Integrated Community Case Management of Childhood Illness: Documentation of Best Practices and Bottlenecks to Program Implementation in Senegal (Summary Report)

Download this publicationAlthough infant and child mortality rates have declined appreciably in most developing countries, children under five continue to die at unacceptably high rates, often of preventable causes such as malaria, diarrhea, and pneumonia. According to a recent analysis, it is estimated that pneumonia is responsible for 18% of under-five deaths, diarrhea for 15%, and malaria for 8%.1 Although simple, cost-effective interventions are available for these diseases, a major challenge remains: in most countries where morbidity and mortality among children is high, access to health facilities and/or the quality of services offered still represent major challenges.

In Senegal, malaria causes 19% of under-five deaths, diarrhea 14%, and pneumonia 13%.2 To prevent child mortality, Senegal has implemented iCCM for child health, which extends health services to populations that are hard to reach. After the best practices and bottlenecks were explored in the MCHIP Senegal program, it was found that after CHWs were trained in the use of rapid diagnostic tests, the number of cases of fever diagnosed as malaria declined significantly. This has resulted in a more rational, cost effective use of relatively expensive antimalarial drugs. Also, the number of cases of diarrhea treated with ORS and the number of cases of pneumonia treated with antibiotics appear to increase in parallel with the number of health huts involved in the program. Authors: Emmanuel Wansi, Serge Raharison, Mariam Sylla, Moussa Ly. JSI/MCHIP, 2011.

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