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  • 1. The Urban Health Intervention
    UGSPH Status Report on GEHIP for Ga East District
    Philip Adongo, PhD
  • 2. Outline of presentation
    1) URBAN CHPS:
    Milestones in setting up CHPS in Rural areas:
    Activity: Assessing the relevance of the CHPS process to an urban setting (Year 1)
    Results: Clarification of how urban CHPS differs from Rural CHPS
    2) THE LEADERSHIP COMPONENT OF HEALTH SYSTEMS STRENGTHENING
    Leadership Programme:
    -- MPH health systems development component
    District leadership development
    --Modular training component
    3) PROGRESS WITH LAUNCHING THE BASELINE SURVEY IN GA EAST AND GA WEST
  • 3. Activity I: Preparation for Urban CHPSCHPS Programme Milestones
    Questions that we addressed:
    Are the rural milestones relevant to the urban environment?
    How are urban CHPS service operations different from
    rural operations?
    The milestones are:
    Community engaged planning (Community Health Committee, zoning, mapping, etc)
    Community entry (liaison with traditional and opinion leaders). Developing participatory implementation.
    Community Health Compound development (construction, renovation, or rental)
    Essential equipment procurement.
    Nurse orientation to community work and posting to Community Health Compounds
    Volunteer identification, recruitment, training and deployment
  • 4. Community EntryStrategy assessment for Urban CHPS
    Formative Research:
    Focus Group Discussions (FGDs)
    In-depth interviews with stakeholders and opinion leaders
    To seek views on
    Health seeking behavior for child and maternal health
    Health decision making at local level
    Community conceptualization of Urban CHPS
    Potential models of CHPS
  • 5. Milestone #1:CHPS PlanningUrban versus Rural Model
    Urban CHPS
    Large populations (20,000-40,000)
    Zoning is required and it is important exercise
    Difficult to mobilize community to contribute
    Nurses may need to concentrate on promotion activities
    Rural CHPS
    Small population (3000-5000)
    Zoning is easier
    Easy to mobilize community to contribute
    Curative aspects very important
  • 6. Milestone #1:Zoning of Ga East into CHPS areas
    All four Ga East sub-districts were “zoned” for CHPS including….
    Dome
    Danfar
    Madina
    Abokobi
  • 7. Milestone #1:Selection of start up CHPS zones in Ga East
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Milestone #2: Urban Community EntrySensitization meetings with the SPH, Region and Districts
    Discussions with regional health administration
    The forum to has been created where GEHIP has been presented to the
    School of Public, University of Ghana
    All MHMTS, DHMTs
    GA East
    The Assemblies-Discussions with planning officers of Ga East (intervention area) and Ga West (comparison area)
  • 13. Milestone #3 Procurement of work space or clinic
    • Municipal Assembly providing storage space for equipment, but construction of a “Community Health Compound” may present a challenge
    • 14. Partnership with private health providers to provide space
    • 15. Municipal Assembly to providing space for the GEHIP field office in Ga East.
  • Milestone #4: Essential equipment
    Health workers needs small Vehicles to conduct their activity
  • 16. Milestone #5The Training of CHOs
    TOT training completed in Mid September:
    Training of CHOs started in October, 2010
    GEHIP is supporting the training of CHOs
  • 17. Milestone #5: CHO deploymentThe way forward for urban CHOs…
    A non-residential service
    Collaborate with private health institutions
    We will learn from experience on in-service training for urban CHO.
    Innovation in communication (ways to replace durbars)
    May have to make modifications during our “Phase 2” implementation process
  • 18. Milestone #6 Volunteers
    Volunteer identification, recruitment, training and deployment