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A Health Systems Approach to Integrated Community Case Management of Childhood Illness: Methods and Tools

2012; American Society of Tropical Medicine and Hygiene; Volume: 87; Issue: 5_Suppl Linguagem: Inglês

10.4269/ajtmh.2012.11-0758

1476-1645

Laura McGorman, David Marsh, Tanya Guenther, Kate Gilroy, Lawrence M. Barat, Diaa Hammamy, Emmanuel Wansi, Stefan Peterson, Davidson H. Hamer, Asha George,

Interprofessional Education and Collaboration

Integrated community case management (iCCM) of childhood illness is an increasingly popular strategy to expand life-saving health services to underserved communities. However, community health approaches vary widely across countries and do not always distribute resources evenly across local health systems. We present a harmonized framework, developed through interagency consultation and review, which supports the design of CCM by using a systems approach. To verify that the framework produces results, we also suggest a list of complementary indicators, including nine global metrics, and a menu of 39 country-specific measures. When used by program managers and evaluators, we propose that the framework and indicators can facilitate the design, implementation, and evaluation of community case management.