Evidence in African countries shows community health workers (CHW), if properly trained and equipped, have the potential to reduce child deaths from malaria, pneumonia and diarrhoea by up to 60 percent through the delivery of integrated community case management (iCCM) – an approach whereby CHWs are trained to identify and treat pneumonia, diarrhoea and malaria in children under five years, as well as to refer severely ill cases to the nearest health facility.
However, these programmes have faced challenges of scale-up owing to high CHW attrition rates and substandard quality of care. Consequently, there is an urgent need for strategies that improve performance, motivation and retention of CHWs.
The Innovations at Scale for Community Access and Lasting Effects (inSCALE) project was a seven-year multi-country study that aimed to demonstrate that government-led iCCM programmes could be scaled up while maintaining quality of care by addressing the common barriers to iCCM implementation emphasised in the literature.Digital health | Child and maternal health | Diarrhoea | Malaria | Pneumonia | Case management | iCCM | SDG3
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