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.

The Involvement of Routine Dental Care in Prenatal Care as a Tool for Quality Counseling in the context of Zika in El Salvador

Dr. Lorena Arevalo, dentist UCSFI San Isidro, Cabanas sharing Zika prevention methods with patients during dental treatments UCSFI San Isidro is one of the Health Centers in the north of El Salvador that USAID's Project Applying Science to...

Going beyond formation of QI Teams: Evidence based intervention gains AGYW get when community QI teams are functional

The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project established a community-based QI model of addressing HIV risk among AGYW comprising of setting up and making functional community QI teams to: (1) build skills...

Doctora Danny Peña, un ejemplo de buenas prácticas en Tamizaje Neonatal

Dra. Danny Peña facilitando en la Jornada de Tamizaje Neonatal para microcefalia en el Servicio Regional de Salud V, San Pedro de Macorís, República Dominicana La doctora Danny Peña es Pediatra Perinatóloga en el Hospital Universitario...

Dr. Danny Peña, an example of good practices on Neonatal Screening

Dr. Danny Peña as facilitator during the Neonatal Screening for Microcephaly Workshop in Regional Health Service V, San Pedro de Macorís, Dominican Republic Dr. Danny Peña is a Perinatologist Pediatrician at the Maternity Nuestra Señora de...

Control de microcefalia en recién nacidos en la República Dominicana

“Tuvimos que reeducarnos mentalmente a nosotros mismos. Aun si las personas dicen: “no existe el Zika”, debemos continuar con la prevención y mantenerlo dentro de la atención general de las embarazadas que vienen al centro a dar a luz, ya...

Working Together: A Regional Approach to Improving Skin-to-Skin Contact and Well-baby Care in the Eastern and Southern Caribbean

Morgan Mickle


By Morgan Mickle, Gender Specialist, WI-HER, LLC

“A third of low birth weight babies die within the first twelve hours after delivery, largely because they get cold very quickly, causing them to stop feeding and leaving them more susceptible to infection.” – Maternal and Child Survival Program (1)

Screening for Microcephaly in Newborns in the Dominican Republic

Screening for Microcephaly in Newborns in the Dominican Republic "We had to reeducate ourselves mentally. Even if people say: ‘there is no Zika’ since in the country the Aedes Aegypti mosquito is endemic, we must continue with prevention...

Celebrating Accomplishments in the Care and Support Zika-Affected Children and Families

Celebrating Accomplishments in the Care and Support Zika-Affected Children and Families The ASSIST Project coordinated the USAID Care and Support for Infants, Mothers, and Families affected by Zika conference in Panama City from April 24th...