1. FACTORS HINDERING CHF LAUNCHING By Dr. W. J. Semarundu Ag. DMO - Same

2. 2 Background District population 225,732 Number of Household 47,266 Has 25 wards, 83 villages Health Service Delivery System includes: –2 hospitals – 1 Government and 1 VA, –7 Health Centres – 4 Government, 2 Private and 1 VA –53 Dispensaries, 27 Government, 14 VA and 12 Private, –CHF sensitization started January 2002, and launched September, 2006.

3. 3 Factors Hindering CHF Launching 1.The long process of community sensitization:- –Sensitization of District Authority and CHMT –Sensitization of Counsellors –Formation and sensitization of health facility committees and ward health committees, 25 wards, 32 health facilities.

4. 4 Cont….. 2. Delay in By-Law making –The Council had no Legal Officer, we had to depend on neighbour councils. –Long process in Legal procedures until the approval by the Attorney General (Prepared 2002 – approved may 2003).

5. 5 Cont……. 3. Delay in formation and inauguration of the CHSB:- –It took very long time to get members from the community – as these have to apply from their respective villages and wards’ –The Council Health Social Services Committee have to approve the elected members from the community, –MOHSW have to train the CHSB before its inauguration by the District Commissioner.

6. 6 THANK YOU FOR LISTENING