Integrated Community Case Management (iCCM) deploys community health workers to provide antibiotics, oral rehydration salts, anti-malarials, and screening for malnutrition to treat childhood illnesses in areas with limited access to health facilities. However, iCCM has lost interest and funding from the global health community. While child mortality rates have improved dramatically in many countries, rates in some countries remain 2-3 times higher than average and an 80-fold difference exists between the lowest and highest countries. The future of iCCM is uncertain given shifting priorities, but it remains critical for child survival in many countries.

1. The future of iCCM:
where do we go from here?

2. 2
From Harm to Home | Rescue.org

3. Integrated Community Case Management (iCCM)
of childhood illness
Deployment of community health workers to provide:
• Antibiotics for fast breathing (proxy for pneumonia)
• Oral rehydration salts and zinc supplementation for
diarrhea
• Anti-malarials for fever (proxy for malaria, rapid
diagnostic tests in some countries)
• Screening for malnutrition
• Refer for complicated cases
• Etc.
Loss of interest, funding, etc. within global health community

4. Rank Country U5MR (2015)
1 Angola 157
2 Chad 139
3 Somalia 137
4 CAR 130
5 Sierra Leone 120
6 Mali 115
7 Nigeria 109
8 Benin 100
9 DRC 98
10 Niger 96
… … …
148 United States 7
193 Luxembourg 2
2-3 times
higher
than
global
average
80-fold
difference
Source: UNICEF, State of the World’s Children Report 2016
Need for child
survival programs
like iCCM still
critical in many
countries

5. With shifting priorities
within the child health community
and the remaining child survival agenda,
what does the future of iCCM look like?