The Community Strategy (CS) is the Kenya Ministry of Health’s (MOH) model for primary health care reform. CS shifts more responsibility for preventative health interventions (e.g. immunizations, malaria prevention, and hygiene) to communities through training and supporting community health workers (CHWs), developing community reporting and feedback systems, and linking CHWs with local health facilities.
The CS operates under the construct of the Community Unity (CU). Each CU is comprised of approximately 1000 households within a village. CHWs are selected by the community to represent the health needs of 20 households. CHWs provide health prevention/promotion information to households, facilitate referrals to local health facilities, and track community health indicators. CHWs report to Community Health Extension Workers (CHEW), who are trained public health workers and are MOH employees.
Pamoja CBO is working in collaboration with the MOH to conduct this activity. Implementation includes: training CHWs, CHEWs, and others involved in CS; facilitating monthly updates on priority health areas; organizing community dialogue and action days; and overseeing the community health information reporting system. The activity also includes equipping CHWs with identification badges and with bags.
Currently Pamoja CBO supports five CUs. This is an ongoing activity that takes place in Seme and Kisumu West Sub Counties of Nyanza County, Kenya. CS furthers our exempt purposes by building the community’s capacity to address their own health priorities. Approximately 15% of our time goes towards this activity.
CS initial funding was from the Global Initiative for Village Empowerment (a student group at the University of British Columbia, Canada) directly to Pamoja CBO.
Coetzee, Nell, and Bezuidenhout, “An Assessment of Perceptions, Sources and Uses of Water among Six African Communities in the North West Province of South Africa.”