Zambia community case management
Zambia adopted iCCM to target populations in rural communities and “hard-to- reach areas” with limited access to health facilities
- Currently 50% of population in rural areas are within 5 kilometres of a health facility
- Initial prioritization of North-Western province and Eastern, Muchinga, Northern, and Luapula provinces where malaria burden is the greatest
Accomplishments:
- Integrated Management of Childhood Illness (IMCI) Technical Working Group (TWG) meets regularly
- iCCM as the national strategy for malaria case management has been incorporated in the National Malaria Strategic Plan
- Community data monitoring and supervision tools have been developed
- Over 500 facility-based staff have been trained to provide oversight to CHWs implementing iCCM activities
Coverage:
- 3,039 Community Health Workers (CHWs) and Community Health Assistants (CHAs) trained since 2011
- Not all are active and adequately supplied with commodities
- Number of patients seen by CHWs not adequately captured in HMIS may be left out of supply system for necessary commodities
Challenges:
- Support to reach the necessary number of CHWs to population ratio
- Reporting systems
- Supervision
- Logistics
- Monitoring
- Retention of CHWs and malaria agents operating at community level
- Ad hoc systems of incentives
- Ad hoc system to roll out of iCCM