This paper reviews the development of the Community-based Heath Planning and Services (CHPS) Initiative, describes the processes of implementation and relates the initiative to the principles of scaling up organizational change which it embraces. Over a 2-year period, 104 out of 110 districts in Ghana started CHPS, employing strategies tested in the successful Navrongo … [Read more...] about The Ghana Community-based Health Planning and Services Initiative for scaling up service delivery
Community Health Workers/Volunteers
Accelerating reproductive and child health programme impact with community-based services: the Navrongo experiment in Ghana
This article compares the demographic and health impact of deploying health service nurses and volunteers in village locations. The authors found that assigning nurses to community locations to provide basic curative and preventive care substantially reduced childhood mortality and accelerates progress towards attainment of the child survival MDG. Approaches using community … [Read more...] about Accelerating reproductive and child health programme impact with community-based services: the Navrongo experiment in Ghana
Lessons from Community-based Distribution of Family Planning in Africa
This paper reviews several initiatives in sub-Saharan Africa to implement community-based distribution (CBD) of family planning services. Although research suggests that community-based service delivery can contribute to contraceptive use, the magnitude of impact is often in doubt. This report reviews reasons for the limited impact of CBD in Africa, compared with similar … [Read more...] about Lessons from Community-based Distribution of Family Planning in Africa
Contraceptive Injections by Community Health Workers in Uganda
This study compared the safety and quality of contraceptive injections given by community-based health workers with those given by clinic-based nurses in a rural Nakasongola District, Uganda. A nonrandomized community trial compared provision of injectable Depo Provera (DMPA) by community reproductive health workers with routine DPMA provision at health units. Ninety-five … [Read more...] about Contraceptive Injections by Community Health Workers in Uganda
Community-based health workers achieve high coverage in neonatal intervention trials: a case study from Sylhet, Bangladesh
This paper describes a large-scale community-based efficacy trial of chlorhexidine for cleansing the umbilical cord conducted in rural north-eastern Bangladesh. The trial established a two-tiered system of community-based workers: paid community health workers (CHWs) and volunteer village health workers (VHWs). The community-based workers delivered a package of essential … [Read more...] about Community-based health workers achieve high coverage in neonatal intervention trials: a case study from Sylhet, Bangladesh