Community-Based Primary Health Care

Health services will have more impact if they are based not only in the health facility but also in the community itself, through a variety of providers, and with full engagement of community groups. Community Health Workers play a central role in this effort. The following resources share the history of community-based primary health care, as well as specific approaches with field examples.

  • Building from Common Foundations

    This is a Power point presentation by Reverend Canon Ted Karpf from the World Health Organization at a Christian Connections for International Health conference in 2008. The presentation reviews common roots and aims of WHO and faith-based organizations, and recommends renewed interaction and cooperation between them to further international public health. 
  • Case Studies in Primary Health Care

    This is an online course called Case Studies in Primary Health Care from Johns Hopkins University Bloomberg School of Public Health. It  uses real cases to help students develop problem-solving skills in practical situations. It also discuss participatory approaches in the organization and management of health services and other factors such as equity, socio-cultural change, environmental protection, and the process of community empowerment.

    Included among this course's lecture materials are several recorded presentations by Carl Taylor, a giant in the field of international health. Dr. Taylor recorded the presentations for this course in January of 2008, just 2 years before he passed away in February of 2010.

  • Community Health Global Networks (CHGN)

    Founded by Dr. Ted Lankester and Dr. Nick Henwood in 2005, CHGN is a global network of individuals, community health workers, faith-based organizations, church/community leaders, academics and consultants who are passionate about empowering vulnerable communities to improve their health and wellbeing. CHGNs  goal is to strengthen community-based health care in resource poor settings.
  • Comprehensive Rural Health Project

    This is a briefing paper describing Jamkhed Comprehensive Rural Health Project in India, which was presented at a Christian Connections for International Health conference in 2013. The title of the paper is: Improving the wellbeing of women throughout the lifespan with CBPHC: Jamkhed, India, experience; CCIH, 8 June 2013; Shobha Arole, MBBS, Ratna Kamble, MSW, Pushpa Pawar, VHW , Connie Gates, MPH, Jamkhed.
  • Field Operations Guide for Disaster Assessment and Response [PDF]

    This Field Operations Guide for Disaster Assessment and Response has been developed by USAID and related organizations as a reference tool for individuals sent to disaster sites to undertake initial assessments or to participate as members of an OFDA Disaster Assistance Response Team (DART). 

    The guide contains information on general responsibilities for disaster responders, formats and reference material for assessing and reporting on populations at risk, DART position descriptions and duty checklists, descriptions of OFDA stockpile commodities, general information related to disaster activities, information on working with the military in the field and a glossary of acronyms and terms used by OFDA and other organizations with which OFDA works. 
  • Health Communication Capacity Collaborative

    The Health Communication Capacity Collaborative (HC3) is a five-year, global project funded by USAID. It is designed to strengthen developing country capacity to implement state-of-the-art social and behavior change communication (SBCC) programs. This strengthens the capacity of organizations to implement their own social and behavior change communication (SBCC) programs. Online courses can be located here

  • Health for All through Primary Health Care

    This five week course explores Health for all through Primary Health Care in the context of global health, their origins and meanings, the principles upon which they rest, and examples of how these principles have been implemented both at small scale as well as at large scale. The course also explores some ultra-low-cost approaches to Health for All through primary health care and the promise that primary health care holds for eventually achieving Health for All.

  • Jamkhed CRHP Video

    This video describes the story of Jamkhed CRHP. It was written, directed and produced by Amanda De Luis and Edwin Toone with help from the staff at CRHP.

  • Jamkhed: A Comprehensive Rural Health Project

    Authors: Dr. Raj Arole, Dr. Maybelle Arole;   Publisher: Macmillan Education, Limited; Pub date: 1994.

    Summary: This inspirational book provides valuable lessons on how to make “Health for All” a reality, even in the most challenging circumstances: a disenfranchised community in rural India.   It tells the story of Jamkhed, and the Comprehensive Rural Health Project, a world-renowned model of sustainable community-based primary health care.  In 1970, the authors were invited by the leaders of Jamkhed to provide health care in their community. What started out as a modest service program grew into the Comprehensive Rural Health Project (CRHP), reaching the poor, the marginalized and especially the previously unreached: women and children. Around Jamkhed, scores of men and women have come forward to acquire knowledge and skills in health and development. This empowerment has resulted in a drastic reduction in infant mortality and has improved the quality of village life.

    Also available from TalcHesperian Health Guides

  • Just and Lasting Change: When Communities Own Their Futures

    Authors: Daniel TaylorCarl E. Taylor; Pub. Date: February 2002; Publisher: Johns Hopkins University Press

    Summary: Just and Lasting Change presents how to transform communities rapidly and in locally appropriate ways. Daniel Taylor and Carl Taylor have been present at key events and worked with key thinkers in dealing with the large forces of inequity, environmental change, and globalization. The approach they have synthesized builds on what has worked over the last century—and can now be implemented rapidly and cost-effectively in many parts of the world. It relies on a three-way partnership of "bottom-up" initiatives from the community level, "top-down" support from government agencies, and "outside-in" ingenuity and objectivity from experts. Based on both a diverse range of case studies—from the earliest attempts to promote social development in India a century ago to current efforts in Tibet, the Peruvian Andes, China, and the American Southwest—and engaging personal experiences, this book describes, step-by-step, how SEED-SCALE can be effectively implemented.

    With contributions from leading international experts in community-based development and public health, Just and Lasting Change offers a hopeful description of how people have made a difference in diverse communities around the world and a practical, accessible handbook for those trying to improve the quality of life in underdeveloped communities everywhere.

  • Powerpoint: Christian agencies engaged with Primary Health Care

    This presentation was given at the May 2008 CCIH Conference by Dr. Nick Henwood, CGHN. The presentation outlines ways that Christian organizations are becoming more engaged with partners at difference levels. Examples are provided of successful collaborations with secular groups. 
  • Powerpoint: Christian Contribution to Primary Health Care

    This is a presentation by Dr. Jack Bryant at the May 2008 CCIH Conference. The presentation shares ways that Christian organizations contribute their approaches and perspectives in order to improve impact in reaching the most vulnerable with community based primary health care.

  • SEED Scale

    This is an article on the website of Future Generations which describes the SEED Scale approach to development. SEED scale is the process of activating empowerment at the community level and growing a local success. Scale is the expansion of this activity, both in geographic coverage and across development sectors for sustained improvement in quality of life.

    Four principles underlie the SEED-SCALE process. When activities embody these principles, momentum for change grows and solutions evolve to fit local circumstances. The four principles are:

    1. Build from Success: Strengthen what is working
    2. Create Three-way Partnerships: Between community, government, and outside change agents
    3. Make decisions based on evidence, not opinions
    4. Seek behavior change as the primary outcome.

      Using these principles, communities determine their own priorities and focus on practical solutions through the implementation of workplans.

    1. Setting Up Community Health Programs

      Setting up Community Health Programs: A Practical Manual for use in Developing Countries, by Dr. Ted Lankester, MacMillan Books, 3rd Edition, 2009.

      This is a how-to guide for program managers in developing countries to design and start implementing community health programs.

    2. Systematic Review of the Effectiveness of Community-Based Primary Health Care in Improving Child Health

      The Systematic Review of the Effectiveness of Primary Health Care: The Contributions of the Faith Community. This presentation was made by Dr. Henry Perry and Carl Taylor at the 2008 CCIH Conference. It outlines how the faith based community has contributed to building the evidence to show that the primary health care approach is effective in improving health in comparison to other approaches. 

    3. TearFund Footsteps Newsletter

      This site has current and archived copies of Footsteps. Footsteps is for grassroots health and development workers. It is produced every three months and each issue concentrates on a main theme. Recent Footsteps themes are literacy, facilitation skills, the impact of HIV and AIDS on children and pollution.

    4. Tribute to Carl Taylor 1916–2010

      This presentation was given at a symposium produced by colleagues at Johns Hopkins University celebrating Carl Taylor’s life given at Hopkins after his death in 2010.