Measuring Implementation Strength for Integrated Community Case Management in Malawi: Results from a National Cell Phone Census
Measuring Implementation Strength for Integrated Community Case Management in Malawi: Results from a National Cell Phone Census
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DOI：
10.4269/ajtmh.14-0797
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发表时间：
2015-10-01
影响因子：
3.3
通讯作者：
Bryce, Jennifer
中科院分区：
文献类型：
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作者：
Heidkamp, Rebecca;Hazel, Elizabeth;Bryce, Jennifer
项目经理、投资者和评估者需要有关项目策略如何扩大和实施的实时信息。儿童疾病综合社区病例管理 (iCCM) 是一项通过社区卫生工作者增加疟疾、肺炎和腹泻诊断和治疗机会的策略。我们通过手机采访马拉维的社区卫生工作者收集了 iCCM 实施强度的实时数据，并使用卫生部 (MOH) 和 iCCM 合作伙伴的共识定义计算了地区一级的实施强度和利用率指标。所有 iCCM 实施强度指标在地区内和地区之间差异很大。结果显示，自 2008 年项目启动以来，马拉维在扩大 iCCM 方面取得了实质性进展。然而，各地区的 iCCM 实施力度存在很大差异。根据调查措施表现良好的地区表明，通过正确的支持结构组合，卫生部的实施力度目标是可以实现的。利用调查结果，现在可以针对特定地区提供额外支持。
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 community-based 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.