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.

Prevent, Find, Link and Retain: The Essential Role of OVC Programming

Catholic Relief Services & the Orphans & Vulnerable Children (OVC) Task Force 2019 OVC Conference:
 

Two to Tango: How Men’s Health-Seeking Behaviors May Influence the Spread of Zika in the Caribbean

Morgan Mickle

WI-HER, LLC

On February 1, 2016, the World Health Organization (WHO) declared Zika virus a Public Health Emergency of International Concern (PHEIC) (I) after information surfaced that linked Zika virus infections with clusters of microcephaly and other neurological complications. While not new (1), the virus began to rapidly spread across the Americas after first being recorded in 2015. By February 4, 2016, 26 countries reported Zika virus infections (II).

Adolescentes embarazadas y las barreras que enfrentan para prevenir el zika

Elga Salvador

WI-HER/ Senior Gender Advisor

Por: Elga Salvador

El Hospital Universitario Maternidad Nuestra Señora de la Altagracia (HUMNSA) fue escenario del primer nacimiento del 2019 en la República Dominicana; el mismo día el mismo hospital cuenta con otros récords: registra el primer niño a nacer en el año por el sexto año consecutivo y cuenta la tercera adolescente como madre del primer bebé a nacer [1,2]. Esto tal vez ya no cause asombro en un país donde desde el 1996 nunca se ha registrado un porcentaje de embarazo en la adolescencia inferior al 20% [3].

Adolescent Pregnancy and Barriers to Zika Prevention

Elga Salvador

WI-HER/ Senior Gender Advisor

By: Elga Salvador

The maternity hospital, Nuestra Señora de la Altagracia, holds the record of the first birth of 2019 in the Dominican Republic for the sixth consecutive year. On the same day, the same hospital also holds another record: this is the third year in which the first baby was born to an adolescent mother [1,2]. This is no longer a surprise in a country where the percentage of pregnancy in adolescents has never been lower than 20% in the last 23 years [3].

Ecuador y el machismo como barrera para prevenir el Zika. Combatirlo es una ganancia para todos, no solo para las mujeres

Elga Salvador

WI-HER/ Senior Gender Advisor

Por: Elga Salvador

Por el machismo’ ha sido el leitmotiv que ha emergido de todas las consultas y entrevistas realizadas por WI-HER en los diferentes países de América Latina y el Caribe dirigidas a identificar obstáculos a la prevención de la transmisión sexual del Zika [1,2],  en el marco del Proyecto de USAID, Aplicando la Ciencia para Fortalecer y Mejorar los Sistemas de Salud (ASSIST).

Machismo as a barrier to prevent Zika in Ecuador: Fighting it is a win for all, not only for women

Elga Salvador

WI-HER/ Senior Gender Advisor

By: Elga Salvador

Por el machismo” (because of machismo) has been a constant theme in the focus groups, interviews, and training conducted by WI-HER throughout Latin America and the Caribbean aimed at identifying obstacles to the prevention of sexual transmission of Zika [1,2], under USAID’s Applying Science to Strengthen and Improve Health Systems (ASSIST) Project.

Institutionalizing Quality Improvement in Uganda: Facilitators and Barriers

When improvement methods are institutionalized a healthcare system can be more agile in achieving improved service delivery. Understanding both expressions of institutionalization and pathways for moving toward institutionalized...

Pages