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Table 4 Features of health facility committees attached to primary health care centres

From: Social accountability in primary health care in West and Central Africa: exploring the role of health facility committees

Feature

Benin

Guinea

DRC

Denomination

Health Facility Management Committee (COGECS)

Health Management Committee (COGES)a

Health Development Committee (CODESA)

Installation

1987 (first committee)

1995 (roll out in whole country)

2004/2006 updated bylaws

1990 (IB policy)

1979 first HFC, 1982 expansion

2006 (new policy)

Number of HFCs

587

410

8126 (against 8504 planned)

Catchment area of rural HFC (norm)

5000 – 15,000 inhabitants

5000 – 10,000 inhabitants

5000 – 15,000 inhabitants

Membership

9 members, elected for 3 years through general assembly; representing community, local associations, health workers and local council

9 members, elected for 2 years, representing civil society, religious leaders, women, youth. The facility manager represents the health workers.

10+ members, elected for 2 years, representing community health workers (chair), civil society and the health centre Officer in Charge (OiC). The OiC cannot be a member of the HFC executive board.

  1. Sources: Benin [25, 45], Guinea [28, 46, 47], DRC [48, 49]
  2. aAlso called “Comité de Sante et d’Hygiene (CSH) but for the purpose of clarity in this paper, the term Health Management Committee is used