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CCM Updates & Improvements- From Benchmarks to Supply Chains_Raharison_5.12.11
1. CCM Benchmarks,framework and indicatorsas a tool for documentingcountry programs Baltimore, May 12th2011 1 Serge Raharison, MD, MSc Child Health Technical officer
2. Content CCM benchmarks,framework and indicators Application of the framework in Senegal Key findings and implications for the CCM national program in Senegal 2
4. The origin of the Concept Shared understanding of evidence supporting CCM Different stages of country implementation Diversity of country programs and NGO experiences “Unsuccessful pilots have lacked key components of a comprehensive health system.” 4
5. The origin of the Concept Inter-Agency working group, including WHO, UNICEF, USAID and International NGOs Technical Working Group at the Global level Systems strengthening approach to CCM 5
6. Eight components 6 Expansion and Scale-Up Pilot and Early Implementation Advocacy and Planning Coordination and Policy Setting Financing Human Resources Supply Chain Management Service Delivery and Referral Communication and Social Mobilization Supervision and Performance Quality Assurance M&E and Health Information Systems …indicators…
8. Rationale Assist countries in surpassing their previous targets to impact mortality, malaria, pneumonia and diarrheal disease: Inform CCM-related policy and programmatic decision-making in the countries assessed Share with other countries about how to accelerate progress towards their CCM targets
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10. Inform the design of programs and program monitoring during the anticipated expansion of iCCM.
15. …an adapted framework The framework Service Delivery and Referral STRATEGIC ELEMENT 2: Services and Information from CHWs available to the Communities STRATEGIC ELEMENT 1: Link between the Health System and the Communities Human resources Supervision and Performance Quality Assurance M &E and Health Information Systems STRATEGIC ELEMENT 3: Behavior Change Communication and Social Mobilization INSTITUTIONAL PLATFORM : Policy and Institutional Support Coordination and Policy Setting Supply Chain Management Financing
17. CCM Senegal: Historical overview POLICY Decree 92-118: official status to health committees Adoption of ACT for the national Protocol Approbation of the use of Cotrim at health huts ORS treatment provided at health huts Zinc pilot USAID community bilateral DIARRHEA Chloroquinetreatment provided at health huts ACT at health huts USAID community bilateral Pilot RDT and ACT PECADOM Introduction of RDT USAID community bilateral MALARIA PNEUMONIA Research on Cotrimoxazoe at health hut level Second extension USAID community bilateral First extension of Cotrim at health hut 1990 2003 2010 2006 2007 2008 2005 2009 2004
18. Current program status # health huts offering CCM Beginning of 2010: More than 1,600 functional health huts 13/14 regions 58 of the 69 health districts 14