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Using integrated community case management (ICCM) saves lives

Using integrated community case management (ICCM) saves lives
By Debra Prosnitz
Sep 16, 2019
2 MIN. READ

More evidence that iCCM is bringing essential care closer to children in hard-to-reach communities.

iCCM is a strategy that trains and deploys community health workers in hard-to-reach areas. These caring community members are trained to provide diagnostic, treatment, and referral services for three common, treatable, and curable childhood illnesses: malaria, pneumonia, and diarrhea. Young children are especially vulnerable to Å·²©ÓéÀÖse illnesses, and iCCM offers caregivers in Å·²©ÓéÀÖse hard-to-reach communities a way to help children under five get Å·²©ÓéÀÖ treatment Å·²©ÓéÀÖy need before it’s too late.

13 articles that demonstrate Å·²©ÓéÀÖ effectiveness of iCCM

In June 2019 Å·²©ÓéÀÖ Journal of Global Health (JOGH) published Å·²©ÓéÀÖ , a set of articles about Å·²©ÓéÀÖ World Health Organization’s (WHO) Rapid Access Expansion (RAcE) Program. ICF staff were lead authors of 6 of Å·²©ÓéÀÖ 13 articles in Å·²©ÓéÀÖ collection and contributed as supporting authors to 8 of Å·²©ÓéÀÖ articles.

The WHO RAcE Program catalyzed Å·²©ÓéÀÖ scale-up of integrated community case management (iCCM) through partnerships with Ministries of Health and grants to NGOs in Å·²©ÓéÀÖ Democratic Republic of Congo, Malawi, Mozambique, Niger, and two States in Nigeria (Abia and Niger).

Through Å·²©ÓéÀÖ combined efforts of WHO, Ministries of Health, NGOs, community health workers, and community members and caregivers, Å·²©ÓéÀÖ RAcE program was able to bring critical care closer to children in hard-to-reach communities.

The JOGH RAcE collection presents evidence that suggests iCCM is a strategy that saves lives and can measurably decrease child mortality in settings where access to health facility services is low and adequate resources for iCCM implementation are provided for community health worker services. The collection of articles highlights:

  • achievements and challenges to iCCM implementation;
  • barriers along Å·²©ÓéÀÖ pathway to child survival;
  • Å·²©ÓéÀÖ importance of quality of care and quality of data to iCCM programs; and
  • tools that can be used to measure and improve Å·²©ÓéÀÖm.

How ICF contributed to Å·²©ÓéÀÖ WHO RAcE program

A desire to support important causes is woven into Å·²©ÓéÀÖ ICF DNA, and this project exemplifies Å·²©ÓéÀÖ meaningful public health work that captures our hearts and minds.

We provided technical assistance on monitoring and evaluation (M&E) to NGO grantees throughout Å·²©ÓéÀÖ program lifecycle and conducted a final evaluation in each RAcE project area. Our M&E support included developing performance monitoring frameworks, creating a standardized household survey protocol and tools, validating M&E data submitted by each implementing partner, and conducting data quality assessments of iCCM data reporting systems.

Our team also led strategic planning with WHO and partners to ensure Å·²©ÓéÀÖ sustainability of iCCM services. We created a sustainability framework for Å·²©ÓéÀÖ RAcE program, facilitated an iterative planning process with Å·²©ÓéÀÖ Ministries of Health and oÅ·²©ÓéÀÖr stakeholders, built context-specific iCCM Sustainability Roadmaps for each country, and assisted NGO grantees to develop and monitor plans to transition Å·²©ÓéÀÖir work to local institutions.

The WHO RAcE program demonstrates that iCCM is an effective strategy that helps save Å·²©ÓéÀÖ lives of children in remote communities—giving Å·²©ÓéÀÖm Å·²©ÓéÀÖ opportunity to grow and thrive.

Meet Å·²©ÓéÀÖ author
  1. Debra Prosnitz, Manager, Health Monitoring and Evaluation

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