The regional perspective
The community-based heath and first aid (CBHFA) approach is the Red Cross Red Crescent integrated primary health care approach to community health promotion. It aims to create healthy, resilient communities worldwide and is a vital part in IFRC`s Strategy 2020 and contributes to Millennium Development Goals 4, 5, 6 and 7.
The International Federation of Red Cross and Red Crescent Societies (IFRC) aims to effectively contribute to building resilience by meeting the basic health, shelter, education, food, water and sanitation needs of vulnerable people. The IFRC strives to eliminate health inequities for all, by ensuring that the social costs and benefits of health systems are fairly shared between and within countries, based on a human rights framework and respecting local values.
Community-based health and first aid (CBHFA) is the Red Cross Red Crescent approach to empower communities and their volunteers to take charge of their health. By using simple tools which are adapted to the local context, communities can be mobilized to address priority health needs.
National Societies, supported by the IFRC, have a long history of addressing first aid and health promotion. In the 1990s, Community-based first aid (CBFA) was the principal method of reaching communities. To increase community participation and focus on behavioural change, CBFA was revitalized starting in 2005. In 2009 the revised CBHFA approach and materials were launched and disseminated. So far, in 2015 the IFRC carried out a global mapping exercise to better understand how
National Societies are utilizing the CBHFA approach. The mapping showed that 109 National Societies were implementing community level health programmes using the CBHFA approach, with the support of the IFRC and 18 Partner National Societies. The programmes were implemented by 33,885 active volunteers (23,300 are in APRO )with 983 master facilitators, reaching 5,052,477 people beneficiaries globally (APRO contributed to 44%).
Most National Societies link CBHFA with other programme areas such as disaster risk reduction (DRR), water and sanitation, emergency health, HIV, malaria, maternal, newborn and child health (MNCH) or non-communicable diseases (NCDs). Different technical areas are looking for ways of harmonizing their tools, especially in community-based participatory assessment. The common goal for community-based approaches is to reduce the vulnerabilities of the most disadvantaged and build individual and community resilience.
Community Based Health and First Aid online course available on IFRC Learning Platform is:
- Community-based Health and First Aid (CBHFA) – Global case study collection 2012
- Behaviour change communication (BCC) for community-based volunteers: Trainers Manual (2009)
- Behaviour change communication (BCC) for community-based volunteers: Volunteer Toolkit (2009)
- Implementation guide for community-based health and first aid (CBHFA) in action (January 2009)
- Volunteer manual for community-based health and first aid in action (CBHFA) (March 2009)
- Facilitator Guide for Community Based Health and First Aid in Action, March 2009 – Volume One
- Facilitator Guide for Community Based Health and First Aid in Action, March 2009 – Volume Two
- Planning Monitoring Evaluation and Reporting (PMER) Toolkit Overview for Community Based Health and First Aid (CBHFA)
- Complete Planning Monitoring Evaluation and Reporting (PMER) Toolkit for Community Based Health and First Aid
- Review of CBHFA, Palang Merah Indonesia (PMI) 2012
- Project/programme monitoring and evaluation (M&E) guide (August 2011)
- IFRC Framework for Evaluation (Planning and Evaluation Department, 2011)
- Logical Framework Template
- Project/programme planning: Guidance manual (2010)
- Community tools: Tool 1 – Symbols; Tool 2 – Volunteers and what the Movement does; Tools 3 – Fundamental Principles
- Community tools: Tool 1 – Basic first aid for burns and scalds; Tool 2 – Basic first aid for poisoning
- Community tools: Tool 1 – Community mobilization in major emergencies; Tool 2 – Community response to disaster; Tool 1 & 2 – Preventing and responding to epidemics
- Community tools: Tool 1 – Family planning; tool 2 – Correct male condom use; Tool 3 – Correct female condom use; Tool 1 – Safe motherhood; Tool 2 – Preparation for safe delivery; Tool 1 – Care of a newborn; Tool 2 – Danger signs in the newborn; Tool 1 – Nutrition; Tool 2 – Breastfeeding and complementary feeding; Tool 3 – Malnutrition
- Community tools: Tool 1 – Childhood immunization and vaccination campaigns; Tool 1 – Safe water, hygiene and sanitation; Tool 3 – Handwashing; Tool 1 – Diarrhoea and dehydration; Tool 1 – Acute respiratory infections
- Community tools: Tool 1 – Malaria prevention and control; Tool 1 – HIV and sexually transmitted infections; Tool 1 – Reducing stigma and discrimination; Tool 1 – Tuberculosis; Tool 1 – Avian influenza; Tool 1 – Dengue prevention and control
- Community tools: Tool 1 – Road safety; Tool 1 – Safe blood and voluntary blood donor recruitment; Tool 1 – Excessive substance use