Save the Children’s Community Case Management Initiative

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Save the Children’s Community Case Management Initiative

Jeanne Koepsell, Save the Children

CORE Group Spring Meeting, April 28, 2010

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  • Malawi, SC targets a total population of 893,044 in hard-to-reach areas (151,817 children under five) in six districts: Nkhotakota, Dowa, Ntchisi, and Mchinji Districts in the Central Region, and Blantyre and Mulanje Districts in the Southern Region. In Southern Sudan, will be implemented in the eleven counties across the following five states where Save the Children in South Sudan (SCiSS) is currently supporting health activities at the facility level: Western Equatoria, Lakes, Eastern Equatoria, Upper Nile and Jongelei. The program will reach approximately 650,000 individuals, including nearly 120,000 children under five. In Mozambique, SC targets a total population of 2,414,916 (446,494.children under five) in fifteen districts of two provinces: Nampula: Angoche, Erati, Malema, Meconta, Mogincual, Mogovolas, Moma, Monapo, Murrupula and Ribaué Gaza: Chicualacuala, Guija, Mabalane, Chigubo and Massangena.
  • Malawi, SC targets a total population of 893,044 in hard-to-reach areas (151,817 children under five) in six districts: Nkhotakota, Dowa, Ntchisi, and Mchinji Districts in the Central Region, and Blantyre and Mulanje Districts in the Southern Region. In Southern Sudan, will be implemented in the eleven counties across the following five states where Save the Children in South Sudan (SCiSS) is currently supporting health activities at the facility level: Western Equatoria, Lakes, Eastern Equatoria, Upper Nile and Jongelei. The program will reach approximately 650,000 individuals, including nearly 120,000 children under five. In Mozambique, SC targets a total population of 2,414,916 (446,494.children under five) in fifteen districts of two provinces: Nampula: Angoche, Erati, Malema, Meconta, Mogincual, Mogovolas, Moma, Monapo, Murrupula and Ribaué Gaza: Chicualacuala, Guija, Mabalane, Chigubo and Massangena.
  • Commonly used strategies Partnering – mortality surveys, med procurement (and with SC4CCM on its study), with WHO on developing curriculum Work within system – existing cadres of CHWs, tech and financial support to MOH, trianing their health workers, advocating for change Less common strategies Video training and OR – S Sudan to allow trainings farther from health facilities and improve supervision. OR to ensure quality of asssessment. More supervision, less training – supervision less costly than trainings, and keeps CHWs in the field PDAs or cell phones for supervisors - allow data to be entered into local systsems and for rollup more quickly, so more time can be spent using the data for decision-making (and have fewer errors) OR – CHW capacity – to ensure they’re not being overburdened, and if so to see what can be cut
  • Commonly used strategies Partnering – mortality surveys, med procurement, with WHO on developing curriculum Work within system – existing cadres of CHWs, tech and financial support to MOH, trianing their health workers Less common strategies Video training and OR – S Sudan to allow trainings farther from health facilities and improve supervision. OR to ensure quality of asssessment. More supervision, less training – supervision less costly than trainings, and keeps CHWs in the field PDAs or cell phones for supervisors - allow data to be entered into local systsems and for rollup more quickly, so more time can be spent using the data for decision-making (and have fewer errors) OR – CHW capacity – to ensure they’re not being overburdened, and if so to see what can be cut
  • Save the Children’s Community Case Management Initiative

    1. 1. Save the Children’s Community Case Management Initiative Jeanne Koepsell CCM Advisor,Save the Children [email_address] CORE Group spring meeting, April 2010
    2. 2. Scale of SC’s CIDA-funded CCM program <ul><li>Mozambique, Malawi and Southern Sudan </li></ul><ul><li>~750,000 children under five </li></ul><ul><li>Prevent 30,969 - 35,329 child deaths </li></ul><ul><li>Cost per life saved <$500 </li></ul>
    3. 3. Major components of CCM program <ul><li>CHW training and supervision </li></ul><ul><li>HW training </li></ul><ul><li>Demand creation at community level </li></ul><ul><li>Supervision of supervisors </li></ul><ul><li>Meds supply </li></ul><ul><li>Operations research </li></ul><ul><li>Mortality survey – midterm and endline </li></ul>
    4. 4. Global program with different country environments <ul><li>Existing network </li></ul><ul><li>CHW: </li></ul><ul><ul><li>Cadre </li></ul></ul><ul><ul><li>Number </li></ul></ul><ul><ul><li>Capacity </li></ul></ul><ul><ul><li>Location </li></ul></ul><ul><li>Involvement of MOH Partners </li></ul><ul><li>Cell phone capacity </li></ul><ul><li>Access to data </li></ul>
    5. 5. Increase efficiency / scale <ul><li>Partnering </li></ul><ul><li>Work within system </li></ul><ul><li>Video training and OR </li></ul><ul><li>More supervision, less training </li></ul><ul><li>PDAs or cell phones for supervisors </li></ul><ul><li>OR – CHW capacity </li></ul>
    6. 6. Successes <ul><li>Mozambique MOH using SC M&E tools for its new CHWs </li></ul><ul><li>WHO worked with SC in developing its new CHW curriculum </li></ul>
    7. 7. Thank you!

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