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.

Senegal| Community-Based Collaborative

Date improvement activities began: February, 2011 Aims/objectives: Apply IC model to improve evidence based child survival interventions care at community levels (Health Huts) in Senegal. Implementation package/interventions: The...

Improving CHW Program Functionality, Performance, and Engagement: Operations Research Results from Zambia

The United Nations Millennium Project identified the large-scale training and deployment of community health workers (CHWs) as an important strategy to fill the human resources gap and achieve the Millennium Development Goals (MDGs)...

The prevention, treatment and care for HIV/AIDS through the community participation.

Problem: Cultural norms around gender, sexually and substance abuse continue to inhibit HIV prevention,treatment and care in Africa.These norms are so ingrained in the fabric of community life that discussing them is often difficult. The...

Implementing alternative distribution points to rural communities in the Langeberg Sub-district | South Africa

Problem: The Langeberg area is a rural area consisting of five small towns servicing a vast farming community and is situated within the greater Cape Winelands District of the Western Cape of South Africa. The biggest town is Robertson, it...

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...

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