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5 National HCBCImplementation StepsThe Ministry of Health’sCommunity Strategy for thedelivery of level 1 serviceshas as one of its mainobjectives the strengthening of healthfacility-community linkage through theeffective decentralization andpartnership. It is through thestipulated community structures thatHCBC will be implemented. Thisstructure emphasizes the focus oncatchment areas within a specific sublocation.Each area serves 5,000people through 50 community healthworkers (CHWs) and 2 supervisors(Community Health ExtensionWorkers – CHEWs). Each supervisorsupervises 25 CHWs and each CHWis expected to serve 20 households(approximately 100 people). All HCBCimplementers should therefore workclosely with the relevant DHMTs andPHMTs in identifying priority areas toensure equity in service delivery.Steps in implementing such aprogramme include assessing needs,planning and organizing theprogramme, actual implementation,and comprehensive monitoring andevaluation. The steps are itemizedbelow.5.1 Assessment5.1.1 Situation Analysis• Delineate geographical catchmentarea.• Define the target population, theirdemographic data and their careneeds.5.1.2 Logistic Analysis• Consider availability of theworkforce including training gaps.• Assess other available resourcesincluding HCBC kits and funds.5.1.3 Networking, Referral andLinkage• Identify other organizationsserving this population andservices they offer.20 HOME- AND COMMUNITY-BASED CARE IMPLEMENTATION FRAMEWORK