Policy dimension | Policy recommendation |
---|---|
Roles | Comprehensive orientation including preventive, promotive, care and rehabilitation; |
Community based action on determinants of health as part of a broader inter-sectoral focus on wellness; | |
Outcome oriented approach focused on major causes of ill-health in the province: HIV/AIDS and TB, chronic non communicable diseases, violence and injury, mental health, maternal (parent) infant and child health, early childhood development; | |
Target population | Population based model in which teams are responsible for the health of a defined population (electoral wards in urban/metro areas, sub-district rural areas); |
Proactive approach to all households; | |
Links to health care system | Integral part of public primary health care system, supervised and supported by facility based staff; |
Team structure and ratios | Each CHW works 8 hours a day and responsible for 270 households; |
Team of 10 CHWs to be supported by one Clinical Nurse Practitioner; | |
One rehabilitation care worker per 8 CHWs; | |
CHW training | Core roles and training standardised, based on a nationally accredited curriculum; |
M&E system | Standardised M&E systems reporting on key indicators; |
Use of mHealth strategies for M&E; | |
Value system | Person/patient centred; |
Community embeddedness: stable, long term relationships with households which build empathy and trust. |