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.

Saving Mothers Giving Life: A Northern Uganda Photo Story

The Saving Mothers Giving Life (SMGL) project was a five year (2012-2017) private–public partnership (PPP) aimed at rapidly reducing maternal and newborn mortality in selected districts of Uganda, Zambia, and Nigeria. In Uganda, which has...

Working with peer mothers to improve retention of mother-baby pairs in care

Engagement of peer mothers to support retention of mother-baby pairs in care, as well as to support newly diagnosed HIV positive pregnant women to remain in care during antenatal care (ANC) is a relatively new concept in the Northern...

Guide to Using the Community Client Led ART Delivery Model in Uganda

Achieving the UNAIDS 90–90–90 targets calls for the adoption of innovative and efficient strategies for delivering HIV and prevention, care, and treatment services that address the needs of different sub-populations of clients under HIV...

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...

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...

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 Uganda’s maternal and newborn...

A guide to increasing TB screening amongst the fishing communities: The USAID ASSIST Project's experience from Northern Uganda

In a bid to improve tuberculosis (TB) case identification in northern Uganda, ASSIST has implemented several activities to actively screen for TB in selected populations. The innovation of TB screening of fishermen at landing sites was...

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