Improving the Quality of Community-Based Care

Other Resources

Technical Highlight

Community health volunteers (CHVs) provide primary health care services to remote populations. Services include integrated community case management (iCCM) of childhood illnesses, such as diarrhea, malaria, and pneumonia; and family planning (FP) counseling and provision of contraceptives. However, the absence of effective quality assurance and ongoing capacity-building to improve CHV performance is demotivating for CHVs and potentially harmful for women and children receiving poor quality services. To address these quality issues, the USAID Mikolo Project implemented a series of approaches to assure, improve, and sustain the quality of community-based health services delivered by CHVs.

The proportion of CHVs who achieved the minimum quality score for FP counseling increased from 68% in 2015 to 72% in 2017. The proportion of CHVs who achieved the minimum quality score for iCCM increased from 68% in 2015 to 71% in 2017. In addition, the number of CHVs who were supervised per quarter at service-delivery sites increased from 1,613 (36%) in 2014 to 6,183 (93%) in 2017.