Ghana: community case management
- Previously called Home Based Care (HBC)
- Community-based services provided through Community Health Planning & Services (CHPS) system
- Community Health Officers (CHOs) work with community volunteers and structures to increase access to integrated package of health services
■ Rectal artesunate implemented as pre-referral intervention for severe malaria
- iCCM has leveraged the CHPS system
- Village Development Committee (VDC): provides oversight/accountability for health programmes
- CHOs linked closely with VDCs and other community-based organizations (CBOs)
■ CBOs engage in social mobilization, awareness raising and sensitization on environmental sanitation
- NMCP collaborates with Reproductive and Child Health Programme (RCHP), district health teams and others to implement iCCM
- Phased approach starting from most deprived communities in 3 northern regions, progressively scaling up to other districts over time.
- iCCM prioritized activities (2015-2017)
- Development, procurement and deployment of tools and enablers, training supervision, communication and transportation of community health workers
Community-based Health Planning and Services
- There are currently 5,981 Community-based Health Planning and Services (CHPS) zones and 4,034 functioning CHPS zones with a CHPS compound or a community health nurse affiliated to a health clinic that provides community-based health services.
- CHPS compounds (minimally, a two-room facility with equipment for basic curative and preventive care) provide access to nurses and midwives in communities of at least 6,000 people
- 2016: Government of Ghana (GOG) completed construction of CHPS compounds in 1,809 of 4,034 CHPS zones.
- Japan International Cooperation Agency has built 60+ new CHPS compounds, with a target of 80 by the end 2017
- A typical district with a population of 100,000 people has one district hospital, 5 health centers and 10-15 CHPS compounds.
- Health worker capacity to carry out core functions
- Accountability and monitoring of community-based initiatives