Table 1 Analytical approach for Community Involvement in health planning
Indicators | Scale on Involvement | ||||
|---|---|---|---|---|---|
Very low (+ 1) | Low (+ 2) | Fair (+ 3) | High (+ 4) | Very high (+ 5) | |
Needs assessment | iCCM Identified or imposed by experts | Experts defined; community collects information | Expert defined; Community consulted | The community involved in the decision but played less role to ensure its implementation. | iCCM priorities were identified by the community, they played the lead role in ensuring its existence |
CBHVs selection | Existing leadership within the communities did not select CBHVs, Imposed by the Health system | Health system-imposed selection criteria and suggested CBHVs for the community. | The Health system engaged the community in determining selection criteria but community leaders did not consult other interest groups | The Health system engaged the community in determining selection criteria but with minimal consultation of all interest groups | The Health system engaged the community in determining selection criteria. Existing leadership within the communities and all other interest groups were consulted for selecting CBHV. |
Community-driven Monitoring | Monitoring CBHAs activity is never done by community health actors, left solely for the health staff. | Monitoring of CBHAs activity rarely done by CHAs with limited details. | CHAs occasionally Monitor CBHAs activities but with limited detail on how the decision is taken for iCCM. | CHAs regularly monitor CBHVs activities, take management decisions and give feedbacks to CHO. | CHAs engage in regular monitoring of CBAs activities with CHOs, discusses outcomes and support in solving challenges. |
Resource Mobilization | No form of community support or resource contribution to iCCM. | Community rarely support or contribute to resourcing the iCCM program | Some community mobilization, contribute to resourcing the iCCM program | A considerable amount of resources mobilized by the community to support iCCM activities | A considerable amount of resources raised by the community to support iCCM activities and CHAs have agreed on terms of support to iCCM activities |
Leadership | CHAs and Health professionals never engaged in consultative decisions on iCCM | CHAs and Health professionals have usual discussions but do not discuss iCCM. | CHAs and Health professionals have usual collaboration and discuss issues concerning iCCM. | CHAs and CHOs have usual consultative meetings with existing community health structures. | A very close link between CHAs and Health professionals, very regular consultative meetings with existing community structures. |