ROLE OF UNIVERSITIES IN CHW ROLE OF UNIVERSITIES IN CHW CHV/WORKCHV/WORK

PROF. RICHARD MUGAPROF. RICHARD MUGA

HRH replenishment in AfricaHRH replenishment in Africa

Country Nurses & midwives

(per 1000 population)

Inflow (per 1000 nurses &

midwives)

Outflow (per 1000 nurses &

midwives)

Scenario

Côte d’Ivoire0.6 27 48

DRC0.53 46 52

Ethiopia0.21 105 51

Kenya1.14 20 54

Liberia0.3 71 52

Madagascar0.32 49 58

Rwanda0.43 22 44

Sierra Leone0.36 66 54

Uganda0.72 16 53

Tanzania0.35 40 56

Zambia2.01 24 52

Total0.55 66 53

Household

Family

Community

Dispensary/Clinic

Health centre/Maternity/N. Home

Sub county Hospital

County Hospital

National/ Tertiary Hospital

CHWS /CHV LINK HOUSEHOLDS AND FORMA L HEALTH CARE SYSTEM

Universities are located in Rural and urban areas, they are able to rearch to find innovative solutions for the poor

Universities have a high concentration of highly skilled, multidisciplinary human resource

Evidence from research confirms that

communities can work synergistically with health systems and academicians for under-5 mortality impact

Universities can play a pivotal role in rural and urban areas

UN

I V E R S I T Y O F K I S U MU

G R E A T L A K E S

98 GREAT LAKES UNIVERSITY OF KISUMU (GLUK)

ROLE OF UNIVERSITIES IN ROLE OF UNIVERSITIES IN CHW CHV/WORKCHW CHV/WORK

RESEARCH TO JOINTLY FIND ANSWERSTRAINING,AWARD CERTFICTES, DEPLOYMENT, MOTIVATION

AND REGULATION., PRODUCTION, DEPLOYMENT, MOTIVATION AND RETENTION

OF CHWS/CHVS AND MIDWIVES FOR UNIVERSAL HEALTH COVERAGE

EVIDENCE BASED EVIDENCE BASED DIALOGUEDIALOGUE

Rose Olayo, D Kaseje, C.Musita,C.O.Oindo, C.Wafula and Muga,R.O, (2010). Evidence –based dialogue with communities

for district health systems improvement .J.Global Public Health 5(2) :1-16

All groups within the community targeted for involvement in the spirit of inclusiveness, but the poor and vulnerable focused on

COMMUNITY, CIVIL SOCIETY

SERVICE PROVIDERS

(Public sector)

PRIVATE SECTOR

TRAINING & RESEARCH

INSTITUTIONS

Households

Poverty

Ill Health

HOUSEHOLDS VISITED HOUSEHOLDS VISITED FREQUENTLY BY CHW FREQUENTLY BY CHW DID NOT EXPERIENCE DID NOT EXPERIENCE

INFANT DEATHSINFANT DEATHS

Oindo, C.O., Otieno C.F., Okeyo, N.O., Olayo, R.N., Muga, R.O. and Kaseje C.O. (2009). “Characteristics of households experiencing

under-five deaths: A case of tropical institute of community health and development (TICH) partnership districts,” African Journal of

Food Agriculture Nutrition and Development, 9(3), pp. 873-884

Technical Interventions

universities

Delivery System

Health Outcomes

Community Empowerme

nt

Community-Based Primary Health Care

Implementation Framework

Success Factors cont.,Success Factors cont.,

Regular community-level activities, such as group health education and nutrition cooking demonstrations, to maintain a high level of awareness in the community.

African Medical & Research Foundation

• Training and in-service activities for community workers should be conducted regularly.

• Experience should be networked with others communities.

Challenges needing researchChallenges needing research

VolunteerismAttrition ratesSupervisionSustainabilityDonor demandsPolitical willPovertyDocumentation

African Medical & Research Foundation