CHAPTER 13: COORDINATION OF COMMUNITY HEALTH STRATEGY/
COORDINATE COMMUNITY HEALTH STRATEGY
Introduction
Coordination of community health strategy unit of competency is a core unit of
competency offered in TVET level 6 qualification for community health assistant.
This unit specifies the competencies required to coordinate community health
strategy. It involves forming community health units, training Community Health
Volunteers, Managing Community Health Volunteers and committees and conducting
advocacy, communication and social mobilization. It also includes managing
supportive supervision. The significance of the official meeting coordination to TVET
level 6 curriculum is to equip the trainee with required skills and competencies in
coordinating community health strategy.
The critical aspects of competencies to be covered include; determining community
units’ boundaries and selected community health volunteers and committee, carrying
out community health assessment and identifying community health needs, training
community health volunteers, managing Community Health Volunteers and
committees, evaluating, reporting CHV and committee’s performance and preparing a
report, conducting advocacy, communication and social mobilization, demonstrating
understanding of partnerships and collaborations, demonstrating understanding of
community entry processes, performing appraisal of CHVs and CHCs, and managing
supportive supervision. The basic resources required include; Computers, workshop
resources, training manuals, projectors, flip charts, charts with presentations of data,
internet, relevant videos, CHIS tools, and supportive supervision checklists. The unit
of competency covers five learning outcomes. Each of the learning outcome presents;
learning activities that covers performance criteria statements, thus creating an
opportunity to demonstrate knowledge and skills in the occupational standards and
contents in the curriculum. Information sheet provides; defination of key terms,
content and illustrations to guide in training. The competency may be assessed
through written tests, demonstration, practical asignment and case study. Self
assessment is provided at the end of each learning outcomes.
Performance Standard
Coordinate community health strategy through establishing community health units,
training Community Health Volunteers, manage Community Health Volunteers and
CHCs, conducting advocacy, communication and social mobilization, and managing
supportive supervision in accordance to national health guidelines, target population.
National community health guidelines, training needs, training requirements, Kenya
Essential Packages for Health (KEPH), health needs assessment report, available
resources, general performance, set goals and objectives, and areas identified for
improvement.
,Learning Outcomes
List of learning outcomes
a) Establish community health units
b) Train Community Health Volunteers
c) Manage Community Health Volunteers and CHCs
d) Conduct advocacy, communication and social mobilization
e) Manage supportive supervision
,Learning Outcome No 1: Establish Community Health Units
Learning Activities
Learning Outcome No 1: Establish community health units
Learning Activities Special Instructions
Determine community health units’ services (Including but not limited
to water and sanitation hygiene, advice on maternal and child health,
and provision of Family planning) according to national health
guidelines
Determine community units’ boundaries based on target population
Select Community Health Volunteers in a community baraza based on
national community health guidelines
Select Community Health Committees in a community baraza based on
community health guidelines
Define roles and responsibilities of Community Health volunteers and
committee (including but not limited to community mobilization,
conducting home visits, provide referral services, and collection of
health data) based on health
guidelines
Information Sheet No13/LO1: Establish Community Health Units
Introduction
This learning outcome is about establishing community health units and determining
their services according to national health guidelines. The boundaries of the
community units are determined based on the target population. The selection of
Community Health Volunteers and community health committee in a community
baraza based on national community health guidelines and the roles and
responsibilities of Community Health volunteers and committee based on health
guidelines are covered in this outcome.
Definition of key terms
Community health units: This is a structure within a given geographic area for the
delivery of health services to a population.
Community Health Volunteers: These are individuals assigned to a community
health unit and act as a bridge to the community. They are public health workers with
a close understanding of the community that they serve.
, Community Health Committees: This is a health focused group within the
community that is empowered to coordinate, manage and improve the overall health
status in a community.
Community health guidelines: These describe what is expected of the organizations
providing health care in the community in order to ensure consistency in service
delivery.
Content/Procedures/Methods/Illustrations
Community health units’ services are determined according to national
health guidelines
The main role of community health units is to bring health services closer to the
people who need them.
The services that are offered or provided at a community health unit include;
Advice on maternal and child health, for example immunization, individual
birth plan etc.
Water and sanitation hygiene e.g. feacal management, demonstrations on hand
washing, household water treatment etc.
Deworming of children
First aid services
Provision of family planning commodities
Growth monitoring for children under 5 years
Management of injuries, jiggers, wounds and other minor illnesses
Tracing of defaulters (ART, TB and immunization)
Community health units provide assessment, therapy, counselling, health education,
treatments and community support for outpatients.
Delivery of services is community- based rather than a hospital setting, staff of these
facilities may be field workers who visit patients at home or other locations within the
community.
The services are minimally or non-invasive as they mainly aim at health promotion,
education and provision of therapy services.
Procedure used in the determination of services.
1. Evidence based interventions which ensure thorough evaluation.
2. Maximum transparency to improve engagement and accountability of the
community.
3. A clear definition of the community being covered. This should address the
entire population to benefit.
4. Broad and proactive engagement of the community with an aim of improving
results.
5. Multisector involvement through the planning, assessment, investment,
implementation and evaluation.
6. Evaluation to inform a continuous improvement process.
COORDINATE COMMUNITY HEALTH STRATEGY
Introduction
Coordination of community health strategy unit of competency is a core unit of
competency offered in TVET level 6 qualification for community health assistant.
This unit specifies the competencies required to coordinate community health
strategy. It involves forming community health units, training Community Health
Volunteers, Managing Community Health Volunteers and committees and conducting
advocacy, communication and social mobilization. It also includes managing
supportive supervision. The significance of the official meeting coordination to TVET
level 6 curriculum is to equip the trainee with required skills and competencies in
coordinating community health strategy.
The critical aspects of competencies to be covered include; determining community
units’ boundaries and selected community health volunteers and committee, carrying
out community health assessment and identifying community health needs, training
community health volunteers, managing Community Health Volunteers and
committees, evaluating, reporting CHV and committee’s performance and preparing a
report, conducting advocacy, communication and social mobilization, demonstrating
understanding of partnerships and collaborations, demonstrating understanding of
community entry processes, performing appraisal of CHVs and CHCs, and managing
supportive supervision. The basic resources required include; Computers, workshop
resources, training manuals, projectors, flip charts, charts with presentations of data,
internet, relevant videos, CHIS tools, and supportive supervision checklists. The unit
of competency covers five learning outcomes. Each of the learning outcome presents;
learning activities that covers performance criteria statements, thus creating an
opportunity to demonstrate knowledge and skills in the occupational standards and
contents in the curriculum. Information sheet provides; defination of key terms,
content and illustrations to guide in training. The competency may be assessed
through written tests, demonstration, practical asignment and case study. Self
assessment is provided at the end of each learning outcomes.
Performance Standard
Coordinate community health strategy through establishing community health units,
training Community Health Volunteers, manage Community Health Volunteers and
CHCs, conducting advocacy, communication and social mobilization, and managing
supportive supervision in accordance to national health guidelines, target population.
National community health guidelines, training needs, training requirements, Kenya
Essential Packages for Health (KEPH), health needs assessment report, available
resources, general performance, set goals and objectives, and areas identified for
improvement.
,Learning Outcomes
List of learning outcomes
a) Establish community health units
b) Train Community Health Volunteers
c) Manage Community Health Volunteers and CHCs
d) Conduct advocacy, communication and social mobilization
e) Manage supportive supervision
,Learning Outcome No 1: Establish Community Health Units
Learning Activities
Learning Outcome No 1: Establish community health units
Learning Activities Special Instructions
Determine community health units’ services (Including but not limited
to water and sanitation hygiene, advice on maternal and child health,
and provision of Family planning) according to national health
guidelines
Determine community units’ boundaries based on target population
Select Community Health Volunteers in a community baraza based on
national community health guidelines
Select Community Health Committees in a community baraza based on
community health guidelines
Define roles and responsibilities of Community Health volunteers and
committee (including but not limited to community mobilization,
conducting home visits, provide referral services, and collection of
health data) based on health
guidelines
Information Sheet No13/LO1: Establish Community Health Units
Introduction
This learning outcome is about establishing community health units and determining
their services according to national health guidelines. The boundaries of the
community units are determined based on the target population. The selection of
Community Health Volunteers and community health committee in a community
baraza based on national community health guidelines and the roles and
responsibilities of Community Health volunteers and committee based on health
guidelines are covered in this outcome.
Definition of key terms
Community health units: This is a structure within a given geographic area for the
delivery of health services to a population.
Community Health Volunteers: These are individuals assigned to a community
health unit and act as a bridge to the community. They are public health workers with
a close understanding of the community that they serve.
, Community Health Committees: This is a health focused group within the
community that is empowered to coordinate, manage and improve the overall health
status in a community.
Community health guidelines: These describe what is expected of the organizations
providing health care in the community in order to ensure consistency in service
delivery.
Content/Procedures/Methods/Illustrations
Community health units’ services are determined according to national
health guidelines
The main role of community health units is to bring health services closer to the
people who need them.
The services that are offered or provided at a community health unit include;
Advice on maternal and child health, for example immunization, individual
birth plan etc.
Water and sanitation hygiene e.g. feacal management, demonstrations on hand
washing, household water treatment etc.
Deworming of children
First aid services
Provision of family planning commodities
Growth monitoring for children under 5 years
Management of injuries, jiggers, wounds and other minor illnesses
Tracing of defaulters (ART, TB and immunization)
Community health units provide assessment, therapy, counselling, health education,
treatments and community support for outpatients.
Delivery of services is community- based rather than a hospital setting, staff of these
facilities may be field workers who visit patients at home or other locations within the
community.
The services are minimally or non-invasive as they mainly aim at health promotion,
education and provision of therapy services.
Procedure used in the determination of services.
1. Evidence based interventions which ensure thorough evaluation.
2. Maximum transparency to improve engagement and accountability of the
community.
3. A clear definition of the community being covered. This should address the
entire population to benefit.
4. Broad and proactive engagement of the community with an aim of improving
results.
5. Multisector involvement through the planning, assessment, investment,
implementation and evaluation.
6. Evaluation to inform a continuous improvement process.
