supervision, reinforced community structures (e.g., Village Health Committee,
Community Health Action Group), and enhanced coordination led by the CHS Section
and district-level Community Health Officers. Overall, the NCHS outlines the aspirations
for how the community health system should function and puts in place processes and
activities to achieve these goals.
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The NCHS also sets six strategic objectives for the community health system – each with
an ambitious target and interventions to implement by 2022:
Health services delivery: deliver the Essential Health Package at community level
through integrated services provided by CHWs in Community Health Teams
(CHTs). Key interventions to achieve this goal include scaling up integrated
delivery of the EHP at community level and rolling out CHTs with clear job
descriptions for all CHW cadres. The target for 2022 is that 75% of HSAs deliver
the majority of the community components of the EHP.
Human resources: build a sufficient, equitably distributed, well-trained
community health workforce. Key interventions to achieve this goal include
recruiting a National Community Health Strategy 2017-22 expert of community
health. The 2022 target is that 95% of HSAs have a high quality, durable bicycle
and that 900 Health Posts are operational and supporting integrated community
health service delivery in hard to reach areas.
Community engagement:
Strengthen community engagement in and ownership of community health.
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Key interventions to achieve this include generating support for community health (e.g.,
launching national community health day); building the capacity of prioritized
community structures (e.g., VHCs, CHAGs, and HCACs), and rolling out enhanced
social accountability mechanisms at community level (e.g., scorecards).The 2022 target is
that 70% of Village Health Committees (VHCs) are meeting regularly on a monthly basis
to support community health activities and that 70% of CHAGs and HCACs are active.
Leadership and coordination: ensure sufficient policy support and funding for
community health and those community health activities are implemented and
coordinated at all levels. Key interventions to achieve this goal include scaling up
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