Census-Based, Impact-Oriented Methodology: A Resource Guide for Equitable and Effective Primary Health Care
Curamericas developed and tested a model of health service delivery called the Census-Based, Impact-Oriented (CBIO) approach in Bolivia, Guatemala, Haiti and Mexico over the past 20 years. The CBIO approach is a community-based primary health care model that allows local health care staff to better understand and more effectively treat the most common causes of sickness and death within their communities. Because of its unique approach to measuring community health, the CBIO methodology provides a basis to accurately measure health service outcomes and impacts, including mortality reduction. The CBIO methodology seeks to ensure that:
1) Scarce resources and services are appropriately targeted to the most common causes of avoidable illness and death
2) Service outreach and utilization are equitable, reaching those of greatest need within targeted communities
3) Outcomes and impacts (including changes in mortality) are well measured
The CBIO manual provides information to gauge the appropriateness of the strategy in specific program areas, and then guides the reader through the steps of program implementation including: conducting a census; engaging the community in decision-making; strategies used to achieve full coverage and regular contact with beneficiaries; quality control; maintaining registries; health information system requirements and forms; collection and analysis of surveillance and vital events data; and behavior change. Additionally, Curamericas has provided copies of all the data collection forms they use that can be locally adapted and training materials for field staff.
CBIO Resource Guide (2005)
Metodología con Base Censal Orientada al Impacto (2005)
Data Collection Forms - Download Zip File
Training Materials by Donna Sillan - Download Zip File