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Monday, August 10, 2015

CENSENSS COMMUNITIES, HOSPITAL & HEALTHCARE SUPPORT INITIATIVE (CCHHSI)

"CCHHSI is a network of individuals and partner organizations dedicated to building healthy and whole communities"

We intend to create and establish a place that has good schools; good jobs; plenty of parks; bikable/walkable routes; efficient public transport; sustainable growth; access to quality healthcare; a vibrant arts and cultural life; a locally-driven economy; and where people from different backgrounds join to solve problems, work, laugh, and do life together. ...A community that is continuously creating and improving those physical and social environments and expanding those community resources that enable people to mutually support each other and maximize everyone's potential. Whole simply means containing all components; complete; not divided or disjointed; acting together; restored; healed; well; sound; healthy; entire; not broken or fractured; unimpaired; integral…Acting from and for the whole is challenging:  As humans, part of our default mode is naturally self-centered - we tend to see and interpret everything through this lens of self.  Our daily and civic discourse usually reinforces this default mode.  Our “discussions,” a word whose roots mean to “break apart,” can reinforce conversations where we hold onto and defend our self-centered view.  It is when we move into a mode of Dialogue that we can begin to see the Whole.

A community is a group of people, often living in a defined geographic area, who are connected by culture, values and/or norms, and who share common struggles and dreams. "Community" includes neighborhoods, towns, regions, workplaces, schools, faith and interest groups, associations and virtual networks. How do we get healthy and whole communities? It is people working in groups - collaboratively - that have the greatest potential, the most leverage, for creating the conditions that lead to health and wholeness.  It is an ongoing process and commitment made up of intentional choices and actions that exists to help people work together to build healthy, whole communities.


Communities around the globe face common, vexing issues: improving economic conditions and reducing poverty; revitalizing neighborhoods and the natural environment; tackling chronic diseases largely caused by unhealthy lifestyles; cultivating sustainable food systems; providing access to quality healthcare, and addressing persistent inequities along racial and ethnic lines. Censenss Community Initiatives believes it is at the community level, and within the context of community, that we have the greatest opportunity to support the society.

This are CENSENSS signature Initiative to supports highly innovative approaches to improving the delivery of appropriate and high-quality community-based primary health care to rural communities in Nigeria. We will cover the broad range of primary prevention (including public health) and primary care services within the communities, including health promotion and disease prevention; the diagnosis, treatment, and management of chronic and episodic illness; rehabilitation support; and end of life care. It will involve the coordination and provision of integrated care provided by a range of health providers, including nurses, social workers, pharmacists, dieticians, public health practitioners, physicians and others in a range of community settings including people's homes, healthcare clinics, physicians' offices, public health units, hospices, and workplaces. It will be delivered in a way that is personal and population centred and responsive to economic, social, language, cultural and gender differences.



WHAT DO WE DO?
Healthcare to all in resource constrained environment necessitates service delivery in challenging environments. Often, funding organization wish to reach out and help, but some of healthcare delivery institutions and organizations faces the challenge of work load, or limited capacity, or inadequate mechanism to access such funds. CCHHSI is committed to overcoming these issues through long-lasting partnerships with likeminded organizations, to enable delivery of quality, accessible and sustainable healthcare services. We will achieve this through clinical based training to empower health workers to competently deal with emerging issues, support of healthcare facilities with essential resources, & comprehensive research and evaluations. To enable support to healthcare services and programs, CCHHSI has created a framework that allows funding organizations and service delivery institutions connect and have mutual benefits. These include but not limited to the following:

Clinical Training and Mentorship
Curative Medical Support
Training of Rural Community Nurses
CCHHSI Collaborative research activities
Rural Communities Supportive Programs
Supportive Projects in Urban Ghettos as well

CCHHSI will provide a framework for the support of healthcare systems in Rural Communities in Nigeria through partnerships to improve individual and community health. CCHHSI is committed to achieving our mission through long-lasting partnerships with likeminded organizations, to enable delivery of quality, accessible and sustainable healthcare services. We will achieve this through: clinical based training to empower health workers to competently deal with emerging issues, support of healthcare facilities with essential resources, & comprehensive research and evaluations.

OUR VALUES
Partnership 
CCHHSI seeks to support health care facilities, organizations and institutions by linking them to resources to help them fully serve their communities. Our focus is on strengthening health care systems. Our key is to listen to our partners, evaluate the engagement independently and make long lasting commitment.

Implementation and Sustainability 
CCHHSI seeks to invest in projects which strengthen the longitudinal presence of mission institutions and programs within their communities. CCHHSI does this by making sure that resources go to support the prioritized purpose and to the people intended with the aim of solving what is known as the ‘last mile problem’.

Transparency, Accountability, and Efficiency 
CCHHSI has developed systems that enable program implementation by a team of highly professional and ethical individuals. In concert with CCHHSI board and our partner organizations, institutions with proven records of success and accountability are selected for support, with guidance from our donors. In addition to selecting high-impact initiatives for sponsorship, CCHHSI will provide effective oversight, marketing, fundraising and support at the lowest possible cost.

To enable support to healthcare services and programs, CCHHSI has created a framework that allows funding organizations and service delivery institutions connect and have mutual benefits. CCHHSI does this through its various programs whose aim is to improve hygiene and sanitation in the local community, where poor practices can cause disease and death. This is achieved by holding seminars within different target groups in the community, for example women, old people and children. International volunteers working with CCHHSI have encouraged these groups to make positive changes in their lifestyle to combat poor health, hygiene and malnutrition. Volunteers will address the issues including but not limited to the following:
  • Women's issues: pregnancy, child birth, nutrition & breast cancer awareness;
  • Disease prevention & recognition: Malaria, TB, HIV/AIDS, dysentry & typhoid;
  • Sex education;
  • First aid;
  • Water storage and purification.
  • Dental checks
  • Physiological support
  • Eye checks
  • Advocacy for epileptic

RURAL DEVELOPMENT CENTRE

This centre will be a leading innovator, convener, partner, and driver of results in health and health care improvement in rural Nigeria. At our core, we believe everyone should get the best care and health possible. This passionate belief fuels our mission to improve health and health care. We will partner with visionaries, leaders, and front-line practitioners around the globe to spark bold, inventive ways to improve the health of individuals and rural community’s populations. To advance our mission, our work will be focused in five key areas:
  • ·         Improvement Capability: Ensuring that improvement science drives our work and that we extend the reach and impact to the improvement of rural community
  • ·         Person- and Family-Centred Care: Putting the patient and the family at the heart of every decision and empowering them to be genuine partners in their care
  • ·         Patient Safety: Making care continually safer by reducing harm and preventable mortality
  • ·         Quality, Cost, and Value: Driving affordability and sustainability through quality improvement
  • ·         Triple Aim for Populations: Applying integrated approaches to simultaneously improve care, improve population health, and reduce costs per capita

We will create dynamic opportunities for health care professionals to learn from, collaborate with, and be inspired by expert faculty and colleagues throughout Nigeria. Our professional development programs— including conferences, seminars, and audio and web-based programs — will inform every level of the support structure. We are committed to developing students, the next generation of improvers, through free courses. We will work with a wide range of entities — whether health care facilities, entire health care systems, or governments — to help them achieve significant results in quality, safety, and innovation. We collaborate with these change agents on the front lines of care to accelerate improvement in vital areas, including maternal and neonatal health, avoidable hospital readmission, waste and cost reduction, person- and family-centred care.

The idea for the Rural Development Centre first came about as a means of addressing the suffering of vulnerable children in communities, the need to support women whose rights were violated, and to focus on key environmental concerns. We realized that by focusing on the needs of rural people, a centre such as this could empower and benefit local communities. This Centre will work to identify opportunities, locate resources and establish appropriate partnerships to provide solutions to communities. We will operate as an 'intake process' whereby communities identify local needs and consult the centre on solutions and strategies for addressing needs. It is understood that local people know their communities’ best and success is greatest when they are empowered.
  1. CHILDREN:  The Centre is crucial in the different areas it works in because children are orphaned everyday without family members who have the financial means to support them. Children do not have access to appropriate education and health care, and many of their caregivers are grandparents and elderly.
  2. WOMEN:       Women are a strong force in this area of the country, though their rights are continuously violated. The Centre works to empower these women again.
  3. ENVIRONMENT:     The communities in which Centre works also experience ongoing issues with critically important environment issues, such as clean drinking water, sanitation, water catchment problems protections, and school building projects. The Centre will try to step in and source solutions to address local needs.

CORE VALUE:        The Centre prohibits discrimination on the basis of ethnicity, tribalism, religion, or gender on all its programs and activities. It encourages transparency, accountability, good moral standing and compassion within all people who work with them

RURAL CHILD FRIENDLY HEALTHCARE INITIATIVE
This is a health care project concerned with the physical, psychological and emotional needs of children and their families in rural communities across Nigeria. While there have been improvements in some clinical treatments, a visit to hospital or clinic is still a frightening and traumatic experience for many children and their families across the Nigerian State.

The Initiative is using the mandate of the 'United Nations Convention on the Rights of the Child' - UNCRC to define Child Friendly Healthcare by promoting 'Standards' , each with several supporting components (criteria), that encompass all aspects of health care provision for children. These 'Standards' are for health care providers, organizations and/or individuals, who have a duty to ensure that they are part of every health care contact with a pregnant woman, or child and family in our rural communities. These 'Standards' are globally applicable and apply whether the health care contact takes place in the home, community, an out-patient health facility, or in a residential health facility such as a hospital.

The Rural Child Friendly Healthcare Initiative focuses on:
  • ·         Reducing fear, anxiety and suffering in children and families
  • ·         Improving their overall experience of health care
  • ·         Improving mortality and morbidity

This project will be advised and directed by a Steering Committee that includes individuals and professionals of the various communities and organizations majorly supporting and benefitting from the Initiative. A framework for the promotion, assessment, support and acknowledgment of Child Friendly Healthcare is currently being developed and piloted. The project recognizes that health workers everywhere in our societies usually want to provide the best possible care for children and families. However, they often face many problems, do not feel empowered to make changes, and do not know where or how to begin to address their situation. This initiative is trying to develop ideas and approaches that could help to solve these difficulties.

 Pilot Objectives
·                     Define Rural Child Healthcare using the Standards & supporting criteria
·                     Promote Child Friendly Healthcare
·                     Assess Child Friendly Healthcare (through self / external assessment)
·                     Support and facilitate Child Friendly Healthcare
·                     Acknowledge progress on Child Healthcare & best practice
·                     Share ideas and problem solving approaches
·                     Advocacy and evaluation where indicated


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