Republic of Kenya

Community Unit Name

Link Facility Name
Link Facility Ownership
Sub-County
County
Year
Constituency Ward Link facility name Link facility ownership

Members of community health committee Health sector partners in the CU

1 7 1 7

2 8 2 8

3 9 3 9

4 10 4 10

5 11 5 11

6 12 6 12

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Contents
Section 1: Overview of the Health Situation in the Community Unit........................................................................................................6
1.1. Population Demographics.............................................................................................................................................................7
1.2. Status of Health Investments in the Community Unit......................................................................................................................8
Section 2: Problem Analysis and Priority Setting for Community Action..................................................................................................9
2.1. Morbidity and Mortality Status in the Community Unit................................................................................................................11
2.1.1. Ranking of top ten causes of morbidity and mortality............................................................................................................11
2.1.2. Ranking of major risk factors causing morbidity and mortality..............................................................................................12
2.2 Assessment of Health Problems in the Community Unit................................................................................................................13
Section 3: Annual Priority Activities and Performance Targets..............................................................................................................15
3.2. Health Investment Targets in the Coming Year..............................................................................................................................16
3.3. CU Priority Interventions and Targets in the Coming Year.............................................................................................................17
3.4. Annual Performance Targets..........................................................................................................................................................21

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 Section 1:

Overview of the Health Situation in the Community Unit

4
1.1. Population Demographics

Description Estimated Number

proportions
1 Total catchment population for community unit
2 Total number of. households in the unit
3 Children under one year (12 months)
4 Children under five years (60 months)
5 Under fifteen year population
6 Women of child bearing age (15 – 49 Years)
7 Estimated number of pregnant women
8 Estimated number of deliveries
9 Estimated live births
10 Total number of adolescents (15-24)
11 Adults (25-59)
12 Elderly (60+)
*Source of data: For an existing unit - Household Register. For a newly established unit – KNBS.

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 1.2. Status of Health Investments in the Community Unit
Investment area Type of investment Units Norm/Standard Last year Next year
achievement target
Health Community health extension worker Numbers 1
workforce Trained community health workers (male) Numbers 1 / 20 HH’s
Trained community health workers (female) Numbers
Other (specify)

Health infrastructure Bicycles Numbers 1 / CHW

Motorcycle Numbers 1 / CHEW
Mobile phone Numbers 1 / CHEW
Community boards Numbers 1
Other (specify) Numbers
Health products Number of kits supplied in the past year Numbers 4
Health leadership Number of committee meetings held in the Numbers 4
past twelve months
Number of committee meetings attended by Numbers 4
all CHC members
Number of quarterly community dialogue Numbers 4
days
Number of committee meetings attended by Numbers 4
other health partners in the community unit
in the past twelve months
Health information Updated household register for community Yes / No Yes
Number of quarterly reports sent to health Numbers 4
facility in the past year
Number of births included in household Numbers All
register in the past year
Number of deaths included in household Numbers All
register in the past year
Service provision First aid skills Yes / No CHW/CHEW
Emergency contingency plans (including Yes / No CHEW
referral plans)

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 Section 2:

Problem Analysis and Priority Setting for Community Action

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2.1. Morbidity and Mortality Status in the Community Unit

2.1.1. Ranking of top ten causes of morbidity and mortality

Major conditions causing death Rank (1 – 10) Major conditions causing ill health to Rank (1 – 10)
to children under the age of five children under the age of five in the
in the CU CU
HIV/AIDS HIV/AIDS
Perinatal conditions Perinatal conditions
Lower respiratory infections Malaria
Tuberculosis Lower respiratory infections
Diarrheal diseases Diarrheal diseases
Malaria Tuberculosis
Cerebrovascular disease Road traffic accidents
Ischemic heart disease Congenital anomalies
Road traffic accidents Violence
Violence Unipolar depressive disorders
Other (specify) Other (specify)

Major conditions causing death Rank (1 – 10) Major conditions causing ill health to Rank (1 – 10)
to children over the age of five children over the age of five in the
in the CU CU
HIV/AIDS HIV/AIDS
Perinatal conditions Perinatal conditions
Lower respiratory infections Malaria
Tuberculosis Lower respiratory infections
Diarrheal diseases Diarrheal diseases
Malaria Tuberculosis
Cerebrovascular disease Road traffic accidents
Ischemic heart disease Congenital anomalies
Road traffic accidents Violence
Violence Unipolar depressive disorders
Other (specify) Other (specify)
*The ones indicated in italics are examples.
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2.1.2. Ranking of major risk factors causing morbidity and m ortality
Major risk factors causing Rank (1 – 10) Major risk factors causing ill Rank (1 – 10)
death to children under the health to children under the age
age of five in the CU of five in the CU
Unsafe sex Unsafe sex
Unsafe water, sanitation & Unsafe water, sanitation &
hygiene hygiene
Sub-optimal breastfeeding Sub-optimal breastfeeding
Childhood & maternal Childhood & maternal
underweight underweight
Indoor air population High blood pressure
Alcohol use Alcohol use
Vitamin A deficiency Vitamin A deficiency
High blood glucose Zinc deficiency
High blood pressure Iron deficiency
Zinc deficiency Lack of contraception
Other (specify) Other (specify)

Major risk factors causing death to Rank (1 – 10) Major risk factors causing ill health Rank (1 – 10)
children over the age of five in the CU to children over the age of five in
the CU
Unsafe sex Unsafe sex
Unsafe water, sanitation & hygiene Unsafe water, sanitation & hygiene
Suboptimal breastfeeding Childhood & maternal underweight
Childhood & maternal underweight Suboptimal breastfeeding
Indoor air population High bloodpPressure
Alcohol use Alcohol use
Vitamin A deficiency Vitamin A deficiency
High blood glucose Zinc deficiency
High Blood Pressure Iron deficiency
Zinc deficiency Lack of contraception
Other (specify) Other (specify)
*The ones indicated in italics are examples.

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 2.2 Assessment of Health Problems in the Community Unit
Area of health Priority Major problem* Area of Priority Major problem*
conditions/Diseases Yes No health conditions/Diseases Yes No
Eliminate HIV/AIDS Provide Pregnancy/childbirth events
communicable Malaria essential Newborn events
conditions Tuberculosis medical Under 1’s events
Pneumonia services Adolescent events
Measles Adult women health events
Worm infestations Adult men health events
Diarrheal diseases Others (specify)
Others (specify)
Minimize Obesity
Halt and Heart diseases exposure to Smoking
reverse Cancers health risk Underweight children
increasing Mental disorders factors Underweight mothers
burden of non- Hypertension Poor breastfeeding practices
communicable Diabetes Poor hygiene practices
conditions Others (specify) Lack of contraception
Alcohol and drug use
Unsafe sex
Others (specify)

Strengthen Unsafe water

Reduce the Road accidents collaboration Inadequate sanitation
burden of Domestic violence with health- Unemployment
violence & Suicide related Insecurity
injuries Drowning sectors Low female education
Wars/conflicts Agriculture & food insecurity
Others (specify) Inadequate nutrition
Poor road networks
Poor housing designs
Large population growth
Others (specify)
*These are problems affecting a significant number of people in the community unit or are a major threat to the health of persons in
the community unit.
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 Section 3:

Annual Priority Activities and Performance Targets

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3.1. Health Service Improvement Targets in the Coming Year

Targeted improvement Baseline Target

Number of households reached with health promotion messages
Number of persons with ill health being followed up
Number of households without functional toilets
Number of community action days
Number of households without hand washing facilities
Number of persons referred to facility from community units
Number of community dialogue days held
Number of births occurring in the home environment
Number of deaths occurring in the home environment
Number of deaths with verbal autopsies completed in community

3.2. Health Investment Targets in the Coming Year

Community unit investment targets
Investment
Type of investment Baseline Target
area
Community health extension worker
Health Trained community health workers (male)
workforce Trained community health workers (female)
Other (specify)

Bicycles
Motorcycle
Health
Mobile phone
infrastructure
Community boards
Other (specify)

Health
Number of kits supplied in the past year
products

Health Number of committee meetings held in past twelve months

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 Number of committee meetings attended by all CHC members
Number of quarterly community dialogue days
leadership
Number of committee meetings attended by other health
partners in the community unit in the past twelve months

Updated household register for community

Health Number of monthly reports sent to health facility in the past year
Information Number of births included in household register in the past year
Number of deaths included in household register in the past year

First Aid skills - CHEWs

Service
First Aid skills - CHWs
provision
Emergency contingency plans (including referral plans)

3.3. CU Priority Interventions and Targets in the Coming Year

Orientation Intervention area Key activities Target
area quarter for
delivery ()
1 2 3 4
Service Provision of health messages
delivery promoting health
Provision of basic first aid
services
Identifying and coordinating
referral of clients from the
community
Provision of defined, basic
services (if poor access to
health care facilities)
Community emergency
preparedness and
coordination
Follow up of clients during
rehabilitation (drug uptake,
recovery, etc.)
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Orientation Intervention area Key activities Target
area quarter for
delivery ()
1 2 3 4
Health Making available required
infrastructure infrastructure
Managing of health
infrastructure (bicycles/
motorcycles, phones) to
ensure they are always
functioning
Mobilizing financing to ensure
infrastructure is available and
functional
Health Identification and ensure
workforce availability of required persons
(CHC, CHWs)
Ensure provision of
allowances/stipends against
work done
Participation of community
unit in health related activities
Ensuring all community unit
persons have required skills/
trainings
Health Establish and manage
information household register for the
community unit
Update records of health
related actions carried out,
using provided formats
Provide monthly feedback to
link health facility on activities
using provided formats
Maintain updated information

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Orientation Intervention area Key activities Target
area quarter for
delivery ()
1 2 3 4
on vital events (births, deaths
and cause of deaths) in the
community unit
Communicate relevant health
information to the community
Health Provide storage for supplies
products provided for community-based
services
Maintain an updated
inventory of all products and
supplies provided to the
community unit
Ensure distribution and use of
all products and supplies
provided to the community
unit
Health Seek resources for financing
financing community-related activities
or maintain existing
investments
Engage with health actors in
community unit to facilitate
selected community activities
Leadership Carry out quarterly community
and dialogue days
governance Engage with health-related
sectors to ensure appropriate
prioritization of activities
affecting health
Participate in community
health committee meetings

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 Orientation Intervention area Key activities Target
area quarter for
delivery ()
1 2 3 4
Ensure all health actors in the
community unit are
participating in community
dialogue days
Provide monthly/quarterly
feedback to the link facility on
activities using provided
formats

3.4. Annual Performance Targets

Area of health Targeted improvement Current Targeted

Eliminate communicable
conditions
Halt and reverse increasing
burden of non-
communicable conditions
Reduce the burden of
violence & injuries
Provide essential medical
services
Minimize exposure to health
Risk factors
Strengthen collaboration
with Health-Related Sectors
value value
Number of households reached with health promotion messages
Messages targeting HIV, TB, MAL, immunization, deworming, nutrition, diarrheal
disease and,healthy diets
Number of households with persons being followed up with NCDs
Includes clients of high blood pressure, diabetes, mental disorders and cancers
Number of households reached with health promotion messages
Messages targeting domestic violence, road traffic accidents, suicide and other causes
of injury/violence
Number of households provided with critical health interventions
Including ITN’s, ORS, deworming medication, home visits for TB and HIV clients
Number of households reached with health promotion messages
Messages targeting unsafe sex, obesity, smoking, drug abuse, under nutrition, breast
feeding, good hygiene practices and appropriate child spacing
Households with functional toilets
Households with safe hand washing facilities
Households with school-age children not in school

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 Area of health Targeted improvement Current Targeted
value value
Households with overcrowding (more than two persons sleeping per room)
Support systems Persons referred to facility from community units
Persons with chronic conditions referred from facility, followed up by community unit
Quarterly community dialogue days held
Number of births in community (previous year)
Number of deaths with verbal autopsies completed in community (previous year)

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