top of page

OHRA PROGRAMS APPROACH IN AFRICA

Transformational Approach to Restoring Human Dignity Through Public Health & Health Equity

Below is a comprehensive, realistic, and strategically aligned Programs Approach for Orpe Human Rights Advocates, grounded in the Transformational Initiative of Restoring Human Dignity Through Public Health & Health Equity in Africa.

​

This framework translates the contextual challenges, equity determinants, and strategic priorities into operational, implementable OHRA programs and activities across Africa.

I. OHRA’S TRANSFORMATIONAL FRAMEWORK

OHRA’s work in Africa is built on three pillars:

1. DIGNITY RESTORATION

Promoting human rights, equitable access to health, and community empowerment.

​

2. PUBLIC HEALTH IMPACT

Reducing the burden of communicable and noncommunicable disease through prevention, early detection, and improved care.

​3. SUSTAINABLE SYSTEMS STRENGTHENING

Working with governments and communities to build systems that last, not temporary interventions.

II. OHRA PROGRAM STRUCTURE (REALISTIC & OPERATIONAL)

Program 1: Communicable Disease Prevention & Epidemic Preparedness (CD-PEP)

Addresses HIV/AIDS, malaria, TB, cholera, Ebola, and other emerging diseases.

Objectives

  • Strengthen community surveillance and early response.

  • Expand testing, referral, and linkage to care.

  • Improve infection prevention at community and clinic levels.

Key Activities

  • Train community health workers (CHWs) in community-based surveillance and case identification.

  • Support local laboratories with diagnostics kits and training.

  • Establish epidemic response volunteer teams in high-risk districts.

  • Community-based malaria net distribution and usage education.

  • Health rights education campaigns to reduce stigma (HIV, TB, Ebola).

Partners

Africa CDC, Ministries of Health, Red Cross, local clinics, faith-based networks.

​

​

​

​Program 3: Maternal, Newborn & Child Health Equity Initiative (MNCH-EI)

Focus on maternal mortality, under-5 deaths, prenatal/postnatal care gaps.

Objectives

  • Ensure dignified maternal care and safe births.

  • Improve access to emergency obstetric services.

  • Strengthen nutrition and immunization coverage.

Key Activities

  • Train traditional birth attendants and midwives in safe delivery practices.

  • Establish “Mother’s Waiting Homes” near hospitals for high-risk pregnancies.

  • Promote male involvement in maternal health decision-making.

  • Community immunization campaigns with door-to-door mobilization.

  • Distribution of clean delivery kits for remote communities.

Partners

UNICEF, Ministries of Health, midwifery associations, faith-based women’s groups.

Program 5: Health Equity & Social Determinants Empowerment Program (HE-SDEP)

Addresses poverty, gender inequality, cultural barriers, and rural–urban disparities.

Objectives

  • Remove socio-economic and cultural barriers limiting health access.

  • Empower women, youth, and rural populations.

  • Promote accountability and governance in the health system.

Key Activities

  • Community dialogues for gender equality & health rights.

  • Legal aid and GBV prevention workshops.

  • Health equity awareness campaigns (radio, community theater).

  • Transport voucher programs for rural patients visiting clinics.

  • Training local leaders in accountability and transparency practices.

Partners

Local councils, women’s associations, human rights networks, community elders.

Program 7: Public Health Education & Behavior Change Communication (PH-BCC)

Promotes community literacy on disease prevention, nutrition, MNCH, and chronic care.

Objectives

  • Combat misinformation and harmful cultural practices.

  • Increase uptake of preventive health services.

  • Promote youth-led health advocacy.

Key Activities

  • Producing multilingual educational materials (radio, posters, WhatsApp).

  • Schools and youth club health empowerment sessions.

  • Training faith leaders as health ambassadors.

  • Social media campaigns targeting urban youth.

Partners

Local radio stations, Ministries of Education, faith-based networks.

Program 2: Noncommunicable Disease Screening, Prevention & Chronic Care Support (NCD-SPCCS)

Targets hypertension, diabetes, cancer, stroke, preventable disabilities.

Objectives

  • Increase early screening for NCDs in rural and underserved regions.

  • Promote nutrition, physical activity, and healthy behavior change.

  • Strengthen chronic care follow-up systems.

Key Activities

  • Mobile screening clinics for BP, glucose, breast cancer, cervical cancer.

  • Diet and lifestyle education sessions in churches, markets, and schools.

  • Training nurses and CHWs on NCD management protocols.

  • Digital NCD patient track-and-trace SMS follow-up program.

Partners

University hospitals, WHO PEN Program, Lions Club (vision screening), local NGOs.

​

​

​

​

​

Program 4: Environmental, Climate & Water Justice Program (ECW-JP)

Responds to pollution, contamination, drought, and climate-related diseases.

Objectives

  • Reduce exposure to polluted water, air, and hazardous environments.

  • Promote climate adaptation in health systems.

  • Strengthen community resilience to climate shocks (e.g., drought, floods).

Key Activities

  • Water purification system distribution and WASH training.

  • Community environmental audits in mining/oil-impacted communities.

  • Education on safe waste management and clean cooking technologies.

  • Climate-sensitive disease prevention (mosquito control, heat-health education).

Partners

UNEP, local environmental authorities, water boards, climate NGOs.

​

​Program 6: Universal Health Coverage Advocacy & Policy Influence Program (UHC-APIP)

Supports national systems to reduce financial and logistical barriers.

Objectives

  • Advocate for equitable financing models.

  • Strengthen accountability in health policy implementation.

  • Improve insurance access for vulnerable populations.

Key Activities

  • Policy briefs and roundtables with Ministries of Health.

  • Evidence generation on financial risk protection.

  • Support national health insurance enrollment campaigns.

  • Civil society monitoring of service delivery quality and equity.

Partners

World Bank, national parliaments, AU, civil society watchdog groups.

​

​

​

Program 8: Emergency Response & Humanitarian Health Support (ER-HHS)

Provides health support during conflicts, political instability, or disasters.

Objectives

  • Protect the health and dignity of displaced and conflict-affected populations.

  • Strengthen humanitarian health supply chains.

  • Support mental health and psychosocial services.

Key Activities

  • Deploy mobile emergency medical teams.

  • Provide trauma kits, hygiene kits, and dignity kits for women.

  • Establish safe spaces for GBV survivors.

  • Psychosocial counseling and resilience workshops.

Partners

UNHCR, Red Cross, refugee camp administrations, faith-based relief ministries.

III. OHRA CROSS-CUTTING APPROACHES

1. Community-Centered Implementation

  • Use CHWs, youth leaders, and faith-based structures.

  • Integrate traditional healers where appropriate.

3. Gender Transformative & Inclusive Approach

  • Ensure women and girls have equitable access to services.

  • Integrate GBV prevention across all programs.

2. Human Rights & Accountability Lens

  • Promote zero discrimination in health facilities.

  • Support patient rights charters at clinic and district levels.

4. Evidence-Based & Data-Driven Monitoring

  • Digital data collection (ODK, KoboToolbox).

  • Periodic community scorecards.

IV. PROGRAM DELIVERY MODEL

A. Regional Implementation Hubs

  • West Africa Hub (Ghana)

  • East Africa Hub (Uganda)

  • Southern Africa Hub (Angola)

​

These hubs coordinate technical support, research, and regional collaborations.

​

​

​

B. Country-Level Offices

Lead implementation, government engagement, and community outreach.

​

​

​

​

​

​

​

​

C. Community Action Centers (CACs)

Local units anchored in faith-based or community partnerships delivering services such as:

  • Screening days

  • Health rights education

  • Referral coordination

  • Training and capacity building

​

​

V. PROGRAM OUTCOMES (EXPECTED IMPACT)

Health Outcomes

  • Reduced mortality from MNCH and infectious diseases.

  • Increased NCD early detection and management.

  • Improved outbreak response capability.

Equity Outcomes

  • Reduced rural–urban service gaps.

  • Increased gender equity in health access.

  • Reduced catastrophic health expenditure.

​

Systems Outcomes

  • Improved supply chains and surveillance.

  • Stronger CHW networks.

  • Enhanced health policy accountability.

​

Logic Model

Inputs

Public health specialists, CHWs, midwives, youth ambassadors
• Donor funding, government cost-sharing, private sector CSR
• Screening equipment (BP cuffs, glucometers), test kits, WASH materials
• Digital tools (ODK, Kobo, SMS systems)
• Training curricula, emergency response kits
• Partnerships: AU, Africa CDC, WHO, Ministries of Health, universities
• Community Action Centers (CACs) infrastructure

Shot-Term Outcomes (1-2 years)

​• Increased awareness of hygiene, nutrition, MNCH, and NCD prevention
• Increased early care-seeking and service uptake
• Improved access to primary care, screenings, and maternal services
• Strengthened CHW and midwife capacity
• Reduced gender and rural barriers to health access

​

​

Activities

Service Delivery & Prevention: Mobile clinics, immunization support, screenings, WASH distribution, home visits
Capacity Building: Training CHWs, midwives, labs; leadership & governance workshops
Community Engagement: Media campaigns, school programs, faith-based health advocacy

Systems Strengthening: UHC advocacy, data systems, supply chain improvements, policy dialogues
Emergency Response: Epidemic response teams, GBV safe spaces, psychosocial support

Intermediate Outcomes

• Reductions in maternal and child mortality
• Reduced malaria, HIV, and TB incidence
• Improved hypertension and diabetes control
• Strengthened supply chains and surveillance systems
• Reduced catastrophic health expenditure
• Increased community oversight and transparency

​

​

​

Outputs

Service Outputs: People screened, mothers reached, children vaccinated, households receiving WASH kits
Capacity Outputs: CHWs trained, emergency teams deployed, clinics supported, leaders trained
Engagement Outputs: Community events, radio programs, youth clubs, GBV workshops
Systems Outputs: Dashboards operational, policy briefs developed, UHC partners engaged, districts with improved surveillance

​

Long-Term Outcomes

• Significantly reduced communicable and noncommunicable disease burden
• Higher life expectancy and improved quality of life
• Reduced rural–urban and gender health disparities
• Expansive universal health coverage
• Empowered communities that advocate for health rights
• Resilient health systems capable of sustained, equitable delivery

545b6c62-6f48-4212-9d32-6e1693c9249a.png
bottom of page