1 / 16

- Key Findings -

Complementary Evaluation for EIP and Documentation of scale of Integrated Community Case Management in Rwanda. - Key Findings -. Presentation Outline. Background Objectives Methodology Results Lessons Learned Next Steps. Background. EIP CSHGP Program :

jewel
Télécharger la présentation

- Key Findings -

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. Complementary Evaluation for EIP and Documentation of scale of Integrated Community Case Management inRwanda - Key Findings -

  2. Presentation Outline • Background • Objectives • Methodology • Results • Lessons Learned • Next Steps

  3. Background EIP CSHGP Program: • Focused on iCCM, CHW training, supervision and supply chain • Encouraging peer support through CHW Care Groups Contributions to Scale: • What was Rwanda’s planned versus actual pathway to scale for iCCM? • How did EIP contribute to pathway? Cross-District Comparisons: • How does the Care Group model compare with the existing default model of C-IMCI in Rwanda? And what lessons can be learned from its experience?

  4. Objectives of Complementary Study Scale Study: To test the following Hypotheses • NGO supported actions around HBM (2004) and iCCM (2007) were essential in leveraging MOH support for scale • Strong leadership and political will in Rwanda were key in moving CCM to scale Comparative Study: • To assess Care Group attribution to CCM status

  5. Methodology The Complementary Study comprised of 3 different tasks. • Document Review (2001-2011) • Qualitative elicitation of narratives by key informants (central level stakeholders) to “tell the story” of iCCM in Rwanda over time (2001-2011) • Qualitative assessment of CCM status in one non-EIP district (Ruhango)

  6. Interviews and FGDs Conducted Interviews Focus Group

  7. RESULTS 1: CCM Timeline in Rwanda

  8. Rwanda CCM Timeline PHC HBM TWG HBM Strategic Plan CHW CCM Cadre mooted IMCITWG CH Policy + Community Health Desk C-PBF to incentivize CHWs MCH CH TWG takes over from IMCI TWG. POLICY Home-based fluid, ORS & Zinc in Kirehe DIARRHEA Pilot AQ at village level in 6 districts Oct 07: Bukora HC 1st ACT Tx by CHW RDT Policy Change MALARIA Feb 08: 1st Pneumonia case treated by a CHW in Kirehe PNEUMONIA HBM in 6 Districts HBM in all 19 endemic Districts Expansion of iCCM to 16 Districts 2008 (Phase 1) Expansion of iCCM to 30 Districts 2009-2010 EXPANSION 1990’s 2003 2004 2005 2006 2007 2008 2009 2010

  9. Other Important Critical Events for CCM in Rwanda • Vision 2020 Umurenge of 2000 and Decentralization Policy of 2001 • Global Fund Round 3, 5, 8, RCC • WHO TA for HBM 2004 • HBM NGO pilot - CORE/PMI support 2004 • Senegal Visit - 2006 • BASICS TA for ICCM 2007 • CHW Recognition by the Presidency - 2008 • New Staff Cadre for CHW Supervision - 2010

  10. RESULTS 2: CHWs and Care Groups • The EIP intervened at critical points in the pathway to iCCM scale. • CHW Services are appreciated by both users and MOH. • Care Groups at the CHW level provide a natural peer support group and help with Community mobilization and BCC.

  11. Potential CCM Challenges that Care Groups could help alleviate

  12. Lessons Learned: MCHIP’s Considerations MCHIP validated the hypotheses it was testing. Now to consider • - co-opting peer support group formation and networking module in CHW training; • - testing different CHW restocking models/ supervision models

  13. Next Steps • Compare DHS clusters from EIP and non-EIP areas from the recent DHS (2010) • Convene a face to face meeting for mutual agreement of CCM events timeline

  14. ANY QUESTIONS? Thank you! wwww.mchip.net Follow us on:

More Related