As part of the World Health Organization’s (WHO) integrated community case management (iCCM) Rapid Access Expansion Program (RAcE), World Vision Niger and Canada worked with the Niger Ministry of Health to enable implementation of iCCM in four districts of Niger in 2013. This paper presents a two-arm cluster randomized trial which looked at the impact of an mhealth approach focused on improving quality of care (QoC) deployed by community health works.
The Republic of Niger reports the highest rates of early marriage and adolescent fertility in the world. This study assesses cross-sectional data from household surveys to determine if the deployment of volunteer community health workers in rural settings has improved family planning services in adolescents and youth.
To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
This resource from USAID and MCHIP provides an overview of large-scale CHW programs from 13 countries: Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe. Case studies address the historical context of CHWs, the health needs of the country, the scope of work of the CHWs, CHW training, support and supervision, and financing of CHW programs. The demonstrated impact and continuing challenges of the different programs are also addressed.
Humanitarian crises are often marked by large-scale, externally funded, and vertically managed responses. National health systems, already weak, are often bypassed by international organizations in the interest of rapid response to save lives. There is growing recognition, however, of the importance of employing more sustainable approaches through existing health system infrastructure to ensure services continue as the emergency subsides and organizations and their resource flows end.
Most countries in sub-Saharan Africa have now adopted integrated community case management (iCCM) of common childhood illnesses as a strategy to improve child health. In March 2014, the iCCM Task Force published an Indicator Guide for Monitoring and Evaluating iCCM: a ‘menu’ of recommended indicators with globally agreed definitions and methodology, to guide countries in developing robust iCCM monitoring systems. The Indicator Guide was conceived as an evolving document that would incorporate collective experience and learning as iCCM programmes them- selves evolve.
The Integrated Community Case Management (iCCM) Task Force (TF) has proposed a list of 48 indicators to guide governments and partners in monitoring and evaluating national iCCM programs. These indicators are compiled in the document entitled Indicator Guide for Monitoring and Evaluating Integrated Community Case Management. Recently, the iCCM TF began a review process to determine the number of indicators being reported by country programs, and opportunities and challenges related to measuring indicators not being reported.