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.

Cómo hacer frente al Zika: Una oportunidad para fortalecer los servicios de salud en Paraguay

Izquierda: El equipo de Mejora de la Calidad en el Hospital Regional de Ciudad del Este, departamento de Alto Paraná: la Dra. Esdilma Jara, la Dra. Liza Morel, el Dr. Juan Ángel Silva, el Dr. Carlos Gómez y la Dra. María Luisa Melgarejo,...

Addressing Zika: an opportunity to strengthen health services in Paraguay

Left:The QI team at the Regional Hospital in Ciudad del Este, Alto Parana region: DR. Esdilma Jara, Dr. Liza Morel, Dr. Juan Angel Silva, Dr. Carlos Gomez and Dr Maria Luisa Melgarejo, with the ASSIST project technical facilitator Dr...

Ensuring the Follow-up of Children Affected by Zika in Health Region I, Dominican Republic

The follow-up of children affected by Congenital Zika Syndrome and Microcephaly is one of the most important aspects in the evolution of these children. The USAID ASSIST Project has provided technical assistance to the personnel (Doctors,...

En Nicaragua, el seguimiento de los niños expuestos al Zika es una realidad sostenible

Delegados del SILAIS Nueva Segovia en una sesión de trabajo bimestral evaluando las historias clínicas de niños con síndrome congénito del Zika El Ministerio de Salud implementó las primeras medidas para la detección, provisión de atención...

In Nicaragua, Following up with Children Exposed to Zika ia a Sustainable Reality

Delegates from SILAIS Nueva Segovia in a bi-monthly work session reviewing medical records of children with Congenital Syndrome Associated with Zika The Ministry of Health implemented the first actions for detection, care provision and...

Standardizing the process of Care to Reach Children in Difficult Places in Honduras

Mother demonstrates stimulation techniques that she learned at hospital due to the support of ASSIST, Honduras 19-year-old Jane didn’t think that there was anything different about her baby right away, but immediately she noticed that he...

Cómo estandarizar el proceso de atención para que llegue a los niños en lugares difíciles en Honduras

Una madre demuestra las técnicas de estimulación que aprendió en el hospital gracias al apoyo de ASSIST, Honduras Jane, de 19 años, no pensó de inmediato que su bebé tenía algo diferente, pero se dio cuenta inmediatamente de que no lloraba...

Superando la brecha de la evaluación y tratamiento oftalmológico en los niños con microcefalia y síndrome congénito por Zika

Izquierda: DM y su mama llegando a FUDEM. Derecha: DM con sus lentes proporcionados con apoyo del Proyecto ASSIST-Zika/FUDEM Garantizar el abordaje multidisciplinario de los niños y niñas con microcefalia y Síndrome congénito por Zika (...

Overcoming the gap in Ophthalmological Evaluation and Treatment in Children with Microcephaly and Congenital Zika Syndrome

Left: DM and his mother arriving at FUDEM. Right: DM with his glasses, provided with support from the ASSIST-Zika Project/FUDEM Ensuring the multidisciplinary approach of children with microcephaly and Congenital Zika Syndrome (CSaZ) can...

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