CHC COUNTRIES

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  • 1994 – ongoing        Zimbabwe
  • 2002 – 2003             Sierra Leone
  • 2003 – 2004             Albania
  • 2005 – 2006             Uganda
  • 2005 – ongoing      South Africa
  • 2007 – 2010              Guinea Bissau
  • 2008 – ongoing Rwanda
  • 2009 – ongoing      Vietnam

Countries where Africa AHEAD is still operational are featured in more detail. Partner organisations are encouraged to help us update the information from any CHC projects where they are involved.

1994 – ongoing:  Zimbabwe:

The country where the Community Health Club approach was first pioneered in 1995 (supported by Unicef and Oak Foundation).  After a field trial of one year, the project was taken to scale in Makoni District (funded by Danida), and Tsholotsho and Gulu Districts (funded by DFID).  Although the economy  collapsed in 2001 and the organisation had to downsize for a few years, the Community Health Clubs in Makoni District continued their activities and actually prospered in a time of extreme recession. A new project  started in 2006 in Chipinge and Buhera District in partnership with Mercy Corps. Since 2009  OXFAM has became a partner and there is now a CHC project in Chipinge District and Chiredzi, which has just ended in August 2010. ACF is currently partnering with Zim AHEAD in Masvingo, and numerous training is being done for other organisations wanting to start CHCs. Future funding from the EC Water Facility is awaited through partnership with a range of international NGOs in Zimbabwe.

2005 – ongoing:  South Africa

Based in South Africa there are a number of smaller training initiatives but the main project is with government helping to establish CHCs in tin Kwa Zulu Natal where health clubs have started in 10 wards of Umzimkhulu. In the urban areas of Durban Africa AHEAD has  start  a pilot project in two informal settlements for the eThekwinin Municipality, one of the most progressive in South Africa who are planning to scale up this approach.

2009 – onging: Rwanda

The Ministry of Health is taking the lead in Rwanda determined that the CHC Approach will be the methodology used country wide to ensure improved hygiene in the home. While the project has been launched at the highest level, preparations are still underway to provide the training material that will allow this to scale up to al 140,000 community health workers in the country.

2009- ongoing: Vietnam

Vietnam is the first Asian Countiry to adopt the CHC Approach, with a pilot project in four Provinces which started in November 2009, after the first workshop by Africa AHEAD. By July 2010 the Tool Kit and Manual has been finalised  with our assistance  (funded by Danida) and a start up workshop held for trainers. This  will enable the roll on training to take place in all areas where 40 CHCs have already been formed up and registered.

2005 – ongoing:  Uganda

The introduction of CHCs into Uganda was also facilitated by CARE International who requested Dr. J. Waterkeyn to assist in an emergency project in Gulu District in 15 IDP Camps. The ambitious target was to build 10,000 latrine within six months as well as to reach 120,000 people with health promotion. This proved to be possible using the CHC Approach and all targets were not only met but exceeded, with 11,500 latrine built within 8 months. CHC’s continue to be used in Northern Uganda and other organisations are now taking this route, with WaterAid supporting a recent training for local partner NGOs with a view to scaling up the methodology.

2007: Guinea Bissau

Effective Interventions requested Africa AHEAD to train facilitators and start up CHCs in the Southern  Districts of Timbali and Quinara.

2002-2003:  Sierra Leone:

A consultancy for CARE International for the Directors Juliet and Anthony Waterkeyn  provided an opportunity to introduce this methodolgy in Sierra Leone. The pilot project in Bo and Moyamba Districts comprised of 50 CHCs in 25 villages. CHCs are now a common strategy in Sierra Leone and a training manual for the country has been produced, enabling the scaling up of this approach to take place.

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Community Voices

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