Consejo de Salud Rural Andino (CSRA) is a non-profit, non-governmental organization that specializes in administering health networks and it offers services in designing, implementing, monitoring and evaluating health projects with a community-based model. CSRA was established in 1983 by its parent organization, then known as Andean Rural Health Care in the United States and now known as Curamericas Global, Inc. Curamericas Global was founded in 1983 by Duke University and Johns Hopkins University graduate Henry Perry III, M.D., Ph.D., M.P.H. and Alice Weldon, Ph.D. The organization's work was initially based in Bolivia and has since expanded its services to Haiti, Liberia and Guatemala. Currently, Consejo de Salud Rural Andino in Bolivia has its headquarters in the city of La Paz, a regional office in El Alto, and a regional office in the city of Montero.

Curamericas Global and CSRA are known for their development of the Census-Based, Impact-Oriented Methodology. The CBIO is a community-based primary health care model that allows to better understand, effectively treat and accurately measure outcomes and impacts for the most common found causes of unnecessary suffering, sickness, including mortality reduction using census information and having collaboration from the community. CBIO implementation will first identify the entire programme population through visits at least biannually to all homes and then target selected high-impact services to those at highest risk of death.[1] The CBIO approach incorporates:

A community census of households and a health assessment of the project area, a drawing of maps and numbering of households, and the development of a program plan with community members that includes both epidemiologically driven health objectives as well as community perceived health priorities.

Native doctors, nurses, community health workers, and volunteers then conduct regularly scheduled home visits to targeted households whose census information reveals a high risk of illness or death. During these home visits, health knowledge and practices are measured and vital events are recorded so that families’ illnesses, health experiences, deaths, births, and migrations are tracked. This information is entered into a health information system so; program interventions can be measured and then analyzed with the participation of local people and leaders of the community.

Recent papers describe the Implementation of the CBIO approach over the last three decades in Bolivia and present evidence of program effectiveness, including long-term trends in child and maternal mortality.

A comprehensive Primary Health Care (PHC) program that incorporates principles of the CBIO approach has achieved near-universal coverage of key child survival interventions and achieved levels of child and maternal mortality comparable to those in the United States. The CSRA/Montero, Bolivia Comprehensive PHC Program is now also addressing non-communicable diseases. Community collaboration, routine systematic home visitation, and targeted visits to high-risk households are vital components of the program. CBIO principles are relevant for strengthening the PHC movement, achieving Universal Health Coverage, ending preventable child and maternal mortality, and eventually reaching Health for All.

References

  1. ↑ Perry, H.; Robison, N.; Chavez, D.; Taja, O.; Hilari, C.; Shanklin, D.; Wyon, J. (June 1998). "The census-based, impact-oriented approach: its effectiveness in promoting child health in Bolivia". Health Policy and Planning. 13 (2): 140–151. doi:10.1093/heapol/13.2.140. ISSN 0268-1080. PMID 10180402.
  • "Con sólo un pulmón, Román ayuda a combatir la tuberculosis..." La Razón. September 19, 2010. Archived from the original on June 17, 2015. Alvina Chalco, una de las responsables técnicas del Consejo de Salud Rural Andino, relató que en sus visitas, casa por casa, detectaron a seis enfermos con ...
  • "El Deber: Santacruz". El Deber. Bolivia. Jun 7, 2000. Archived from the original on June 12, 2012. El Consejo de Salud Rural Andino con sede en Montero está organizando una movilización para fluorizar a 7.000 niños pertenecientes al ciclo básico de 17 ...
  • "El Deber: Santacruz". El Deber. Bolivia. July 19, 2001. Archived from the original on August 11, 2007. El representante del Consejo de Salud Rural Andino en Montero, Dardo Chávez, entregó el aporte y certificación al presidente de la cooperativa Dionisio ...
  • "Procosi compartirá experiencias de salud en una feria". HoyBolivia.com. June 10, 2010. ... Roja Boliviana filial Santa Cruz, Consejo de Salud Rural Andino, Plan Internacional, Pro Mujer, Prosalud, Sexalud, Universidad NUR, Visión Mundial Bolivia.
  • Alain Muñoz (September 14, 2009). "Bolpress:: El cambio climático en Bolivia". BolPress. Archived from the original on June 15, 2012. Retrieved June 12, 2012. ... situada casi a 3.000 metros sobre el nivel del mar, reportado por el Consejo de Salud Rural Andino, en la zona de Carabuco, departamento de la Paz.
  • Story Submitted (May 17, 2012). "Run to Bolivia". Mountain Times. Boone, North Carolina. {{cite news}}: |author= has generic name (help)
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