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.

Effectively Linking Communities and Facilities in Assam, India

Problem: The state of Assam is located in the northeastern corner of India and has a population of 31 million people, of which 87% reside in rural areas. This state is home to countless vulnerable children, many of whom are born with...

Retaining doctors in deep rural areas in South Africa through “marriage counsellors” who work to negotiate the relationships between management and doctors.

Problem: Retention of doctors in rural areas is a global issue most frequently linked to the professional and personal isolation that results in the majority of qualifying medical professionals to migrate to urban healthcare facilities...

Applying an Improvement Process to a Difficult Long-Term Problem of Gas Cylinder Supply Yields Positive Results for the Masaka District, Uganda

Problem: The Masaka District Health Office is the government administrative office which oversees health service delivery in the Masaka District. In addition to management of other health programs, this District Office is responsible for...

INTEGRATING ACSM INTO COMMUNITY SYSTEMS TO ACHIEVE EARLY TB DETECTION AND STIGMA REDUCTION

Problem: Delay in diagnosis of TB and commencement of treatment is common in the remote rural villages/communities in Edda clan, Afikpo Local Government Area of Ebonyi State Nigeria (with a population of 170,000 people). Like in most TB...

Breaking barriers to access to Family planning in Northern Nigeria

Problem: In 2007, we started implementation of a package of health interventions in a cluster of villages with a total population of 22,000, in a project called Pampaida Millennium Villages Project. The aim of these interventions is to...

A Quality Improvement Approach Assists Health Systems to Develop Problem Solving Skills Focused on Routine Immunization: The ARISE-SI Project, Masaka, Uganda

Problem: African regions with relatively high (80%) routine iimmunization (RI) rates often have difficulties in sustaining these rates and reaching the WHO-recommended 90% rate or higher for herd immunity. It is especially difficult for...

HEALTH PROMOTING SCHOOLS, AN ENTRY POINT TO HEALTH PROMOTION IN COMMUNITIES.

Problem: Brighter smiles Africa was established collaboratively by Department of dentistry-Makerere University and University of British Columbia, using "health promoting schools" as an entry point to health promotion in communities. Four...

Pages