USAID/Liberia announces Community Health Services (CHS) Activity

Last date: 
Friday, August 21, 2020

Detailed Description

The United States Agency for International Development (USAID) is seeking applications for a cooperative agreement from qualified entities to implement the Community Health Services (CHS) activity.

The overall goal of the Scaling Up Community Health Activity (“The Activity”) is to support the National Community Health Assistants (NCHA) Program of the Ministry of Health, Liberia, thereby working at the community level to bring the greatest health benefits in hard to reach areas and to reduce health gaps caused by differences such as income, education, race and ethnicity and location.

The Activity will support community-based activities in health, nutrition and disease surveillance, including community events based surveillance in targeted geographic areas in collaboration with the Ministry of Health, Ministry of Internal Affairs (MIA) and other community health structures.


  • Increased coverage of CHAs to population ratio in underserved districts and communities in 3 counties

Expected Results

  • Increased coverage of CHAs to ensure access to remote areas in underserved districts and
  • communities in 3 counties. An increase from the current 664 CHA’s to 1500 across the three
  • counties

Illustrative Activities

Illustrative activities can include but are not limited to the following:

  • Scale up the CHA program in new and unreached districts in Bong, Nimba and Lofa Counties
  • Training of new CHAs and refresher training for current CHAs
  • Targeted training of other community health workers
  • Support to monthly supportive supervision for CHSS
  • Support CBIS, including data quality, data capture, analysis, reporting in DHIS2 platform, data use, and dissemination.
  • Provision of service delivery kits to all CHAs
  • Support the Community Health Service Division for planning and implementation of NCHA program (quarterly and annual review meetings, policy revision etc.)
  • Support central and county level supervision of CHA program
  • Mobilize communities to support and contribute towards the operations of CHAs
  • Support the payment of CHA monthly operational expense
  • Support the payment of stipends to CHSS
  • Improved quality of health services through trained, supervised and motivated CHAs

Expected Results

  • Improved quality of health services through trained, supervised and motivated CHAs
  • Increase in CHSS and CHAs from 56 to 140 and 664 to 1500 respectively.
  • Improved diagnosis and treatment of integrated childhood illnesses by CHAs
  • Improved malaria outcomes including increased early care seeking behavior for malaria reduced malaria morbidity and mortality

Illustrative activities

  • Increased early/prompt case detection and referral
  • CHAs have improved diagnostics capacity for malaria
  • Correct treatment rates improved
  • Regular supportive supervision and mentorship
  • Increased capacity for timely and quality data management and reporting through the CBIS
  • County health teams’ and communities’ capacity to plan, manage, and monitor a comprehensive delivery of health services enhanced.

Expected Results

  • Increased health facility deliveries
  • Increased family planning (FP) uptake at community level
  • Increase County health teams’ and communities’ capacity in conjunction with other stakeholders to plan, manage, and
  • monitor a comprehensive delivery of health service from partner to government led and managed program
  • CHAs and CHVs hold regular quarterly review meeting with documentation of meetings minutes
  • Institute the utilization of information/reports to implement change in the community
  • Institutionalization of private sector and/or resource mobilization schemes to support components of the NCHA program
  • Collaboration and coordination established with other key community cadres and activities.

Illustrative Activities

  • Support CHTs to plan for and ensure CHAs have adequate commodities
  • Provide support for logistics
  • Strengthen community structures including traditional leaders to support health
  • Identification and inclusion of alternate financing schemes and/or other non-traditional means of support for the NCHA program.

Funding Information

  • USAID intends to provide up to $17.8 million in total USAID funding over a four (4) year period.


USAID/Liberia believes that, through this activity, results will be achieved in four years given the following assumptions:

  • The GOL remains committed to the national roll out of the NCHA program
  • GOL demonstrates a commitment to increasing sustainability of the NCHA program
  • Private sector and nontraditional opportunities are available and supported by MOH
  • Funding priorities remain constant or increase
  • The Liberian economy stabilizes or improves
  • Communities continued acceptance of CHA cadre

Eligibility Criteria

USAID welcomes applications from organizations that have not previously received financial assistance from USAID.


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