Community Case Management Takes Off ! David R. Marsh, MD, MPH Senior Child Survival Advisor and Global Team Leader: CCM Save the Children, USA

Why? 1.Tools 2.Programs 3.Research 4.Donors

1. Tools: CCM Essentials Inspired by Immunization Essentials and conceived in writers, editors, supporters, and steerers E-version now available with 203 pages, 54 boxes, 32 figures, 20 tables, 162 references Chapters on rationale, situation analysis, environment, demand, quality, access, use, and future directions

Other Tools Manual for CHW – the Sick Child (WHO) “Stockholm Indicators” (CCM.ORG) CCM Benchmarks (USAID) Implementation Guidelines (IRC, BASICS, SC, etc.) CCM Indicators and Tools CD-ROM (SC) CCM Best Practices (SC)

2. Programs: CCM Status of UNICEF ESAR Countries (28 September 2009) CCM includes pneumonia Program Phase Advocacy or Planning Pilot or Introduction Expansion Yes Kenya Lesotho Mozambique Malawi Somalia Uganda Zambia South Africa Madagascar Rwanda No Angola Botswana Burundi Comoros Eritrea Namibia Swaziland Tanzania Ethiopia Zimbabwe

CCM includes pneumonia Program Phase Advocacy or Planning Pilot or Introduction Expansion Yes Kenya Lesotho Mozambique Malawi Somalia Uganda Zambia South Africa Madagascar Rwanda No Angola Botswana Burundi Comoros Eritrea Namibia Swaziland Tanzania Ethiopia Zimbabwe + + ESAR Countries: CCM Plans

ESAR Countries: Required Inputs for CCM

3. Research Codified CCM Research Agenda and Evaluation Framework (CCM ORG) BMGF: $10 M to LSHTM and Malaria Consortium in Uganda and Mozambique –CHW supervision and motivation –District use of data USAID’s Health Research Challenge – for Delivery and for Impact (HRCD/I) CHSGP “Innovation”

4. Donors Bilaterals –USAID (PMI, MCHIP, HRCI, CHSGP, etc.) –CIDA –DfID Foundations: BMGF and others Corporations Private individuals

Community Case Management Community Health: Person-Centered Care… An Integrated Approach