1. S c a le e x p e r ie n c e f r o m C S H G P ’ s
E x p a n d e d Im p a c t C a t e g o r y
2 0 0 6 - 2 0 11

2. S e s s io n O u t lin e
I. Background
II. Case Presentations
III. Case Study in Groups
IV.Q/A
2

3. Menu of Key Strategic Tasks by Timeline - MCHIP
Pre-introduction Definitive Introduction Early Mature
decisions implementation implementation
from unaware/ consensus motivating to implementing implementing to
uninterested to building to implementing sustaining
building motivating
consensus
 convene  secure official  do detailed  conduct  maintain
interested policy implementation orientations & oversight
endorsement/ planning training
partners  monitor fidelity
approval
 develop an M&E  ensure availability
 begin change  monitor and
process  secure financial plan of drugs & supplies
evaluate outcomes
commitments at point of service
 develop and impact
 characterize
problem/consider  formalize training curricula monitor inputs,  expand
possible solutions permanent & plans processes and
geographically
working group quality
 test/ refine  procure  institutionalize
approaches needed drugs,  address barriers
 adapt as needed
(pilot) supplies  address
unintended
 cultivate  address capacity
consequences
champions issues
3

4. C a s e P r e s e n t a t io n s a n d
C a s e S t u d ie s
4

5. P h a s e s o f S c a lin g U p
 F rom proof-of-concept to a scaleable model
 T he I ntervention- Showing its value, Simplifying it
 F rom scaleable model to expanding program
 P artners-F or funding and implementation, W orking
through B ottlenecks
 F rom scaling up to institutionalization
 P artners-F or funding and I mplementation,
E valuation and R esearch
5

6. Rwanda CCM Timeline
POLICY PHC HBM HBM CHW IMCI CH Policy + C-PBF to MCH CH
TWG Strategic CCM TWG Community incentivize TWG takes
Plan Cadre Health CHWs over from
mooted Desk IMCI TWG.
DIARRHEA Home-
based fluid,
ORS & Zinc
in Kirehe
MALARIA Pilot AQ Oct 07: RDT
at village Bukora HC Policy
level in 6 1st ACT Tx Change
districts by CHW
PNEUMONIA Feb 08: 1st
Pneumonia case
treated by a CHW
in Kirehe
EXPANSION HBM in 6 HBM in Expansion of Expansion
Districts all 19 iCCM to 16 of iCCM to
endemic Districts 2008 30 Districts
Districts (Phase 1) 2009-2010
1990’s 2003 2004 2005 2006 2007 2008 2009 2010

7. Thank you!
wwww.mchip.net
Follow us on: