Table 1 Summary of illustrative cases

Bangladesh

CARE

Learning for leverage

CARE was able to demonstrate an increase in service utilization and a decline in maternal mortality by establishing community support groups to identify and track all pregnant women. The Bangladesh government adopted this community health service delivery model at the national level.

Haiti

Haitian Health Foundation

Learning for leverage

HHF provided evidence for the effectiveness of community-based treatment of childhood pneumonia, which was used to inform treatment protocols developed by the Ministry of Population and Public Health, as well as train organizations in the treatment on pneumonia.

Nepal

Helen Keller International

Thought leadership

HKI promoted a nutrition-friendly agricultural strategy (Action Against Malnutrition through Agriculture) to reduce malnutrition in women and young children by bringing together stakeholders from multiple sectors to make collaborative plans at the national and local levels.

Peru

Future Generations

Thought leadership

Future Generations helped incorporate the community in co-management of primary health care services through Local Health Administration Communities (or CLAS). This model was incorporated into national health policy and observational training centers were developed to scale-up the strategy to other areas.

Rwanda

Consortium led by Concern Worldwide

Joint venturing

Building on the results of a home-based management of malaria pilot program by adding pneumonia and diarrhea treatment, this consortium of three NGOs was able to roll-out integrated community case management for all three diseases in six districts by 2008 and made significant contributions towards national scale-up by 2010.

Senegal

Consortium led by ChildFund International

Joint venturing

Over the past 15 years this consortium of six NGOs revitalized the “health huts” initiative and helped it grow into a national program designed to reach rural and urban communities by working in synergy across geographic areas to increase service coverage and improve standards.