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C OMMUNITY B ASED H EALTH I NITIATIVES*

C OMMUNITY B ASED H EALTH I NITIATIVES*. “Improving health through community empowerment”. *A Adjacent Project. Community - Based Health Initiatives. IMPROVING HEALTH THROUGH COMMUNITY EMPOWERMENT. Why direct support to CBOs?.

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C OMMUNITY B ASED H EALTH I NITIATIVES*

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  1. COMMUNITY BASED HEALTH INITIATIVES* “Improving health through community empowerment” *A Adjacent Project

  2. Community-Based Health Initiatives IMPROVING HEALTH THROUGH COMMUNITY EMPOWERMENT

  3. Why direct support to CBOs? Advantages of directly channelling technical and financial resources to Community Based Organisations (CBOs): • Themselves members of the community, CBOs are familiar with the challenges and potentials of their environment • They can speak directly to the concerns of their fellow community members in understandable language • Community empowerment/local ownership of health initiative for sustainable impact • No loss of resources by channeling through intermediaries (government, NGOs) Challenges • CBO members often lack time, material/financial resources and/or competence for implementing volunteer activities

  4. Why CBHI? Potential of community groups underexploited • To improve community health • To participate in Health Sector Reform Why Dodoma Region? • Among the poorest regions of Tanzania • Presence of other Swiss supported projects (RLDC, water) => potential for synergies Links to TGPSH? • Community level complementary to TGPSH interventions • Dodoma adds to TGPSH’s regions of learning and impact • Technical support from TGPSH experts, share Coordinator (wish of donor SDC)

  5. Project Overall Objective: “Community groups make better use of available resources to improve their health and contribute to the Health Sector Reform” Expected outcomes • Community groups are enabled to identify, plan and implement initiatives which achieve health improvements • Community groups know and exercise their rights and responsibilities with regard to the HSR • Experiences are documented, analysed and discussed with the concerned health authorities at all levels

  6. Achievements • To date 205 CBOs have been supported in the 3 districts, a potential network for district-wide impact and change. • Information campaign has oriented current round of initiatives to donor’s priorities, including HSR. • Authorities in all 3 districts have launched CHF and promoted group enrolment with technical support from CBHI. • Representatives of all current and former CBOs have been trained as promotors of CHF. • CBHI has supported training of HFGCs/CHSBs; in Kondoa district 13 CBO members have become members of HFGCs/CHSB. • MoHSW has requested CBHI to contribute to the Council Planning Guidelines on the use of District grant money earmarked for community.

  7. Challenges • For community to become involved in HSR, health authorities must implement HSR measures (therefore CBHI efforts to promote an enabling environment). • Baseline survey in 3 districts reveals very low Knowledge, Attitudes and Practice of population on HSR. • Sustainability of community initiatives after the end of CBHI funding is often a challenge, raising the question of impact of the investment provided. • CBHI was planned to support another 60 new CBO initiatives during this phase, raising the dilemma of coverage vs. a more in-depth approach in line with the « pilot » nature of CBHI: it has been agreed with donor SDC to use these resources instead for sustainability of selected former initiatives and innovative, quality new initiatives for priority groups and themes.

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