Linking Collaborating Centres to Build Global Capacity for Community Health and Development

1. Linking Collaborating Centres to Build Global Capacity for Community Health and Development Stephen Fawcett and Jerry Schultz, WHO Collaborating Centre, Univ of Kansas & Rima Affifi Soweid and Mayada Kanj, American University of Beirut, Lebanon Presentation at Meeting of the International Union of Health Promotion & Education (IUHPE),Vancouver, B.C., June 2007

3. Africa Americas Central Europe Asia Middle East Linking Global Centres for Community Health Centre A2 Centre B3 Assets for Community Health CentreA3 WHO Centre at KU Centre B1 Centre at AUB CentreE5 CentreC4 Centre2

4. Collaboration Among Global Partners for Community Health & Development • MISSION: Enhance community health development globally through networking, capacity development, and collaborative research • CONTEXT: • Widespread but unconnected engagement in community health efforts • Ad hoc relationships among partners • Limited docking of complementary capabilities • New communication technologies for enhancing access among partners and across contexts.

5. Logic Model for Collaboration Among Global Partners for Community Health • Potential Assets and Barriers • Activities • Outputs • Intended Outcomes

6. Logic Model – Potential Assets • Relationships among broader partners (e.g., Collaborating Centers, WHO Regional Offices) and with communities • Existing resources for capacity development • Methods and tools for participatory research • Diversity of experience and cultural knowledge

7. http://ctb.ku.edu/

8. Logic Model – Potential Barriers • Time and competing requirements • Trust • Institutional culture • Communication and language differences • Limited opportunities for exchange • Lack of financial resources • Limited understanding of culture and context • Threats of violence and political instability

9. Activities – Networking and Planning • Networking meetings within and between institutions (e.g., among collaborating centers) • Assessment of needs/ interests and assets of potential partners • Joint planning for collaborative projects

10. Activities – Capacity Development • Translation and cultural adaptation of training resources (e.g., curriculum) • Translation and cultural adaptation of Internet-based resources (e.g., Community Tool Box) • Courses/workshops and certification or degree programs in community health & development

11. Capacity to do what?Some Core Competencies • Creating and maintaining coalitions and partnerships • Assessing community needs and resources • Analyzing problems & goals • Developing a framework or model for change • Developing strategic and action plans • Building leadership • Developing an intervention • Increasing participation and membership • Enhancing cultural competence • Advocating for change • Influencing policy development • Evaluating the initiative • Implementing a social marketing effort • Writing a grant application for funding • Improving organizational management and development • Sustaining the work or initiative

12. Activities – Collaborative Research • Research studies of community health and development efforts and indicators • Shared sensemaking across projects in diverse contexts • Synthesis of knowledge about what works and under what conditions

13. Collaborative Workstations INTEGRATED ONLINE SUPPORTS: • Building Capacity • Documentation and Evaluation • Co-Learning within and across initiatives

15. Health for All Partnership Community and System Changes

16. Outputs – Networking and Planning • Agreements between centers and institutions • Logic model describing the work together • Asset maps of capabilities of collaborating partners • Action plans for implementing agreed-upon projects • Joint grant proposals

17. Outputs – Capacity Development • Local and global access to training in skills for promoting community health and development (e.g., translated and adapted curriculum) • Global constellation of online tools for building capacity (e.g., in local languages) • Regional access to technical assistance in implementing development efforts

18. Africa Americas Central Europe Asia Middle East Global Capacity Building for Community Work Spanish Portuguese French Common Well (Community Tool Box) French English English Swahili Arabic Russian Mandarin Chinese

19. Outputs – Collaborative Research • Joint presentations and publications to professional and practitioner audiences • Enhanced cross-cultural knowledge of “best processes” for promoting community health and development

20. Sharing knowledge and experience about what? Framework & Processes for Collaborative Action to Promote Health/Equity 3. Defining Organizational Structure 3. Defining Organizational Structure and Operating Mechanisms and Operating Mechanisms 1. Analyzing Information About the Problem, 1. Analyzing Information About the Problem, A. Assessing, A. Assessing, Goals, and Factors Affecting Them Goals, and Factors Affecting Them prioritizing, and prioritizing, and 4. Developing a framework or 4. Developing a framework or model of change collaborative planning planning 2. Establishing Vision and Mission model of change 2. Establishing Vision and Mission 5. Developing and Using 5. Developing and Using Strategic and Action Plans Strategic and Action Plans E. Improving E. Improving population health population health B. Targeted action and intervention 6. Arranging Resources for B. Implementing and health equity 6. Arranging Resources for Community Mobilization Community Mobilization 11. Making Outcomes Matter 11. Making Outcomes Matter 7. Developing Leadership 7. Developing Leadership 12. Sustaining the Work 12. Sustaining the Work 8. Implementing Effective 8. Implementing Effective Interventions 9. Assuring Interventions 9. Assuring Technical Assistance Technical Assistance D. Achieving D. Achieving widespread change in widespread change in C. Changing C. Changing 10. Documenting Progress and determinants, factors, and behaviors behavior and risk community conditions community conditions 10. Documenting Progress and Using Feedback Using Feedback and systems and systems Source: Community Tool Box <http://ctb.ku.edu/> Work Group for Community Health and Development, University of Kansas <www.communityhealth.ku.edu>

21. Outcomes – Networking and Planning • Discovery/exchange of innovations and tools in cross-cultural efforts to promote community health and development • Widespread adoption/adaptation and use of “best approaches” for promoting community health and development • Enhanced social connectedness and efficacy among those working to promote community health and development locally and globally

22. Outputs – Capacity Development • Advanced leadership for collaborative research and practice in community health and development • New generations of people competent in bring about community/system change and improvement • Improved functioning (i.e., system change, population-level improvement) resulting from collaborative partnerships • Reduced disparities in capacity and outcomes related to community health and development

23. Outputs – Collaborative Research • Knowledge/discovery of factors affecting community/system change and improvement • Knowledge about conditions under which change contributes to improvement in population-level outcomes • Enhanced knowledge base of “best practices” and “best processes” for promoting community health and development

24. A Vision for Working Together Locally and Globally • Sharing knowledge, experience, and capabilities for this work • Adapting, extending, and making available tools for building capacity • “Docking” our interlocking assets – across countries and cultures