TABLE 5.

Community Health Roadmap Initiative: Selected 2020 Country Priorities to Move Forward

The Community Health Roadmap is an innovative collaboration between multilateral and bilateral donors; private funders; and global health leaders, including USAID, the World Bank, WHO, Bill & Melinda Gates Foundation, The Rockefeller Foundation, UNICEF, and Office of the WHO Ambassador for Global Strategy, to better align existing resources and to attract new resources to community health and support countries in achieving their goals for PHC, UHC, and SDG3. The Roadmap aims to elevate national priorities and create a common agenda for investments in community health to strengthen primary health care.
In West and Central Africa, 7 of 15 countries have been selected for initial inclusion in the Roadmap.
The selected 2020 key priorities to move forward with community health systems strengthening efforts are listed below.
Burkina Faso
  • Develop a clearly defined pathway to mobilize domestic resources for community health (financial gaps, potential sources of funding, and actions)

  • Establish sustainable mechanism for the contextualization and remuneration of CHWs with the support of local governments and community leaders

  • Expand community health posts as part of the PHC/UHC initiative

Central African Republic
  • Develop a community health investment case and return on investment analysis

  • Review the community health policy as per 2018 WHO guidelines, taking into consideration the humanitarian-nexus development context

  • Establish functional community health information and supply chain systems that will sustain the community health program (integrated into the national PHC system)

Côte d'Ivoire
  • Finalize the National Community Health Policy

  • Operationalize the National Strategic Plan for Community Health

  • Develop a clearly defined pathway to mobilize domestic resources for sustainable financing for CHW remuneration, in close collaboration with local municipalities and private sector

  • Develop community health standards and procedures to harmonize implementation

Demographic Republic of Congo
  • Provide high-level advocacy to close financial gaps identified in the national community health investment case and resource mobilization plan

  • Improve the coverage and functionality of community care sites (e.g., for iCCM) to cover at least 50% of needs and adding at least 3,484 community care sites across the country by 2022

  • Strengthen managerial and resilience capacities of community outreach units to contribute to national health security priorities, taking into consideration the gender dimension

  • Integrate community health information system into the DHIS2

Mali
  • Revise the community health strategic plan, in line with the 2018 WHO guidelines, taking into consideration the humanitarian-nexus development context

  • Support the free care-costing analysis to advocate for resource mobilization and improve equity access of the vulnerable population to quality care, in close collaboration with local municipalities and private sector

  • Expand the community platform model to strengthen community partnerships and leadership in the implementation of the CHW program, taking into consideration the gender dimension

  • Establish a functional community health information system integrated into the DHIS2, and capitalize on use of digital tools to improve program performance

Niger
  • Develop an investment case and financing gap analysis to guide resource mobilization efforts

  • Conduct a detailed partner mapping to support financing and operationalization of the strategic plan

  • Support ongoing efforts to strengthen procurement systems to include the community dimension and eliminate parallel structures

  • Integrate community health information system into the DHIS2

  • Abbreviations: CHW, community health worker; DHIS, district health information system; iCCM, integrated community case management of childhood diseases; PHC, primary health care; UHC, universal health care; UNICEF, United Nations Children's Fund; USAID, U.S. Agency for International Development; WHO, World Health Organization.