“To respond effectively and appropriately to needs and expectations, health services need to be organized around close-to-community networks of people-centred primary care…” WHO 13th General Program of Work
Bangladesh is an informal settlement in Nairobi. At the Bangladesh Community Health Unit, Mary Achieng gave birth to a bouncing baby boy, Michael Baraka, on 8.12.2016 weighing 4.1 kilograms. BCG and birth polio vaccinations were administered on the day of birth and they were given their next appointment a month later. Josephine, however, did not take the baby for the next appointment.
“Forget about these people in the national office,” said Maria (not her real name). “They are not in touch with reality!” Maria is a district health manager in Kenya. This was her response when I asked how closely she works with the national Ministry of Health in delivering community health services.
Since our inception, we have placed a great deal of emphasis on communications and research uptake. Our initial project planning included a stakeholder mapping and policy and practice analysis which led us to prioritise this area as an integral part of our research on community health workers.
The liberation war in Bangladesh ended in December 1971. It has left many legacies, one of which is the provision of Menstrual Regulation services. Some health systems researchers have described the post-conflict moment as a ‘window of opportunity’ when policy makers and practitioners have space within the flux of change to do things differently. In the aftermath of war in Bangladesh many women were pregnant due to rape by war perpetrators.
As part of the ‘Symposium on CHWs and Their Contribution Towards the Sustainable Development Goals’, Makerere University (Uganda), CHW Central, Nottingham Trent University (UK), and World Vision supported a series of interviews with academic leaders and experts in international health development and delivery fields to provide their vision of the future of CHWs in a new light.
To celebrate International Women’s Day the REACHOUT Consortium held a symposium in Nairobi on “women in the changing world of work”. This article describes the key findings and themes that emerged from the symposium.