Data and evidence | Exemplars in Global Health

CHW SERVICE DELIVERY PACKAGE

Service Packages	Specific Activities
Community events-based surveillance (CEBS) for infectious diseases	A. Integrated Disease Surveillance and Response (IDSR) and disease prevention and control (DPC) Build relationships, communicate and coordinate with other community key informants, resource persons, and existing formal and informal networks for information dissemination and reporting Community mapping and population registration including birth recording Community death recording with special emphasis on maternal and neonatal death Identify priority diseases and event triggers as they occur in the community (CEBS), including early case detection through active case finding Adherence to DPC standard practices and community awareness of general DPC principles
Reproductive, maternal, and neonatal health care, health promotion education, and distribution of family planning products including oral contraceptives	A. Reproductive Health Family planning promotion, counseling, and service provision; referral for additional family planning counseling and services where needed
	B. Maternal and Neonatal Health i. Antenatal Care (ANC) ANC education and promotion and referral to health facilities for ANC visits Identification of danger signs in pregnancy and referral to health facilities Referral to facilities for deworming tabs, pre-natal vitamins and Insecticide-Treated Nets (ITNs) Birth planning and preparedness, including education on items needed for delivery and birth spacing Awareness on elimination of Maternal-to-Child Transmission of HIV and referral to facilities for identified HIV-positive mothers (collaborate with HIV/eMTCT officers where available) Treatment of malaria
	ii. Home-based Maternal and Newborn Care Postpartum home visits Well-being check for mother and newborn Identification and referral for maternal danger signs Identification and referral for neonatal danger signs Counsel about danger signs for mother and newborn, the need for prompt recognition and care-seeking, and advise on where to seek early care when needed Promotion of essential care of the newborn and essential nutrition actions, including exclusive breastfeeding, supportive counseling, and troubleshooting of breastfeeding problems, referral when needed Promote hygienic umbilical cord care, including chlorhexidine application, and skin care Support for Kangaroo Mother Care (KMC) application Identify and support newborns who need additional care (e.g. low birthweight, sick, HIV-positive mother) Provide birth spacing and family planning counseling Promote birth registration and timely vaccination
Integrated community case management (iCCM) of diarrhea, malaria, and acute respiratory infection (ARI) in children under five and screening and referral	A. Child Health i. Integrated Community Case Management (iCCM) of: Diarrhea, including provision of Oral Rehydration Salts (ORS) and zinc Pneumonia, including provision of amoxicillin and pediatric paracetamol Malaria, referral of suspected cases if Rapid Diagnostic Tests (RDTs) are not available; confirmed case management with Artemisinin-Based Combination Therapy (ACT) for children under-five when RDTs are available and pre-referral treatment for severe cases; provision of pediatric paracetamol
	ii. Community-based bi-directional referrals, particularly for newborns, for danger signs and other emergency cases
	iii. Integrated outreach services including: Vaccination drop-out tracing for all under-fives Under-five Vitamin A administration and de-worming during campaigns
	B. Nutrition Mid-upper arm circumference (MUAC) screening and referrals for malnourished children Nutrition education for caregivers and households, including: optimal nutrition for women, exclusive breastfeeding up to six months for infants, optimal complementary feeding starting at six months with continued breastfeeding to two years of age and beyond, nutritional care for the sick and malnourished
Adult health services including support for patients living with HIV, TB, and select neglected tropical diseases, and provision of first aid and basic life-saving skills	A. First aid Principles of first aid, including prevention and basic response
	B. Communicable diseases HIV/AIDS education and prevention messaging, and counseling for treatment adherence Tuberculosis (TB) education and prevention messaging, and counseling for treatment adherence Leprosy education, counseling, and referral Awareness on stigma and discrimination
	C. Mental Health Identification, referral, and monitoring of patients with signs and symptoms of mental health disorders Awareness on stigma and discrimination

DATA VISUALIZATIONS

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