EXPANDED IMPACT  CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda A  Partnership of Concern Worldwide, the In...
<ul><li>KABEHO MWANA “Life for the Child” </li></ul>
“ Land of a Thousand Hills” <ul><li>Small land-locked country in Central Africa  </li></ul><ul><li>8.5 million people </li...
MTE-2009 Kigali
Expanded Impact Child Survival <ul><li>This 5 year program follows on from the earlier CSPs & pilot Home-based Management ...
<ul><li>The new program, the EIP, is significantly larger in approximately one fifth of the country (6 out of the 30 Distr...
Level of Effort & Key Interventions   <ul><li>ORT </li></ul><ul><li>Zinc </li></ul><ul><li>POU </li></ul><ul><li>Feeding p...
Strategic Objectives GOAL Reduce child mortality in 6 districts  reaching >300,000 children under-five OBJECTIVE 1.  Incre...
IMCI/QA Manager  (Concern) M&E Manager  (IRC) Mobilization Manager  (World Relief) Team Leader (Concern) Districts
Key roles of the PVOs PVO Key Responsibilities District Lead Concern Worldwide Overall management, external partnerships, ...
 
Community Mobilization & BCC (1) <ul><li>Binomes  for CCM;  </li></ul><ul><li>Other CHWs with specific roles </li></ul><ul...
Community Mobilization & BCC (2) <ul><li>Combines additional volunteers with CHWs to assist with home visits and BCC  </li...
Underlying Principles <ul><li>Integrated training in management of three target diseases  </li></ul><ul><li>Manageable wor...
<ul><li>Participated in tool development for CCM training, information management and supervision </li></ul>EIP Influence ...
 
 
 
 
 
 
 
 
Challenges <ul><li>External </li></ul><ul><li>Budget implications </li></ul><ul><li>Timing </li></ul><ul><li>Internal </li...
Thanks <ul><li>Questions??? </li></ul>Thanks!  Questions?????
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EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda

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EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda

A Partnership of Concern Worldwide, the International Rescue Committee, and World Relief

Malaria and IMCI Working Groups' Showcase

CORE Group Spring Meeting, April 29, 2010

Published in: Health & Medicine
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  • Comment roles in DIP
  • CCM Treat sick children per algorithms Counsel parents on adherence to drug regimen, feeding the sick child, and danger signs for referral Refer very young and very sick children to facility BCC Share C-IMCI key family practices in community meetings Home visits to share health education messages Assist families address barriers to key practice
  • EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda

    1. 1. EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda A Partnership of Concern Worldwide, the International Rescue Committee, and World Relief
    2. 2. <ul><li>KABEHO MWANA “Life for the Child” </li></ul>
    3. 3. “ Land of a Thousand Hills” <ul><li>Small land-locked country in Central Africa </li></ul><ul><li>8.5 million people </li></ul><ul><li>Most densely populated country in Africa, with few </li></ul><ul><li>natural resources and minimal industry </li></ul>
    4. 4. MTE-2009 Kigali
    5. 5. Expanded Impact Child Survival <ul><li>This 5 year program follows on from the earlier CSPs & pilot Home-based Management of Malaria within the CSPs. </li></ul><ul><li>Building on past accomplishments and the partnership to implement an expanded impact child survival program </li></ul>
    6. 6. <ul><li>The new program, the EIP, is significantly larger in approximately one fifth of the country (6 out of the 30 Districts of Rwanda with a population of approx. 1.8 million) </li></ul>“ contributing towards a common goal of child survival”
    7. 7. Level of Effort & Key Interventions <ul><li>ORT </li></ul><ul><li>Zinc </li></ul><ul><li>POU </li></ul><ul><li>Feeding practices </li></ul><ul><li>Hygiene practices </li></ul><ul><li>Prompt treatment </li></ul><ul><li>Early referral of newborns </li></ul><ul><li>Vitamin A </li></ul><ul><li>Prompt treatment </li></ul><ul><li>IPT </li></ul><ul><li>Bed nets </li></ul>
    8. 8. Strategic Objectives GOAL Reduce child mortality in 6 districts reaching >300,000 children under-five OBJECTIVE 1. Increasing access to first-line treatment OBJECTIVE 2. Increasing coverage of key preventive interventions OJECTIVE 3. Increasing key family health practices <ul><li>CCM </li></ul><ul><li>Reducing treatment costs </li></ul><ul><li>Performance contracting </li></ul><ul><li>Quality of referral care </li></ul><ul><li>District area targeting </li></ul><ul><li>Essential drug management </li></ul><ul><li>Strengthening outreach services </li></ul><ul><li>Community mobilization & BCC </li></ul><ul><li>Demonstration Care Groups </li></ul><ul><li>Strengthen counseling </li></ul>
    9. 9. IMCI/QA Manager (Concern) M&E Manager (IRC) Mobilization Manager (World Relief) Team Leader (Concern) Districts
    10. 10. Key roles of the PVOs PVO Key Responsibilities District Lead Concern Worldwide Overall management, external partnerships, Quality Assurance Gisagara Nyaruguru IRC Monitoring and evaluation Kirehe Ngoma World Relief Community Mobilization, including care groups and behavior change Nyamasheke Nyamagabe
    11. 12. Community Mobilization & BCC (1) <ul><li>Binomes for CCM; </li></ul><ul><li>Other CHWs with specific roles </li></ul><ul><li>Only official CHWs can participate in cooperatives organized at HC </li></ul>Government CHW system
    12. 13. Community Mobilization & BCC (2) <ul><li>Combines additional volunteers with CHWs to assist with home visits and BCC </li></ul><ul><li>Started in 2 HC areas per district, </li></ul><ul><li>Now scaling up but limited to official CHWs </li></ul>Care Groups
    13. 14. Underlying Principles <ul><li>Integrated training in management of three target diseases </li></ul><ul><li>Manageable work load </li></ul><ul><li>Peer support through participation in CHW Associations </li></ul><ul><li>Frequent supportive supervision by health center staff </li></ul>
    14. 15. <ul><li>Participated in tool development for CCM training, information management and supervision </li></ul>EIP Influence at National Level <ul><li>BCC Key Messages and Job Aids for C-IMCI developed with MOH & Unicef </li></ul><ul><li>Successfully piloted CCM for pneumonia – EIP treated first child at community level </li></ul>
    15. 24. Challenges <ul><li>External </li></ul><ul><li>Budget implications </li></ul><ul><li>Timing </li></ul><ul><li>Internal </li></ul><ul><li>Harmonization of organizational policies </li></ul><ul><li>Coordination of administration </li></ul><ul><li>Reporting lines </li></ul>
    16. 25. Thanks <ul><li>Questions??? </li></ul>Thanks! Questions?????

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