238955 El Salvador and Bangladesh: Two models of building coalitions to improve maternal and newborn health programmes

Tuesday, November 1, 2011: 8:30 AM

Annie Portela , Department of Making Pregnancy Safer, World Health Organization, Geneva, Switzerland
Janet Perkins, MPH , Health Programmes Department, Enfants du Monde, Grand-Saconnex, Switzerland
Cecilia Capello, MIHMEP , Health Programmes, Enfants du Monde, Grand-Saconnex, Switzerland
Carlo Santarelli, MA , Secretary General, Enfants du Monde, Grand-Saconnex, Switzerland
Leonel Velasquez , Latin American Field Office, Enfants du Monde, Guatemala City, Guatemala
Enfants du Monde (EdM), in collaboration with partner organizations, based its maternal and newborn health (MNH) programmes in Bangladesh and El Salvador on the WHO framework for working with Individuals, Families and Communities (IFC). A fundamental requisite of this framework is a participatory planning process that ensures intersectoral and inter-agency collaboration; however, collaboration and partnerships have materialized in very different ways. In El Salvador the IFC framework is integrated into the national strategy with the Ministry of Health (MoH) assuming a lead coordinating role supported by PAHO, WHO and EdM. A national level committee has been formed with MoH and a coalition of non-governmental organizations (NGO). At local level, the IFC committees are led by health centre directors and include all other groups. This approach has created an environment conducive to scaling-up. Challenges have included the time it takes actors functioning at different levels to learn how to dialogue and work together. In contrast, the experience in Bangladesh has followed a different trajectory with a local NGO leading implementation in cooperation with other local NGOs and the district MoH, and only limited collaboration at the national level. This approach has allowed for building a strong network among NGOs and strengthening NGO-government relations at district level. However, the potential for scaling-up is limited without cooperation with the national MoH. Each model has strengths and weaknesses, but in both cases it is clear that developing coalitions with various and intersectoral organizations bringing their expertise to reach common goals reinforces health programs.

Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Program planning
Public health administration or related administration

Learning Objectives:
Compare and contrast a government-led versus an NGO-led approach to building partnerships and coalitions in international programmes.

Keywords: International MCH, Partnerships

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I participate in the management of maternal and newborn health programs in developing countries.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.