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.

Prevalence of protective tetanus antibodies and immunological response following tetanus toxoid vaccination among men seeking medical circumcision services in Uganda

Tetanus infection associated with men who had male circumcision has been reported in East Africa, suggesting a need for tetanus toxoid-containing vaccines (TTCV). This paper sought to determine the prevalence of tetanus toxoid antibodies...

Improving TB case notification in northern Uganda: evidence of a quality improvement-guided active case finding intervention

Published in BMC Health Services Research, this paper describes a QI-based intervention with aresearch component used to document and explain changes in TB case notification in 10 districts in North-ern Uganda among high-risk populations...

Managing Hundreds of Improvement Teams

Recognizing the notable scale of USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project activities and sizable number of improvement teams, which in some cases is close to 1,000 improvement teams managed in one country...

USAID ASSIST Project Annual Performance Monitoring Report FY18

University Research Co., LLC (URC) and its partners have completed six years of implementation of theUSAID Applying Science to Strengthen and Improve Systems (ASSIST) Project. This report is the sixth Annual Performance Monitoring Report...

Improving the quality of integrated antenatal care and care for preeclampsia/eclampsia in Jinja, Uganda

From June 2015 through March 2017 the USAID ASSIST Project supported the Ministry of Health of Uganda to implement an improvement activity in 10 high delivery volume health facilities in Jinja District to improve the quality of primary ANC...

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