Community Health

Community Health System

As the complex needs of people facing the double burden of health issues and socio-economic difficulties are increasingly identified and addressed, the importance of community-level health and social services is magnified. Improvement methods can be applied at the community level to address the quality and coverage of health and social welfare services, strengthen linkages between the community and the health system, and enhance the capacity of existing groups and networks to affect health issues in their own communities. 

A particular area of focus for improvement in community health is to strengthen the effectiveness and sustainability of programs that rely on community health workers (CHWs). Due to large catchment areas and numbers of households they are expected to cover, CHWs are frequently inadequate to provide services to all households needing them.  Although CHWs are usually linked to facilities, facility health care teams often do not have the time or capacity to address the challenges facing CHWs. Leveraging existing networks and indigenous structures to work together to improve the health of community members can improve CHWs’ acceptance, morale, and performance.

Improving Care for Orphans and Vulnerable Children and Families: Experiences from implementation in Kenya

This is a compilation of products created with support from the USAID Applying Science to Strengthen and Improve Systems project (ASSIST) in Kenya based on the experience of applying quality improvement methods to improve quality of services for orphans and vulnerable children. This project was implemented between 2013 to September 2017.

Improving identification of new HIV positive children and adults: the role of community structures

The USAID Applying Science to Strengthen and Improve Systems project (ASSIST), in collaboration with orphans and vulnerable children (OVC) implementing partner, Uganda Private Health Support Program (UPHS), set out to improve case finding of HIV-infected children and their caregivers using a quality improvement (QI) approach in the central region of Uganda. Stigma and discrimination associated with HIV positive results are known challenges to accessing HIV counseling and testing services (UNAIDS 2015).

What are we learning about the process of implementing community client led HIV care?

Harriet Komujuni

Quality Improvement Officer, Uganda, USAID ASSIST Project/URC

In Uganda, health facilities have traditionally been responsible for distributing antiretroviral medications (ARVs) to HIV-positive clients; however, the health facilities are often crowded, which can lead to delays in service and discourage clients from adhering to their lifesaving antiretroviral treatment (ART). To reduce congestion within health facilities and better distribute essential medications to those in need, the new ART policy guidelines recommend a differentiated care approach to HIV care and treatment.

Improving Maternal and Newborn Care in Northern Uganda Change Package

A synthesis of the most robust, high-impact and evidence-based changes that resulted in facility and community-level improvements in the processes and systems of providing maternal and newborn care services

It takes a village: Partnerships to strengthen the system of regulation of health professions in Cambodia

Alyson Smith

Senior Advisor for Health Professions Regulation, USAID ASSIST Project

Silvia Holschneider

Senior Improvement Advisor for Reporting and Deliverables, USAID ASSIST Project

April 2 - 8, 2017 marks World Health Worker Week. We're honoring health workers in this blog series. Today's theme is "Partnerships."  

In Cambodia, each health profession is regulated by their respective independent Council—the Medical Council of Cambodia, the Dental Council of Cambodia, the Cambodian Midwives Council, the Cambodian Council of Nurses, and the Pharmacy Council of Cambodia. Since 2000, these councils have played an important quality and safety role through registration of qualified health professionals, making sure that they maintain registration, establish the codes and standards of professional practice and investigate complaints about matters relating to a health professional’s health, performance or professional conduct.

Empowering women health care workers through quality improvement

Taroub Faramand

Founder and President, WI-HER, LLC

(Staff at an ASSIST-supported health facility. Photo by Taroub Faramand, WI-HER, LLC)

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