DRC-IHP: Plans de communication, positionnement et de marquage

1. DRC-IHP: Plans de communication, positionnement et de marquage Integrated Community Case Management in DRC October 10, 2013 Dr. Narcisse Embeke Child Health Senior TechnicalAdvisor

2. Outline • Background • What is i-CCM? • Key achievements • Challenges • Next steps

3. IHP and DRC Overview • The Integrated Health Project supports 80 health zones, covering a population of 12,186,559. About 2,437,312 are children under the age of five. • 70% of the total population live in rural areas. • A large portion of the population does not have access to health services. • 25% average rate of curative services in DRC, 38% in IHP-supportedhealth zones. • Communityhealthworkersfillmany of the gaps in health services. Many health zones are difficult to reach due to: : geographic inaccessibility : insecurity and armed conflict

4. Background Source: A Promise Renewed: Action Framework. MOH DRC 2013

5. What is i-CCM? Integrated Community Case Management: • i-CCM benefits villages or communities where access to health care is limited or difficult to obtain. • A pair of trained and supervised community health workers (CHW) provides basic care for the community. • In some cases, the CHWs provide care directly to children in their homes. • CHWs provide care from their own homes using medical supplies and data management tools provided by IHP.

6. Curative Promotional • Case management for diarrhea, pneumonia, and malaria cases • Refer and accompany community members to health centers, in serious cases • Identify and refer malnutrition cases • Conduct home visits • Conduct community sessions to promote health-seeking behaviors Community Health Workers’ Activities in Community Care Sites Preventive • Encourage the community to seek health services • Provide vaccination sites • Providefamilyplanning services

7. Demographics

8. Results

9. Results

10. Results: Collaborative Approach

11. Incentives and motivation for CHWs • Supervision • Post-training follow-up • Bicycles to facilitate household visits • Recognition from the community

12. Justine’s story Justine during a home visit with a father and his son

13. Challenges • Low level of ownership of the community care site approach among provincial and district health administrations, as well as at the health zone level. • Lack of integration of data collected at care sites into the national health records held by the health zones and the provinces. • Frequent stock outs of medications and other supplies. • Weak links between the health system and the community, particularly between the health zone and community care sites. Many care providers do not view community care sites as viable first-line health sites and often fail to restock them with supplies.

14. Next steps • Scale up the i-CCM sites. • Regularly evaluate the data quality from care sites. • Continue discussions with the Ministry of Health in order to integrate data from care sites into the national health information system. • Share key achievements of community care sites, and lessons learned, with implementing partners and the Ministry of Health.

15. DRC-IHP: Plans de communication, positionnement et de marquage Thank you for your attention and participation.