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Sustaining community-based health initiatives

FOX, John

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This policy briefing is based on a review of reports of the Kisumu Primary Health Care project that ran from 1983 to 1997. It sets out to answer three questions around the sustainability of primary health care projects after donors withdraw: how and why do communities carry on the activities after the donor has withdrawn; what can programmes do to encourage such persistence; and what lessons from the Kisumu project can be applied elsewhere?

Participatory hygiene and sanitation transformation : a new approach to working with communities

et al

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Participatory Hygiene and Sanitation Transformation (PHAST) is designed to promote hygiene behaviours, sanitation improvements and community management of water and sanitation facilities using specifically developed participatory techniques. This document describes the underlying principles of the approach, the development of the specific participatory tools, and the results of field tests in four African countries. It documents: the principles which underlie the approach; how the methodology was developed at workshops in the African region; the impact that PHAST made on communities and extension workers that were part of the field test; the lessons learned during the field test; and how the approach can be adopted more widely

AMREF news

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Reports on AMREF projects and developments in Kenya, Uganda, Tanzania, South Africa, Mozambique and Ethiopia. Useful for anyone wanting to know more about the work of the organisation
Free (health & development institutions)


Source e-bulletin on Disability and Inclusion

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