Proposal for USAID operational program grant

AMREF WILL CONSTRUCT AND EQUIP A DEMONSTRATION HEALTH CENTRE AT KIBWEZI WITH BOTH IN- AND OUT-PATIENT FACILITIES. THE CENTRE WILL BE STAFFED BY AMREF AND MINISTRY OF HEALTH (MOH) AND WILL BE TURNED OVER TO MOH AFTER TWO YEARS. AMREF WILL ASSIST VILLAGES IN CHOOSING MEMBERS TO SERVE AS COMMUNITY HEALTH WORKERS (CHW"S) AND WILL CONSTRUCT HEALTH POSTS IN THE VILLAGES. FORTY CHW"S WILL SERVE 100,000 PEOPLE IN SANITATION, HEALTH EDUCATION, AND WATER SUPPLY MATTERS AND WILL INITIATE VILLAGE HEALTH PROJECTS, PERFORM SELECTED PREVENTIVE MEDICINE, AND REFER CASES TO THE CENTRE OR TO RURAL DISPENSARIES. A CENTRE MOBILE TEAM WILL ASSIST CHW"S AND WILL PERFORM OUTREACH SERVICE IN PRENATAL/MATERNAL CARE, IMMUNIZATION. FAMILY PLANNING, AND HEALTH EDUCATION FOR TEACHERS. AMREF WILL CONDUCT BASIC AND FOLLOW-UP COURSES FOR CHW"S AND WILL PROVIDE THE CURRICULUM FOR THESE COURSES. AMREF WILL ALSO PROVIDE REFRESHER AND IN-SERVICE TRAINING FOR MOH RURAL HEALTH PERSONNEL, ESPECIALLY IN DIAGNOSTIC/NURSING SKILLS, PREVENTIVE MEDICINE, HEALTH EDUCATION, AND PROMOTIVE HEALTH,AS WELL AS CORRESPONDENCE COURSES, A TRAINING MANUAL, AND OTHER MATERIALS FOR THIS TRAINING. A SYSTEMATIC HEALTH IMPROVEMENT PLAN WILL BE PREPARED. IT WILL BE BASED ON EPIDEMIOLOGICAL SURVEYS OF RURAL HEALTH NEEDS AND ATTITUDES, EXAMINATION OF MEDICAL RECORDS TO DETERMINE THE EFFECTIVENESS OF EXISTING HEALTH SERVICES, AND CONSULTATIONS WITH RURAL HEALTH PERSONNEL. AMREF WILL SUPERVISE AND MANAGE ALL PROJECT ACTIVITIES. AID WILL PROVIDE COSTS OF PROGRAM, TECHNICAL, AND SUPPORT PERSONNEL; PRINTING/PUBLISHING OF TRAINING AND REFRESHER COURSE MATERIALS; AND COMMODITIES. CONSTRUCTION COSTS WILL BE PROVIDED BY NORWEGIAN CHURCH AID AND THE ASSOCIATION OF SWISS CIVIL SERVANTS.