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Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management

Most countries in sub-Saharan Africa have now adopted integrated community case management (iCCM) of common childhood illnesses as a strategy to improve child health. In March 2014, the iCCM Task Force published an Indicator Guide for Monitoring and Evaluating iCCM: a ‘menu’ of recommended indicator...

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Detalles Bibliográficos
Autores principales: Roberton, Timothy, Kasungami, Dyness, Guenther, Tanya, Hazel, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4916319/
https://www.ncbi.nlm.nih.gov/pubmed/26758538
http://dx.doi.org/10.1093/heapol/czv129
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author Roberton, Timothy
Kasungami, Dyness
Guenther, Tanya
Hazel, Elizabeth
author_facet Roberton, Timothy
Kasungami, Dyness
Guenther, Tanya
Hazel, Elizabeth
author_sort Roberton, Timothy
collection PubMed
description Most countries in sub-Saharan Africa have now adopted integrated community case management (iCCM) of common childhood illnesses as a strategy to improve child health. In March 2014, the iCCM Task Force published an Indicator Guide for Monitoring and Evaluating iCCM: a ‘menu’ of recommended indicators with globally agreed definitions and methodology, to guide countries in developing robust iCCM monitoring systems. The Indicator Guide was conceived as an evolving document that would incorporate collective experience and learning as iCCM programmes themselves evolve. This article presents findings from two studies that examined the feasibility of collecting the Indicator Guide’s 18 routine monitoring indicators with the iCCM monitoring systems that countries currently have in place. We reviewed iCCM monitoring tools, protocols and reports from a purposive sample of 10 countries in sub-Saharan Africa. We developed a scorecard system to assess which of the Indicator Guide’s 18 routine monitoring indicators could be calculated with the given monitoring tools, and at which level of the health system the relevant information would be available. We found that the data needed to calculate many of the Indicator Guide’s routine monitoring indicators are already being collected through existing monitoring systems, although much of these data are only available at health facility level and not aggregated to district or national levels. Our results highlight challenge of using supervision checklists as a data source, and the need for countries to maintain accurate deployment data for CHWs and CHW supervisors. We suggest that some of the recommended indicators need revising. Routine monitoring will be more feasible, effective and efficient if iCCM programmes focus on a smaller set of high-value indicators that are easy to measure, reliably interpreted and useful both for global and national stakeholders and for frontline health workers themselves.
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spelling pubmed-49163192016-06-23 Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management Roberton, Timothy Kasungami, Dyness Guenther, Tanya Hazel, Elizabeth Health Policy Plan Original Articles Most countries in sub-Saharan Africa have now adopted integrated community case management (iCCM) of common childhood illnesses as a strategy to improve child health. In March 2014, the iCCM Task Force published an Indicator Guide for Monitoring and Evaluating iCCM: a ‘menu’ of recommended indicators with globally agreed definitions and methodology, to guide countries in developing robust iCCM monitoring systems. The Indicator Guide was conceived as an evolving document that would incorporate collective experience and learning as iCCM programmes themselves evolve. This article presents findings from two studies that examined the feasibility of collecting the Indicator Guide’s 18 routine monitoring indicators with the iCCM monitoring systems that countries currently have in place. We reviewed iCCM monitoring tools, protocols and reports from a purposive sample of 10 countries in sub-Saharan Africa. We developed a scorecard system to assess which of the Indicator Guide’s 18 routine monitoring indicators could be calculated with the given monitoring tools, and at which level of the health system the relevant information would be available. We found that the data needed to calculate many of the Indicator Guide’s routine monitoring indicators are already being collected through existing monitoring systems, although much of these data are only available at health facility level and not aggregated to district or national levels. Our results highlight challenge of using supervision checklists as a data source, and the need for countries to maintain accurate deployment data for CHWs and CHW supervisors. We suggest that some of the recommended indicators need revising. Routine monitoring will be more feasible, effective and efficient if iCCM programmes focus on a smaller set of high-value indicators that are easy to measure, reliably interpreted and useful both for global and national stakeholders and for frontline health workers themselves. Oxford University Press 2016-07 2016-01-11 /pmc/articles/PMC4916319/ /pubmed/26758538 http://dx.doi.org/10.1093/heapol/czv129 Text en © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Articles
Roberton, Timothy
Kasungami, Dyness
Guenther, Tanya
Hazel, Elizabeth
Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
title Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
title_full Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
title_fullStr Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
title_full_unstemmed Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
title_short Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
title_sort monitoring iccm: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4916319/
https://www.ncbi.nlm.nih.gov/pubmed/26758538
http://dx.doi.org/10.1093/heapol/czv129
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