The highs and lows of leading a consortium: CBM led Building Health Systems – Promoting Eye Health for Children in East Africa
The SiB Promoting Eye Health for Children in East Africa programme has taken an innovative approach to the delivery of eye health for children in three countries in East Africa – Kenya, Uganda and Tanzania. It has bought together the expertise of NGOs and ministries, to harness these skills and help strengthen health systems and ultimately improve the quality of child eye care in East Africa. Many elements of the programme will be familiar to readers and include the provision of equipment and consumables, the training of key staff and the building of capacity of eye health facilities. But the programme also includes approaches that help bring together government and non-government facilities to ensure the maximum use of available resources and help to build stronger referral pathways for children.
The recent Child Eye Health Joint Consortium meeting in Nairobi in June 2014 captured some of the value and also the challenges of working in a consortia. Consortia partners were asked to share their thoughts on the strengths and challenges of consortia working. A greater number of positive comments than negative comments were recorded which in itself is a strong statement about the value of consortia working to the members.
The following comments from members are a selection that illustrates the added value that consortia working can bring:
“Working in a consortia brings a realisation of how much more can be achieved on each objective by harnessing the varied input from each member –it is awesome.”
“A consortium gives a rich pool of experience and resources to work with”
“The consortia approach allows for broader implementation coverage (geographic and fields of specialisation) and hence more people benefit in more ways.”
Members expressed that the consortia provided a real opportunity for sharing knowledge and experiences and is helping to bring greater synergy to child eye health messages in the region.
Of course we also face challenges as by its nature a consortia approach is a more complex way to work. As one participant said, “Consortia working push organisational borders and practices” and there was recognition that “achieving standardisation & harmonisation takes time”.
At CBM we are using every opportunity that leading this consortium brings to learn and grow. We are using these experiences both internally and externally for our own learning and to share with others as they start to lead consortia. The SiB funding is allowing us to grow our own expertise in consortia management, but most of all to take a lead role in scaling up and adding value to the delivery of quality eye health services for children across East Africa.