Afya Uzazi implements components of KEPHs Community Health Strategy to improve house hold health indicators through collaboration with the County governments Afya Uzazi Social and Behavior Change (SBC) interventions employ a range of community activities that focus on increasing knowledge and skills of target beneficiaries and creating demand for FP-RMNCAH services by addressing societal barriers to adoption of specific FP-RMNCAH accelerator behaviors.
These interventions aim to:
- Increase engagement of CHVs through training and support with tools and job aids
- Facilitate community dialogue through interpersonal communication, community theatre and mass media
- Ensure the provision of basic FP/RMNCAH commodities and services at household and community levels and facilitating effective referral for facility-based services
The project uses several innovative approaches that leverage the public health system and a network of trained community volunteers to improve access to quality health services.
- The Champion Community Model uses social and behavior change approaches to motivate households and communities to adopt specific accelerator behaviors that ensure the health of mothers and children focused on the first 1000 days. These behaviors include antenatal care, delivery by a skilled birth attendant, postnatal care, essential newborn care, maternal and child nutrition as well as Water, Sanitation and Hygiene (WASH).
- The Inua Jamii Model employs social marketing to increase access and use of health services while encouraging the uptake of health-promoting and energy-saving products. CHVs are trained on Integrated Community Case Management (ICCM) and are equipped with a basic CHV kit to reach out to households to provide health education and basic treatment for malaria, diarrhea and pneumonia. They refer women and children to nearby health facilities. In addition, the volunteers sell nutrition rich porridge flour,, fuel-efficient stoves, solar lamps, water filters and sanitary towels.
- In the Binti Shujaa Model, Peer support groups for pregnant adolescents and young mothers aged 15-19, motivate the young women to seek antenatal care, deliver in hospital, attend postnatal clinics and adopt healthy baby care practices and good nutrition. The model usses mentor based approach to provide skills to adolescents of entrepreneurship, return to schools and legal support to the adolescents.
- The Youth Champions model is Peer group approach that targets out of school youth with sexual and reproductive health messages, using comprehensive sexuality education kit to empower young people with knowledge and skills to make the right choices. This intervention promotes responsible decision-making to delay sexual debut, prevent teenage pregnancy and improve access to health services, including family planning.
- Mama hodari Model ("Great woman") is a brand birth companions in which TBAs are identified, trained and rebranded as birth companions and are encouraged to consistently accompany the pregnant women for hospital delivery. The innovation promotes a tagline message such as Mama hodari hazalishi nyumbani(A great woman doesn’t deliver women at home) TBAs are identified and mapped in expansion areas, and, are supported to participate in quarterly review meetings with facility in charges at the link health facility for experience sharing. Mama hodari model encourage women to attend antenatal clinics, deliver in a health facility, seek postnatal care and ensure their children are fully immunized.