1. Funder’s Learning Initiative
February 21st, 2019

2. Community Health Systems Reach Vulnerable Communities
… Because they are powered by them.

3. High Quality Community Health Systems Deliver Results
Source: Rockefeller Foundation/WHO
Source: 1 Million Community Health Worker Task Force Report

4. Community Health Systems Are Affordable and Integral to Primary Health
Health Care Spending Per Capita – CHW Program
Health Care Spending Per Capita – Total Spending
CHW Program At Scale, % of Total Health Expenditure
Ghana
$2.10 USD
$90 USD
2.3%
Liberia
$2.17 USD
$112 USD
1.9%
Malawi
$2.93 USD
$77 USD
3.8%
Uganda
$2.00 USD
$128 USD
1.6%

5. The Path to National Scale is Challenging:
Political Will + Frontline Focus on Quality, Affordability
(1) Country Planning
National CHW Taskforce Coordination
Primary health care integration
Political Support
(3) Capability Mapping / Fleet Management
Skill Map of Current CHW / Supervisors
Mobile Infrastructure
(2) Costing
Investment Projections
Refining Operational Assumptions
(4) Coverage / Implementation
Prioritization
Partner Support
Progress Indicators
(5) Commodities / Diagnostics
Work with Public Private Partnerships

6. They are United by a Focus on Equitable Universal Health Coverage
A New Generation of “Radically Collaborative” Organizations is Emerging:
They are United by a Focus on Equitable Universal Health Coverage
Community Health Impact Coalition
Financing Alliance
AMP Health (management)
African Union “2 Million Community Health Worker Campaign
University of Global Health Equity (Rwanda)
4 billion people without access to health care, 1 billion in remote/rural areas

7. Are there big take away from countries that have
achieved breakthroughs in life expectancy?…
Source: Global Advantage Task Force Report

8. …Quality, Affordable Community Health Systems
Enhance Equity + Effectiveness of Primary Health Care
Source: Global Advantage Task Force Report

9. What’s next for Community Health Systems in America?
Funders should recognize related parts/projects as part of a whole:
Core support for Field-Building Research Centers (e.g. Penn Center)
Core operating support for state-level community health roadmaps & identify practical integration w/primary health care (e.g. North Carolina)
Support motivated community leaders and weave them into a larger network (e.g. RWJF culture of health leaders)
Build a coalition of high-performing domestic community health organizations to surface practical challenges in quality implementation at scale
Develop data-driven culture/platforms to support community health impact
And recognize the rich history that guides action today: historic success of Community Health Centers & Community Organizers for Health.