Africa AHEAD pioneered the Community Health Club  (CHC) Model of development -  a practical strategy for enabling people to improve their home hygiene and prevent most common diseases.

The CHC Approach has been recognised internationally as one of the most cost-effective methods for achieving high levels of hygiene behaviour change as well as increasing social capital, reciprocity and self reliance by  enabling communities to take responsibility for their own health through a six month course of participatory activities.

What is a Community Health Club?

Community Health Clubs (CHCs) are voluntary community based organisations (CBOs) dedicated to promoting  health by preventing common diseases in their area through safe hygiene.


Who joins a Community Health Club?

  •  Men and women of all ages, income and educational levels.
  •  50-150 dedicated members
  • Clubs meet regularly every week for 2 hours.
  • There is no charge for membership.
  • The clubs have no political or religious affiliations.

How do you start a CHC Project?

  • Contact us for training
  • Intern with us and learn first hand
  • Let us train your staff

The Community Health Club Model

A.H.E.A.D means Applied Health Education and Development.

Our methodology is a long term, holistic process of community development in four phases:

1. Hygiene Behaviour Change 2. Self Supply: Water & Sanitation FAN - Food Agriculture & Nutrition Gender & Reproductive Health

What happens in a health club?

  • A regular weekly meeting of 1-2 hours
  • Using visual aids to discuss health issues
  • participatory games which encourage self expression
  • Songs, Drama and poems
  • Practical sessions on how to improve the home
  • Nutrition sessions and cooking
  • Home visits to help each other
  • Home improvements: upgrading water, sanitation, yards  and kitchens

What do CHC Members learn?

How to prevent death of infants due to:

  • Diarrhoea, Cholera,
  • Bronchitis, Pneumonia,
  • Malaria, Bilharzia, Ebola,
  • Skin Disease, Intestinal worms,
  • Eye disease like Trachoma
  • Ensure better birthing correct immunisation, weaning
  • Avoid stunting
  • Avoid malnutrition.
Registration with a membership card

How long is the CHC training?

The Classic CHC which is proven to be most effective has a six month training.

The difference between CHC and other different training approaches is that we have many more community interactions:

  • CLTS : two meetings
  • PHAST:  5-7 meeting
  • Emergency CHC: 8 sessions on only WASH
  • Classic CHC: 20 -30 meetings on all preventable diseases

Members achieve exceptionally high levels of hygiene 

There are about 50 recommended practices that are expected of CHC Members which ensure safe water, food, hygiene and sanitation.


Self supply: no subsidy

We offer NO material incentives, and  makes for self reliance and they provide their own sanitation and hygiene facilities.


High completion rates of training

We can easily expect at least 60 but often up to 95% completion rate.

This can be attributed to  a monitoring system with a membership card which is signed each week, until all 20 sessions completed. Those who complete get a certificate which is the only incentive.



Who runs the Community Health Club?

Every CHC elects a Chairperson, Secretary and an Executive Committee who run the club.  A member of the community is chosen as a facilitator and she does the training each week.

Africa AHEAD gratefully acknowledges the support of the following Development Agencies


Who Trains the Trainers?

The Core Trainers are properly trained by Africa AHEAD  in situ or in one of the two hubs: Rwanda and Harare.

The training can then cascade as needed either for the NGO or for the country in a national programme


Are CHC facilitators paid?

Community facilitators are usually volunteers. However, they may also be government village health workers or project officers.


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