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Kenya Chw Plan
1. Kenya Essential Package for Health (KEPH)-Community Strategy Core Fall Meeting September 15, 2010 Lessons from Kenya
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5. Kenya Administrative Structure at District level COMUNITY UNIT LEVEL FACILITY LEVEL SUB-LOCATION 2 VILL VILL VILL VILL VILL VILL SUB-LOCATION 1 VILL VILL VILL VILL VHC LEVEL VILL VILL VILL VILL VILL VILL SUB-LOCATION 3 DISTRICT LOCATION 2 LOCATION 5 DIVISION 1 DIVISION 2 DIVISION 4 LOCATION 1 LOCATION 4 LOCATION 12 LOCATION 3 DIVISION 3 VILL VILL VILL VILL SUB- LOCATION 36 VILL
6. Comparison before and after Community Strategy in Kilifi District AFTER COMMUNITY STRATEGY: 36 Paid CHEWs, 36 CHCs, 900 unpaid CHWs in 367 Villages and 367 VHC BEFORE COMMUNITY STRATEGY: 14 Paid PHTs, 1555 unpaid CHWs in 367 Villages and 367 VHC Sublocation: 36 Each sublocation to be managed by a CHC facilitated by a resident CHEW. Allows for Sub-locational /CHC Decision Making Currently 14 CHEWs available (1 for 3 CUs). Sublocation: 36 Previously Kilifi had 14 PHTs who were later called CHEWs No CHC. PHTs worked directly with FHC/VHC Villages: 367 Each village has VHC and this allows for VHC Decision making Villages: 367 Each village has VHC and this allows for VHC Decision making Households: 54,000 900 CHWs reaching 18,000 or 33% of households but addressing all 6 cohorts Households: 54,000 Caregroups: 1314 (in 331 villages) 1555 CHWs reaching 100% of households but addressing WRA and U5 issues
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8. The preceding slides were presented at the CORE Group 2010 Fall Meeting Washington, DC To see similar presentations, please visit: www.coregroup.org/resources/meetingreports
Notas del editor
The context of CHWs in Kenya was similar to most: Various CHW Cadres, Various Sub specialties, Various Abilities, All non-paid, only career path limited to hired as assistant to certified private provider or support staff to government clinic
KEPH introduces an additional level of governance at sub-location level
Community Strategy better than what there was previously. However the failure to include care groups a missed opportunity.