Rabia Mathai, DrPH, MPH, MS, PhD Senior Vice President Global Program Policy & Planning Catholic Medical Mission Board Presented at Faith-Based Organizations as Pioneers and Partners in Health Systems Development, May 31, 2005, Omni Shoreham Hotel, Washington DC

Faith-based response to HIV/AIDS FBOs have long delivered health, social, and educational services –40-50% of health care in poor countries is delivered by private religious organizations WHO estimates 1 in 5 organizations engaged in HIV/AIDS programming is faith-based Leading bilateral and multilaterals have called for increased integration of FBOs within international health community

And yet the evidence-based body of knowledge on the role of FBOs in addressing HIV and AIDS has been so limited

About the Study Commissioned by the Catholic Medical Mission Board (CMMB) Independently designed, conducted and analyzed by Global Health Council Designed to explore secular and faith-based leaders’ perceptions on past, present and suggested future roles of FBOs Questions based on Global Strategy Framework on HIV/AIDS themes –”

GHC highly experienced in conducting international multi-country research studies

Largest global healthcare membership organization

Leadership with demonstrated qualities of adhering to the scientific truth

A tool to generate dialogue and action at multiple levels: advocacy, policy, program, resource mobilization, leadership, partnership, for addressing HIV & AIDS

How can FBOs leverage their vast assets, including their health and other support systems to strengthen and scale-up in- country National Response to HIV&AIDS?

How can FBOs systematically monitor and evaluate their programs, document and disseminate best practices and lessons learned

How can FBOs collectively and individually, contribute towards enhancing the evidence-based knowledge through scientific studies

How could FBOs leverage their work to increase their funding at all levels, through in-country & international funding sources? 3X5 divided by ½= #s Women on ARVs?

What about FBOs increasing and strengthening collaboration with other secular organizations in mounting a scale- up HIV and AIDS response?

FBOs increasing and strengthening the capacities of religious leadership and other clergy in increasing their knowledge about HIV & AIDS prevention, care, support, and treatment?

PARTNERSHIPS CMMB (ESTB IN 1928) WORKS WITHIN NATIONAL AND WHO GUIDELINES CMMB STRIVES TO STRENGTHEN NATIONAL RESPONSES THROUGH CAPACITY BUILDING OF IN-COUNTRY PARTNERS FOR SCALE-UP PROGRAMMING CMMB WORKS WITH OTHER FAITH-BASED AND SECULAR PARTNERS AFFECTED COMMUNITIES INCLUDING PLAs FORM AN INTEGRAL PART OF CMMB PROGRAMS

Networking & Collaboration: with Local and International Partners Including with Governments

CMMB FBO PARTNERS EXAMPLES KEC CHAK CHAZ SACBC CBCN CHA-GHANA CBCI CHAI CMAI MARYKNOLL CHINA CBC-PNG, SI FBO NETWORKS IN LAC CMMB’s strength is in its partnerships, CMMB works with FBOs and secular organizations……

Catholic Healthcare in India Catholics 2.1% of 1 Billion people Contributes 26% of total healthcare 5000 healthcare facilities:750 Hospitals & over 4000 Dispensaries & Primary Health Centers (85% in rural areas) 114 Nursing Schools, 6 Medical Schools, and 600 Sister Doctors Spread out in 147 dioceses, 15,000 secondary schools PartPart

HIGHLIGHTS: CMMB INITIATIVES ACTION FOR FAMILY HEALTH - IMCI and HIV AND AIDS in Latin America & Caribbean BORN TO LIVE - PMTCT Global, including National Scale-up in Kenya CHOOSE TO CARE - Southern Africa South Africa, Swaziland, Namibia, Botswana, Lesotho AIDS-RELIEF - Anti Retroviral Therapy PEPFAR US Govt. Funds in Africa/Caribbean CHINA NURSES CARE & INDIA INITIATIVE

IMCI. Action for Family Health Latin America & Caribbean IMCI. Action for Family Health Latin America & Caribbean CATHOLIC HEALTH NETWORKS, MINISTRIES OF HEALTH, LOCAL COMMUNITIES, UNIVERSITIES, OTHER PRIVATE ORGANIZATIONS

Haiti and Dominican Republic Latín America and the Caribbean Region Integrated Management of Childhood Illnesses PAHO/MOH -CARITAS-CMMB-BMSF Honduras Nicaragua El Salvador 43 IMCI sites in 7 dioceses planned 46 IMCI sites in 9 dioceses 89 sites in 8 dioceses 80 sites in 8 dioceses 40 sites in 3 diocese

Dominican Republic Honduras Nicaragua El Salvador Haiti

IMCI Activities. LAC Region Dec 2003 – Feb 2005 Total # of patients only for the last quarter

CHOOSE TO CARE CHOOSE TO CARE: FIVE YEAR HIV/AIDS PREVENTION, CARE AND SUPPORT PROGRAM, IN COLLABORATION WITH THE SOUTH AFRICAN BISHOPS CONFERENCE (SACBC) OVER140 PROJECTS IN FIVECOUNTRIES SOUTH AFRICA, BOTSWANA, NAMIBIA, SWAZILAND AND LESOTHO OVER 20 ARE NOW PEPFAR ARV SITES CMMB-SACBC-BMSF-CBOs

CHOOSE TO CARE: FOCUS CAPACITY BUILDING AND OTHER INTERVENTIONS: HOME BASED CARE AND SUPPORT INCLUDING PEOPLE LIVING WITH HIV/AIDS AND AIDS ORPHANS: 160,000 home care patients, 3900 treated in hospice facilities, and 145,000 AIDS orphans and patients assisted PREVENTION EDUCATION FOR COMMUNITIES, ESPECIALLY ADOLESCENTS: 360,000 youth reached SENSITIZATION OF CHURCH LEADERSHIP AND CHURCH COMMUNITIES: 98% of SA diocese reached with HIV/AIDS community-based programs and religious leaders sensitized

AIDS-Relief: Contribution to Providing Durable & Sustainable ART Catholic Relief Services, Institute of Human Virology, Catholic Medical Mission Board, The Futures Group, Interchurch Medical Assistance Target of Exceeded in Year 1

BORN TO LIVE- PMTCT In 2002 August, at a National PMTCT Technical Meeting, the Kenya Government announced a National Scale-up Plan Also, released a tool-kit in the form of National PMTCT Guidelines, Policies, and Procedures to facilitate this process CMMB responded with partnering with FBOs and Secular Orgs) in strengthening the National Response through BORN TO LIVE- 42 of the 60 PMTCT sites active

COUNTRIES- HAITI, KENYA, NIGERIA, PNG, S/AFRICA, SWAZILAND, ZAMBIA

AIDS HAS A WOMAN’S FACE Kofi Annan Our faith-based partners: Kenya Episcopal Conference, Churches Health Assoc of K Participating FBO facilities, and their communities. USAID/Kenya Ministry of Health Technical Resource Groups: NARESA, KEMRI

CHINA NURSES CARE A NATIONAL HIV and AIDS NURSING LEADERSHIP INITIATIVE PARTNERS: CMMB-UIC-MARYKNOLL CHINA PROJECT-GOVERNMENT-WHO-HONGKONG AIDS FOUNDATION-CHINA NURSING COUNCIL- PROVINCIAL NURSING DEPTS. AND ASSOCS.

Provincial Trainings

NURSES TRAINED BY PROVINCE (TOTAL=1005) PILOT WORKSHOPS Xi’an (Shaanxi) 40 Taiyuan (Shanxi) 90 PROVINCIAL TRAININGS Beijing`100 Shenyang (Liaoning) 145 Xi’an 240 Chengdu (Sichuan)260 TRAINING-OF-TRAINERS Xi’an 75 Chengdu 55

Churches Concerted Action Against HIV AND AIDS in India Partners: CMMB Catholic Bishops Conf. CBCI/CHAI Faith-based Health Associations Universities Government UNICEF Communities

Catholic Health Facilities Membership Decentralized in 11 Regional Geographic Clusters CHAT434 CHAKE468 CHAKA268 CHAAP316 CHAW281 CHAMP306 RUPCHA283 CHABI270 OCHA128 WBCHA108 NECHA238 MEMBERSHIP Statistics

THANK YOU