Community Health Workers and Public Health Officers do the first conversation. A licensed Practitioner is one step away. Every shilling is accounted for, without an identity leaving the field.
Programmes break at one of these three links. Whether the money comes from a donor, a County or a national budget, this is one system across all of them.
A Community Health Worker or a Public Health Officer already has the trust and the reach. With approved Instruments on a phone, in the language spoken there, they can do the first structured conversation that would otherwise never happen.
When a result calls for it, the case moves to a license-checked Clinician who sees exactly what was asked, in what language, and under what Consent. Nobody is left holding a risk they were never trained for.
Reach, uptake, time to Care and cost per Person, aggregated and ready for a donor report, a County review or a national dashboard. Every figure traces back to a real Session, and not one identity leaves the field to produce it.
A programme needs a clear method, a named referral path and evidence that means the same thing across Workers and settings.
Governed Instruments only
Instrument, version, source, language, responder and intended population remain visible. Local validation and licence limits are reviewed before use.
The same answers, the same result
Scoring is fixed, so two Workers in two Counties produce the same score from the same answers. A Practitioner remains responsible for clinical meaning.
The accountable next step is defined first
The program defines the threshold, responsible role and licensed referral path before Screening begins, so a result that needs clinical review has an accountable next step.
Comparable over time
This quarter can be honestly compared with last, because what produced each result was recorded alongside it.
Screening supports early identification. It is never a Diagnosis, and a licensed Clinician makes every clinical decision.
The two things a funder asks for have always pulled against each other. Here they do not.
Traceable for the audit
Every figure traces to a Session that actually happened, delivered by someone whose license or training was checked, with the time and place recorded.
Aggregate for the report
Reach, uptake, time to Care and cost per Person, above a minimum group size, and shaped for public-health reporting environments such as DHIS2.
Programmes end. Governments change. The Care they reached should outlast both.
