International Federations First Aid/Community Based First Aid 14th May 2007

Prepared by Grace Lo Senior Health Officer in First Aid - IFRC

First Aid/Community Based FA

A core activity for majority of the 185 NS members voluntary spirit, solidarity Long experience and capacity in FA training (including generating resources) International Federations FA policy (under revision) includes all types of FA/CBFA activities CBFA - humanitarian values (non discrimination) and RC/RC principles, disaster preparedness and response, develops capacity of volunteers/communities, public health priorities

community

training

commercial

First aid
Emergency response volunteers Health promotion

Federation is supporting NS in ALL types FA training (local needs) Community-based approach in FA FA services and community actions Quality with standards First-aiders, volunteers and communities

 NS can choose to carry out any types of the above training, community engagement and activities according to its strategic directions, capacity and not forgetting the mission of the

Red Cross/Red Crescent to improve

the lives of vulnerable people by mobilising the power of humanity

First Aid
Strategy 2010 Global Agenda Federation of the Future framework for
action

Global health & care strategy Global and operational alliance

A GLOBAL AGENDA of the Federation we believe

FA/CBFA can reduce the number of deaths, injuries and impact from disasters.

FA/CBFA can reduce the number of deaths, illnesses and impact from diseases and public health emergencies.
FA/CBFA can increase local community, civil society and Red Cross Red Crescent capacity to address the most urgent situations of vulnerability. FA/CBFA can promote respect for diversity and human dignity, and reduce intolerance, discrimination and social exclusion.

 FA/CBFA has the potential to support NS to achieve these goals FA/CBFA can be the route into strengthening foundation/traditional activities to develop our work with vulnerable communities

CBFA before now CBFA started in 1990s PHC and RC/RC outreach good approach Implemented by NS different description and different approaches Seen as in competition with traditional FA driven by Secretariat NS use tools (manuals), do training but lack capacity in supporting systems volunteers, community structures, M&E..not able to show results (often only number of people trained?) and impact

CBFA revitalisation project phase 1

Started in July 2005 (supported by the Finnish and Swedish RC) mapping of CBFA evaluation consultation with NS/health delegates/health advisors Completed in Jan 2006 CBFA evaluation report with recommendations CBFA framework and fact sheet in 4 official languages

CBFA framework in 4 official languages

Introduction Characteristics of approach/program Potential of CBFA Guiding principles Key stages of implementation Good practice Nepal, Eritrea

CBFA aims
To broaden the base of existing NS traditional first aid training by using an community based approach to include aspects of community health (such as prevention, health promotion and control of common diseases), disaster preparedness and response and the role and actions of volunteers and their branches.

First Aid Volunteers/ facilitators/ coaches

RC/RC principles volunteers + branches

Community survey
Field visit Direct observations Meetings with community leaders and stake holders Interviews Focus Group Data analysis

Common accidents and injuries

Disaster preparedness + response

Common public health issues

Vulnerable groups Community

Community Actions CBFA/FA Volunteers RC Branches

Government officials Community leaders Local community groups

Characteristics of CBFA
Community-based approach working with the communities Strengthening RC/RC volunteers and branches Broadening the scope - not training only Strong action links with DP/DR, public health priorities in ordinary and emergency times Impact and behavioural changes

Key lessons learnt in CBFA

About volunteers and their management About community actions action and result oriented About working with vulnerable groups (who/where/how) About needs and priorities identified by the vulnerable people About sustainability About developing trust and capacity with communities About learning and finding solutions for our own problems About long term involvement About working with other sectors and community partners to reduce risk factors and promote health

Continued CBFA is
Not only about another training Not only about information and skills sharing Not only accessible to the easy to reach populations Not only about FA as a vertical activity Not only about oneoff activities Not only for NS in developed countries Not of a lower quality Not competing with other FA

Dissemination and use of the framework

In different regional meetings including Europe FA education network meeting Briefing of delegates Briefing with ICRC (corporate dept) Guide and reference in evaluation and review Planning tool Marketing tool

Tools development - phase 2

Started in mid June 2006 Regional consultative workshops conducted in Asia Pacific and Africa regions NS, PNS Consultation with CBFA network in MENA Update/CH commission/health advisors/regional health/NS via electronic newsletters Technical consultation with colleagues in HC dpt/OD/Principles & Values/DP

The process to date

Draft of the CBFA in action volunteers manual

Draft of the CBFA in action facilitators manual Draft of the implementation guide Draft chapter on coaching (malaria toolbox) Draft of household tools - starting

 Some of the materials will be ready for field testing in July Although no workshops/trainings have been done so far, there has been a lot of interest and revitalised energy generated.

What are the added values of this new approach?

Learning by doing Commitment from all levels of NS It makes sense integrated approach We need volunteers coming from the communities We need to support our volunteers We need quality service and to see results Household visits concrete actions CBFA add values to other NS activities

What does it mean?

Impact and results M&E Community projects and activities to support volunteers Community participation Innovative ideas How and in what areas to work with other sectors DM, PHIE, PSS, risk reduction, others. Who is to do what roles and responsibilities Harmonised approach - same goal, same objectives, same indicators

Update NS and regions

MENA CBFA network and activities (needs to incorporate new approach), Yemen operational alliance Asia Pacific PMI would like to take part in piloting materials (funding for the next 3 years in Aceh); Laos shows some interest Myanmar learning review, interested to pilot materials Mongolia interested to pilot materials and the new approach DPRK ongoing CBFA programme

Continued.

Pakistan ICRC FA review FA strategy including CBFA to incorporate new approach Sri Lanka ? Field testing materials, ? integrate with community health framework Afghanistan ongoing CBFA program Nepal would like to pilot the new approach

Pacific region funding for next 3 years for CBFA programmes interest to pilot materials

Continued..
Europe First Aid learning with vulnerable groups taskforce and good practice guide Central Asia evaluation and ? Funding and ?support in CBFA programme Africa East Africa ? Kenya, Somalia, Rwanda, Burundi, Sudan Central Africa ? West Africa? Nigeria, using ARCHI tools Southern Africa mainly traditional first aid

Americas On going community based programmes

Phase 3 - Finalising tools and implementation

First 6 months of phase 3 Field test and finalise draft materials (over 6 months focus in 2 NS) July to end of 07 Orientation workshops national Regional and national facilitators workshops National volunteers learning workshops Finalise publications end of Jan 2008

Continued (after the initial 6 months) Pilot project and evaluation of CBFA programme in 2 NS over a full implementation cycle (2 to 3 years) - (
needs to be jointly supported with OD, volunteering and community development) starts in Jan/Feb 2008

Global CBFA/FA meeting strategic and implementation plan till 2010 April 2008 Review of CBFA revitalising project by mid 2008

Pilot project looking for answers

What impact have the volunteers and communities involved made in reducing vulnerability and increasing capacities? How are things done and happening differently what kind of changes? Has the NS changed? Human resource investment what is the return? What is left behind when the project is concluded? How about quality and coverage?

The Federation of the Future - we need to: Increase coverage scale up what we do Reach to the vulnerable reduce vulnerability Deliver good quality programs and service Measure output and impact Improve the way we work together as a Federation operational alliance

Volunteers make a difference

It is a challenging time but an exciting opportunity

Contact details grace.lo@ifrc.org 00 41 22 730 4351