CCM Benchmarks,framework and indicatorsas a tool for documentingcountry programs<br />Baltimore, May 12th2011<br />1<br />...
Content<br />CCM benchmarks,framework and indicators<br />Application of the framework in Senegal<br />Key findings and im...
The ccm benchmark matrix<br />Part 1<br />3<br />
The origin of the Concept<br />Shared understanding of evidence supporting CCM<br />Different stages of country implementa...
The origin of the Concept<br />Inter-Agency working group, including WHO, UNICEF, USAID and International NGOs<br />Techni...
Eight components<br />6<br />Expansion and Scale-Up<br />Pilot and Early Implementation<br />Advocacy and Planning<br />Co...
The ccm documentation<br />Part 2<br />7<br />
Rationale<br />Assist countries in surpassing their previous targets to impact mortality, malaria, pneumonia and diarrheal...
Objectives<br /><ul><li>General Objective:
Inform the design of programs and program monitoring during the anticipated expansion of iCCM.
Specific Objectives:
Document successes and promising strategies that have supported CCM programming success
Document existing bottlenecks in program implementation and approaches to overcome them
Draw lessons learned</li></li></ul><li>The framework<br />The original CCM framework<br />
…an adapted framework<br />The framework<br />Service Delivery and Referral<br />STRATEGIC ELEMENT 2:<br />Services and In...
Key findings in senegal<br />Part 3<br />12<br />
CCM Senegal: Historical overview<br />POLICY<br />Decree 92-118: official status to health committees<br />Adoption of ACT...
Current program status<br /># health huts offering CCM<br />Beginning of 2010:<br />More than 1,600 functional health huts...
1. Coordination and Policy Setting<br />15<br />
1. Coordination and Policy Setting<br />16<br />
2. Costing and Financing<br />17<br />
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CCM Updates & Improvements- From Benchmarks to Supply Chains_Raharison_5.12.11

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CCM Updates & Improvements- From Benchmarks to Supply Chains_Raharison_5.12.11

  1. 1. CCM Benchmarks,framework and indicatorsas a tool for documentingcountry programs<br />Baltimore, May 12th2011<br />1<br />Serge Raharison, MD, MSc<br />Child Health Technical officer<br />
  2. 2. Content<br />CCM benchmarks,framework and indicators<br />Application of the framework in Senegal<br />Key findings and implications for the CCM national program in Senegal<br />2<br />
  3. 3. The ccm benchmark matrix<br />Part 1<br />3<br />
  4. 4. The origin of the Concept<br />Shared understanding of evidence supporting CCM<br />Different stages of country implementation<br />Diversity of country programs and NGO experiences<br />“Unsuccessful pilots have lacked key components of a comprehensive health system.”<br />4<br />
  5. 5. The origin of the Concept<br />Inter-Agency working group, including WHO, UNICEF, USAID and International NGOs<br />Technical Working Group at the Global level<br />Systems strengthening approach to CCM<br />5<br />
  6. 6. Eight components<br />6<br />Expansion and Scale-Up<br />Pilot and Early Implementation<br />Advocacy and Planning<br />Coordination and Policy Setting<br />Financing<br />Human Resources<br />Supply Chain Management<br />Service Delivery and Referral<br />Communication and Social Mobilization<br />Supervision and Performance Quality Assurance<br />M&E and Health Information Systems<br />…indicators…<br />
  7. 7. The ccm documentation<br />Part 2<br />7<br />
  8. 8. Rationale<br />Assist countries in surpassing their previous targets to impact mortality, malaria, pneumonia and diarrheal disease:<br />Inform CCM-related policy and programmatic decision-making in the countries assessed<br />Share with other countries about how to accelerate progress towards their CCM targets<br />
  9. 9. Objectives<br /><ul><li>General Objective:
  10. 10. Inform the design of programs and program monitoring during the anticipated expansion of iCCM.
  11. 11. Specific Objectives:
  12. 12. Document successes and promising strategies that have supported CCM programming success
  13. 13. Document existing bottlenecks in program implementation and approaches to overcome them
  14. 14. Draw lessons learned</li></li></ul><li>The framework<br />The original CCM framework<br />
  15. 15. …an adapted framework<br />The framework<br />Service Delivery and Referral<br />STRATEGIC ELEMENT 2:<br />Services and Information from CHWs available to the Communities<br />STRATEGIC ELEMENT 1:<br />Link between the Health System and the Communities<br />Human resources<br />Supervision and Performance Quality Assurance <br />M &E and Health Information Systems<br />STRATEGIC ELEMENT 3:<br />Behavior Change<br />Communication and Social Mobilization<br />INSTITUTIONAL PLATFORM : Policy and Institutional Support<br />Coordination and Policy Setting<br />Supply Chain Management <br />Financing <br />
  16. 16. Key findings in senegal<br />Part 3<br />12<br />
  17. 17. CCM Senegal: Historical overview<br />POLICY<br />Decree 92-118: official status to health committees<br />Adoption of ACT for the national Protocol<br />Approbation of the use of Cotrim at health huts<br />ORS treatment provided at health huts<br />Zinc pilot USAID community bilateral<br />DIARRHEA<br />Chloroquinetreatment provided at health huts<br />ACT at health huts USAID community bilateral<br />Pilot RDT and ACT PECADOM<br />Introduction of RDT USAID community bilateral<br />MALARIA<br />PNEUMONIA<br />Research on Cotrimoxazoe at health hut level<br />Second extension USAID community bilateral<br />First extension of Cotrim at health hut<br />1990<br />2003<br />2010<br />2006<br />2007<br />2008<br />2005<br />2009<br />2004<br />
  18. 18. Current program status<br /># health huts offering CCM<br />Beginning of 2010:<br />More than 1,600 functional health huts <br />13/14 regions<br />58 of the 69 health districts<br />14<br />
  19. 19. 1. Coordination and Policy Setting<br />15<br />
  20. 20. 1. Coordination and Policy Setting<br />16<br />
  21. 21. 2. Costing and Financing<br />17<br />
  22. 22. 2. Costing and Financing<br />18<br />
  23. 23. 3. Human Resources<br />19<br />
  24. 24. 3. Human Resources<br />20<br />
  25. 25. 4. Supply chain management<br />21<br />
  26. 26. 4. Supply chain management<br />22<br />
  27. 27. 5. Service Delivery and Referral<br />23<br />
  28. 28. 5. Service Delivery and Referral<br />24<br />
  29. 29. 6. Communication and Social Mobilization<br />25<br />
  30. 30. 6. Communication and Social Mobilization<br />26<br />
  31. 31. 7. Supervision & Performance Quality Assurance<br />27<br />
  32. 32. 7. Supervision & Performance Quality Assurance<br />28<br />
  33. 33. 8. M&E and Health Information Systems<br />29<br />
  34. 34. 8. M&E and Health Information Systems<br />30<br />
  35. 35. Questions<br />What information do we get from the tables?<br />How can we use this information?<br />What isn’t captured?<br />31<br />
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