
I n 1978
the concept of Primary Health Care emerged from Alma Ata
Conference as the means of reducing disparities in access to
health care. Most countries adopted such concept to be the focus
of their health systems. However the materialization of the
three pillar principles of primary health care namely
community involvement, intersectoral collaboration and self
reliance, proved to be difficult.
Experience has shown that, whenever staff
are involved in planning, services change to the better. This is
one of the issues health sector reforms are emphasizing to
facilitate decentralization. The upgrading of management
skills at local level is viewed as the key step towards
effective district health systems and decentralization.
Community Health Management training aims
at filling this gap , by providing an empowerment tool not only
to health personnel but also to other sectors participating in
the training. CHM takes a practical, field based and
results -oriented approach to learning. Training is organized
for district health teams, including members from the community
and other sectors. The approach gets all team members to pull
together their capital of knowledge and experience to perform
the tasks required in each step of the learning process. It
launches a process of team and self learning through action and
monitoring of activities.
In brief Community Health Management
training empowers human resources, at community and district
levels. It fosters team spirit and team work within the
community and leads to collective management of community
health, thus contributing to the strengthening of district
health systems.
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