In rural areas of Kenya, where the majority of the population lives, contraceptive use remains low compared with that in urban areas (37% vs. 47%). Inadequate access to family planning services in rural areas is partly due to fewer health facilities and the shortage of health care workers. Community-based access to injectable contraceptives can improve access for rural populations and expand the range of contraceptive methods available.
The USAID-sponsored Community Health Worker (CHW) Regional Meeting held in Addis Ababa, Ethiopia from June 19 to 21, 2012, was attended by over 60 government and non- governmental (NGO) representatives from six African countries (Ethiopia, Kenya, Mali, Rwanda, Uganda, and Zambia) as well as participants from international NGOs and organizations. The meeting was planned by Initiatives Inc.
APHIA (AIDS, Population and Health Integrated Assistance) is a USAID-financed program in Kenya that works with the Ministry of Health and faith-based and community-based organizations to reduce the risk of HIV transmission and the fertility rate in Nyanza. Specifically, the project focuses on improving and expanding facility-based HIV/AIDS, tuberculosis, reproductive health, malaria, maternal and child health, and male circumcision services and improving and expanding care and support for people and families affected by HIV/AIDS.
This case study was conducted to impart a thorough understanding of Catholic Relief Services’ (CRS) OVC program model in Kenya and to document lessons learned that could be applied to other OVC initiatives. This case study is based upon a program document review; program site visits, including discussions with local staff, volunteers, beneficiaries and community members; as well as observations of program activities.
The East, Central and Southern Africa Health Community (ECSA-HC) in collaboration with Family Health International (FHI), held a regional workshop on expanding community-based access to family planning- focus on injectable contraception.
CHW programs throughout the world vary in structure and emphasis. This literature review addresses the challenge of making connections among inputs, processes and outcomes of these diverse community programs. Completed as part of the USAID-funded project of the same name, it analyses 78 of the most useful documents on CHW programs with components of family planning and selective reproductive health services, as well as community-based distribution.
This paper reviews recently published literature on community health worker programs, primarily focusing on maternal and newborn child health. Eighteen CHW programs and eleven relevant articles were included. It identifies key components of successful CHWs programs, reviews past successes and failures of CHW program implementation and summarizes important lessons learned.
This article investigates the validity and reliability of Community Based Information collected by CHWs in Kenya. The study concludes that CHWs collect sufficient household data that can be used to inform decisions on health interventions and to scale-up and develop new programs.
This report is based on UNICEF's three country qualitative study to identify solutions to local barriers to care-seeking and treatment for diarrhoea, malaria and pneumonia. The study had three main objectives: