Community Health Volunteer's Training Manual - Population Council

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Health stations Colonial time Korle-bu 1920 Figure 1.1.5: Timeline of health services from colonial times Building hosp. The CHPS Concept and Volunteerism Health for all PHC 1950 1977 BARDEP 1980 DHMTS The Ministry provided a nurse who lived among the people and attended to their health needs. The people committed themselves to support the programme by providing a sleeping place for the nurse. They also agreed to select people from among them, called health volunteers, to work with the nurse in addition to forming health committees to oversee the community health care delivery system and supervise the health volunteers. It is important to note that community members played a vital role in the Navrongo field test. In spite of that, some questions remained at the back of the minds of both the health workers and community members. Some of these questions are indicated in box 1.1.1 below. Box 1.1.1: Questions about health care delivery Questions about health care delivery • How can community health nurses become truly community-based health care providers? • How can communities be organised to assist the community health nurse to provide efficient services? • Will it be more beneficial for community health nurses and volunteers to work separately or together? • Will services really improve if community health nurses and community volunteers worked together? • How much will it cost to implement this new strategy? • Will the benefits be worth the cost? The Navrongo Health Research Center was tasked to test the various options and assess their effect on the health of the people. Five years later, all the questions were answered. The people reported that the community health nurses and the community volunteers were working together very well. The results of this experiment were obvious to the community. Fewer and fewer of their children were dying because a lot of them received life-saving care at the right time. More and more pregnant women survived during child birth because trained health personnel were available to assist them have safe delivery. Women said they had access to family planning counselling and services which were now close to them. The Ministry of Health and the Ghana Health Service were happy with these results. Two remote districts, Nkwanta in the Volta region and Juabeso Bia district (now split into two) in the Western region, heard about the good news in Navrongo and sent people to learn the methodology. They tried the new service delivery strategy in their districts. They found that it was very effective in meeting the basic health needs of the people. Thus the Ministry’s thinking that if the strategy worked in Navrongo it could work in other parts of the country had been confirmed. 7
Module 1 The CHPS Concept 8 Figure 1.1.6: A CHO helping a mother to bring down the temperature of a sick child In 1999 the Ministry of Health adopted the Community-based Health Planning and Services (CHPS) as a national strategy based on findings from the Navrongo field test. CHPS is committed to providing health services to the large number of people who lived in remote and poor communities. All districts in Ghana are now implementing CHPS. Under CHPS, health services are community-based. This means a trained health worker is assigned to live in the community and involve the community members in planning and delivery of health services. Exercise 1.1.1: Group discussions Objective 1. To discuss concept of CHPS in various Ghanaian languages. Time: 25 minutes Question 1. How would you explain CHPS in your local language? Instructions to the Facilitator 1. Break participants into various language groups 2. Ask them to translate the concept of CHPS in their various languages 3. Discuss and bring out the key elements When you hear CHPS, it means a new way of delivering health services. CHPS is based on a strategy that has been tested by community members and found to be effective. It is new because this is not the way health services have been provided in the country and even throughout the world. The traditional way of providing health services is for people to visit the hospital or any health facility when they are sick. The emphasis was on treatment, also known as curative services. The difference here is that, under CHPS, health workers live in the community and visit people in the comfort of their homes to educate them on how to avoid illness and stay healthy. The emphasis in CHPS therefore is ‘preventive’. CHPS believes in the slogan “prevention is better than cure”.
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
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Community Health Volunteer's Training Manual - Population Council

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