1. August 2014 General Overview THE INSTITUTE FOR CHILD WELLNESS IN AFRICA

2. Accordia helps make it happen. We mobilize the resources needed to establish, support, and sustain Africa’s Centers of Excellence in Health. ACCORDIA GLOBAL HEALTH FOUNDATION OUR APPROACH TO BUILDING AFRICA’S CAPACITY FOR HEALTH Sustainable African Health Institutions transform health systems from within – delivering life-saving care to millions, developing solutions to local challenges by leading essential new research, and training the health professionals of today and tomorrow.

3. ACADEMIC ALLIANCE MULTI-INSTITUTIONAL SUPPORT & ADVOCACY FOR OUR PARTNERS … a global consortium, working collaboratively to build permanent capacity for health leadership and innovation in sub-Saharan Africa.

4. Strategic Planning & Grants Management Finance and Administration Good governance and strong leadershipLaboratory Services Resource generation capacity Info & Communications Technology Essential support functions CENTERS OF EXCELLENCE OVERLAPPING & MUTUALLY COMPLEMENTARY PROGRAMS

5. ACCORDIA’S WORK TO DATE BUILDING ON OUR EARLY SUCCESS, FOR EXPANDING IMPACT Infectious Diseases Institute Makerere University, 2004 West African Infectious Diseases Institute Abuja, 2012 Institute for Child Wellness in Africa University of Malawi, 2015 Association of Sustainable African Health Institutions, 2014

6. INFECTIOUS DISEASES INSTITUTE (IDI) UGANDAN OWNED. UGANDA LED. Premium education and training – 14,000+ trained from 28 countries Full spectrum research – 48 studies underway; >100 complete Specialized clinical services to 100,000+ Rural outreach/systems strengthening for nearly a million Total of 92 Projects under way 2004−Accordia established IDI; 2005−granted to Makerere University

7. WEST AFRICAN INFECTIOUS DISEASE INSTITUTE UNLOCKING THE RESEARCH CAPACITY OF NIGERIA’S TOP UNIVERSITIES Locally owned. Locally led. Sophisticated research lab & infrastructure Effective education and outreach programs Research and data support services Strategic academic linkages, internationally Access to global and private sector funding Sound finance & grants management World class ICT systems Locally owned. Locally led. Sophisticated research lab & infrastructure Effective education and outreach programs Research and data support services Strategic academic linkages, internationally Access to global and private sector funding Sound finance & grants management World class ICT systems Improved health policy Stronger health systems WAIDI Regional university faculty and researchers Accordia’s international academic partners

8.  Local ownership  Upfront and sustained investment  Strengthening existing academic institutions  Private sector partnership  Multi-institutional collaboration  Contextual programs but uncompromised quality  Focus on leadership  Permanent solutions ACCORDIA’S KEY PRINCIPLES OVERARCHING APPROACH TO OUR CAPACITY-BUILDING EFFORTS IN AFRICA

9. BROAD CONSENSUS Accordia will support the University of Malawi to establish an institute dedicated to the pursuit of novel strategies and programs to improve child wellness, through research and education

10. The Institute for Child Wellness in Africa (tICWA) THE VISION

11. A WORLD OF WELL CHILDREN KEEPING CHILDREN WELL  Child Wellness: The absence of disease in children, achieved through prevention, protection, and treatment when accompanied by optimized health via nutrition, physical activity, education, and social support.

12.  MISSION: To build capacity to better ensure child wellness in Malawi and the region.  OBJECTIVES:  Advance the science of integrated development and use/impact of multi- sector approaches for the development of more impactful programs to ensure child wellness in resource-constrained settings  Enable and accelerate essential research in Africa to expand the evidence base, inform stronger policies and improve practice related to child wellness  Expand human resources and institutional capacity in the region for improved child wellness tICWA MISSION & OBJECTIVES TOWARD THE VISION OF A WORLD OF HEALTHY CHILDREN

13. tICWA PRINCIPLES CHANGING THE WAY THE WORLD INVESTS IN AFRICA'S CHILDREN

14. INTEGRATE OVERLAPPING AND INTER-DEPENDENT FIELDS IMPACTING CHILD WELLNESS Preventative Medicine Curative Services Childhood Development Agriculture Education Economics & Finance Science & Technology Academics & Education Policy & Governance Programs & Practice Psycho- social Sciences Environ- mental Science

15. INTEGRATE & EMPOWER Integrating & strengthening human resources throughout the system Policy & Governance Research & Education Programs & Practice Communities

16. GENERATIONS OF WELL CHILDREN AND A MODEL FOR OTHER RESOURCE-LIMITED SETTINGS SMART INVESTMENT A Model Institute for Africa African-owned, African-led FOCUS on leadership & good governance DEVELOP local talent ATTRACT international collaboration ALIGN with local government objectives INVEST in essential support services for sustainability LONGTERM IMPACT Proof of Wellbeing Survive and Thrive IMPROVED nutrition DECREASED stunting ENRICHED early childhood development CURTAILED child marriage INCREASED school completion IMPROVED wellbeing & life prospects MIDTERM RESULTS Essential New Evidence Local Solutions to Local Issues BUILD multidisciplinary research teams CREATE synergies and cost efficiencies for effective integration across sectors, disciplines GENERATE locally produced evidence to inform policy decisions ADVANCE essential research in child wellness

17. The Institute for Child Wellness in Africa THE MODEL

18. THE MODEL MULTIPLE OPERATING UNITS HOUSED WITHIN THE tICWA Knowledge Hub Global Classroom Innovation Lab tICWA

19. KNOWLEDGE HUB OPTIMIZE EXISTING KNOWLEDGE, EXPERIENCE, & CAPACITY IN THE REGION A central repository and resource center providing access to vital information and core research services that aid in developing more impactful programs  Offers clear knowledge base of regional initiatives and “best practices”  Encourages collaboration and integration between disciplines and sectors  Creates common metrics for cross-sector evaluation  Key activities / programs  Repository / compendium / database  Cross-sector indicators to measure child wellness  Research and support services (intra- and extra-mural) Knowledge Hub

20. INNOVATION LAB MULTIPLE INNOVATIVE CROSS-SECTOR RESEARCH PROGRAMS A platform for multiple high-impact large-scale research programs to design and evaluate novel strategies and programs to improve child wellness  Enables world-class research  Attracts international collaboration and resources  Helps develop local talent to increase total research capacity in Malawi and the region  Produces science-based evidence to inform policy decisions  Houses and connects key experts in various disciplines  Enhanced demographic surveillance capacity  Longitudinal study via birth cohorts and other capacity Innovation Lab

21. GLOBAL CLASSROOM SHARING KNOWLEDGE TO INFORM POLICY AND STRENGTHEN CIVIL SERVICE A collection of channels through which existing and emerging knowledge is disseminated externally, to inform and influence policy throughout the world, and to build better prepared professionals in a variety of disciplines  Integrated child wellness course / curriculum a variety of academic tracks  In-service training for multi-disciplinary professionals  Short courses and topical seminars for policy-makers, leaders, managers  Publication support for global dissemination of  emerging evidence, knowledge  Policy briefs for international advocacy and influence  Potential development of new multi-sector discipline Global Classroom

22. Board of Directors Independent Directors Accordia Representative Academic Alliance Representatives UNIMA Advisory Council INDEPENDENT GOVERNANCE EMPHASIS ON EXEMPLAR, ETHICAL, AND EFFECTIVE OVERSIGHT Malawian Academic Alliance Ministry Advisory Committee Technical & Advisory Network of multi-sector global specialists Design and oversee novel multi- sector interventions Fill key positions in start-up Advisory Ensuring alignment with government policies and priorities Governance & Fundraising Determining mission and setting strategy Ensuring adequacy of financial resources Compliance with legal and ethical norms Hiring and evaluating the Executive Director Accordia Global Health Foundation Technical & Advisory Catalyst funding and relationships Planning & resourcing Program launch and oversight

23. tICWA Director Knowledge Hub Head of Department Librarian Assistant Biostatistician Data Manager Health Economist Epidemiologist M&E specialist IT specialist Innovation Lab Head of Research Senior Manager for Population Access Program Manager Grants Manager Faculty & Fellows from Signature Project 1 Faculty & fellows from Signature Project 2 Faculty & fellows from Signature Project 3 Global Classroom Head of Department Curriculum Development Specialist Training Coordinator CFO HR Assistant tICWA ORGANIZATIONAL CHART INITIAL PLAN CALLS FOR A CORE STAFF OF 20

24. OTHER CONSENSUS ITEMS  Initial government agency = Ministry of Health  Wholly owned by UNIMA  Initially situated within College of Medicine, with plans to “spin off” within 3 years  Semi-autonomous, with independent board of directors  Active, formal collaboration with LUANAR, MZUZU, MOH and other ministries

25. Phased Approach to Scale THE PROCESS

26.  Situational Assessment  Stakeholder outreach  Business Planning  Pilot Programs PHASE I: PLANNING

27. PHASE II: START UP PARALLEL ADVANCES ALONG THREE MAJOR TRACKS GOVERNANCE & ADMINISTRATION CORE PROGRAMS RESOURCE DEVELOPMENT 2014/ 2015 Steering Committee MOU’s Academic Alliance Temporary office Interim Coordinator Research Assistant Professor in Residence Launch Knowledge Hub Research concept design Program linkages Awareness campaign Initial donor outreach Catalyst funding Research proposals 2015 Legal set-up Executive Committee / Board of Directors Executive Director Temporary office expansion Ministry Advisory Panel Mentorship Program Core resources for Knowledge Hub / Innovation Lab Launch first major research program Global Classroom Core funding for start-up phases Program expansion funds Campaign: “Launch” funds for infrastructure

28. PHASE III: GROWTH & EXPANSION PARALLEL ADVANCES ALONG THREE MAJOR TRACKS GOVERNANCE & ADMINISTRATION CORE PROGRAMS RESOURCE DEVELOPMENT 2016 Board Expansion Facility construction Full administrative systems Faculty appointments Program expansion Launch 2 additional major research programs Ongoing fundraising for core expenses Completion of capital campaign 2017 Establish as independent institute within UNIMA Permanent site Program expansion Demographic Surveillance Site Signature birth cohort / longitudinal study