Authors: Duncan Ager, George Oele, Samuel Muhula, Susan Achieng, Moses Emalu, Mildred Nanjala, Sarah Kosgei, Susan Wanjiru, Peter Ofware, David Ojakaa, Meshack Ndirangu, Lennie Kyomuhangi
Amref Health Africa in Kenya has developed a replicable Community Health Units (CHUs) Functionality Scorecard for measuring and managing the functionality of CHUs. The scorecard was designed and piloted at 114 CHUs in Rift Valley province in Kenya. The scorecard categorized CHUs as Functional, Semi-functional, or Non-Functional. Before and after data was used to assess the functionality. From January 2012 to September 2013, the proportion of functional CHU increased from 3.5% to 82.9%, Semi-Functional reduced from 39% to 13% while Non-Functional reduced from 58% to 4%. The greatest improvements were noted in Community Health Volunteers (CHVs) receiving stipends, CHVs with referral booklets, monthly dialogue days, actions planning, chalk boards, and CHVs reporting rates. The authors conclude that the CHU functionality scorecard is a valuable tool for the management of performance, resource allocation, and decision making. The authors recommend the adoption of the Functionality Scorecard by the Kenya Government for country-wide application.
Resource Type: Tools
Region: Sub-Saharan Africa (SSA)