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.

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...

Improving Maternal and Newborn Health in Uganda by Combining Training, Quality Improvement, and Peer-to-Peer Learning

This short report describes the technical assistance that the USAID Health Care Improvement Project (HCI) is providing the Ministry of Health in Uganda to better the quality of maternal, newborn and child health by applying improvement...

Monitoring and Evaluation of Malaria in the Riverine communities of Bayelsa state of Nigeria

Problem: The Problem: Monitoring and Evaluation of Malaria in the Riverine communities of Bayelsa state of Nigeria National Malaria Control Programme on Global Fund Round 8 (GFR8), is responsible for implementing activities that are...

Improved TB case detection among rural underserved communities through participatory theatre approaches

Problem: There is need for increased advocacy for PMTCT, TB and HIV if national and global targets for TB and HIV control are to be attained. In Uganda TB and HIV contribute 60% of the disease burden in the population (Ministry of health...

Afghanistan| Balkh/Kunduz (Maternal, Newborn, and Child) MNC Community Demonstration Collaborative

Date improvement activities began: April, 2010 Aims/objectives: 1. Increase uptake, and quality of selected high-impact community antenatal, and post-partum services through a community-based QI approach. 2. Strengthen community to...

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