AMREF Healthcare Strategic Thinking Case Study

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timer Asked: Feb 7th, 2019
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Question Description

In this assignment, you will review the case study on AMREF found in Chapter 4 of your textbook, the first case study in the section “Involving Communities in Their Health.”

In approximately two pages, your paper should address the following:

  1. What elements of broad strategic thinking do you see demonstrated?
  2. What aspects of social development are addressed?
  3. What evidence of healthy public policy do you see?
  4. Do you see evidence of systems development for health or social policy and related programming?
  5. What information stood out most to you from this case study that you might be able to apply in your local community?

Instructions:

  • Write a 2- to 3-page paper of about 1,500 words, not including the title and reference pages, which are required.
  • The paper must be formatted correctly using APA style. Remember, all research material used in your paper must be paraphrased and include an in-text citation.
  • Your paper must be properly cited and formatted according to APA 6th.
  • Be sure you utilize your text appropriately as a reference and cite at least one other credible external reference such as a website or journal article to support your proposed resolution of the case.

Unformatted Attachment Preview

92 Global Public Health The Work of AMREF with the Masaai: Our first story is of the African Medical and Research Foundation (AMREF): in 1957, three men of vision launched the Flying Doctor Service in Kenya. From this emerged the African Medical and Research Foundation, Africa’s largest indigenous health NGO. While their first two decades focused on service delivery, AMREF came to realize that episodic clinical visits were neither effective nor efficient, and that community-based approaches were vital. AMREF’s Mission today reflects this recognition: “ . . . In creating vibrant networks of informed communities that work with empowered health workers in stronger health systems, we aim to ensure every African has access to the good health which is theirs by right” 32 AMREF evolved from those beginnings to become a health systems development agency for many countries. Its operations reflect disease burdens at the grassroots: malaria, HIV, school health, water, sanitation and hygiene. Its success in promoting primary health care builds on partnerships. It finds ways to improve people’s health by examining the determinants: environment, culture, economics, micro-financing, politics, leadership and other ingredients. Supported by operational research, many AMREF initiatives become health systems models for Africa, influencing policies and practices across the continent. AMREF is committed to evidence-based community health: an example for the world. Moving from its origins to an example of AMREF in action: Kenya’s plains offer little water and swarms of flies, and trachoma persists among the Masaai. In traditional culture, each wife shares a one-room home with her children and newborn animals, preparing meals on a contaminated floor. To tackle this leading infectious cause of blindness, AMREF applies WHO’s “SAFE” protocol: Surgery to treat end-stage disease, Antibiotics to reduce the reservoir of infection, Facial cleanliness and Environmental improvements, for example: “leaky tin technology” (a tin-can with a hole plugged by a thorn allows clean water to remain uncontaminated and used sparingly) to reduce transmission. A recent report on AMREF’s work in the Rift Valley reveals that the SAFE protocol reduced active disease within 3 years in children from 47% to 16.0%, while potentially blinding trachoma declined 4.5% to 1.7%. The proportion of faces with many flies fell over 4 years from 48% to 6%.33 The strategy is sustainable and has advanced eye care policy globally, boding well for WHO’s goal of elimination by 2020 (GET 2020).34 AKU’s Approach to Community Health Development in Pakistan: Turning now to the Aga Khan University’s community health field sites in Pakistan, AKU’s mandate emphasizes “training . . . young people for leadership in addressing the health problems of the people . . . (and) . . . development of prototypes of health services that are effective and affordable.” Beyond improving local conditions and outcomes in urban and 02/07/2019 - RS0000000000000000000001607362 (Joe Bohrer) Global Public Health Community Foundations of Public Health 93 rural settings, these initiatives have contributed to health systems developments that resonate nation-wide.35 For example, during an initial 10-year period, AKU’s urban health interventions in Karachi’s squatter settlements more than halved infant and maternal mortality, as recognized in a “Commonwealth Award of Excellence . . . in Women’s Health.” Other institutions followed suit, shifting Pakistan’s earlier model of institution-based education toward one more integrated with primary health care. This model of community health development, using locally-recruited health workers and basic health information systems augmented by surveys to assess health status and intervention impacts, contributed to the Family Health Program in Sindh province, provincial and national School Nutrition Programs, and Pakistan’s Lady Health Workers program.36, 37 AKU’s community health model recognizes social development as the core determinant of health outcomes and commits to evidence in designing and evaluating interventions. Specific interventions include: iron supplementation in pregnancy, access to emergency obstetric care, water quality technologies, hygiene education and contraceptive choices. Participation lies at the heart of governance and delivery of services in all sites, achieved through community health management teams comprised of active and influential members e.g., teachers, entrepreneurs, religious leaders, volunteers. A critical emphasis is to promote the role of women in leadership and decision making. The benefits are mutual: field sites help communities organize to address their needs, while the communities help AKU to strengthen its teaching and research.38 Being part of the Aga Khan Development Network, AKU achieves a multiplier effect through translation and dissemination of its experience throughout South Asia and East Africa. As an example, stimulated by an enlightened government policy requiring resource companies to contribute up to 5% of their profits toward local development, a Rural Community Development Project was launched in 1996 as a collaborative venture between Lasmo Oil Company and AKU. A baseline assessment was carried out by AKU in Jangara, a poverty afflicted rural area: home deliveries comprised 92% of all births, infant mortality was 67/1000, and childhood immunization coverage (age7 Purchase answer to see full attachment

Tutor Answer

Doctor_Ralph
School: UIUC

Attached.

Running head: AMREF CASE STUDY

1

AMREF CASE STUDY
Student Name
Professor Name
Course Title
Date

2
AMREF CASE STUDY
AMREF Case Study
Elements of Broad Strategic Thinking
Various elements of broad strategic thinking have been applied in this particular case
study. One of the elements that have been applied is that of anticipation. The programs have
looked at issues affecting the community and develop ways of being involved in creating change.
The organization has also managed to inform and update the community concerning the
organization’s activities through the management and coordination of health communication
activities ("Chapter 4: Involving and Communicating With the Community | PHA Guidance
Manual", 2019). The community has been able to comprehend issues which are of importance
and involve the necessary stakeholders. Through this it has been able to address the community
needs through the use of combined expertise which is necessary for addressing the needs of the
community. Another key element of broad strategic thinking which has been applied in this case
study is that of challenge and the organization ha...

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Anonymous
Goes above and beyond expectations !

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