Measuring Implementation Strength for Integrated Community Case Management in Malawi: Results from a National Cell Phone Census

by Rebecca Heidkamp, Elizabeth Hazel, Humphreys Nsona et al.
Am J Trop Med Hyg 2015 93:861-868; Published online August 24, 2015

19 pp. 4.2 MB
http://www.ajtmh.org/content/early/2015/08/20/ajtmh.14-0797.full.pdfcover

Integrated Community Case Management (iCCM) of childhood illnesses is a strategy for increasing access to diagnosis and treatment of malaria, pneumonia, and diarrhea through community-based health workers. The authors collected real-time data on iCCM implementation strength through cell phone interviews with community-based health workers in Malawi and calculated indicators of implementation strength and utilization at district level. there are wide differences in iCCM implementation strength by district. Districts that performed well according to the survey measures demonstrate that MOH implementation strength targets are achievable with the right combination of supportive structures. Using the survey results, specific districts can now be targeted with additional support.

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