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In 2009, 305,000 children under the age of five died in Mozambique and Uganda. The main causes of death were diarrhoea, pneumonia and malaria. Access to good quality healthcare in the community could save thousands of these lives
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Community based agents are chosen by their neighbours and peers as trusted deliverers of healthcare. If a CBA is working as a volunteer, they are often given in-kind support by their neighbours.
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inSCALE is seeking solutions to the difficulties and limitations experienced by community based agents to diagnose and treat diarrhoea, pneumonia and malaria in young children, whatever these may be
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The reliable transfer of data between communities and health management information systems is essential for effective disease management. inSCALE will evaluate the use of mobile technology by CBAs in the sharing of data
inSCALE is a Malaria Consortium project funded by the Bill & Melinda Gates Foundation. It is currently being implemented in Mozambique and Uganda with the support of the London School of Hygiene and Tropical Medicine and University College London's Centre for International Health and Development.
Innovations at Scale for Community Access and Lasting Effects (inSCALE) seeks to increase coverage of integrated community case management (ICCM), which provides community based-care for diarrhoea, pneumonia and malaria. This is achieved through training community based agents to diagnose and treat these three main childhood illnesses. ICCM focuses on the widespread use of diagnostics for pneumonia and malaria, appropriate treatment and community health education.
inSCALE aims to demonstrate that coverage and impact of government-led ICCM programmes can be extended if innovative solutions can be found for critical limitations, such as motivation and retention of community health workers. Once feasible and acceptable solutions are identified, these solutions can be used to increase the coverage of ICCM and improve its quality
