1. CG SPRING MEETING 2013
BALTIMORE, MD
Strengthening and Expanding iCCM
YVES CYAKA
CIDA Program Manager
PSI
April 2013
CIDA CCMImpact Project:
CAMEROON

2. Presentation Plan
page 2
Overview of Project
Access, Quality and Demand
Challenges
Lessons learned
Sustainability Plan

3. CCMImpact Project Area

4. Products Distributed
AmoxicillinAmoxicillin
Artesunate
Amodiaquine
Artesunate
Amodiaquine
Rapid Diagnostic Test
Orasel + ZincOrasel + Zinc

5. Project implementation in Cameroon
Project Goal:
Contribute in the reduction of morbidity and mortality rate in children
under- 5 in Cameroon
Objectives:
 Increase access to ORS/zinc, Amoxicillin and pre-packaged ACT, in the
community
 Improve quality of service provision by CHWs
 Increase informed demand for, and appropriate use of, prepackaged
ACT for treatment of malaria, ORS/zinc for treatment of diarrhea and
amoxicillin for treatment of pneumonia in children under- 5

6. Design Process and Training
 Creation and implementation of training modules and
data collection tools in collaboration with MOH and other
CCM partners (Plan, HKI)
 Development and implementation of supervision tools
 Identification and selection of CHWs

7. Cascade training
Briefing of central level trainers
Duration: 1 day
Participants: NMCP, PLAN , HKI, DFH
Trained : 10
Training of trainers
Duration: 2 days
Participants : DMO, Chiefs of Health areas, project Animators
Trained : 225
Training of CHWs
Duration: 3 days
participants : CHWs
Trained : 2825

8. The distribution of drugs in Cameroon is anchored on the national
system of distribution as illustrated below
Distribution System

9. Program Expansion
page 9
Mai 2010: +13 Districts: Malaria case
management (ACT)
Octobre 2009: Pilot phase: Malaria and Diarrhea
case management in 2 districts (ACT & ORS+Zinc)
February 2012: 13 Districts: Diarrhea case
management (ORS+Zinc)+mHealth
Feb 2012: 5 Districts: Diarrhea and Malaria case
management + mHealth
Feb 2013: + Pneumonia case management
in 2 districts
Nov2012 Feb 2013: 18 Districts: +RDTs

10. Drugs Distributed
page 10
Amoxicillin : 704

11. VOGLO one year reporting trend
page 11

12. Availability of stock in Community
12

14. Demand
Knowledge of Caregivers

15. Challenges
 Understanding the supply chain of PSI
 Continuous supplying of CHWs
 Create effective communication strategies at the community level
 Ensure programmatic activities are aligned with national malaria
community case management guidelines
 Advocate integration of community case management of
pneumonia into program activities
 Sustainability

16. Lessons Learned
 Quality selection of community health workers, reduces the challenges
related to monitoring of activities at the community level
 The organisation of the quarterly meeting with the CHWs, permit us to
continueslly build their capacity, motivate and supply them with drugs
 There should be constant supervision by the management team every
month at least for the first 6 months of the project
 Formative supervision should be carried out to make sure CHWs and
health personnel understand and fill the project forms appropriately

17. THANK YOU
page 17