Community development programs are essential in reducing infant and child mortality. The HAS' program has managed to reduce mortality since it contains the following features: peer-to-peer health education, mobile clinics and rally posts, 1500 volunteer community health workers, involvement in the planning, evaluation and implementation of services and referrals to higher levels. In addition to that, they have eighty paid agents, where each agent is assigned four hundred to five hundred house holds. These agents make frequent home visits and monthly Rally posts for monitoring, counselling, referral and immunizations.
They also have monitors who train the midwives and supervise the community-based programs. Tuberculosis agents are meant to follow the tuberculosis contacts and to provide direct therapy for the tuberculosis patients. HAS programs are generally intended to promote equity and to ensure that health facilities reach every home. This has been ensured through their various activities.
The community participation in the HAS program is not similar to that of the Alma Ata declaration because the development activities of HAS are evenly distributed, unlike those of Alma Ata declaration. In addition to that, health activities and development programs are hardly combined into single comprehensive system for the population in the Alma Ata. The other thing that brings difference is the factor of geography; geographical and financial factors that are faced in Alma Ata declaration are barriers which affect the curative care. According to Alma Ata declaration, only a third of the children receive intensive child survival service from NGOs, but the rest receive very limited child survival service from the health ministry. The survival services include: vitamin A supplementation, immunizations, treatment of pneumonia, treatment of diarrhoea and basic health education.
The percentage of children receiving high dose of vitamin A medicine as per the research is higher in HAS; 2.8 times greater. The percentage of children receiving full recommended series of immunization is twice greater in HAS. Similarly, the percentage of most rece4nt births attended by a trained health care attendant is almost 12.5 times higher, the prevalence of breastfeeding is almost twice higher, and the children with symptoms of respiratory diseases are less. In addition to that, the percentage of women receiving two more prenatal visits during pregnancy, and the number of women receiving tetanus treatment are both higher in HAS. In general, the health services in HAS of higher quality and more improved that the health services of the Alma Ata declaration.
Types of monitoring and evaluation used to assess the