Community Health Units for Universal Health Coverage

CHU4UHC is acronym for Community Health Units for Universal health coverage. It forms part of President Uhuru Kenyatta’s big four agenda which targets affordable healthcare for all.

Aim of CHU4UHC is Advocating for a well-structured Community Health Coverage System, and enhancing technical skills to progress Universal Health Coverage in Kajiado County.

The WHO Global Strategy on Human Resources for Health: Workforce 2030 encourages countries to adopt a diverse, sustainable skills mix, harnessing the potential of community-based and mid-level health workers in inter-professional primary care teams. WHO developed Guideline on health policy and system support to optimize community health worker programmes to assist national governments, and their partners, to improve the design, implementation, performance and evaluation of CHW programmes, thereby contributing to the attainment of universal health coverage and the health Sustainable Development Goal targets.

Kenya’s current community health services were first introduced in 2006. The services are outlined in the country’s Community Health Strategy, which explains the national plan to expand access to community health care for the whole population through two close-to-community providers: community health workers (community-selected community members who carry out a range of activities at the household level) and community health extension workers (CHEWs) (government-selected workers who supervise CHVs among other community health tasks).

ENAI-Africa believes that Universal Health Coverage (UHC) cannot be achieved without the efforts of Community Units (CUs). This is because UHC is more than ensuring that all citizens can access quality affordable health care at health facilities, it is also reducing the number of people who need to visit hospitals through preventive measures at the household level. Most communicable diseases, including Malaria, TB, and HIV can be prevented through the work of CHVs and CHAs who provide health education and follow up actions in households.

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