PNG Health Care Manual 3rd Edition Project

Health Care Manual for Community Workers in PNG - 3rd edition "HCM3"    


The need for a New Edition

  • Community Health Workers (CHWs) in Papua New Guinea are vital for providing primary health care to the people. They are a first point of contact for those who need health care, and in rural and remote areas they are often the only available source of medical assistance and health education for the community.
  • The late Dr Clifford Smith was the author of The Health Care Manual (1st & 2nd editions). This 800-page manual is specific to PNG primary health care needs and is widely respected and well-known in PNG. It has been used as key text for CHW training schools, to underpin CHW training materials, and as an ongoing practice manual in the field.
    • 2nd edb
  • However the Health Care Manual currently in use has not been updated in 20 years, and therefore much of the information is out-of-date and not in line with current practices and protocols.
  • It has also been out of print for many years, with relatively few copies still in circulation, making it difficult for CHWs to access this essential information.

Initial work 

  • In late 2012 HealthServe Australia developed the Health Care Manual Feasibility Project to advocate for the development of the 3rd Edition of the manual.
  • HealthServe’s fundraising efforts, strongly supported by Terrigal Uniting Church, assisted the late Dr Clifford Smith to conduct several feasibility visits to PNG where he made contact with many stakeholders in an effort to secure support, endorsement and funding.
  • Dr Smith achieved project endorsement at the annual Christian Health Services Conference in 2013 and agreement by Baptist Union Papua New Guinea (BUPNG) to be the lead agency for the project however funding was not able to be achieved at that time.
  • Just prior to his death in Feb 2015, Dr Clifford Smith endorsed Dr John Oakley to take over his role as Commissioning Editor.
  • Upholding Cliff’s legacy and with the support of HealthServe Australia, Dr John Oakley, Roslyn Copas (AusVoc Educational Publishing who had advocated for the project since 2007) and Gerri Koelma (Monitoring and Evaluation Adviser who had assisted Cliff develop project proposals since 2012) formed the ‘HCM3 Project Management Team’ and met with BUPNG in Port Moresby in June 2015. In faith, BUPNG then commenced the HCM3 project.


Planned Project Term: June 2015 - June 2018.

The Project Commences

Year One            (2015- 2016)

  • Joyce Melepia was appointed to the Project Management Team as the in-country Project Manager, based in Mt Hagen. Joyce does an amazing job in managing the project and maintaining key stakeholder relationships.
  • HealthServe Australia became a technical partner to the HCM3 project.
  • The project achieved the endorsement and support of key stakeholders in PNG, including the Church Partnership Program (CPP), Christian Health Services (CHS), the PNG National Department of Health (NDoH), and Australian Department of Foreign Affairs and Trade (DFAT).
  • Prayers were answered when the project received funding for the whole of Year 1 and substantial funding for Year 2 from CPP, CHS, and NDoH.
  • All planned outcomes for Year 1 were achieved.
  • In June 2016 consultation workshops with Community Health Workers from the field and teaching in training schools were held in each of the four health districts. The information obtained will assist to inform HCM3 content development.


Year Two       (2016-2017)

  • We give glory to God that the HCM3 project is now halfway through Year 2!
  • The first drafts of HCM3 are now in progress and planned activities are on track.
  • Further financial contributions have been committed by the churches in PNG.
  • BUPNG distributed its first HCM3 Annual Report
  • BUPNG distributed 2 project newsletters


HCM3 meeting June 2015 25

Dr John Oakley, Esther Kuri, Gerri Koelma, Michael Elton, Roslyn Copas, Bernard Rutmat

John Kaewa, Joseph Lakai, Kevin Bong, Joseph Sika, Mary Kililo


Project Update: as at JUNE 2018


Goals of the project 

  1. To develop a fully revised and updated 3rd edition of the Health Care Manual (HCM3), based on current health care information and suitable for use by Community Health Workers (CHWs) to meet PNG health standards.
  2. To distribute 15,000 free copies of HCM3 to all CHW training schools and CHWs across PNG.
  3. To build knowledge and skills of publishing processes for all involved in the project.
  4. The project will take three years from mid-2015 to mid-2018 to enable involvement and endorsement by the relevant parties in PNG. The total project investment will be PGK 3.75m (AUD 1.67m).

Background to the project  

  1. CHWs are vital for providing primary health care to the people. They are a first point of contact for those who need health care, and in rural and remote areas they are often the only available source of medical assistance and health education for the community.
  2. CHWs greatly value the Health Care Manual as a practical resource. The Health Care Manual has not been updated in 20 years, and is out-of-date, and out-of-print.
  3. The HCM3 project is led by the Baptist Union of Papua New Guinea (BUPNG), and supported by its Project Management Team.
  4. Key stakeholders supporting the project include the Church Partnership Program (CPP), Christian Health Services (CHS), the National Department of Health (NDoH), and the Australian Government (DFAT).

Latest Progress

  • Development and review of the HCM3 chapter content continues. To date 34 writers have been tasked for 52 chapters (with 46 chapter drafts delivered); and 38 chapters have so far been revised or drafted by project team members. Many subject matter experts (approximately 40) have also been consulted by writers and the project team. These processes will continue in an intense effort now to complete drafts of the remaining chapters. There is a huge volume of work to do for a book of this size and scale.  Once the writing of all chapters is completed, and the Technical Review Panel has completed reviews of the content of all of the chapters, then the editing, publishing and production stages will reach their peak activity levels to finalise the book for printing and release.

Project Extension to end of 2018

  • As advised during our last update in April, the Project Management Team and the BUPNG Executive Leadership Team has revised the Year 3 work plan to accommodate a brief extension into the second half of 2018. This is designed to enable successful completion of the development of the content for the book, and to give the project time to secure the funding needed to complete Year 3 tasks.  The current total budget over the life of the project is currently estimated at PGK 3.31M, which is a significant reduction from the PGK 3.75M estimated since the start of the project.  BUPNG and the PMT have carefully marshalled all available resources and funding at each stage of the project. When necessary activity and expenditure have been delayed at earlier stages to suit the funding available at the time. This has been very challenging, but in faith and with a lot of support from our stakeholders, we continue to progress.  We are working hard to secure the funding that is necessary to be able to complete HCM3. Ongoing updates will be sent as new information is available








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