Ethiopia UNICEF Integrated Community Case Management of Common Childhood Illnesses

Dates: 2010-2015

Country: Ethiopia

Client(s): United Nations Children's Fund

Services: Technical Assistance, Monitoring, Evaluation, and Research, Program Development, Strategic Planning, Capacity Development

Technical Expertise: Newborn and Child Health , Universal Health Coverage, Human Resources Management, Maternal Health


To reduce mortality of children under five years of age, the Ethiopia Federal Ministry of Health has developed a strategy and an implementation plan for integrated community-case management (ICCM) of common childhood illnesses. Since 2007, JSI Research & Training Institute, Inc., with support from the Bill & Melinda Gates Foundation, has been implementing The Last Ten Kilometers: What it Takes to Improve Health Outcomes in Rural Ethiopia Project (L10K). The main objective of this program is to engage families and communities to join health extension workers in the effort to improve health at the personal and local levels. The project supports and complements the Ethiopian government's Health Extension Worker (HEP) program, and simultaneously tests and promotes community-based models aiming to change community norms.

With the strong support from L10K, the UNICEF ICCM project is being implemented in 112 woredas of 12 zones in four regions of Ethiopia; Amhara, Tigray, Oromia, and SNNP.

The program objectives are:
1: Build the skills of HEWs working in health posts and health professionals at health centers to correctly assess, classify, and manage common childhood illnesses.
2: Build the skills of HEW supervisors and Woreda health office experts to properly mentor, supervise, and coach HEWs on the management of sick children.
3: Support regular and continuous follow-up, progress reviews, refresher training and supportive supervision to ensure quality service for sick children as per the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) guidelines.
4: Ensure uninterrupted supply of essential drugs and supplies for CCM at health posts.
5: Volunteer Community Health Workers oriented about CCM to conduct active surveillance of cases and refer for treatment.
6: Establish a mechanism of regular and continuous monitoring and evaluation of ICCM.

This work will contribute to accelerating the reduction of under-five mortality and assist Ethiopia to achieve the MDG 4 by 2015.