EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda

EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda A Partnership of Concern Worldwide, the International Rescue Committee, and World Relief

KABEHO MWANA “Life for the Child”

“ Land of a Thousand Hills”
Small land-locked country in Central Africa
8.5 million people
Most densely populated country in Africa, with few
natural resources and minimal industry

MTE-2009 Kigali

Expanded Impact Child Survival
This 5 year program follows on from the earlier CSPs & pilot Home-based Management of Malaria within the CSPs.
Building on past accomplishments and the partnership to implement an expanded impact child survival program

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)
“ contributing towards a common goal of child survival”

Level of Effort & Key Interventions
ORT
Zinc
POU
Feeding practices
Hygiene practices
Prompt treatment
Early referral of newborns
Vitamin A
Prompt treatment
IPT
Bed nets

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
CCM
Reducing treatment costs
Performance contracting
Quality of referral care
District area targeting
Essential drug management
Strengthening outreach services
Community mobilization & BCC
Demonstration Care Groups
Strengthen counseling

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, Quality Assurance Gisagara Nyaruguru IRC Monitoring and evaluation Kirehe Ngoma World Relief Community Mobilization, including care groups and behavior change Nyamasheke Nyamagabe

Community Mobilization & BCC (1)
Binomes for CCM;
Other CHWs with specific roles
Only official CHWs can participate in cooperatives organized at HC
Government CHW system

Community Mobilization & BCC (2)
Combines additional volunteers with CHWs to assist with home visits and BCC
Started in 2 HC areas per district,
Now scaling up but limited to official CHWs
Care Groups

Underlying Principles
Integrated training in management of three target diseases
Manageable work load
Peer support through participation in CHW Associations
Frequent supportive supervision by health center staff

Participated in tool development for CCM training, information management and supervision
EIP Influence at National Level
BCC Key Messages and Job Aids for C-IMCI developed with MOH & Unicef
Successfully piloted CCM for pneumonia – EIP treated first child at community level

Challenges
External
Budget implications
Timing
Internal
Harmonization of organizational policies
Coordination of administration
Reporting lines

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EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda

by jehill3 on May 04, 2010

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EXPANDED IMPACT CHILD SURVIVAL PROGRAM in six underserved districts in Rwanda — Presentation Transcript