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What we do...

Africa AHEAD pioneered the Community Health Club  (CHC) Approach which is a practical strategy for enabling people to improve their home hygiene and prevent most common diseases.

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Publications

The definitive book on Community Health Clubs is now available from AMAZON

Buy the CHC Text Book by Juliet Waterkeyn

Over 20 years of development.

MINISTER OF HEALTH CALLS FOR CHCS NATIONALLY

20 YEARS OF COMMUNITY HEALTH CLUBS

We have reached almost 1 million people 

through 3,162 Community Health Clubs

Our 5 x 5 Target

 

5 Million Beneficiaries 

in the next 5 years 

addressing 5 critical diseases

at under US$ per person

in at least 5 countries 

 

AN INTEGRATED APPROACH

This is what Community Health Clubs can achieve

The Community Health Club Model is  an integrated development strategy involving four main stages of development over 2-4 years.

Stage 1: Group Consensus

  • Health promotion is used as an entry point and  a catalyst  to achieve common knowledge and understanding,  leading to  hygiene.

Stage 2: Achievement of Facilities

  • Improvement of  water sources and sanitation through self supply.

Stage 3: Sustainability

  • Those who complete stage 1 & 2 go onto  learn skills to ensure income generation which enables sustainability of WASH facilities.

Stage 4: Altruism

  • The advanced stage of  this ‘process’ of community development adressing more complex social issues such as gender and reproductive health, HIV/AIDS, as well as civic responsibility.

HEALTH EDUCATION

women learning

Providing knowledge: enabling women to make informed decisions. Our members tell us the main reason they like their health club is because they can acquire knowledge on how to look after the families properly.

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DISEASE PREVENTION

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Saving lives: In Africa, one child every 4 minutes dies of dehydration due to ignorance. This tragedy would not happen in a health club. WHO claim that 87% of infant deaths  could be prevented by good hygiene.

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SAFE SANITATION

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Zero Open Defecation (ZOD): by burying faeces,  (cat sanitation) we could prevent access by  flies to our excreta, thereby preventing the most common cause of  diarrhoeal disease.

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SAFE DRINKING WATER

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Safe Water: Every family should have access to safe drinking water to avoid  diarrhoea and  cholera and  other water borne diseases.

SAVING TREES

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Fuel Efficient Stoves:To save a mothers time and prevent deforestation every family in Africa should use  a fuel efficient stove. With less inhalation of smoke during cooking,  respiratory diseases, one of the main killers in developing countries, can be reduced.

FOOD SECURITY

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Nutrition Gardens: Poor Nutrition is a contributory factor to most childhood illness: Food, Agriculture and Nutrition (FAN) Groups  ensure food security

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SKILLS TRAINING

2002 Kiwayu (47)

Poverty Reduction: improving women’s capacity to earn will ensure food security and enhance child survival

GENDER EQUITY

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Prevention of domestic violence:  respect for women is an outcome of all CHCs  which ensure  social support – a mother on her own may be defenseless but as part of a CHC she has  a  refuge.

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REDUCE INFANT STUNTING

Women's empowerment

The hallmark of a CHC member is a smart kitchen: women are trained in food hygiene to prevent stunting in children caused by environmental enteropathy

ERADICATE MALARIA

Mos net

Malaria is the single biggest killer in Africa: CHCs enable fast  distribution and use of  Insecticide Treated Nets which prevent Malaria. Recognition of symptoms and early treatment saves lives.

GROWTH MONITORING

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Children will be properly immunised and can be regularly monitored for healthy growth and development in Community Health clubs thus ensuring early diagnosis of disorders

SELF SUPPLY OF SAFE WATER

Protected well

Community Health Clubs encourage self supply of water and enable maintenance of communal facilities by dedicated Club members

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DIFFERENT CONTEXTS FOR COMMUNITY HEALTH CLUBS

Community Health Clubs can be instrumental in building community in many different contexts. Although CHCs are best as a long term structure for holistic development they can be used in a fast track training in emergencies to enable community organisation after natural disasters or build consensus in post conflict. Although they are most appropriate in rural areas, they have been successfully used to stimulate Urban clean up in slums. They are equally effective in Christian and Moslem societies. The model can be easily replicated by other NGOs or scaled up into a national programme. Africa AHEAD is here to facilitate the adaptation of CHCs to any context.

Rural African Villages

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The CHC Model is most effective in the least developed rural communities with low levels of literacy as the members value learning and are willing to adopt hygiene practices as a group. Over 2,137 rural Community Health Clubs have been by Africa AHEAD.

School Health Clubs

Hygiene Education

Africa AHEAD has started hundreds of School Health clubs to compliment Community Health Clubs so adults and children learn the same messages

Urban Health Clubs

all-participants

Health Clubs help to form Common-unity in high density slums where there is little social cohesion. Africa AHEAD has started over 400 CHCs in two cities in South Africa as well as many in 5 small towns in Zimbabwe

Market Health Clubs

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Urban Community Health Clubs have cleaned up slums in five small towns in Zimbabwe contributing to the  prevention of cholera.

Christian Countries

50 CHCs in Sierra Leone

Rebuilding Social Capital and trust between neighbors in resettlement after the civil war in Sierra Leone

Moslem Countries

2002 Kiwayu (29)

Community Health Clubs are ideal  to address gender inequity  in Moslem Countries, and there has been no resistance to mixed meetings in Guinea Bissau, Sierra Leone, and Kenya.

Eastern Europe

Albania1

Communities in Albania were the first to pilot CHCs  in underdeveloped rural villages with poor hygiene standards.

Asian Countries

Under the Hammer and Sicle Muong Bu Community Health Club is thriving

Vietnam is the first country in SE Asia where Ministry of Health has adopted the CHC Model and high levels of behaviour change were recorded with clinic records showing reduction of diarrhoea.

 

ACKNOWLEDGMENT OF PARTNERS

We gratefully acknowledge funding by International Agencies in particular Department for International Development (DFID), USAID, Danish Aid (Danida), Bill & Melinda Gates Foundation, Big Lottery Fund,  New Zealand Aid, Belgian Aid, and funds received from these agencies through Unicef.

We have worked as implementing partners with many major NGOs in development, including Care International, OXFAM, Mercy Corps, Tear Fund, World Vision, SNV.

We have built capacity of  foundations  such as Effective Interventions and  International Lifeline Fund, and many local NGOs in Zimbabwe, Rwanda and Uganda, too numerous to mention.

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Big Lottery
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USAID