EAST COAST HEALTH DELIVERY

FIRST OF THESE IS FORMATION OF REGIONAL HEALTH COUNCIL WHICH WILL PROVIDE POLICY AND LEADERSHIP IN HEALTH SECTOR, AND COORDINATE SCATTERED SERVICES PROVIDED BY A VARIETY OF AGENCIES IN THE REGION. SECOND UNDERTAKING IS ESTABLISHMENT OF VILLAGE-CENTERED COMMUNITY HEALTH ORGANIZATIONS (CHO"S) TO SERVE AS FIRST ECHELON OF ACTION IN AN INTEGRATED HEALTH DELIVERY SYSTEM. CHO"S WILL BE ESTABLISHED IN EACH OF 28 VILLAGES WITH A POPULATION OF 1000 OR LESS. CHO CONCEPT WILL PROVIDE EACH COMMUNITY A HEALTH POST STAFFED BY HEALTH LEADERS, RESPONSIBLE FOR THE DELIVERY OF PRIMARY CARE, NUTRITION LEADERS, AND MIDWIVES. COMMUNITY HEALTH COMITTES, COMPOSED OF LOCAL VOLUNTEERS, WILL PROVIDE CHO MANAGEMENT. TO ACHIEVE THESE OBJECTIVES, OPERATIONAL PROGRAM GRANT SUPPORTS A NUMBER OF SPECIFIC OPERATIONS WHICH WILL ULTIMATELY BECOME THE RESPONSIBILITY OF THE REGIONAL HEALTH COUNCIL. THESE INCLUDE: DEVELOPMENT OF REGIONAL TRAINING CENTER TO TRAIN COMMUNITY WORKERS, AND TO DEVISE CURRICULA, TRAINING MATERIALS, AND EVALUATION PROCEDURES BASED ON REGIONAL HEALTH PROBLEMS; EXPANSION OF MINISTRY OF HEALTH LOGISTICAL SUPPORT TO CHO"S; ESTABLISHMENT OF OPERATIONAL AND ADMINISTRATIVE GUIDELINES; DEVELOPMENT OF INTEGRATED RADIO COMMUNICATIONS NETWORK TO MAINTAIN REFERRAL, LOGISTICS, AND ADMINISTRATIVE CONTROL