DEPARTMENT OF COMMUNITY HEALTH SERVICES
Community Health Services (CHS) Department is one of the 10 departments of National Primary Health Care Development Agency (NPHCDA). The CHS Department champions three of the Agency’s goals: Improve quality of health care, Engage communities and strengthening partnerships. The Department is made up of 2 divisions:
COMMUNITY HEALTH SERVICES DIVISION:
Which develops and coordinates strategies for ensuring maternal, newborn and child survival, nutrition, control of communicable and non-communicable diseases, special donor funded project on malaria, HIV/AIDS & Tuberculosis; and sexual and reproductive health.
Maternal newborn and child health weak is one of the strategies designed to improve the maternal, newborn and child health outcome Nigeria. Community health services leads in the implementation of this in the country.
Maternal New-born Child Health (MNCH) Week: In March 2010, the Federal government through the National Council on Health (NCH), adopted, a week long, bi-annual (May & November) implementation of MNCH Week in Nigeria. This came against the backdrop of unacceptably poor maternal and under-5 health indices in the country and urgent need to interrupt and reverse the trend. It was expected to improve facility based health seeking behavior of the people. High impact, cost effective lifesaving interventions and services are delivered to pregnant women and under-5 children at the primary health facilities during this week, nationwide.
The General Objective of MNCH Week is to contribute to health systems strengthening through improved promotion, delivery and utilization of health and nutrition services by women and children. Other specific objectives are to increase the coverage of MNCH Week interventions and to improve the capacity of health workers to deliver good quality services.
Each round of implementation has pre-implementation, implementation and post implementation activities. The pre-implementation planning meetings before each round involved the key stake holders like NPHCDA, FMoH, SMoH, UNICEF, WHO, Helen Keller, International Micronutrient Initiatives (MI). There were also training of monitors and resource persons before deployment to the states for technical support and monitoring of the implementation processes at the state and local government levels.
In addition to the above key areas of intervention by the department, there is integrated community case management (iCCM) of child hood illness with focus on delivery of curative interventions to under-5 children and; identification and referral of severely malnourished children and sick newborns to health facilities by Community Oriented Resource Person (CORPs). Integrated Community Case Management (ICCM) of child hood illness is a strategy to increase access to treatment for common illnesses in children under-5 years of age through trained, supplied, and supervised community health workers (CHWs) or Community Oriented Resource Persons (CORPs). Through this strategy, CHWs are enabled to identify and treat children in their communities for malaria, pneumonia, and diarrhoea using malaria rapid diagnostic tests (mRDTs) kits and artemisinin-based combination therapy (ACTs), oral antibiotics (Amoxicillin), oral rehydration salts (Low Osmolar ORS) and Zinc tablets.
ICCM ensures that the poorest of the poor and those living in hard to reach areas are treated at community levels thereby ensuring equity and geographic access.
ICCM implementation in Nigeria is new. After the inauguration of the iCCM Task force in Nigeria by the honorable Minister for Health on the 12th of February 2014, three sub committees (Advocacy and Fund Mobilization, Monitoring and Evaluation and Implementation subcommittees) were set up. iCCM is new and currently implementation is ongoing in Abia and Niger States (RAcE Project with funding support from Canada Government through the WHO); and Kebbi and Adamawa States(EU/UNICEF MNCH Project).
HEALTH PROMOTION AND SOCIAL MOBILIZATION: The Health promotion division provides the platform for the integration of health intervention activities as well as sensitization/mobilization of the communities on health programs of the Community Health Services Department and other line departments. This is carried out through the three units of the division.
- Health promotion unit: has continued to work in accordance with the agency’s goal of creating a high performing and empowered workforce and achieving the MDG goals
- Social Mobilization unit: is saddled with the responsibility of demand creation through community engagement and mobilization.
- Environment, Water and Sanitation Unit (WASH): represents the agency in the National Task Group on Sanitation. It champions the promotion of water and sanitation improvement as well as healthcare waste management at the PHCs. It also collaborates with partners to strengthen the system through policy development.