Hodges' Model: Welcome to the QUAD: Why CBIO? A Census-Based, Impact-Oriented Approach to Community Health

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Tuesday, November 10, 2026

Why CBIO? A Census-Based, Impact-Oriented Approach to Community Health

The Census-Based, Impact-Oriented (CBIO) Approach is a practical, community-centered approach to improving health outcomes through systematic information about communities, evidence-based action, and measurement of results. 

This short introduction explains why the CBIO approach matters and how it can help communities and organizations move from identifying health needs to achieving measurable improvements in health. 

CBIO Initiatives for Global Health promotes and advances the CBIO Approach by providing training, technical assistance, research, and practical implementation tools. We support community-centered, evidence-based health initiatives, particularly in low- and middle-income countries, and seek to collaborate with governments, academic institutions, development partners, and local organizations. 

Learn more about CBIO Initiatives for Global Health: 
🌎 https://cbioinitiativesforglobalhealth.org/ 


My source:

Dear Peter,

In rural Kisii County, Kenya, a CBIO+ program cut under-five mortality by 80% and neonatal mortality by 78% between 2017 and 2024. Most of that decline came in the first three years. Would you like to see this sort of impact in the programs with which you work or that you support?

For more than four decades now, I have been working with Impact Global Health Alliance (IGHA, formerly Curamericas Global) on CBIO+, the Census-Based, Impact-Oriented Approach to helping communities improve their health. 

Please watch our short introductory video entitled “Why CBIO?” Then feel free to explore our new website which has a wealth of information about CBIO+. Our aim is to help you implement CBIO+, with mentoring from CBIO Initiatives for Global Health, or in partnership with IGHA.

We are convinced that this approach deserves wider recognition – especially now when global progress in health improvement is languishing and countries need to do more with less. Global health initiatives have spent billions fighting diseases. They have spent far less helping communities fight for their own health.

We believe that we need a stronger emphasis in global health on community-oriented public health, whose goal is to partner with communities to help them improve their health. The people themselves constitute our greatest untapped resource in global health, and we need new ways to work with communities to help them turn this potential into health gains.

Community-oriented public health is a much needed complement to vertical, disease-control programs (disease-oriented public health) and to health care delivery programs (services-oriented public health). We can think of them each forming a leg of a three-legged stool. Having a stronger leg for community-oriented public health will make the seat of the stool, the platform of public health, much stronger.

We hope you will find CBIO+ to be worthy of your attention and application anywhere in the world.

Watch “Why CBIO?” today: https://youtu.be/d8SEze-6gsY (8 mins)

Best wishes,

Henry--



Henry B. Perry, MD, PhD, MPH
Founder, CBIO Initiatives for Global Health
Co-Founder, Impact Global Health Alliance
hperry AT cbioinitiativesforglobalhealth.org

Senior Associate, Health Systems Program
Department of International Health
Johns Hopkins Bloomberg School of Public Health