CG SPRING MEETING 2013BALTIMORE, MD

Strengthening and Expanding iCCM

YVES CYAKACIDA Program ManagerPSIApril 2013

CIDA CCMImpact Project: CAMEROON

Presentation Plan

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Overview of Project

Access, Quality and Demand

Challenges

Lessons learned

Sustainability Plan

CCMImpact Project Area

Products Distributed

AmoxicillinAmoxicillin

Artesunate Amodiaquine

Artesunate Amodiaquine

Rapid Diagnostic TestOrasel + ZincOrasel + Zinc

Project implementation in CameroonProject 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

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

Cascade trainingBriefing of central level trainers

Duration: 1 dayParticipants: NMCP, PLAN , HKI, DFHTrained : 10

Training of trainers Duration: 2 daysParticipants : DMO, Chiefs of Health areas, project AnimatorsTrained : 225

Training of CHWsDuration: 3 daysparticipants : CHWsTrained : 2825

The distribution of drugs in Cameroon is anchored on the national system of distribution as illustrated below

Distribution System

Program Expansion

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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

Drugs Distributed

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Amoxicillin : 704

VOGLO one year reporting trend

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Availability of stock in Community

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DemandKnowledge of Caregivers

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

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 everymonth at least for the first 6 months of the project

Formative supervision should be carried out to make sure CHWs andhealth personnel understand and fill the project forms appropriately

THANK YOU

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