Project for Strengthening Community Health Strategy
December 9, 2010
October 1, 2011 - September 30, 2014
Department of Primary Health Services, Ministry of Public Health & Sanitation（MoPHS）
Implementing community health services is a top priority of the MoPHS, and its partners in Kenya's health sector. The recognition and introduction of level 1 service is one of the key innovations identified in the Kenya Essential Package for Health (KEPH) in which six life-cycle cohorts and six service delivery levels are introduced.KEPH aims at empowering Kenyan households and communities to take charge of improving their own health.
The Community Health Strategy (CHS) in alignment to KEPH aims at improving health indicators by implementing critical interventions at the community level. The overall goal of the CHS is to enhance community access to health care in order to improve productivity and thus reduce poverty, hunger, and child and maternal deaths, as well as improve education performance across all the stages of the life cycle.
While progress has been observed in the CHS implementation since the government initiated its rollout in June 2006, the national rollout faces various challenges at the national level (MoPHS) including: diversity of the country (geographic settings and demography) not properly considered in the current CHS model, limited piloting of the current CHS model (not much evidence collected from the field to inform policy development, absence of a National Communication Strategy for CHS, absence of a National M&E Framework for CHS, shortage/high turn-over of Community Health Extension Workers (CHEWs) and Community Health Workers (CHWs), inadequate operational budget and tools for supportive supervision and inadequate coordination and resource mobilization to scale up CHS.
Roll-out of effective Community Health Strategy (CHS) implementation is accelerated.
Evidence-based policy cycle for implementation of CHS is strengthened through national capacity development.
|1-1||To develop and review DCHS annual operations plan (AOP) for CHS policy implementation at the national level|
|1-2||To review and revise Terms of Reference (TOR) for CHS Inter-agency Coordinating Committee (ICC) for effective coordination.|
|1-3||To develop, review and update TOR for TWGs to ensure to meet its purpose as needed.|
|1-4||To hold regular TWG meetings to discuss development of guidelines and tools.|
|1-5||To develop the standard operating procedure (SOP) guideline for CHS operation for partners.|
|1-6||To support holding national and regional stakeholders forums for CHS in implementation sites.|
|1-7||To conduct local exchange visits and study tours for experience sharing.|
|1-8||To share and disseminate the relevant information on CHS through ICC and other platforms with stakeholders to inform policies.|
|1-9||To facilitate review and revision of policies/guidelines/tools on CHS based on the findings and evidence from the community.|
|2-1||To facilitate/develop communication strategy on CHS.|
|2-2||To facilitate/develop communication and advocacy tools i.e. Job Aids, website, promotion video.|
|2-3||To facilitate/develop, revise and standardise the new training manuals for human resources at level 1.|
|2-4||To facilitate/develop training package for human resources at level 1.|
|3-1||To facilitate development of draft M&E framework, including indicators, tools, data collection methods and procedures, use of information at all levels.|
|3-2||To facilitate development of M&E implementation plan based on the M&E framework.|
|3-3||To pre-test the draft M&EE framework in selected OR sites.|
|3-4||To introduce the finalized M&E framework in the OR sites.|
|3-5||To compile the data collected through M&E framework.|
|3-6||To share the results of M&E implementation with stakeholders at all levels.|
|4-1||To conduct systematic desk review on Community Health Systems Strengthening.|
|4-2||To hold regular consultative meeting with CHS Technical Advisory Committee and other stakeholders.|
|4-3||To develop study protocol based on the systematic desk review and assessment.|
|4-4||To conduct baseline survey and situation analysis and to propose intervention models (e.g. retention plan, performance indicators) in the OR sites.|
|4-5||To support establishment of CUs in the selected intervention sites as per the study protocol.|
|4-6||To conduct endline survey in the selected sites.|
|4-7||To analyze the data and summarize and disseminate the results.|