Since the founding of GHM, increasing emphasis has been placed on primary health care in rural areas, under the leadership of local people. Over the last ten years or so, GHM has continued this emphasis by promoting Community-Based Primary Health Care (CBPHC).


CBPHC is the newest GHM approach to help our partners strengthen their health systems. Recent research shows that, although hospitals and clinics in low resource countries save many lives and improve individual health, they exert little change on overall levels of mortality and suffering at the population level; adding community-based approaches does.


Thus CBPHC is population-focused. It recognizes that the most powerful asset for healthy change and growth is the people themselves! Key concepts include equity, empowerment, local ownership, iterative cycles of learning and planning, economic development, the empowerment of women, partnerships, disease prevention, health maintenance and behavior change. The result is improved health system sustainability, effectiveness and efficiency and healthier communities!


Given its relative newness to both systems and communities, the implementation of CBPHC requires patience and long term visioning. GHM’s approach is guided by the Seed-Scale model of development and a mentoring relationship with the Jamkhed Comprehensive Rural Health Project in the Indian state of Maharashtra.

What does CBPHC look like at GHM?

  • Respond at the invitations and requests of our Lutheran partners to strengthen their health care systems.

  • Advise partners on how to integrate CBPHC into their systems

  • Provide startup funding

  • Provide training

  • Build supportive relationships between church and community

  • Promote and assist in providing monitoring and evaluation

  • Currently support CBPHC efforts in Nigeria, Madagascar, Tanzania and El Salvador

What does CBPHC look like at GHM?

What does CBPHC look like at GHM?

Jamkhed Comprehensive Rural Health Project


The Comprehensive Rural Health Project (CRHP), known as the Jamkhed model, was founded by Dr. Raj and Dr. Mabelle Arole in 1970. The Jamkhed model is a sustainable, community-based health care model in rural villages in India that otherwise do not have access to health care. Global Health Ministries has introduced the Jamkhed model to Nigeria, Madagascar, and El Salvador in order to implement community-based primary health care in these countries. The Jamkhed model enables illiterate woman from the untouchable caste to have the power and knowledge to become a village health worker (VHW). The VHW uses her knowledge to work with her community to combat the root causes of poverty. Implementing the Jamkhed model in rural villages results in empowering the community to have access to basic health care, abolish caste discrimination, and battle poverty. To learn more about this experience, visit our photo journal.

Seed-Scale Model of Development

GHM approach is influenced by the Seed-Scale model designed by Future Generations, based on research done for UNICEF and the World Bank in the mid 1990s, as a basis for developing a model of effective community-based primary health care. Below is the model of development we have adapated for CBPHC.

Empowering communities to:

  • Build on their own successes

  • Form partnerships that bring expertise & options

  • Make decisions on data they collect

  • Adopt healthy behaviors

These steps will assist communities to grow their development so that it results in:

  • Equity

  • Sustainability

  • Holism

  • Interdependence