In recognition of the potential of community-based services,
Khanya-African Institute for Community-Driven Development (Khanya-aicdd)
has been managing a four-country action- research project involving
Kenya, Lesotho, South Africa and Uganda to see how community- based
worker (CBW) systems can be used to widen access to services and empower
communities in the process.
This report is a synthesis of the final country reports produced by the
four countries that participated in this project. Chapter 1 explains the
project's rationale and process. Chapter 2 gives contextual background.
Chapter 3 presents the case study reviews and findings on selection
procedures, financing, training, roles and responsibilities, support and
supervision, accountability, coordination and linkages to other
stakeholders. Chapter 4 presents the pilot projects and chapter 5
findings as to impact and cost-effectiveness. Chapter 6 examines the
implications for policy and legislation. In addition to this report,
recommendations that emerged from the project have been captured in a
set of Guidelines for practitioners for implementing a CBW system.
DFID, UK, xi + 49 pp.
Experiences with community-based worker systems in Kenya, Lesotho, South Africa and Uganda: Final report of the four-country CBW project