CORE Group, in collaboration with multiple partner and member organizations, has produced a range of state-of-the-art tools, curriculums and technical resources.

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A Framework for Integrating Childhood Tuberculosis into Community-based Health Care

The World Health Organization (WHO) estimates that approximately 500,000 children each year are diagnosed with tuberculosis (TB) and 64,000 HIV-negative children die annually due to TB. The true burden of childhood TB is unknown; children are often undiagnosed and therefore do not receive appropriate care. Childhood TB is often seen with other common childhood illnesses such as HIV/AIDS, pneumonia and ... Find out more »

A Practical Guide to Conducting a Barrier Analysis

A Practical Guide to Conducting a Barrier Analysis is a training curriculum that builds skills to plan and carry out a Barrier Analysis survey. The very practical, hands-on learning exercises help learners to answer the most common and frequently perplexing questions that arise during implementation. The use of the survey as a behavior change tool is made clear by first ... Find out more »

AFP Case Detection and Status of Surveillance in Pastoralist and Semi-pastoralist Communities of CORE Group Polio Project Implementation Districts (woredas) in Ethiopia

The main objective of this study was to assess AFP surveillance status and enhance better AFP case detection in CGPP implementation semi-pastoralist and pastoralist woredas (districts). pdf English Find out more »

Barrier Analysis Facilitator’s Guide

A Tool for Improving Behavior Change Communication in Child Survival and Community Development Program The Barrier Analysis tool is a rapid assessment tool used in community health and other community development project to better identify barriers to behavior change that (if adopted) would have a significant positive impact on the health, nutrition, or well-being of targeted groups (e.g., preschool children) ... Find out more »

Better Together: Linking Family Planning and Community Health for Health Equity and Impact

Family planning saves lives and promotes health and well being in a myriad of ways. It is cost effective, well understood and underutilized as a development strategy. Based on more than 125 references, the research presented in this paper provides compelling evidence that integration of family planning is a value-added strategy, saving lives, and spurring progress to prevent diseases, protect ... Find out more »

Bridging the humanitarian-development divide Background Paper for the World Humanitarian Summit side event “Making the SDGs work for Humanitarian Needs

This background paper focuses on achieving the Sustainable Development Goals (SDGs) in terms of humanitarian needs. The Sustainable Development Solutions  Network (SDSN) has twelve thematic networks that help work towards the  achievement of SDGs. A problem arises in the fact that the humanitarian caseload is constantly rising. It is stated that more people are displaced by conflict in the present ... Find out more »

Bringing humanitarian and development frameworks, financing and programmes closer together

This case study focuses on nutrition resilience and the humanitarian development nexus (HDN) in Somalia. Researchers carried out a series of interviews, field work, and meetings in Nairobi, Mogadishu, and the Dollow District, in order to analyze what opportunities are available in these areas to increase nutrition resilience through the strengthening of the humanitarian development nexus. For the purposes of ... Find out more »

Can we halt health workforce deterioration in failed states? Insights from Guinea-Bissau on the nature, persistence and evolution of its HRH crisis.

Guinea-Bissau is heavily impacted by poverty, political unrest, and state withdrawal, leading to a failing health workforce (HW). This study analyzes the human resources for health (HRH) in the country, focusing on how health workers react to the turmoil. Document analysis, focus group discussions, and interviews were utilized for this study. The study shows that the HRH issues stem from ... Find out more »

Care Groups: A Training Manual for Program Design and Implementation

This manual was developed as a training resource for designing, training, implementing and monitoring Care Group (CG) programs. It seeks to help CG approach implementers to clearly understand the structure of the CG approach, how to establish CGs, how to monitor the work of CGs and assess their impact, and how to maintain the quality of the approach through supportive ... Find out more »

Charting health system reconstruction in post-war Liberia: a comparison of rural vs. remote healthcare utilization

This paper works to better understand the recovery efforts of the health sector in Liberia, following a conflict. It focuses in on the changes in how health services are utilized in the five-year period after the conflict. Data from the Liberian Demographic and Health Survey (DHS) was used to find trends. The district of Konobo was of particular interest, giving ... Find out more »

Community Health Action for the Humanitarian-Development Nexus

In June 2018, CORE Group hosted its annual Global Health Practitioner  conference, this year, with a focus on the Humanitarian-Development Nexus. It gathered 284 participants, representing 103 different organizations and over 18 different countries. Dr. Paul Spiegel, MD, MPH, gave the keynote address, focusing on the need for action at the humanitarian development nexus, specifically around displaced people. The conference ... Find out more »

Community Health Committees and Health Facility Management Committees: Program Functionality Assessment Toolkit

While many Ministry of Health (MoH) community health strategies around the world include community health committees, the reality on the ground shows that these groups are often weak and poorly supported. Literature and field experience suggest that before the strength of individual groups can be considered, there are fundamental programmatic, structural and policy elements that must be in place in ... Find out more »

Community Health Workers during the Ebola Outbreak in Guinea, Liberia, and Sierra Leone

This study assesses the impact that community health workers (CHWs) had in West Africa during the recent ebola outbreak. In Guinea, Liberia, and Sierra Leona, interviews and focus groups were carried out with  national, local, and community stakeholders to gain an idea of the views towards the CHWs. In addition to this, quantitative data was collected through the analysis of ... Find out more »

Community-Based Tuberculosis Prevention and Care

Tuberculosis is both curable and preventable. The cost of diagnosis and the medicine to treat TB is free for patients in most countries. Yet despite this, women, men, children, and babies are still becoming ill and dying from TB every day. Amazing progress has been made by governments, health systems, the World Health Organization, the Stop TB Partnership, private sector ... Find out more »

Consortium Management and Leadership Training Facilitator’s Guide

More than ever, international development organizations see the consortium model as a viable framework for addressing the challenges associated with the implementation of complex programs at a significant scale. Yet, those of us with consortium experience understand that establishing a highly-functional consortium with multiple partner organizations is often easier said than done. The CAFÉ Standards from Catholic Relief Services and ... Find out more »

Designing for Behavior Change

This field-tested, six-day training package will enable private voluntary organizations (PVOs) and partners to replicate the BEHAVE workshops conducted with CORE Group members in multiple countries and regions around the globe. The manual consolidates handouts and facilitator materials with easy-to-use training guidelines. The “Designing for Behavior Change” workshop responds to community health managers’ and planners’ need for a practical behavioral ... Find out more »

Designing for Behavior Change: For Agriculture, Natural Resource Management, Health and Nutrition

This field-tested, six-day curriculum responds to community development program managers' and planners' need for a practical behavioral framework that strategically aids them in planning for maximum effectiveness. The DBC Framework was developed from the earlier BEHAVE Framework (developed by AED) by members of CORE Group's Social and Behavior Change (SBC) Working Group and the Food Security and Nutrition Network SBC ... Find out more »

Designing Participatory Meetings and Brownbags: A TOPS Quick Guide to Linking Development Practitioners

Designing Participatory Meetings and Brownbags is part of a series of quick guides produced by the Technical and Operational Performance Support (TOPS) Program to improve knowledge sharing and program learning by development practitioners. This quick guide provides suggestions and ideas for sessions that will be more conducive to learning, adoption, and action than the more traditional expert-led lecture in front ... Find out more »

Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers

This document is an in-depth review of issues and questions that should be considered when addressing key issues relevant for large-scale CHW programs. Rather than being an instructional manual, the Reference Guide is meant to provide a framework for those in leadership positions in-country as they consider how to develop, expand and strengthen their CHW program. It was developed in ... Find out more »

Ebola Care Group Module

This set of lesson plans to control Ebola Viral Disease is for use in Care Group projects. The plans are designed for use through Care Groups in countries that currently are using that model or that will be in the near future. These lesson plans should add to, not replace, informational materials available in Ebola-affected countries. The lessons and photos ... Find out more »

Effects of a community scorecard on improving the local health system in Eastern Democratic Republic of Congo: qualitative evidence using the most significant change technique

Over a decade of conflict in the Democratic Republic of Congo has weakened the nation's health system and decreased its ability to address the needs of its population. This study collected stories of change in the health system from a variety of committees and subsequently analyzed. One of the key changes found through this study was that increased transparency and ... Find out more »

Emergency Toolkit for Food Security and Nutrition Protection: Cholera Disease Preparedness Community Group Module

Through a TOPS Program Small Grant, CORE Group has developed a module to improve preparedness for and response of communities in countries at risk of a cholera epidemic. The module consists of four lesson plans with accompanying flipcharts, intended to be delivered through community health workers. The lessons target mothers and caregivers of children under age five, a group that ... Find out more »

Enhancing AFP Surveillances in Ethiopia Somali Region: Some Good Practices in the Implementation of BMGF Supported Project

From August 2015 to September 2016, CORE Group Ethiopia Secretariat and implementing partners implemented a project that aimed to enhance AFP surveillances in three woredas through Community Based Surveillance system. This good practices write up contains, among other issues, the problems that existed, the responses made, the results gained following the interventions as well as lessons learnt. pdf English Find out more »

Enhancing Nutrition and Food Security during the First 1,000 Days through Gender-sensitive Social and Behavior Change

This technical resource guide, along with the complemenary technical brief, is designed to build the capacity of development practitioners working in nutrition and food security to plan, implement, and evaluate gender-sensitive SBC programming in order to improve nutritional outcomes for pregnant and lactating women (PLW) and children under two. It does this by providing an overview, rationale, critical actions, best ... Find out more »

Essential Nutrition Actions and Essential Hygiene Actions Framework

Developed in 1997, the Essential Nutrition Actions (ENA) framework has been implemented in Africa, Asia and Latin America. It is a tool for advocacy, planning, training and delivery of an integrated package of interventions to reach the high coverage (>90%) needed to achieve public health impact. As such, partners are now promoting the framework to support the realization of Scaling ... Find out more »

Exploring the influence of the Global Fund and the GAVI Alliance on health systems in conflict-affected countries

This study aims to explore the influence of Global Health Initiatives (GHIs) on health systems in conflict-affected countries. It focuses on two leading GHIs, the Global Fund and the GAVI alliance. An analytical review of published literature was used in order to identify evidence on the role of these two GHIs. It was shown that GHIs increasingly invest in conflict-affected ... Find out more »

Health in fragile and post-conflict states: a review of current understanding and challenges ahead

This paper analyzes the impact that the political instability, economic volatility, infrastructural collapse, and human resource scarcity of fragile states have on their respective health systems. There is a particular focus on sexual and reproductive health in these fragile, post-conflict states. It is determined that fragile states usually carry a heavier burden of illness and disease, primarily amongst their vulnerable ... Find out more »

Health Systems Strengthening and Conflict Transformation in Fragile States

On October 11th, 2012, in Amsterdam, Medicus Mundi International members, and representatives from NGOs/Academic Institutions came together to discuss the strengthening of health systems. The main question was whether it was possible to strengthen health systems and address fragility at the same time. Eleven selected country case studies were discussed in three working groups. These studies showed that it was ... Find out more »

Helping Babies Breathe (HBB) Implementation Guide

pdf English ORGANIZATIONS CORE Group; USAID; USAID's Health Care Improvement Project; Save the Children, PATH, Maternal and Child Health Integrated Program (MCHIP); American Academy of Pediatrics; Laerdal; Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD0 YEAR PUBLISHED 2011 DESCRIPTION Helping Babies Breathe is designed to coordinate with other interventions in a package selected to improve neonatal ... Find out more »

How Social Capital in Community Systems Strengthens Health Systems: People, Structures, Processes

pdf English ORGANIZATIONS CORE Group; USAID; USAID's Maternal and Child Integrated Program (MCHP) YEAR PUBLISHED 2011 DESCRIPTION Communities play instrumental roles in improving health outcomes within the scope of national health systems. However, the role of the community in health system strengthening, as well as specific components of the community health sub-system itself have not been systematically documented. In this ... Find out more »

Humanitarian-development nexus: nutrition policy and programming in Kenya

This article is a case study carried out by the ENN during a recent field visit to Kenya, examining the experiences of the humanitarian development nexus (HDN) through a nutrition-specific and nutrition-sensitive lens. Kenya is close to meeting World Health Assembly nutrition targets, due to successful scale-ups of high impact nutrition interventions. There is a heavy focus on the management ... Find out more »

International Roundtable on Health Systems Strengthening in Fragile Settings

This piece summarizes the discussions of the International Roundtable on Health Systems Strengthening in Fragile Settings, held on February 12th, 2015 in Belgium. The objectives of this roundtable were to exchange past experiences of HSS interventions in fragile settings, to initiate mutual learning between a range of actors involved in health care delivery in challenging operational environments, and to how ... Find out more »

Knowledge, Practice, Coverage (KPC) Survey Training Curriculum

This training of survey trainers (TOST) curriculum is designed to prepare KPC TOST participants to replicate training activities to teach KPC field staff to carry out a KPC survey. CORE Group’s KPC Curriculum consists of a set of trainer’s guides and participant handouts and resources to teach trainers and field workers to carry out a KPC survey. Based on extensive ... Find out more »

Living through conflict and post-conflict: experiences of health workers in northern Uganda and lessons for people-centred health systems.

This study focuses on health workers who have lived through conflict in Uganda's four northern districts, Pader, Gulu, Amurur, and Kitgum. These districts were home to over 90% of the displaced individuals in Uganda's conflict. Interviews were conducted on health workers in these areas, in order to gain insight on their experiences during this time of conflict. The workers were ... Find out more »

Lot Quality Assurance Sampling (LQAS): Protocol for Parallel Sampling & Guidance FAQs

During the Child Survival Health Grants Program, Child Survival grantees were required to use the Rapid CATCH tool, which establishes a set of standard indicators to collect baseline and end of project data. This data is used to demonstrate the important contributions of the child survival portfolio to increase coverage and improve practices. In 2006, indicators for Rapid CATCH become ... Find out more »

Lot Quality Assurance Sampling Excel Spreadsheets

The LQAS Excel Spreadsheets are designed to provide all of the calculations needed to determine if each Supervision Area (SA) has met the Decision Rule (DR) for every indicator entered, as well as calculating the average coverage for the entire project area (all Supervision Areas combined). Simply list each indicator collected in the data entry tabs, and then enter the ... Find out more »

Make Me a Change Agent: A Multisectoral SBC Resource for Community Workers and Field Staff

These lessons seek to build the skills of community-level workers, such as community development agents, community health workers, and agriculture extension agents, so that they can be more effective behavior change promoters in their communities. The lessons are not sector specific, but are tried and true generic skills, such as communication and storytelling, that can help a development worker in ... Find out more »

Maternal Nutrition During Pregnancy and Lactation: Dietary Guide

This document provides health workers with information on how to counsel pregnant and lactating women on how to meet increased nutrient requirements through dietary and behavioral changes and other health practices. This document also helps programs develop appropriate protocols and counseling materials on maternal nutrition. pdf English Find out more »

MCSP Community Health Contributions Series

MCSP advocated for institutionalizing community health as part of national health systems, strengthening the capacity of community health workers (CHWs), and supporting community infrastructure in partnership with country governments and civil society organizations. These briefs comprise an eight-part series developed by MCSP to review and understand the processes of community engagement in MCSP-supported countries and identify how the community health ... Find out more »

mHealth Field Guide for Newborn Health

This guide that explains how mHealth serves newborn health through referral and tracking of mothers and infants, decision support for CHWs, CHW supervision, scheduling and tracking postpartum and postnatal visits, and teaching and counseling for mothers and families. Case studies are provided from Afghanistan, India, Malawi and Indonesia. Links to resources for planning, implementation and evaluation are included along with ... Find out more »

Monitoring and Evaluation of Evolving Social Accountability Efforts in Health – A Literature Synthesis

Social accountability interventions present various approaches that support citizens’ participation, direct or indirect, in dialogue with service providers and other officials with a goal of developing a collaborative relationship to improve quality of service provision. Despite recent attention on social accountability interventions, progress on updating or adapting how these interventions are monitored and evaluated has been slow. A better understanding ... Find out more »

Newborn Tracking for Polio birth dose vaccination in Pastoralist and Semi-pastoralist CORE Group Polio Project Implementation Districts (Woredas) in Ethiopia

The main objective of this study was to examine pregnancy and child delivery practices and identify mechanisms for improving polio birth dose coverage in CGPP implementation districts/woredas. pdf English Find out more »

Nutrition Program Design Assistant: A Tool for Program Planners, Version 2

The Nutrition Program Design Assistant is a tool to help organizations design the nutrition component of their community-based maternal and child health, food security, or other development program. The tool focuses on prevention and also provides guidance on recuperative approaches that are needed when there is a high prevalence of acute malnutrition. The tool has two components: (1) a reference ... Find out more »

Nutrition Reference Guide

There are many tools and resources available for designing, implementing, and evaluating nutrition programs. However, CORE Group Nutrition Working Group members did not have one place to go to when determining which nutrition-specific tools and approaches to use for programming and research. Consequently, members expressed an interest in developing a reference guide of nutrition-specific tools and approaches, information on how ... Find out more »

Pandemic Influenza Community Planning and Response Curriculum

ORGANIZATIONS International Federation of Red Cross and Red Crescent Societies (IFRC); CORE Group; AI.COMM; InterAction; World Health Organization; Pandemic Influenza Contingency (PIC) Office for the Coordination of Humanitarian Affairs (OCHA). YEAR PUBLISHED 2009 DESCRIPTION The Humanitarian Pandemic Preparedness (H2P) Initiative and its many partners have developed ready-to-use training curricula for district- and community-level leaders, and community volunteers and workers in ... Find out more »

Participatory Facilitation Techniques Workshop Curriculum

This curriculum equips trainers to lead a short skill-building workshop to provide meeting facilitators with some new "tools" and techniques for facilitation. We encourage trainers to modify this workshop as necessary to fit your audience and your needs. This workshop is based on a session conducted for CORE Group in April 2015 to improve the ability of working group chairs ... Find out more »

Partnership-Define Quality (PDQ) Facilitation Guide & PDQ Monitoring and Evaluation Toolkit

ORGANIZATIONS CORE Group; USAID; Save the Children YEAR PUBLISHED 2010 DESCRIPTION The Partnership Defined Quality Monitoring and Evaluation Toolkit provides a set of tools including supervisory checklists, mapping tools and an exit interview to support the implementation of PDQ. These tools have been developed by various country-based programs to document changes in quality at the community level. They are provided ... Find out more »

Positive Deviance/Hearth Approach

Positive Deviance/Hearth is a successful home-based and neighborhood-based nutrition program for children who are at risk for malnutrition in developing countries. It has enabled hundreds of communities to reduce their levels of childhood malnutrition and to prevent malnutrition years after the program’s completion. The “positive deviance” approach is used to find uncommon, beneficial practices by mothers or caretakers of well-nourished ... Find out more »

Post-Conflict Health Reconstruction: New Foundations for U.S. Policy

This working paper addresses the following questions. What do we know about the impact of war on health and health systems? What have we learned about effective strategies to help states meet the health needs of their populations in the aftermath of conflict? What is the appropriate  foundation for a policy on post-conflict health recovery? If health reconstruction is to ... Find out more »

PVO – NGO Experiences With AIN-C in Honduras Participatory Study

ORGANIZATION CORE Group YEAR PUBLISHED 2003 DESCRIPTION AIN-C (Atención Integral de la Niñez en la Comunidad) is a preventive health program created in Honduras to prevent mild and moderate malnutrition through a focus on growth promotion. This study examines the positive aspects and implemenration challenges faced by NGOs using AIN-C strategies used in Honduras. The study presents recommendations based upon ... Find out more »

REALIZE: Social and Behavioral Change for Gender Equity and Diversity

The Technical and Operational Performance Support (TOPS) Program and CARE USA are pleased to offer this set of field-friendly activities entitled Realize: Social and Behavior Change for Gender Equity and Diversity (SBC for GED). The aim of these lessons is to build awareness, facilitate critical reflective dialogue, and explore potential action to improve gender equity and diversity among development staff ... Find out more »

ReBUILD Consortium, Health systems during and after crisis: evidence for better policy and practice (Brief 2)

This report focuses on how equitable health systems can be created. It defines health systems as "social institutions in which access and experiences are determined by a complex set of social factors and relations." Oftentimes, patterns of social exclusion manifest themselves in the healthcare systems of certain countries, making it hard for disadvantaged individuals to gain proper care. Thus, this ... Find out more »

ReBUILD Consortium, Health systems during and after crisis: evidence for better policy and practice (Brief 8)

This report focuses on developing health systems in crisis-affected settings. There has been large growth in field, accompanied by efforts to develop systems in the Global South. It is greatly important to develop the capacity of these countries to develop their health systems, as they are currently very weak. This piece touches upon information discussed at the ReBUILD Consortium, centering ... Find out more »

Round Table on Social Accountability Malawi, September 2018: Report and Suggestions Moving Forward

Since 2015, MCSP has worked closely with Malawi partners to advance social accountability documentation and research . UNICEF, with funding from the Gates Foundation, implemented the project ‘Social Accountability for Every Woman Every Child’ (SAcc EWEC) in Malawi from 2016 – 2018. The project worked to facilitate community and civil society organization platforms to carry out constructive engagement for social ... Find out more »

Social Accountability Resources and Tools


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Social Behavior Change for Family Planning

Many maternal and child health programs want to add family planning (counseling, referrals or even services) into their programs. One way to get started is through social and behavior change. That means learning about the community’s family planning knowledge, attitudes and practices, and then creating strategies based on what is learned. Many health program and government staff would like to ... Find out more »

Social Mobilization: Lessons from the CORE Group Polio Project in Angola, Ethiopia, and India

The CORE Group Polio Project (CGPP) and its partners in India, Angola, and Ethiopia have led successful social mobilization efforts to reach difficult-to-access populations critical for polio eradication. These include extremely poor rural and urban communities, ethnic and religious minorities who resist immunizing their children, and others such as newborns, pastoralists, migrants, and those in transit across national borders. Working ... Find out more »

Strengthening nutrition humanitarian action: Supporting humanitarian cluster/sector coordination transition

This article is a report on joints efforts in nutrition emergency coordination and nutrition development coordination over the last ten years. Both UNICEF and Global Nutrition Cluster Strengthening Nutrition Humanitarian Action Phase 2 synthesis review examined what is need to operationalize the transition of cluster structures into national coordination platforms. This review identifies working joint, government, humanitarian, and development understanding ... Find out more »

Supporting Communities of Practice: A TOPS Quick Guide to Linking Development Practitioners

This is the first in a series of quick guides produced by the Technical and Operational Performance Support (TOPS) Program to improve knowledge sharing and program learning by development practitioners. The guide focuses on identifying appropriate formats and approaches for presentations, group discussions and problem solving sessions that will maximize peer-to-peer learning and agenda-setting for the future. The quick guide ... Find out more »

Taking Care of a Baby at Home After Birth: What Families Need to Do

This flipbook, released in Nov. 2011, contains key messages that pregnant women and their families need in order to plan care of an infant at home right after birth. It focuses on essential actions families can take both to prevent newborn death and illness and to promote healthy newborn development. This material encourages use, whenever possible, of skilled birth attendants ... Find out more »

The Care Group Difference

The Care Group Difference guide, developed by World Relief, explores the evidence base for the Care Group model, offers criteria to assist project managers in determining the feasibility of using this approach within their own programs, and provides a step-by-step guide for starting and sustaining care groups. A care group is a group of 10 to 15 volunteer, community-based health ... Find out more »

The Mortality Assessment for Health Programs (MAP) System

This manual is a guide for non-governmental organizations carrying out child health programs to assess under-five mortality rates and evaluate programs using the CARE Group Model. By following this manual’s methodology to establish a Mortality Assessment for Health Programs (MAP) System, organizations can collect valid and precise information about vital events and detect statistically significant changes in under-five mortality rates ... Find out more »

The Role of Social Accountability in Improving Health Outcomes: Overview and Analysis of Selected International NGO Experiences to Advance the Field

The 1993 World Development Report (WDR), Investing in Health, deemed strengthening accountability as one of the core elements of health sector reform. Engaging communities and community-based workers in the process of measuring health status of children, in assessing causes of deaths, in defining highrisk groups, and in measuring changes in mortality over time will enable governments to achieve levels of ... Find out more »

Two Promising Social Accountability Approaches to Improve Health in Malawi


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