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"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

World Vision

A growing body of evidence supports the fact that community case management (CCM) can reduce childhood deaths from the biggest killers such as pneumonia, diarrhoea, malaria, newborn infections and malnutrition. The approach employs community-based interventions aimed at extending health care and treatment to hard-to-reach areas with poor access. CCM is a strategy to increase access to care and deliver lifesaving treatment for common childhood illnesses. It expands the use of curative interventions, bringing care close to homes where most children under age 5 die from pneumonia, diarrhoea, malaria, newborn infections and malnutrition. It is implemented by trained and supervised community health workers (CHWs) and is linked to local health facilities. 

World Vision (WV) is currently engaged in a wide range of CCM programmes in multiple regions. The principle is to work in partnership with the MoH and other partners and within existing area development programme (ADP) plans and strategies. It complements WV’s approach to building community involvement and community structures to provide management, supervision and support to CHWs. WV national offices (NOs) should understand the national government policy and support the rollout of CCM in alignment with new guidelines and in synchrony with other stakeholders, such as CCM-implementing partners, to ensure a consistent and unified CCM approach. In recent years, many governments around the world have begun to adopt CHW policies and health strategies which include CCM as a core approach. It has been recognised that community case management of individual diseases such as diarrhoea, pneumonia and malaria is less effective than an approach that enables CHWs to treat multiple presenting illnesses together. For instance, integrated CCM (iCCM) is promoted as the most effective strategy to reduce child deaths

This toolkit has been developed building on the rich experience of existing programmes and guidelines. The development of these guidelines entailed a literature review to understand the gaps and needs and a rapid assessment of existing tools, job aids and guidelines by each NO planning to implement CCM or iCCM. The toolkit is a how-to guide to be used for NO policy and strategy, assessment, programme design and planning. It is meant for health managers, at national and ADP levels, to aid in designing and implementing CCM and iCCM of childhood malaria, pneumonia and diarrhoea to achieve child well-being outcomes and targets and to ultimately reduce child morbidity and mortality.

Design, monitoring and evaluation (DME) specialists will also find this toolkit useful as many times they are the frontline staff providing assessment and design support to ADPs, yet in many cases they may not have a public health background. It includes tools for country preparedness, assessment, programme design, monitoring and evaluation and operational tools based on the gaps identified during the rapid assessment phase at each country level. Hence it can be used for new ADPs, ADP redesign and expansion to new geographic areas. 

The toolkit includes: 
• tools for planning and design
• tools for monitoring and evaluation
• operational tools.

Publishing information:
Published by Sustainable Health on behalf of World Vision International
Copyright information:
© World Vision International 2014
Managed by: Zari Gill. Senior Editor: Marina Mafani. Publishing Coordination: Katie Klopman. Proofreading: Anna Claire Okeke. Contributors: Polly Walker, Joan Mugenzi, Alfonso Rosales, Daouda Coulibaly, Annette Ghee, Abena Thomas and Timothy Musombi.

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