Malawi integrated community case management

- Implemented in all 28 districts of the country
- Currently 9,776 Health Surveillance Assistants (HSAs), of which 3,746 have been trained in iCCM
- 3,330 (88.9%) are running functional village clinics for the treatment of malaria
- 1 HSA per 1,000 people
- Scale-up plan to reduce the radius from 8 km to 5 km from a health facility
- Will require 1,600 additional HSAs
- Rectal artesunate recommended as the pre-referral intervention for severe malaria at the community level
- Funding requested for 3 years of refresher training to implement changes
Challenges
-
Attrition of staff
-
Health Surveillance Assistants (HSAs) not residing in their catchment areas
-
Training, supervision and mentorship for HSAs
-
Difficulty capturing data from integrated community case management through HSAs