National Scale-Up of Integrated Community Case Management in Rural Ethiopia: Implementation and Early Lessons Learned
Ethiop. med. j. (Online)
; 52: 15-26, 2014.
Artigo
em Inglês
| AIM
| ID: biblio-1261959
Biblioteca responsável:
CG1.1
ABSTRACT
Background. Although under-five mortality in Ethiopia has decreased 67in the past two decades; many children still die from preventable or treatable conditions; mainly pneumonia; newborn problems; diarrhea; malaria and malnutrition. Most of these deaths can be avoided with timely and appropriate care; but access to and use of treatment remains inadequate. Community health workers appropriately trained; supervised; and supplied with essential equipment and medicines; can deliver case management or referral to most sick children. In 2010; Ethiopia added pneumonia to diarrhea; malaria and severe acute malnutrition; targeted for treatment in the integrated community case management (iCCM) strategy. Purpose. This article describes the national scale-up of iCCM implementation and early lessons learned. Methods. We reviewed data related to iCCM program inputs and processes from reports; minutes; and related documents from January 2010 through July 2013. We describe introduction and scale-up through eight health system components. Results.The government and partners trained and supplied 27;116 of the total 32;000 Health Extension Workers and mentored 80 of them to deliver iCCM services to over one million children. The government led a strong iCCM partnership that attracted development partners inimplementation; monitoring; evaluation; and research. Service utilization and weak supply chain remain major challenges. Conclusion:
Strong MOH leadership; policy support; and national partnerships helped successful national iCCM scale-up and should help settle remaining challenges
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Índice:
AIM (África)
Assunto principal:
Proteção da Criança
/
Agentes Comunitários de Saúde
/
Administração de Caso
/
Atenção à Saúde
/
Implementação de Plano de Saúde
Tipo de estudo:
Revisão sistemática de estudos observacionais
Idioma:
Inglês
Revista:
Ethiop. med. j. (Online)
Ano de publicação:
2014
Tipo de documento:
Artigo
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