Community-Facility Linkages

Strengthening Community Health Systems to Improve Health Care at the Community Level

Communities play a key role in the continuum of care as they can increase access to care by spreading health promotion messages, contributing to case identification, referring to facilities, and following up patients. Much of a patient’s...

Empowering community groups to support access and retention in HIV care in Muheza, Tanzania

In early 2014, ASSIST, with support from PEPFAR, began the Community Linkages activity in five villages of Muheza District of Tanga Region in Tanzania, building on existing work at the facility level to increase retention in the HIV...

Using adapted quality-improvement approaches to strengthen community-based health systems and improve care in high HIV-burden sub-Saharan African countries

Community-based interventions are essential to achieving long-term retention in HIV care. This article in the July 2015 Volume 29 Supplement 2 edition of the Journal of the International AIDS Society presents four case studies of community...

Supporting close-to-community providers through a community health system approach: case examples from Ethiopia and Tanzania

This Case Study, published in Human Resources for Health (2015) 13:12, describes how the Community Health System Strengthening model, developed with support from PEPFAR as a strategy to improve community health worker performance, was...

A health worker's perspective on improving PMTCT services through a community-based system in Mozambique

Percina Paulo Mathe

Maternal and Child Health Nurse, Licilo Health Post/Mozambique

The following blog is written by Percina Paulo Mathe, a health worker in Mozambique,and was originally published in January. ASSIST is highlighting Percina's story as as part of World Health Worker Week (April 6-10). The original Portuguese entry is below the English translation.

My name is Percina Paulo Mathe, I’m a 32-year-old maternal and child health nurse in Licilo in Gaza Province, Mozambique.

After my training on PMTCT, I found it was hard to apply it in my community because there were many barriers to the community approach. For example, often all the information about a patient stayed within the hospital without being passed on to those in their own community or neighborhood who could support the patient. Language was also a barrier; sometimes topics were not explained in the hospital in the same terms as in the community, whereas using a common language would increase what is truly understood by the patient and the community, taking into account the rumors that exist in the community.  For me such incomplete communication was like trying to fight a poisonous tree by just cutting off some branches; leaving the trunk and the roots means that when the rain comes, the tree will just grow back.

Ensuring an Effective Continuum of Response and Cascade of Care for Persons Living with HIV in Uganda

The Continuum of Response (COR) approach seeks to provide clients and their families with the essential prevention, care/support, and treatment services to reduce HIV transmission and disease progression and to maximize health outcomes...

Improving Linkages between Health Facilities and Communities in Muheza, Tanzania

In the Muheza District of Tanzania, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project applied the Community Health System Strengthening model to improve linkages between health facilities and communities in...

Improving Community Support for Health Extension Workers in Ethiopia

This technical report describes the implementation and results of an improvement collaborative implemented by the USAID Health Care Improvement Project (HCI) in Ethiopia to strengthen the performance of community health workers known as...

Online Course: Childbirth: A Global Perspective

Emory University Event

Emory University is offering a free Coursera course from October 1 through November 19, 2014 on maternal and newborn health in the developing world.   The online course, “Childbirth: A Global Perspective,” is taught by Dr. Lynn Sibley, who was the Principal Investigator on the MaNHEP project, a four-year partnership begun in 2010 to demonstrate a community-oriented model that applied improvement methods to strengthen the delivery of maternal and newborn health care in rural Ethiopia. As detailed further below, Dr. Sibley will discuss applying improvement methods at the community level in Week 5 and present the MaNHEP case in Week 6.

To register, click here.