian Action Group Rotarians for Family Health & AIDS Prevention. She has received numerous awards on behalf of her work for AIDS. But first and foremost, she simply considers herself a mother who helps in representing the human face of AIDS. She started her work after losing her son to the disease in 1994. As she explained it in an interview. “I never thought I’d do anything about it until one day, three years after his death, I felt a tap on the shoulder, and a voice in my ear said, ‘Mom, get up and get going; you haven’t done anything, and it’s been three years.’” Since then, the reach of Family Health days has expanded every year, in close partnership with Ministries of Health in the countries where the program is running. Marion’s story has been told in a documentary film that won two 2015 Telly Awards.

What can be learned from Marion’s project?

On the occasion of International Women’s Day, at least two important lessons emerge her project. The first lesson is that we can expand access to health care for children and families through Child and Family health Days, and we should invest in the expansion of these programs. But the second and most important lesson is that beyond the important role of the state that we often emphasize in development work, committed individuals can truly make a difference in the life of the less fortunate. The theme of the event at the World Bank was “Inspiring Women of Action”. There is no doubt that Marion is such a woman.

If you were not able to watch the event live, a recording will soon be made available here.

This post is adapted from a post published today on the World Bank’s Investing in Health blog.

World Bank Live To Feature Rotarian Women of Action

 

On March 8, in celebration of International Women’s Day, World Bank Live will feature a discussion with inspiring Rotarians who have made a difference in the world. Hosted and sponsored by the World Bank Group Staff Association, the session will illustrate the power of women to change the world and improve the lives of the less fortunate through innovative and impactful projects in the areas of education and health.

The event will take place from 2 PM to 3 PM in the World Bank Preston Auditorium in Washington DC. The event will also be streamed online, so you can watch from wherever you are. Please do not hesitate to share this blog post with friends and other Rotarians who might be interested in this event, and maybe even ask you Club or District leaders to spread the word. This promises to be a great event.

iwd

What Is World Bank Live and How Do I Connect?

The World Bank Group aims to eradicate extreme poverty within a generation by 2030. It consists of five organizations: (1) the International Bank for Reconstruction and Development which lends to governments of middle-income and creditworthy low-income countries; (2) the International Development Association which provides interest-free loans and grants to governments of the poorest countries; (3) the International Finance Corporation which finances investment, mobilizes capital in international financial markets, and provides advisory services to businesses and governments; (4) the Multilateral Investment Guarantee Agency which offers political risk insurance (guarantees) to investors and lenders; and finally (5) the International Centre for Settlement of Investment Disputes which provides international facilities for conciliation and arbitration of investment disputes.

World Bank Live is the web streaming platform used by the World Bank Group to enable citizens worldwide to participate in high level events online. The platform enables viewers not only to follow the event, but also to post comments online as part of an interactive discussion. In order to connect to the March 8 event “Inspiring Women of Action: A Celebration of International Women’s Day”, simply click here.

Who Will Be the Speakers?

Three speakers will be featured.

Marion jennifer deepa

 

 

 

Marion Bunch is the Chief Executive Officer of the Rotarian Action Group Rotarians for Family Health & AIDS Prevention. Marion has received numerous awards on behalf of her work for AIDS, and considers herself a mother who represents the face of AIDS because she started her work after losing her son to the disease in 1994. One of her signature programs has been the organization of Family Health Days in several developing countries where families receive free consultations and health care.

Jennifer Jones is the President and CEO of Media Street Productions Inc., a television production company. She is also a Director on Rotary International’s global board. Through Rotary, she has successfully transferred her professional skills into her volunteer life including several Rotary missions where she has created documentaries and taught journalism and ethics classes in Brazil, Tanzania and Haiti. She has also participated in Rotaplast medical missions in Venezuela and Peru.

Deepa Willingham is also a Rotarian and the Founder and Chair of Promise of Assurance to Children Everywhere (PACE). Born and raised in India, Deepa worked in the United States, and then returned to India. PACE Universal is an organization dedicated nurturing the educational, health, nutritional, social and cultural development of girls in impoverished areas of India and other parts of the world.

The panelists will be introduced by Daniel Sellen, the Chair of the World Bank Group Staff Association. Daniel has been in the World Bank for twenty years, the last twelve of which based in Delhi, Abidjan, and Bogotá. He is the proud father of two daughters, who give him extra reason to celebrate International Women’s Day.

The event is organized by a team led by Eva Ruby de Leon, Christian Bergara, and Clara Montanez.

May I Attend the Event in Person if I Live near Washington, DC?

If you are watching the event online, no registration is needed.

If you would like to attend in person, limited seating is available. To attend in person, unless you are a World Bank staff, spouse, or retiree, you need to register ahead of time so that a security pass can be prepared for you. To register for the event in person, please click here.

We hope many of you will be able to attend in person if you are in the area, or watch the event online. Please don’t hesitate to send me an email through the Contact Me page of this blog if you have any question.

World AIDS Day: The Role of Civil Society and Rotary

by Quentin Wodon

Today is World AIDS Day. Over the last three decades, the pandemic has taken the lives of 36 million people. According to the WHO, 35.3 million people live today with HIV (human immunodeficiency virus), but only about a third (11.7 million) receives antiretroviral therapy in low- and middle-income countries. The theme for the day this year is “Focus, Partner, Achieve: An AIDS-free generation”, calling for governments, NGOs, and individuals to contribute to AIDS prevention and treatment. This post is about the role of civil society and Rotary in fighting the AIDS epidemic.

Rotary's Family Health Days in Action
Rotary’s Family Health Days in Action

Role of Civil Society

Governments and donors play a key role in the fight against AIDS, but civil society and individuals also play an important role and that role is being increasingly recognized and supported. Last year I published with World Bank colleagues a book entitled Funding Mechanisms for Civil Society: The Experience of the AIDS Response (the book is available online without charge here). We noted that in the past decade, international funding for the HIV and AIDS response provided by governments rose dramatically.

In addition donors have increasingly shifted their financial support toward funding community responses to the epidemic. Yet little is known about the global magnitude of these resource flows to civil society, especially at the local level, and how funding is allocated among HIV and AIDS activities and services by community organizations.

Part of the study focused on the mechanisms used to fund civil society and community-based organizations (CBOs) by four large AIDS donors: the U.S. President’s Emergency Plan for AIDS Relief, the Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Bank’s HIV/AIDS Program, and the UK Department for International Development. On average, these four donors provided at least US$690 million in funding per year for civil society organizations (CSOs) during the 2003–09 period.

Much of this funding went to large national CSOs. While part of the funding also went to smaller NGOs and CBOs, including through partnerships with the larger CSOs, in many cases only a small share of international resources trickles down to local communities. More needs to be done to support local-based organizations that are actively contributing on the ground to the fight against AIDS, often relying on volunteer work.

Role of Rotary

Rotary is active in the fight against AIDS in part through the Rotarians for Family Health & AIDS Prevention (RFHA) Rotarian Action Group. Rotarian Action Groups (RAGs) are groups are led by Rotarians in their field of expertise in order to help clubs implement projects and exchange ideas and experiences. There are close to 20 RAGs operating, and RFHA is one of them.

The signature program of RFHA is Rotary Family Health Days (the information provided here is from the RFHA website). The program promotes healthy living and disease prevention through annual campaigns in four African countries: Ghana, Nigeria, South Africa, and Uganda. Family Health Days provide comprehensive, free health care services to underprivileged communities. The services include lifelong immunizations to children, such as polio and measles vaccines, and comprehensive life-saving annual screens such as HIV, TB, Malaria, Diabetes, Hypertension and more, including information about HIV-AIDS.

The program was initiated in 2011 when Past District Governor (PDG) Stephen Mwanje from Uganda asked Marion Bunch, the founder of RFHA, for partnership support in obtaining funding and other resources for this program. PDG Mwanje’s vision was to have all Rotary clubs in his district work together towards a common cause, focusing on HIV/AIDS but also including other disease prevention measures.

Family Health Days is a Rotary-led program, but it leverages partnerships with others including the Coca-Cola Africa Foundation, the U.S. Mission – including the Centers for Disease Control, USAID and the health service delivery expertise of their Implementing Partners – as well as each of the four countries’ Ministries of Health that provide services and supplies at the sites.

Equally important in each country are the primary media partners that include the SABC and Caxton in South Africa, and other media centers in each of the other countries. The Family Health Days program has grown from serving 38,000 citizens in one day in 2011 to serving 343,622 citizens in 2014 in 402 sites with the help of more than 8,000 Rotary volunteers. RFHA hopes to expand the program in more African countries in 2015 and is planning a pilot in India. Importantly, it is also thinking about the measurement and evaluation of the impact and sustainability of the program.

Conclusion

In the fight against AIDS, community-based organizations play an important role because of their proximity to the population, their knowledge of the issues on the ground, and the trust that the population has in them. Rotary could be considered as a large NGO given the amounts of funding managed by The Rotary Foundation of Rotary International. But it can also be considered as a small local-based quasi-community group given that many Rotary clubs are indeed small and working at the local level collaboratively with other NGOs.

A key question for Rotary is how to leverage effectively the resources provided by its network of clubs and members around the world. The Family Health Days, the signature program of the RFHA Rotarian Action Group, is a very interesting case of a successful mechanism to leverage the energy of many local Rotary clubs into programs that reach at least some level of scale and make a difference in the fight against AIDS and the improvement of broader health indicators.