COMMUNITY CASE MANAGEMENT IRC’S EXPERIENCE AND CONSIDERATIONS FOR SCALE UP

Program profile

Community Case Management

• Community health workers are trained and supervised to:– assess, – classify, – refer or treat sick children with malaria,

diarrhea, and pneumonia and – counsel the caretaker on home management – follow up

Started– In three countries in 2005

Funding source– Canadian International Development Agency

Period– 36 months

Beneficiary population – At the end of project ~ 4,000,000 population– ~ 800,000 children under-five

Treatments - ~ 1,500,000 treatments

Map of six countries

Population to CBD 300

CBDs to Supervisor 20

Supervisors to Officer 15

Officers to Manager 5

Managers to Coordinator

3

www.ircccm.org

Reductions in child mortality

Lessons learned

Region 1,000,000 peopleCost USD per

year

Initial training (3,333 CBDs) 133,333

Refresher training/6 months 186,666

Refresher training/1 year 93,333

Supervision costs (20 USD/month/supervisor)

40,000

Supervision: go beyond the greed for numbers

Take away messages

• Avoid shortcuts in CHV selection• Don’t overstretch volunteers• Start off integrated• Nobody can scale up like the government can• Supportive supervision is the most cost-

effective refresher training