1 / 5

Community Case Management: Opportunities, Challenges & Operational Research Priorities

Community Case Management: Opportunities, Challenges & Operational Research Priorities. Dr. Mark W. Young Senior Health Specialist Policy and Evidence UNICEF, New York. CCM - Opportunities.

hide
Télécharger la présentation

Community Case Management: Opportunities, Challenges & Operational Research Priorities

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Community Case Management: Opportunities, Challenges & Operational Research Priorities Dr. Mark W. Young Senior Health Specialist Policy and Evidence UNICEF, New York

  2. CCM - Opportunities • Revival of the Child Survival agenda and revitalization of PHC – “the community as part of the health system” • Growing evidence on effectiveness of case management and potential impact of CCM on mortality reduction - International Journal of Epidemiology, Supplement 1 April 2010: • 70% reduction in mortality from CCM-pneumonia in U5s (Theodoratou et al); • ORS can reduce diarrhea mortality by up to 93% (Munos et al); • Zinc for diarrhea Rx can decrease diarrhea mortality by 23% (Fischer-Walker & Black) • Focus on Equity and diseases of poverty • Increased involvement of social marketing sector, private/informal sectors • Global Advocacy – GAPP and Diarrhea Reports

  3. CCM - Challenges • Policy adoption – allowing CHWs to diagnose and treat at the community level (esp. pneumonia) • Weak health systems – financial flows, HR/training, referral, commodities, monitoring and supervision • Different models of CCM and CHWs – e.g. length of training; paid vs. volunteer; connection to formal health system • CHWs managing multiple diseases – effectiveness of “integrated” CCM (up to 5 if newborn care & CMAM) • Costs of sustaining CCM services

  4. CCM Operational Research & Evaluation Agenda • How can CHWs be realistically supported to deliver CCM? • Optimum # of CHWs and pop. coverage, intervention load, and skill mix • How to measure and maintain quality of care for services delivered by CHWs • How to motivate/compensate and improve retention of CHWs • How to provide effective supervision for CHWs • How to ensure consistent and quality drug supply? • CCM in the face of changing epidemiology/disease patterns • Global CCM Task Force and Operational Research Group: • Policy advocacy, Fund-raising; Tools; Indicators; Research priorities Need to have good, rigorous evaluation of functioning and emerging CCM programs to document and disseminate good practice in order to inform scale-up

More Related