Description of the Topic

What happens in a Community Health Club?

A Community Health club meets every week at the same time and venue, over a period of at least six months.  Every week a different topic is discussed using participatory activites to stimulate interaction of all members and problem solving, using locally available resources, resulting in agreed tasks which are performed by all members each week (homework).  When all the sessions have been completed, there may be revisions sessions required so that all those who want to complete the full training have had an opportunity to attend each topic.

Model Home Competitions: Sometimes at this stage there is a model home competition. This involves monitoring all households to ensure they have achieved required standards of home hygiene. It may involve ranking the villages or CHC to ascertain which village has the met targets the best.  The village with the highest number of CHC households and highest level of hygiene may be awarded a trophy or some other honour. We try to avoid singling out individual households as this caused resentment. It is better to award a group effort to avoid jealousies.

Graduation: Those who have completed the full training  are give certificates of full attendence at a large ceremony attended by local officials and leaders. The CHC members provide entertainment show casing their knowledge with health dramas and songs, and poems they have themselves created. Then a local leader will distribute certificates with great ackccowledgement of those who receive them.  This is known as a ‘Graduation’ and is an important part of the process of inducting members into a way of life that from this time on will maintain high levels of hygiene and sanitation.  At this stage the CHC may decide to embark on other activites, there may be a water and sanitation programme to ensure all households have access to safe water and sanitation facilities, there may be a model home competition

There are four introductory sessions to mobilise community and get the CHC operational. After all members have enrolled and have their membership card, and a functional committe is in place, the weekly training sessions begin, as shown below.

No.TopicHomeworkObservable Indicators
iWhat is a CHC?
iiRegistration of Members Membership Card
iiiVillage Mapping Village Banner
ivElecting a Committee
vHousehold Inventory
1.Starting up a CHC
2.Common Diseases
3.Personal HygieneMaking a wash shelterWash shelter in use
4Hand WashingMake Hand Wash Facility (HWF)HWF in use with soap
5Skin DiseasesChildren cured of skin diseaseNo skin disease seen
6.aDiarrhoea—TransmissionUse of soap in homeSoap in HWF
6.bDiarrhoea—DehydrationTreatment by SSS / ORSKnowledge of SSS/ORS
7.aInfant CareweaningEnsure Correct weaningWell nourished baby
7.bInfant Care—ImmunisationEnsure all babies are immunised‘Road-to-Health’ card
8.Intestinal Parasites / wormsDe-worm all toddlersHealthy looking toddlers
9Food HygieneSafe food storageDrying rack/baskets
10.aNutrition of childrenGood ‘Road to Health’Growth monitoring card
10.b.Nutrition—Balanced DietBalanced dietVariety vegetables & fruit
11.a.Food SecurityKitchen gardensKitchen gardens
11.b.Vector  ControlRat trap & rat conesRat traps being used
11.c.Vender Hygiene Washing/peeling of fruitSafe  fruit consumption
12.Water SourcesWater source clean-upSafe treatment of water
13.a.Safe Drinking Water—storageSafe storage and usageSafe storage & usage
13.b.Safe Drinking Water—usageIndividual cups & platesIndividual cups used
14.a.Sanitation—ZODZero Open DefecationNo open defecation
14.b.SanitationImproved ToiletImproved safe latrineImproved safe latrine
15.The Model HomeWaste management & greeningHome visits
16Good ParentingClean children going to schoolClean children
17.Respiratory DiseaseAdequate ventilationVentilated rooms
18.MalariaUse of treated bed netsUse of treated bed nets
19.BilharziaTreatment for bilharziaNo bilharzia in family
20.Menstrual HygieneHome made sanitary towels end of Taboos


Other topics may be selected which require more experienced  trainers. These materials are in production. Please contact us below  for more information

22.Teenage pregnancy
23.Substance Abuse
24.Menstrual Hygiene
26.Anti-Microbial Resistance
27.Corona Virus
30.Physical disability
31.Mental disability
34.Domestic abuse


For further information on what can be achieved in CHCs –  See Publications