Community Capacity Development
One of the five core LAMB objectives is “Communities themselves deliver and sustain equitable, accessible health and social systems”.
The aim of the LAMB CHDP community capacity development work is therefore to
– develop sustainable local organizations that will oversee ongoing programs and their own local initiatives working for the benefit of the poor and marginalized.
– activate community engagement with government and other NGO social service providers for accountability and responsiveness.
LAMB’s work in developing skills and organizations will change over time and gradually reduce, as communities advance in their awareness of the options available to them.
Building Community Leadership Skills
The knowledge and skills involved in managing or steering community health resources is not something which is currently common in the local communities around LAMB.
As such, LAMB is actively involved in training and developing informal leaders, gathered in variously named ‘Community Clinic Management Committees’ or ‘[Union name] Social Development Foundations’. These groups of leaders take great interest in the health situation of these communities, as well as the status and strength of the local health system. Through their participation, they gain sufficient knowledge and practical skills to take on supervisory roles in their communities for activities related to health.
Training includes for example primary health and health system understanding, financial management, skilled staff recruitment and management, reporting, and relationship management with the Government and other bodies.
Justice and Advocacy
As in many countries, the poorer sections of the community are those least able to get their claims for resources heard. Resources include healthcare provision, education, infrastructure, and safety and security.
LAMB is now working to enhance the ability of such sections of the community to be heard. LAMB works with leaders and with other members of the community.
More direct health work through/with government health services also allows scope to increase integration with facilitation of community oversight and accountability of those services. So in a sense LAMB works on both supply as well as demand side of health services.