This paper documents progress in the scale up of a program to train an existing cadre of community based health workers, known as health surveillance assistants, to provide integrated community case management of childhood illness between 2008 and 2011. It describes some critical challenges that affect the effectiveness and sustainability of the program, and proposes solutions. … [Read more...] about Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi
Research
Health Systems Supports for Community Case Management of Childhood Illness: Lessons from an Assessment of Early Implementation in Malawi
This paper presents the results of a mixed-methods assessment of selected health systems supports for community-based health workers in a national community case management program for childhood illness in Malawi during the first year of implementation. … [Read more...] about Health Systems Supports for Community Case Management of Childhood Illness: Lessons from an Assessment of Early Implementation in Malawi
Insights from Community Case Management Data in Six Sub-Saharan African Countries
This study analyzed monitoring data from community case management (CCM) programs supported by the International Rescue Committee, covering over 2 million treatments provided from 2004 to 2011 in six countries by 12,181 community health workers to generate evidence on how to implement CCM. … [Read more...] about Insights from Community Case Management Data in Six Sub-Saharan African Countries
Community Health Workers Providing Government Community Case Management for Child Survival in Sub-Saharan Africa: Who Are They and What Are They Expected to Do?
This article describes community health workers (CHWs) in government community case management (CCM) programs for child survival across sub-Saharan Africa. There were diverse incentives, training, and methods of treatment. Even if CHWs are as varied as the health systems in which they work, more work must be done in terms of the design and implementation of the CHW programs for … [Read more...] about Community Health Workers Providing Government Community Case Management for Child Survival in Sub-Saharan Africa: Who Are They and What Are They Expected to Do?
Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi
As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register reviews, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses the relative strengths and … [Read more...] about Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi