Learning Papers
This series of learning paper aims to capture and collate some of the knowledge, learning and, where possible, the evidence around the focus and effectiveness of our work. By sharing this learning, we hope to provide new knowledge on public health development that will help influence and advance both policy and practice.
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Building Capacity for Universal Coverage: Malaria Control in Nigeria
Support to the Nigeria Malaria Programme – is a £50 million five-year UK aid funded programme that works with the government and people of Nigeria to strengthen the national effort to control malaria. The programme began in April 2008, and runs to March 2013. This learning paper describes, in detail, the programmes approach to malaria control and explores the reasons for the programmes success from the perspective of health workers trained by the programme, community members and others.
Download the pdf here.
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Community dialogues for healthy children: encouraging communities to talk
Integrated community case management (ICCM) – an approach where community-based health workers are trained to identify, treat and refer children under-five with pneumonia, diarrhoea and malaria – is increasingly being used across sub-Saharan Africa to supplement the gaps in basic healthcare provision. ICCM programmes have been endorsed by major international organisations and donors, and many African Ministries of Health as a key strategy for reducing child mortality. This learning paper describes Malaria Consortium’s approach to and experience of engaging local communities in integrated community case management (ICCM) in three African countries.
Download the pdf here.
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Developing and implementing training materials for integrated community case management in South Sudan
In South Sudan, ICCM – or integrated community case management – is carried out by trained community volunteers called community drug distributors (CDDs) or community based distributors. These operate like community based (volunteer) health workers in other parts of Africa but are known differently as, in South Sudan, a community health worker operates within the Ministry of Health (MoH) structure, receiving around nine months training to provide health services at the PHCC / PHCU levels. This paper shows how best practices for delivering training of Community Drug Distributors (CDDs) in the implementation of integrated community case management (ICCM), that have been shown to be successful in some countries and contexts, needed to be adapted to fit a more complex environment in South Sudan.
Download the pdf here.
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Developing Intervention Strategies to improve community health worker motivation and performance
During the last decade child mortality has reduced significantly in a number of African countries, largely due to the scale up of appropriate management of diarrhoea, pneumonia and malaria, three leading causes of death among young children. As a way of increasing access to treatment for sick children, several African countries are investing in community health workers (CHWs) to deliver integrated community case management (ICCM). This paper summarises the process adopted by one Malaria Consortium project, inSCALE, for identifying the barriers to CHW motivation and performance in Uganda and Mozambique. It documents innovative solutions to these challenges that are potentially acceptable and feasible, including the rationale for the design of the two interventions developed.
Download the pdf here.
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