Nigeria community case management

Community Level Treatment and Integrated Case Management of Childhood illnesses (iCCM): The GF supports iCCM implementation in Kebbi and Niger States. From inception in 2018 to end July 2019, a total of 1,964 volunteers were trained as Community-oriented Resource Persons (CORPs): 1,155 in Kebbi State and 809 in Niger State . There have been improvements in community level malaria testing and treatment in iCCM implementing areas.  

The Government of Nigeria has fully integrated Integrated Case Management of Childhood illnesses (iCCM) as a component of the National Primary Healthcare Development Agency (NPHCDA) Community Health Influencers, Promoters, Services Programme (CHIPS) supported by the Basic Health Care Provision Fund (BHCPF)  

CHIPS is a strategy designed to transition all current community-based workers (CBWs) from vertical programmes and to harmonise all community-based programmes into a single national programme.  

The programme is structured formally to pay pre-determined monthly stipends of an agreed amount to the agents, depending on the state. Currently, the CHIPS program is being rolled out in various states and there are no exact numbers of personnel across the country. The NMEP is collaborating with federal and state agencies to align implementation of iCCM into the CHIPS program. 

Supervision of health workers is conducted by both the Ministry of Health (MOH) and primary healthcare (PHC) development agencies. There are approved tools for integrated supportive supervision (ISS) and malaria is included in the ISS. Some donors/implementers support onsite training and supportive supervision which is focused on improving outcomes for malaria case management at facilities.