Cameroon integrated community case management

An integrated approach will be prioritized at community level  

  • Referral to health facility if there are danger signs or if cases have no remission after 24-48 hours 
  • Community health workers (CHWs) will be supervised  by health area heads and supervisors of district civil society organizations (OSCD) 
  • Monthly meeting for sharing lessons learned and problems encountered will be organized in each health area with CHWs, health area heads and OSCDs 
  • Multi-skilled CHWs (implementing several means of combating the disease) are selected by their communities 
  • Rationalized coverage of one CHW per 1,000 inhabitants [1] 
  • Between 2020–21, the President’s Malaria Initiative (PMI) trained and supported CHWs in 11 additional districts, expanding coverage from 6 to 17 districts. [2] 
  • In the Far North, iCCM is supported by UNICEF in 10 districts, by the Global Fund in eight districts, and by PMI in 10 districts (seven of these are newly supported by PMI in 2021). Three districts in the region are currently not covered by iCCM.  
  • In the North, iCCM is supported by UNICEF in four districts, by the Global Fund in five districts, and by PMI in six districts (three of these are newly supported by PMI in 2021).  
  • Health facilities provide support to CHWs by providing data collection materials and malaria commodities for iCCM.  
  • On-the-spot refreshers are provided at health facilities when needed during supervisions and monthly report submission.[2]