Egyptian Members Ass of the RCPCH

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Egyptian Members Ass of the RCPCH : Child Nutritional Counselors: Task shifting to safe & improve quality of life

Cairo, EgyptAlexandria- Mansoura, Egypt
Year Founded:
Organization type: 
nonprofit/ngo/citizen sector
Project Stage:
$500,000 - $1 million
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

Hint: This will be the first introductory text about this project that viewers will see.
What if, all new mothers found trained nutritional counselors to guide them throughout children's first two golden years, saving thousands of lives and improving quality and mentality of millions that survive

About Project

Problem: What problem is this project trying to address?

malnutrition during first two ys of life due to lack of skilled support for mothers caused by work overload for health professionals, lack of skills needed during perinatal period, early discharge from hospitals ( 6-24 hours), high Cesarean rate ( 35-85%), dominance of very busy unskilled private sector follow up (>65%), lack of experienced family &community members resulted from low EBF rate (13 % at 4 m) & poor complementary feeding practice

Solution: What is the proposed solution? Please be specific!

Nutritional Task shifting to Nutritional counselors who had education for at least 12 y. They are certified by 50 hrs training then exams. They are monitored, quality assured, and re-certified every 3yrs. They are institutionalized at antenatal care then attend delivery to secure Skin to skin care and immediate BF, follow mothers to postnatal to secure BF and KMC. They pay home visits if called.Mobile No stickers on mother card. They follow babies nutrition and growth at vaccination centers( coverage >95%) in PHC , counseling centers at NGOs and private sector where they are well received as added value to their image and reducing work load on doctors. They are connected by data base for monitoring&calculating performance indicators.
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

* At busy private facility, doctors refuse to transfer babies with nutritional problems to experts, believing that it affect their credibility with patients. NC being appointed in the facility, they counsel and involve mothers during the long wait in the waiting area,and so improve clinic image. *During first week, all babies has to go for OP Vaccine so NC meet and counsel parents of all of delivered babies even if born at unattended private sector. *NC at labor room encouraged mothers for skin to skin& immediate start of BF. *Many mothers after discharge needed support at home and NC visit them and solve their problems. NC at private sector and home were paid as second gain of the project, this reduced financial burden of salries

Impact: What is the impact of the work to date? Also describe the projected future impact for the coming years.

The project at still at its initial phase, Curricula approved and we trained 90 trainers in three governorates, and 90 front line NC. 2000 mothers were counseled and their problem were solved. NC are working at two private clinics , one hospital, two NGO premises. In the hospital, NC were the drive behind working to make the hospital Baby Friendly. They started mother support groups .Many success stories but still we can not workout improvement of performance indicators. After the great success and approval of NC work at MOH facilities last month, there will be great progress for global expansion and improvement of EBF rate. The role of the NC is approved by UNICEF and planned for funding for implementation at three governorates. We plan over coming two years for >90 coverage in 6 governorates so we can measure the impact on EBF rate, duration of BF, stunting and malnutrition.

Spread Strategies: Moving forward, what are the main strategies for scaling impact?

We will analyze the impact of the project in first 6 governorates, disseminate and discuss it with the authorities. Then will scale up to rest of the country by dividing it into 6 geographic areas ( each 3-4 Gov). Each governorate will be responsible to replicate ,train, expand and monitor indicators in near-by area over three years. The impact of NC on child nutritional status, the improved survival and reduced morbidity, all will support introduction of NC as new paid cadre in MOH, that will help with sustainability and expansion. Paid job creation for ladies(NC) is a project second gain.

Financial Sustainability Plan: What is this solution’s plan to ensure financial sustainability?

1- Funding by international organizations 2- Paid training by private sector followed by paid jobs 3- Funding by national NGO 4-The association runs self sponsored training courses in paediatrics and use the income to support the project 5-Businessmen in some governorates fund the implementation in their countries of origin 6- Business arm for the project as educational books, baby items, BF coffee 7- fundraising campaigns, competitions

Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?

Many national & international org. support nutrition through training of health workers as part of their job as ELCA, UNICEF, MOH. The training focus mainly on knowledge. We create a new cadre of a devoted person who is responsible ONLY for nutrition UNDER 2. Training focus on skills and competency. They are certified and re-certified every 3ys with high pass margin to maintain the quality. They are monitored by field visits & assessment of customer satisfaction.They are easily accessible by mobile network to encircle mother 24/7 during nutritional vulnerability. Sustainability is secured.

Founding Story

I worked as consultant in SMART project for community promotion of nutrition at 6 gov. Community activist were outstanding, they showed great interest teaching mothers, were creative in educational tools. Mothers were not convinced with KMC, found it as strange name, refused the idea of simulating animal and were afraid of hypothermia. Doctors and nurses were resistant as well. Community activist listened to mothers, analysed their fear and created " Warm Hug Care" nomenclature as mothers found the wording "warm and hug" more palatable and counteract mother' fear. "Doctors write formula, nurses have no time for us, they don't have skills needed"said mothers. Oh, NC ARE THE ANSWER" I said.


Advisory board: 5 members ( volunteers-part time) IBCLC-Paediatrician-IT and secretary. They set regulations, revise corricula and write exams, Training team: IBCLC - they train and monitor training IT in-charge of data base and training of trainers how to use it Fundraising : two persons ( one senior part time - paid job) one junior newly graduate doctor with interest in fundraising. Public Relarions: one person work hand in hand with fundraising team: Two young volunteers with training on communication and PR Media person: announce news, deliver media massages and communicate with media: he is an IBCLC with interest in media Two secretaries: Part time covering all activities and paper work and arrange meetings and exams Accountant: Part time for budget revision and financial issues Statistician: Responsible for analysis of data and conducting epidemiological research Future plan: full time team with payment for expansion of work all over the country. Officer for each governorate to follow work and development at this governorate Committee in each governorate to meet monthly and report for the advisory board
CO-CREATION IDEA: Please offer a brief description of how you imagine a win-win partnership with Boehringer Ingelheim to better serve unmet needs in health. (Hint: Please mention the underlying business model envisioned that would make such a partnership sustainable.)

Development of partnership to conduct research to diagnose nutritional deficiencies at Egyptian community and how to produce products to improve such deficiencies particularly during lactation period where drugs can be given to mothers to improve deficiencies in babies. Stunting is an area of great demand to know underlying causes and treatment. Relation of diabetes to breastfeeding and formula feeding is an area of research. Marketing of cheap healthy food for poor families during weaning. Impact of BF on immunity and how to use it to solve some HLA related diseases is important. Use of colostrum as a drug to help with GIT problems, NEC and Bowel infection. Effect of lymphocytes in BM for coding and genetic engeneering. BM banking

NEEDS: Based on you response above, please specify which of the following resources, operations or expertise by Boehringer Ingelheim you imagine leveraging to actualize the proposed co-creation opportunity. Please check all that apply. (Hint: while financing is often critical to scale, we are also interested in understanding what other assets or expertise could be leveraged).

Distribution Channels, Research and Development, Specific Disease Expertise, Manufacturing, Marketing/Communications Support, Human Resources, Legal Support, Technology Expertise, Public Policy Knowledge.

EXPLANATION OF NEEDS: Please explain your choices in more detail.

Research and development in underdeveloped countries is very primitive. Nutritional problems are huge and its burden is compromising lives and health. So we need the cooperation with BI for research which will come out with many industrial solutions and demands which BI can manufacture and invest in to improve health and save lives and reduce disabilities. This will demand allot of technology Expertise that still deficient is Egypt. Experts in specific diseases like stunting, diabetics, learning disability, obesity, undernutrition are extremely needed. Legal support with Int CBMS is vital.

OFFER: What are the main assets you may contribute in a co-creation partnership with Boehringer Ingelheim that would better serve unmet needs in health?

Deep understanding of an unmet need in a specific market/context, Access to and established trust with customers/beneficiaries, Insights into pricing and financing of health products/services, Insights into marketing, Insights into behavior change.

FOCUS AREAS: Which of the following best describes the main focus of your project? (select all that apply)

Improving the affordability of healthcare (e.g., microinsurance, reducing the economic cost of care), Holistic solutions that work across the entire care continuum (including education, prevention, detection, treatment, management, follow-up), Models that engage other industry players (e.g., nutrition, athletic, mobility organizations)., Packaging of health products and services to address needs currently unmet.

Please share what your organisation and Boehringer Ingelheim will Co-Create together
Please specify what your Co-Creation will result in:

If you selected "other" above, please explain:
Please provide a 1-2 sentence summary of your Co-Creation idea
How does this project link to the core mission of your organisation?
Beyond social impact, how does this project link to Boehringer Ingelheim’s core business?
What are the specific inputs and actions that each side will contribute to this Co-Creation idea based on each of your unique competencies and experiences?
Please describe the potential revenue model for this Co-Creation idea.
What possible risks or challenges do you foresee?
Is there anything else you would like to share about your Co-Creation idea?
How much input do you hope to receive from Boehringer Ingelheim?

If you selected "other" above, please explain:
Besides Boehringer Ingelheim, what other types of partners might be valuable to carrying out your Co-Creation idea, and why?