1. Community based model on use of Community Health Workers (CHWs)
2nd World Breastfeeding conference
Hlamalani Mabasa
PATH South Africa
14 December 2016

2. Presentation outline Introduction Community Based Organization Model
Process of engaging CBOs
Capacity Building of CHWs
Community based MNCHN Interventions
CBO Model management tools
Success factors for CBO model
Lessons Learnt
1/17/2019

3. Intrapartum & Neonatal Periods
Introduction
Funded by BHP Billiton Sustainable Communities to implement “Window of Opportunity” project
Goal: To improve health and development of children aged 0-2 years in four districts (UThungulu, Nkangala, Sedibeng and John Taole Gaetsewe)
Antenatal Period
Intrapartum & Neonatal Periods
Infancy
Early Childhood

4. Community Based Organization Model
One of the objectives: To increase positive behaviors among caregivers that impact the health and development of children aged 0-2. (community based activities)
Aimed at engaging the community through community based organizations (CBOs) to create awareness and advocate on:
Early antenatal care booking
Use of postnatal care services
Exclusive breastfeeding and
Early Childhood Development messages
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5. Process of engaging CBOs
Identification of CBOs to be funded by PATH was done through collaboration and recommendation with Department of Health (DOH) in the districts
Providing CBO sub-grants
CBO capacity building
Conducting household, facility and community-based health education and promotion
Sub-contract community based organizations and build their capacity on MCHN-ECD program
Conducting household-based health education and Health promotion
Conducting facility-based health education and health promotion
Conducting community based health education and health promotion

6. Capacity Building of CHWs
Focused on MNCHN Continuum of Care
Antenatal Period
Intrapartum & Neonatal Periods
Infancy
Early Childhood

7. Community based MNCHN Interventions
Community Mapping
Home visits
Household registrations and classification
Red Household
(High Risk)
Orange Household
(Moderate Risk)
Green Household
There are sick children (0-2 years in household)
Members of child bearing age has missed her last menstrual period.
Member has not yet reported/booked to the clinic (unconfirmed pregnancy)
ANC client missed ANC clinic appointment
PNC client missed clinic appointment
There are children between 0-2 years in household
Members are within the child bearing age but have not missed last menstrual cycle
Pregnant members have an ANC card and are well
PNC client has been for clinic appointment
There are no children between 0-2 years in the household
Adults are not within the child bearing age (15-49 years)
CHWs had to register and classify household, based on who lived there and the state of their health.

8. Community based MNCHN Interventions
Facility based education
Group education
Single encounter sessions
Community based education
Learning groups - Single encounter
Learning groups -Triple Encounter
Community dialogues
Mass education
Other rcommunity education activities
Triple encounter e.g. breastfeeding
Session 1: Benefits
Session 2: How to breastfeed
Session 3: Dealing with challenges e.g. going back to work

9. CBO Model management tools
CBO grants management guidelines
Data collection and reporting tools
Content reminder tools (MCHN flipchart, ECD poster)
Monthly refresher sessions and mentoring on MCHN and ECD content for CHWs
Quarterly review sessions on financial & organizational management
Community mapping procedures and tools
Household registration tools
Household visit data collection tools
Household visit tracking tool
Facility health education materials
Community health education materials
Monthly reporting tools and guides

10. Success factors for CBO model
Customized project tools based on community needs at household level
Data capturing-Home visits
Activity tracking-Home visits
Reporting tools –Weekly & Monthly
Monitoring- Monthly & Quarterly
Financial accountability (tracking good and poor performance)
Continuous skills transfer and strengthening
Computer skills
Financial management skills
Presentation skills
Evidence of upward trends on MNCHN indicators in facilities linked to PATH funded CBOs
Model designed to support multi-sectoral approach in communities
CBO link with DOH public health facilities and performance of facility based health education
Model is MNCHN & ECD focused producing knowledgeable CHWs who end up teaching their peers from other CBOs
It’s a replicable model which is easy to learn and implement to improve MCHN coverage

11. Lessons Learnt
Communities learn better when taught by peers within their own settings
Collaboration with CBO`s assists in improving coverage of MCHN messaging at community level
Partnership with key department(DOH, DSD, LG) and referral loop is critical in strengthening community and health facility interventions
Continuous funding is necessary to keep CHWs with current information and support their activities in the communities

12. Acknowledgement BHP Sustainable communities
PATH Window of Opportunity project team
Community Based Organizations
DOH for support and good collaboration
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13. Thank you
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