Community Health Volunteer's Training Manual - Population Council

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The CHPS Concept and Volunteerism Figure 1.1.3: A example of bad roads which hinder the delivery of health care to remote and hard-to-reach locations. To improve access to health service, the Government introduced the outreach services. Selected communities became outreach points. Staff from the health centres travelled there regularly on scheduled days to provide health care. The staff did not return to the outreach points until the next scheduled date. However, the outreach points did not improve access significantly. Why? Because only those rural people who could go to the outreach point got access to health care. What were some of the problems associated with this system of delivering services? Here are some of the most noticeable. Wrong timing of services Most of the time health staff arrived late in the villages when many community members had left for their farms or the marketing centres. Since most of the health staff needed to return to their homes before nightfall, opportunities to meet with patients and clients were often missed. Health education talks which community members requested in the evenings could not take place because the health staff had to make a return trip. Unsuitable outreach locations Most outreach activities were organised at a central point within the community. Many clients could not attend, either because the location was too far away from where they lived or it was deemed unsuitable for other reasons such as confidentiality. No follow-up treatments Treatments for patients who needed follow-up at the community level could not be provided because health staff were not available. In their absence, herbalists and other untrained health care providers took over health delivery. In their attempt to save lives, many fatalities resulted. 5
Module 1 The CHPS Concept 6 Low family planning services Ideally, family planning methods should be available to clients at all times. These services could not be provided at the convenient time because health staff were not available when clients needed them. No collaboration Most importantly, there was no collaboration between health authorities and community members in the provision of health services. Health staff saw community members as passive recipients of health care. Their role as active participants in the planning and delivery of health care was not taken into consideration. What can a government do when the people are not healthy? The government decided to do something about the situation. The Ministry of Health asked community members how they wanted health services to be delivered to them. The people said they wanted health services delivered at their doorstep and that they wanted to be involved in the process. Figure 1.1.4: Health care at the home of aclient. “Well, if you want health services delivered at your doorstep, that is what you are going to get,” the Ministry said. The Ministry chose Navrongo in the Kassena-Nankana district of the Upper East region to pilot the various ways in which health services can be delivered close to the people. The Upper East region is the poorest in Ghana. The Ministry therefore selected the Upper East region because if the strategy worked among poor communities, it was likely to succeed in other parts of the country that were relatively better off.
Page 1 and 2: USAID UNITED STATES AGENCY I N T E
Page 3 and 4: © 2009 The Population Council, Inc
Page 5 and 6: Preface iv The Community-based Heal
Page 7 and 8: Acknowledgements vi The Ministry of
Page 9 and 10: viii MDGs Millennium development go
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Community Health Volunteer's Training Manual - Population Council

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