Service | Description |
---|---|
Health Promotion and Education | |
Behavior Change Communication | • Delivered through household visits and mobilization of men’s and women’s groups • Main topics are: family planning; antenatal care; delivery care; post-natal care; child health; HIV and STI prevention; water, sanitation and hygiene and environmental health. |
Focused Counseling and Service Delivery in Households | |
Family Planning | • Refer client to the nearest facility for family planning initiation • Make household visits to refill methods and provide counseling and support • Counsel and provide condoms and demonstrate their proper use |
Antenatal Care | Three households visits during pregnancy: • Visit 1 at 12-16 weeks: counseling, promote early initiation of ANC within first 4 months, emergency referral in the case of complications; provision of condoms for HIV/STI prevention, monitor ITN use • Visits 2 and 3 at 20 and 28 weeks: promote 4+ ANC visits, provide emergency referral for complications, continue monitoring ITN use, IPTp and PMTCT, develop birth preparedness plans, and counsel on danger signs, essential newborn care, post-partum family planning and HIV prevention/PMTCT |
Delivery Care | Emergency referral for obstetric and newborn complications: • Call for advice and transport • Mobilize community to create local solutions to the referral problem |
Postnatal Care | Four visits in the postnatal period: • Visits 1 and 2 within 24 hours of delivery and 3 days after birth: ○ Intensified counseling on essential newborn care ○ Promotion of postpartum family planning ○ Refer for maternal and newborn complications ○ Measure the newborn’s foot size to detect low birth weight ○ Educate household on maternal and newborn postpartum danger signs • Visits 3 and 4 at 7 and 28 days to promote immunization and exclusive breastfeeding and refer for complications |
Under-five Health | • Management of simple cases of diarrhea, pneumonia, malaria (pending RDT rollout), and helminthic infections; referral for severe cases of child illness • Mobilize villages and coordinate immunization and Vitamin A outreach events with health facility staff • Focused counseling on child nutrition, growth monitoring, and prevention and recognition of childhood illness • Depending on mothers’ voluntary disclosure, encourage HIV diagnosis of the newborn and infants at 18 months. |
HIV/STIs and TB | • Provide HIV/STI prevention education and distribute condoms • Encourage VCT • Link PLWHA to support groups. • Identify potential cases of TB and refer |
First Aid | • Perform first aid and refer |
Vulnerability and Risk Protection | |
Disability | • Identify individuals with disabilities • Refer to appropriate services |
Social Protections | • Educate households on the Community Health Fund and encourage them to enroll • Identify poor households that qualify for exemptions |
Community Mobilization and Health Systems Strengthening | |
Mobilization and Outreach | • Convene village groups to identify and discuss priority community health issues • Mobilize community-based responses for emergency referrals and other priority issues |
Health Information | • Collect service statistics (CHA) and assist with vital registration at village level • Manage and report community-based service information into broader HMIS |
Governance and Leadership | • Attend Village Health Committee, Health Facility Management Team and Health Facility Governing Committee meetings to articulate community health needs and priorities • Support committees in coordinating events and activities as needed |