Sustainability Plans for Community Mobilization. CSRA has developed a sustainability strategy based on two inter-related goals: 1) enable and empower the poor in Bolivia to improve their health and reduce the tragically high incidence of unnecessary sickness, suffering and death, and 2) provide sustainable quality programs of preventive and curative health services and supporting activities. The work CSRA has done through shared health system management and community census and surveillance activities has generated a high level of local participation. CSRA now has systems in place, with increasing support from municipal governments, to continue community mobilization to improve health behaviors individually and collectively.
Sustainability Plans for Community Mobilization. In working with communities the MOH and CARE have strengthened sustainability potential in two important ways. One is the relationship between the CHWs and families, which has been consolidated through monthly AIN meetings, support groups, assistance with home food production and the functioning of the Base Houses. These four community structures will continue to be supported by Health Posts through monthly meetings with CHWs and supervision visits to the communities in most need of support. The food production activities will be encouraged by the RAN, and requests for funds for agricultural endeavors will be channeled through the new cooperative which is has been aptly named the “Survival Cooperative”. During the Final Evaluation analysis workshop, the following recommendations were made in light of the need to strengthen and continue with community outreach activities. Recommendations regarding the work of CHWs are presented in Section B.3.c (iv) Capacity Building Approach: Strengthening Health Worker Performance.
