The VHWs will be trained, supervised and provided basic commodities as per MOH guidelines. VHWs will conduct community mapping and sensitization in an effort to achieve inclusive maternal and child care (See annex 11). Community mapping will provide more comprehensive information about the population served by the VHWs who are linked to a particular health centre, with age and gender breakdowns, reproductive health histories, the actual number of pregnancies, newborn children and provides information about chronic diseases such as TB and HIV/AIDS. At the same time community mapping will require the support from community leaders to receive cooperation from the community and will re-emphasize the relevance of VHWs and therefore contribute to their self-esteem. The main duties of VHWs are: Community mapping (collecting vital statistics). See Annex 11 for the format for community mapping Continued tracing of community members who are in need of reproductive health services as well as TB, HIV/AIDS services (quarterly follow-up format, also in Annex 11) Basic health promotion and provision of basic curative health services in line with the policies Timely referral to health centre/hospital Reporting to health centre and attending or being represented (by other VHWs serving the same village) during monthly meetings at the HC To facilitate the cooperation, monitoring and payments of the VHWs attached to one health centre (ideally VHWs serve 20 households), the VHWs should preferably select one or more persons who could interact with the health centre on their behalf and could become a member in the HCC. At the health centre one of the health workers, for example Nursing Assistant will be assigned to be the focal point for the VHWs. Village Health Workers also associate with village health committees, who may play a relevant role at the village level. The VHW performance will be monitored quarterly by the health Focal Point (a health centre’s worker assigned by the nurse in charge to work with the VHWs). Depending on their performance in increasing the uptake of MNH/TB/HIV/AIDS services at the health centre the VHWs will be entitled to receive part of the PBF benefits earned by the health centre on a quarterly basis. The method for sharing the PBF benefits will be decided upon by the VHWs. (Memorandum of Understanding between health centre and VHW is in Annex 12). Figure 2 below reflects the institutional arrangements as described above.
The VHWs will be trained, supervised and provided basic commodities as per MOH guidelines. VHWs will conduct community mapping and sensitization in an effort to achieve inclusive maternal and child care (See annex 11). Community mapping will provide more comprehensive information about the population served by the VHWs who are linked to a particular health centre, with age and gender breakdowns, reproductive health histories, the actual number of pregnancies, newborn children and provides information about chronic diseases such as TB and HIV/AIDS. At the same time community mapping will require the support from community leaders to receive cooperation from the community and will re-emphasize the relevance of VHWs and therefore contribute to their self-esteem. The main duties of VHWs are: Community mapping (collecting vital statistics). See Annex 11 for the format for community mapping Continued tracing of community members who are in need of reproductive health services as well as TB, HIV/AIDS services (quarterly follow-up format, also in Annex 11) Basic health promotion and provision of basic curative health services in line with the policies Timely referral to health centre/hospital Reporting to health centre and attending or being represented (by other VHWs serving the same village) during monthly meetings at the HC To facilitate the cooperation, monitoring and payments of the VHWs attached to one health centre (ideally VHWs serve 20 households), the VHWs should preferably select one or more persons who could interact with the health centre on their behalf and could become a member in the HCC. At the health centre one of the health workers, for example Nursing Assistant will be assigned to be the focal point for the VHWs. Village Health Workers also associate with village health committees, who may play a relevant role at the village level. The VHW performance will be monitored quarterly by the health centre’s Focal Point (a health worker assigned by the nurse in charge to work with the VHWs). Depending on their performance in increasing the uptake of MNH/TB/HIV/AIDS services at the health centre the VHWs will be entitled to receive part of the PBF benefits earned by the health centre on a quarterly basis. The method for sharing the PBF benefits will be decided upon by the VHWs. (Memorandum of Understanding between health centre and VHW is in Annex 12). Figure 2 below reflects the institutional arrangements as described above.
Project_Implementation_Manual.docx