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  • Integrated community case management: Planning for sustainability in five African countries

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Publication Date:
25/06/2019

Type:
Journal article
Publication

Integrated community case management: Planning for sustainability in five African countries
Author(s): Jennifer Yourkavitch, Lwendo Moonzwe Davis, Reeti Hobson, Sharon Arscott-Mills, Daniel Anson, Gunther Baugh, Salim Sadruddin, Jean-Caurent Mantshumba, Bacary Sambou, Jean Tony Bakukulu, Pascal Ngoy Leya, Misheck Luhanga, Leslie Mgalula, Gomezgani Jenda, Humphreys Nsona, Santos Alfredo Nassivila, Eva de Carvalho, Marla Smith, Moumouni Absi, Fatima Aboubakar, Aminata Tinni Konate, Mariam Wahab, Joy Ufere, Chinwoke Isiguzo, Lynda Ozor, Patrick B Gimba, Ibrahim Ndaliman

Publication Date:
25/06/2019
Type:
Journal article

Background

The World Health Organization (WHO) launched an initiative to plan for the sustainability of integrated community case management (iCCM) programmes supported by the Rapid Access Expansion (RAcE) Programme in five African countries in 2016. WHO contracted experts to facilitate sustainability planning among Ministries of Health, WHO, nongovernmental organisation grantees, and other stakeholders.

Methods

We designed an iterative and unique process for each RAcE project area which involved creating a sustainability framework to guide planning; convening meetings to identify and prioritise elements of the framework; forming technical working groups to build country ownership; and, ultimately, creating roadmaps to guide efforts to fully transfer ownership of the iCCM programmes to host countries. For this analysis, we compared priorities identified in roadmaps across RAcE project sites, examined progress against roadmaps via transition plans, and produced recommendations for short-term actions based on roadmap priorities that were unaddressed or needed further attention.

Results

This article describes the sustainability planning process, roadmap priorities, progress against roadmaps, and recommendations made for each project area. We found a few patterns among the prioritised roadmap elements. Overall, every project area identified priorities related to policy and coordination of external stakeholders including funders; supply chain management; service delivery and referral system; and communication and social mobilisation, indicating that these factors have persisted despite iCCM programme maturity, and are also of concern to new programmes. We also found that a facilitated process to identify and document programme priorities in roadmaps, along with deliberately planning for transition from an external implementer to a national system could support the sustainability of iCCM programmes by facilitating teams of stakeholders to accomplish explicit tasks related to transitioning the programme.

Conclusions

Certain common elements are of concern for sustaining iCCM programmes across countries, among them political leadership, supply chain management, data processes, human resources, and community engagement. Adapting and using a sustainability planning approach created an inclusive and comprehensive dialogue about systemic factors that influence the sustainability of iCCM services and facilitated changes to health systems in each country.

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Country: Mozambique | Nigeria

Keywords: Community delivery | M&E and surveillance | Public health communications | Research | Case management | iCCM | SDG3

 

 

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    • Mozambique
    • Nigeria
    • South Sudan
    • Uganda
    • Asia
    • Cambodia
    • Myanmar
    • Thailand
  • Projects
    • Project database
    • Featured projects
    • Past projects
  • Publications
  • Media centre
    • Newsletters
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  • About us
    • Who we are
    • Governance
    • Aid transparency
    • Dr Sylvia Meek
    • Annual reviews
    • Policies and procedures
    • Careers
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    • Contact us
    • Malaria Consortium U.S.
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