The CORE Angola PEI Experience: Secretariat

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The CORE Angola PEI Experience Secretariat
Bundled Proposals
David Newberry Miriam del Pliego
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Overview

• CORE Birth and Growth
• PEI Framework
• Secretariat Role and Future Plans
• Question and Answer Session

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CORE Angolas Birth

• In Nov 99, largest outbreak in a city occurs in
  Luanda
• Over 1000 paralytic cases and 200 deaths
• Urgent need for PVO support
• CORE established in 2000 as a coalition of five
  US-based PVOs
• Africare, CARE, CRS, Save the Children, and World
  Vision
• International Medical Corps and Handicap
  International participated as non-funded partners
• MSF Belgium and Salvation Army participated on ad
  hoc basis
• One bundled proposal submitted and funded at 1m
  for 2 years.
• PEI activities added on to other MCH projects
  with emphasis on NIDs (especially IDP camps)

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Political Shift Affected PEI in 2002

• Death of Jonas Savimbi, UNITA leader, in January
• Peace accord signed between Government and UNITA
  on April
• CORE members make plans to expand other health
  activities and willing to include PEI with new
  Mission funds
• CORE secretariat sees opportunity for
  geographical expansion

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Present CORE PEI Scenario

• World Vision has temporarily suspended health
  programming in Angola
• International Medical Corps formally joined the
  Group in January 2003 to pursue funds jointly in
  bundled proposals
• Salvation Army will soon join as a funded partner
• Covering 16/164 municipalities
• 2.7m inhabitants, 0.57m
• Last polio case in Lunda Sul, 2001
• 186 AFP cases in 2002
• 20 pending classification
• 166 no poliovirus isolated

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Kilamba Kiaxi Municipality
Luanda
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CORE PEI Angola Beneficiaries-2002
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CORE PEI Framework
CORE PVOs agree to engage in PEI
PVO/NGO role in eradication strengthening
routine EPI introduced accepted
Agreement for PVOs to engage in PEI Activities
Establish roles responsibilities

• PVO/NGOs sign formal MOU
• PEI assessment

Invite PVOs to accept specific roles
responsibilities
Encourage PVO input into immunization policy
decisions
Joint advocacy contribution to immunization
policy

• PVOs meet with ICC partners MOH, WHO, UNICEF,
  USAID

Invite PVO representation on ICC sub-committees

• PVO/NGOs develop bundled proposals for CORE PEI
  and collaboration
• Include proposal for secretariat with SOW for
  Director

Break down PVO independence
PVO framework structure agreed to by consensus.
Review support by MOH, WHO, USAID, UNICEF
Develop CORE-PEI Framework
PVOs participate as members of the ICC
Partner with CORE PVOs (technical, planning,
evaluation) to accelerate eradication
Secretariat functions to coordinate PEI
activities to arrange for technical skill
enhancement, assessment quality improvement
PVO/NGO Collaboration Group Model
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Flow of Steps
Break down PVO Independence use expertise
Agreement of PVOs to formally unite
Establish roles responsibilities
Develop CORE-PEI Framework
Joint advocacy contribution to immunization
policy
PVO/NGO Collaboration Group Model
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CORE PVO Activities
CORE PVOs Agree to Engage in PEI
Meet partners
Functional secretariat
Proposals developed
MOU signed PEI assessment
Secretariat Director selected
ICC Member
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ICC/Partners
Invite NGO Representation On ICC

• Accept NGO role
• in eradication
• strengthening routine

NGO framework Structure agreed to By consensus
Invite NGOs to accept specific roles and
responsibilities
Review and support By ICC partners
Invite NGO input Into immunization Policy
decisions
Partner with CORE NGOs To accelerate eradication
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CORE Secretariat Role

• Director represents partner PVOs at National
  Level, primarily with the Inter-Agency
  Coordinating Committee (ICC)
• Ensures that the latest national policy
  guidelines and information are made available to
  the CORE partners working in the field
• Shares information from the PVO partners working
  in the field with the Expanded Program for
  Immunization (EPI), and other ICC partners based
  in Luanda

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CORE Secretariat Role

• Links communities PVOs with national level
  initiatives and agencies
• Representation for international forums
• Task Force on Immunization
• Aids members in finding ways to support families
  with paralyzed children
• German Embassy and Handicap International
  collaboration
• Lead role in NID assessment in conjunction with
  MOH, UNICEF, WHO

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Secretariat Future Plans

• Hired as trainers for LQAS to monitor progress of
  first national measles campaign to be held in
  April/May 2003
• Use GPS to pin-point AFP cases and polio victims
• Aid PVOs in linking families with paralyzed child
  as beneficiaries in other projects run by that
  PVO (Agriculture, Education, etc.). Continue
  searching for more funding to reduce lifetime
  disability.

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Secretariat Future Plans

• Expand PEI partner presence to cover entire
  central region of country
• Set up CORE Secretariat as a Training and
  Information Center for PVOs and partners
• Central location for disseminating innovations
  and best practices
• Expand to other activities (e.g., EPI)
• Develop 3 year business plan

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• Thank y u

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Questions?