Community case management: IRC’s experience and considerations for scale up
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Transcript of Community case management: IRC’s experience and considerations for scale up
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COMMUNITY CASE MANAGEMENT IRC’S EXPERIENCE AND CONSIDERATIONS FOR SCALE UP
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Program profile
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Community Case Management
• Community health workers are trained and supervised to:– assess, – classify, – refer or treat sick children with malaria,
diarrhea, and pneumonia and – counsel the caretaker on home management – follow up
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Started– In three countries in 2005
Funding source– Canadian International Development Agency
Period– 36 months
Beneficiary population – At the end of project ~ 4,000,000 population– ~ 800,000 children under-five
Treatments - ~ 1,500,000 treatments
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Map of six countries
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Population to CBD 300
CBDs to Supervisor 20
Supervisors to Officer 15
Officers to Manager 5
Managers to Coordinator
3
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www.ircccm.org
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Reductions in child mortality
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Lessons learned
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Region 1,000,000 peopleCost USD per
year
Initial training (3,333 CBDs) 133,333
Refresher training/6 months 186,666
Refresher training/1 year 93,333
Supervision costs (20 USD/month/supervisor)
40,000
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Supervision: go beyond the greed for numbers
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Take away messages
• Avoid shortcuts in CHV selection• Don’t overstretch volunteers• Start off integrated• Nobody can scale up like the government can• Supportive supervision is the most cost-
effective refresher training