Measuring implementation strength for integrated community case management in Malawi: Results from a national cell phone census

Rebecca Heidkamp, Elizabeth Hazel, Humphreys Nsona, Tiope Mleme, Andrew Jamali, Jennifer Bryce

Research output: Contribution to journalArticle

Abstract

Program managers, investors, and evaluators need real-time information on how program strategies are being scaled up and implemented. Integrated Community Case Management (iCCM) of childhood illnesses is a strategy for increasing access to diagnosis and treatment of malaria, pneumonia, and diarrhea through community-based health workers. We collected real-time data on iCCM implementation strength through cell phone interviews with communitybased health workers in Malawi and calculated indicators of implementation strength and utilization at district level using consensus definitions from the Ministry of Health (MOH) and iCCM partners. All of the iCCM implementation strength indicators varied widely within and across districts. Results show that Malawi has made substantial progress in the scale-up of iCCM since the 2008 program launch. However, there are wide differences in iCCM implementation strength by district. Districts that performed well according to the survey measures demonstrate that MOH implementation strength targets are achievable with the right combination of supportive structures. Using the survey results, specific districts can now be targeted with additional support.

Original languageEnglish (US)
Pages (from-to)861-868
Number of pages8
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume93
Issue number4
DOIs
StatePublished - Oct 1 2015

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Virology

Fingerprint Dive into the research topics of 'Measuring implementation strength for integrated community case management in Malawi: Results from a national cell phone census'. Together they form a unique fingerprint.

  • Cite this