Milestones for the development of CHPS | Rural considerations | Urban considerations |
---|---|---|
Community-based planning | Situation analysis, initial outreach to chiefs, ‘zoning’ of catchment areas | Block and neighbourhood identification, clarification of geographic responsibility |
Community entry | Building understanding with chiefs, elders, and opinion leaders | Focus on identifying social networks (corresponding to ethnicity of settlers) |
Developing community health | Outreach to formal authorities and politicians | |
Organizing CHC action | ||
Developing durbars for health communication | ||
Essential equipment | Motorbikes and bicycles in addition to clinical equipment for Integrated Management for Childhood Immunization (IMCI), Expanded Programme for Immunization (EPI), Family Planning/Reproductive Health (FP/RH) | Low cost 3 or 4 wheel vehicles, in addition to clinical equipment for IMCI, EPI, FP/RH. Adolescent and adult health important |
Facility development | Community volunteer construction of CHC or renovation of existing facility | Arranging donation of secure space or renovation of donated space; no CHC |
Nurse community engagement training and posting | Training in community entry, liaison, and sustaining community participation | Training in health education in the urban context |
Volunteer identification, training, and deployment | Community organizational focused; basic medicinal distribution; health promotion including bed nets, condoms, oral rehydration solution | Service focused volunteers with no curative services (more limited role) |