Integrated community case management: planning for sustainability in five African countries.
Background: The World Health Organization (WHO) launched an initiative to plan for the sustainability of integrated community case management (iCCM) programmes supported by the Rapid Access Expansion (RAcE) Programme in five African countries in 2016. WHO contracted experts to facilitate sustainabil...
| Publicado en: | Journal of Global Health Vol. 9; no. 1; pp. 1 - 13 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Edinburgh University Global Health Society
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138488175&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138488175 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20472978 DBQG jtl: Journal of Global Health issn: 20472978 maglogo: N pubinfo: dt: Jun2019 vid: 9 iid: 1 pid: 72708 pub: Edinburgh University Global Health Society artinfo: ui: 138488175 138488175 NLM31275567 10.7189/jogh.09.010802 NLM31275567 138488175 ppf: 1 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Integrated community case management: planning for sustainability in five African countries. aug: au: Yourkavitch, Jennifer Davis, Lwendo Moonzwe Hobson, Reeti Arscott-Mills, Sharon Anson, Daniel Baugh, Gunther Sadruddin, Salim Mantshumba, Jean-Caurent Sambou, Bacary Bakukulu, Jean Tony Leya, Pascal Ngoy Luhanga, Misheck Mgalula, Leslie Jenda, Gomezgani Nsona, Humphreys Nassivila, Santos Alfredo de Carvalho, Eva Smith, Marla Absi, Moumouni Aboubakar, Fatima affil: ICF, Rockville, Maryland, USA sug: subj: Case Management Administration Community Health Services Administration World Health Organization Program Evaluation Africa Short Portable Mental Status Questionnaire Social Readjustment Rating Scale ab: Background: The World Health Organization (WHO) launched an initiative to plan for the sustainability of integrated community case management (iCCM) programmes supported by the Rapid Access Expansion (RAcE) Programme in five African countries in 2016. WHO contracted experts to facilitate sustainability planning among Ministries of Health, WHO, nongovernmental organisation grantees, and other stakeholders.Methods: We designed an iterative and unique process for each RAcE project area which involved creating a sustainability framework to guide planning; convening meetings to identify and prioritise elements of the framework; forming technical working groups to build country ownership; and, ultimately, creating roadmaps to guide efforts to fully transfer ownership of the iCCM programmes to host countries. For this analysis, we compared priorities identified in roadmaps across RAcE project sites, examined progress against roadmaps via transition plans, and produced recommendations for short-term actions based on roadmap priorities that were unaddressed or needed further attention.Results: This article describes the sustainability planning process, roadmap priorities, progress against roadmaps, and recommendations made for each project area. We found a few patterns among the prioritised roadmap elements. Overall, every project area identified priorities related to policy and coordination of external stakeholders including funders; supply chain management; service delivery and referral system; and communication and social mobilisation, indicating that these factors have persisted despite iCCM programme maturity, and are also of concern to new programmes. We also found that a facilitated process to identify and document programme priorities in roadmaps, along with deliberately planning for transition from an external implementer to a national system could support the sustainability of iCCM programmes by facilitating teams of stakeholders to accomplish explicit tasks related to transitioning the programme.Conclusions: Certain common elements are of concern for sustaining iCCM programmes across countries, among them political leadership, supply chain management, data processes, human resources, and community engagement. Adapting and using a sustainability planning approach created an inclusive and comprehensive dialogue about systemic factors that influence the sustainability of iCCM services and facilitated changes to health systems in each country. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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