Community Case Management

This analysis covers a 7-year interrupted time series that investigated early access to care and under-five morality during a proactive community case management intervention in periurban Mali. Prevalence of febrile illness in children under 5 years went from 39.7% to 22.6% in 7 years. Early antimalarial treatment more than doubled for young children under 5. Under-five mortality lowered to 7/1000 in 2015.

Multiple interventions to improve supply chain practices and access to medical supplies in Malawi and Rwanda were researched.

This paper discusses the implementation of a mobile-based community health management information system for community health workers (CHWs) and their supervisors in Zambia. CHWs provided weekly updates to supervisors and received feedback through the mobile application. 

Health Surveillance Assistants (HSAs) have been providing integrated community case management (iCCM) for sick children in Malawi since 2008. HSAs report monthly iCCM program data but, at the time of this study, little of it was being used for service improvement. Additionally, HSAs and facility health workers did not have the tools to compile and visualize the data they collected to make evidence-based program decisions.

 Dr. Palazuelos, Partners in Health, and Dr.

Task-sharing expands the responsibilities of low-cadre health workers and allows them to share these responsibilities with highly qualified healthcare providers in an effort to best utilize available human resources. This study is part of a larger community-based trial evaluating the acceptability of community treatment for severe pre-eclampsia and examines the prospect for task-sharing among community health extension workers (CHEW) for the detection of early signs of pre-eclampsia in Ogun State, Nigeria. 

An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10% of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible for providing a comprehensive package of antenatal services. However, there is a need to increase focus on early identification and promote diagnosis of pre-eclampsia in community settings, since women with mild pre-eclampsia often present without symptoms.

In 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. A health systems strengthening intervention was implemented in peri-urban Mali designed to improve child survival by improving rapid access to prevention and treatment.

Integrated community case management (iCCM) trains village health workers (VHWs) to provide treatment to the most common childhood diseases in Uganda, including malaria, pneumonia, and diarrhea. One of iCCM’s key features is a referral system for treatment at health facilities, but these referrals are difficult to monitor. A study was conducted to evaluate the referral system by reviewing quantitative data sources, revealing that a need for improvement.

Integrated community case management (iCCM) relies on community health workers (CHWs) managing children with malaria, pneumonia, diarrhoea, and referring children when management is not possible. This study sought to establish the cost per sick child referred to seek care from a higher-level health facility by a CHW and to estimate caregivers’ willingness to pay (WTP) for a referral.