Holding Communities accountable
Confronted with these realities, W4H adopted an approach that holds communities responsible for generating a cadre of own health workers. Community participation is widely recognised as essential for the success and sustainability of projects. This participation is often defined and practiced in a narrow sense without consideration to the power structures and relations within the community. Communities are used to waiting for government and non-government actors to deliver on their needs. Very often, community mapping is conducted to delineate who is who and who has what power to secure 'buy-in', rather than to facilitate holding those with power accountable. Many challenges in reproductive and maternal health are community related - yet when searching for a solution, their role is not explicitly defined.
The Foundation Year Programme (FYP) is designed as a strategy to enable young women to pursue education as per the required standards as well as to engage communities generate a cadre of female health workers, and ensure that the young women return to serve the communities. Community leaders, in collaboration with Local Government Authorities, are responsible for identifying, nominating, interviewing and sponsoring, promising young women to graduate as health workers.