Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa

Simple item page
dc.contributor.authorCliff, Julie
dc.contributor.authorBennett, Sara
dc.contributor.authorGeorge, Asha
dc.contributor.authorRodriguez, Daniela
dc.contributor.authorShearer, Jessica
dc.contributor.authorDiallo, Brahima
dc.contributor.authorKonate, Mamadou
dc.contributor.authorDalglish, Sarah L.
dc.contributor.authorJuma, Pamela A.
dc.contributor.authorNamakhoma, Ireen
dc.contributor.authorBanda, Hastings
dc.contributor.authorChilundo, Baltazar
dc.contributor.authorMariano, Alda
dc.date.accessioned2024-07-19T07:03:44Z
dc.date.available2024-07-19T07:03:44Z
dc.date.issued2014-07
dc.descriptionJournal Article
dc.description.abstractobjective To report an in-depth analysis of policy change for integrated community case management of childhood illness (iCCM) in six sub-Saharan African countries. We analysed how iCCM policies developed and the barriers and facilitators to policy change. methods Qualitative retrospective case studies drawing from document reviews, semi-structured interviews and in-country validation workshops were conducted in Burkina Faso, Kenya, Malawi, Mali, Mozambique and Niger. These countries were selected to maximise variation in iCCM policy status, community health worker (CHW) models and different African regions. results Country iCCM policies evolved in an ad hoc fashion, but were substantially influenced by the history of primary health care and the nature of CHW programmes. Technical officers within Ministries of Health led iCCM policy change with support from international donors, but neither communities nor political leadership was mobilised. Concerns about achieving the Millennium Development Goals, together with recognition of the shortcomings of existing child health programmes, led to the adoption of iCCM policies. Availability of external financing played a critical role in facilitating policy change. conclusions iCCM policy change has been promoted by international agencies, but national governments have struggled to align iCCM with country health systems. Greater investment is needed in tailoring global policy initiatives to match country needs. High-level, political ownership of iCCM policies could facilitate policy change, as could clearer strategies for ensuring the long-term sustainability of such policies.
dc.identifier.citationBennett et al. (2018).: Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa.: Tropical Medicine and International Health.: doi:10.1111/tmi.12319
dc.identifier.urihttps://repository.daystar.ac.ke/handle/123456789/4766
dc.language.isoen
dc.publisherTropical Medicine and International Health
dc.relation.ispartofseriesvolume 19 no 7 pp 872–882
dc.subjectchild health services
dc.subjectcommunity health services
dc.subjecthealth policy
dc.titlePolicy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Policy challenges facing integrated community case management in Sub Saharan Africa.pdf
Size:
104.89 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Journal Articles