Tly hearing on science, space and Technology Committee with gina mccarthy. And faithbased organizations and delivering care to countries with hiv aids. This first group looked at a report on Global Health conducted by the lancet. This is an hour. Good morning. Sorry for the few minutes delay getting started. Im the Deputy Director of the Global Health policy here at csi s. It is my pleasure to welcome you for what promises to be a new series on faithbased health care. Before we get started, thanks to anita smith. I want to say thank you to katie on my team, instrumental in pulling everything together this morning. Faith is a powerful force in the lives of individuals is and communities throughout the world. Faithbased organizations are an important provider of health care globalry and resource for Health Services and support, particularly at the Community Level and hard to reach populations in some of the poorest places in the world. As rick Warren Church noted there may not be a church in every town village but there is usually a church, mosque or other place of worship. It can be critical to meeting Global Health and development goals. We have explored issues through ava right of issues including active collaboration around the aids. As well as controversies in places like uganda where discrimination against the lgbt endanger People Living in hiv. Moving forward it will be critical to find ways to engage productively on these sensitive issues. It is essential to better understand roles and contributions of faith based providers and improve coordination between faith and health communities. We will hear more from our panelists today. Thank you and good morning. On behalf of the authors im delighted to introduce this session from the lancet on faithbased health care. This is made possible by capital for good. In addition to the book lets you have received, Additional Information is Available Online for free and full contents will be published in the weekly edition of the lancet next month. Faithbased organizations deliver substantial amount of health care around the world. How much and what benefit has not been well documented. In in which collaboration with different sectors will be crucial, this series sets out to estimate the contribution for faithbased organizations for health care. Particularly strengths and weaknesses of faithbased actions and how their expertise might be best recruited in the future. The three panelists were each lead authors from one of the reviews in the series. Going from your left to right jill olivia has worked with the world bank is is coordinator at the university of cape town, director of the International Health assets program. Jill combines these skills as the lead author of paper one. Andrew tomkins is emeritus professor of International Child health at University College london. He combines a career with extensive experience in the field to present a review about the influence of religious beliefs on behavior in the second paper controversies in faith and health. The final review toward stronger partnerships between Public Sector and faith groups for improved health was not intended as such but rather planned as a brief viewpoint. However, peer reviewers were so enthusiastic that they were asked to put the monday script in a fulllength review. Head of the partnership for faith and development and coordinator of the joint learning initiative on faith and local communities. And at your far ride nina smith will moderate todays session. Past cochair on hiv aids. Ladies and gentlemen, the panel. [ applause ]. Thank you sop for hosting this important event and to bill for the introduction. I wanted to ask one question. Probably would need to get back to the microphone. But this entire series would not be possible without all your support. And i just wanted to hear from you as we start this discussion what your goals are in terms of how you want to see the material thats being used and how you would like to see what you are supporting through this effort. Thank you. The founding of the lancet set out with two purposes. To inform and to reform. So the name lancet means both a surgical instrument and narrow window. He wanted to cut out bad practice and shine light on good practice. And i think that still collects the way we approach topics. And health is such a vast part of our lives with so many different interfaces that this is a large area of health which received disproportionate attention over the years. Its a very sensitive area. And i think that may have made it difficult for groups to explore others in the past. And i think its also a very vast area with evidence based. So its difficult to make firm conclusions in the way one might do for other expects of health care. So with this issue what we want to do, however imperfect, is so set down a marker and to say this is an important topic. Its going to actually be more important in the future. And if we are to achieve the Sustainable Development goals, we need the help of all potential actors. What im hoping is this initiates a dialogue which is then taken up by other science, sociology Health Journals that we move the influence of faithbased provision of health care from the margins of the debate and make it mainstream. So my metric of success would be for people to write in three four five yearss time this was great but it is so terribly out of date, this issue. I would like to see things move on. And as they do move on i hope that the lancet can be part of that. Thank you so much for that perspective. Which gives us a perfect foundation. I do have a few slides. This paper im presenting on behalf of my coauthors. If you are not familiar with the area it is a very diverse area with major evidence holes. I didnt say gaps. They are big black holes. We simply do not know how many faithbased Provider Services they are. Faith and individual health behaviors. So what this is thought to do is provide a synthesis based on a systemic review. A synthesis of primary search in which there was some substantial evidence that could be on afternoon faithbased Health Service providers. Theres been a lot of these quotes that have been around the last 20 years. We dont know the numbers. We dont know whats going on. These have been around a long time. We do know a little bit more now in the recent time. So what this paper is focusing on is specifically on that cluster of countries in africa where there is a particular presence of faithbased biomedical providers. Were not looking at faith healing. Were not looking at ava right of other important issues. This is really looking at the hospitals in those regions. Evidence based is biased towards africa, towards christianity, and towards english literature. Im saying that now. We did not know about islamic facilities and other facilities. We did not know about northern africa. This is a very common slide. Selfdeclare on the percentage of Health Service providers against the Public Service provider. So, for example, only count number of hospital beds or number of facilities and compare the faithbased christian Health Services against the government facilities. These figures are highly contentious. What the paper tries to impact is the numbers are very contentious contentious. There is a need to move away from this focus on the percentages of market share. The argument is basing your entire idea on whether or not they provide 20 or 25 or 30 of the Health Services is actually less important than the issues such as do they provide Quality Health care. Do they emphasize Health Coverage to people who dont otherwise get access. Do they provide a different kind of care that supports the season and make more resilient. So really the argument is moving away from those kind of figures of market share and looking at things such as utilization, satisfaction. We are trying to pull on what data there is on these other expects we consider to be more important. Ill just touch on a couple of issues. We presented some data looking at utilization, which did show slightly lower market share than we had originally assumed. However, it is comparing apples and oranges to the bid based comparison. Dont worry about that too much. We found quite a lot of evidence that in those countries a lot of patients were reporting on higher satisfaction levels. They were normally based on the idea they were getting a high quality of service in the faithbased service the public facilities. It is not just africa but it is normally in times of humane tear yann crisis. Im not going to go through this whole slide. But just to say, as i mentioned earlier, there is a push away from broad general raeugzs about service providers. I would encourage you strongly not to use the word just generically. So being specific in the evidence and the engagement is really important. And im going to stop there. Thank you very much. We will go ahead and have all the presentations and open for questions. We had a very interesting and challenging task at looking at controversies. As you can imagine from the title, we had a rich diversity of people to inquire and include in the team. And i think the key thing we wanted to emphasize in the paper was that there are many, many people who report faith in the world. In fact, it actually says more than 84 of the worlds population report having a faith. This slide shows some of the faith and methodology and looking at differents between faiths and sometimes differences within faiths. And that is a very important thing to do. The second slide i think just shows the importance of not being too simplistic in attributing anything to faith belief alone. This slide just emphasizes in the center talking about things like attitudes and beliefs and prejudices behavior choice of technologies. All the things that we think of every day. But it isnt just faith that actually influences. Sometimes its actually centuries and thousands of years of culture. Sometimes its social and economic aspects. Sometimes it is issues in relation to the laws in the country which may actually conflict with faith. Unfortunately sometimes believes and behaviors are by extremist ideological positions. When we looked at various component, we looked, as you will see in the paper a series of health damaging behaviors, which included childhood marriage. Opposition to immunization. Violence against women. And female genital mutilation. We looked at the way they had a viewpoint on this. And we looked how at notwithstanding considerable varieties, there was a lot of common gnat. There are a lot of ways in which groups groups have come together to work for the reduction of child marriage, for the increase in uptick of immunization, for the improvement of care for women, for the reduction of stigma and improvement in the provision and care in hiv aids. So this was some of the things we look at. This shows a little bit of a problem. What we found was within the fate Leadership Group there was often a limited awareness of what was going on in the world. We actually found there was a considerable problem in faith leaders remaining within their intellectual and theological faith equities. At the same time we found some working in Development Agencies were extremely unaware of what faith actually meant. And therefore there was a tendency particularly for those affected by intense is secular agendas to stay within their secular silos. And i do apologize to those who object to this. Because we saw remarkable opportunities of faith groups i probably used a word ive just been told not to. But faith groups working intensely with governments and local communities. And we provide within the paper some great examples of that. What are our recommendations . Well we would like to see that the Health Care Leaders become more faith active and the faith leaders become more health active. Im not suggesting all faith leaders join gyms or Health Leaders go to the mosque. But it is important that literacy and understanding are improved. Notwithstanding these issues, we do provide some evidence and quite a bit of Peer Reviewed evidence showing there is remarkable opportunity for faith to be integrated with a program. We can see there are opportunities for a program. So what do we seek to achieve from this paper . We would hope discussion, possibly disagreement. But we see quite likely to be an opportunity for groups to Work Together for the improvement of care. To move from compassionate, faith accepts active care especially for the hard to reach. And we do not believe the rules of Sustainable Development will be achieved, unless some of the issues that we raised in our paper are taken into action. Thank you. Good morning everyone. Thanks to csi s for helping to organize this session. Thank you bill and the lancet and my fellow authors and the working group of amazing people to bring this unprecedented series to launch at Sustainable Development held over the last several days at the world bank. Kay warren was key inspiration by her deep lived out personal experience of how religious and faithbased organizations transform stigma and save lives of People Living with hiv aids. We pick up where andrew left off. The partnership between Public Sector organizations, between governments and donors and faith groups in general. And what exists by way of partnership and what might scale up and strengthen partnerships. The time is now right in the context of developing trends and opportunities. To very substantially increase engagement with faithbased organizations. Policies and policymakers seems to be moving beyond the question of whether to engage how how to collaborate. They discussed their mutual approach to implementing a preferential option for the poor over our conference the last couple of day, a notion that was tagged in the paper themselves becoming more activists around these issues was underscored by the German Government, who have newly constituted focus within the Development Agency on this work. Next slide please. Great. Thank you. Now the next slide. On the faith side, the paper reviews how existing partnerships and mechanisms are expanding collaboration. We look at those in three groups. We look at large scale interventions, such as the significant donor to the global fund for aids tb and malaria. So very Interesting Partnership there between faith body and multilateral donor. The paper references the longstanding ongoing efforts of agency toss facility partnerships. Substantial private assets that the Faith Community brings. And a study of ngos which amounted to 16 million which was only 77 777 million. To a small chair. Next slide, please. The paper drills down on the case for partnership by looking at contributions to maternal and child deaths and impacts every woman, every child praeupling by unicef. It goes into breast feeding, immunization access to care that make a difference to those health outcomes. We offer ava right of case studies and examples from nigeria, sierra leone mozambique. Finally, the paper drills down on series of recommendations. They are clustered in five areas. Again, time doesnt commit us to go into them. But we offer them for your further krbgz. They include suggestion of new business models. Faith groups can strengthen themselves to b to be more effective in partnership mechanisms. It was interesting when this paper was conceived 18 months ago the conference that took place the last couple of days was not even intended. But to see how all the work embodied in the lancet paper was very much a grounding for the conference the last couple of days. These recommendations were evaluated very extensively. It looked to strengthen partnership between Public Sector and faithbased organizations. Thank you so much. This is just a taste of document that you have that you will definitely want to read if you arent already into it. Thank you all for your questions. Let me just is ask each of you a question. Wanted to clarify that the its hospitals you were looking at. Were you looking at clinics or just hospitals in how extensive was the data . It was looking at all health facilities. But, again, they are data holes all over the place. Most would show the Christian Health associations. They normally met a whole number of facilities. Okay. Obviously there is a lot of work to still be done to get beyond just the christian facilities. Is there work under way that youre aware of . There is work under way. A lot of health facilities. Faithbased facilities. Its not quite as clear ket. How many of those would be the partnership between government. It differs with the country. It was probably 20 or so big hospitals. Normally in areas where there is not a substantial presence of the public system yet. Okay. Great. Thank you. Andrew, what an interesting paper. And look at the controversies. How did you and your team go about deciding what you were going to look at and how did the teamWork Together to work with the outcomes in the paper . With fear trepidation, Energy Enthusiasm and an objectivity. Thats just off the top of my head. Basically as scientists we are basically looking at what is the evident. And we didnt have any particular axe to grind. And as for readers of the paper will see, there were representatives looking at all the major faiths in the issues. We came particularly from the perspective of what are the particular n