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

Journal Article

Saved in:
Bibliographic Details
Main Authors: Cliff, Julie, Bennett, Sara, George, Asha, Rodriguez, Daniela, Shearer, Jessica, Diallo, Brahima, Konate, Mamadou, Dalglish, Sarah L., Juma, Pamela A., Namakhoma, Ireen, Banda, Hastings, Chilundo, Baltazar, Mariano, Alda
Format: Article
Language:English
Published: Tropical Medicine and International Health 2024
Subjects:
Online Access:https://repository.daystar.ac.ke/handle/123456789/4766
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1809369206809952256
author Cliff, Julie
Bennett, Sara
George, Asha
Rodriguez, Daniela
Shearer, Jessica
Diallo, Brahima
Konate, Mamadou
Dalglish, Sarah L.
Juma, Pamela A.
Namakhoma, Ireen
Banda, Hastings
Chilundo, Baltazar
Mariano, Alda
author_facet Cliff, Julie
Bennett, Sara
George, Asha
Rodriguez, Daniela
Shearer, Jessica
Diallo, Brahima
Konate, Mamadou
Dalglish, Sarah L.
Juma, Pamela A.
Namakhoma, Ireen
Banda, Hastings
Chilundo, Baltazar
Mariano, Alda
author_sort Cliff, Julie
collection DSpace
description Journal Article
format Article
id ir-123456789-4766
institution Daystar University
language English
publishDate 2024
publisher Tropical Medicine and International Health
record_format dspace
spelling ir-123456789-47662024-08-06T12:26:47Z Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa Cliff, Julie Bennett, Sara George, Asha Rodriguez, Daniela Shearer, Jessica Diallo, Brahima Konate, Mamadou Dalglish, Sarah L. Juma, Pamela A. Namakhoma, Ireen Banda, Hastings Chilundo, Baltazar Mariano, Alda child health services community health services health policy Journal Article objective 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. 2024-07-19T07:03:44Z 2024-07-19T07:03:44Z 2014-07 Article Bennett et al. (2018).: Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa.: Tropical Medicine and International Health.: doi:10.1111/tmi.12319 https://repository.daystar.ac.ke/handle/123456789/4766 en volume 19 no 7 pp 872–882 application/pdf Tropical Medicine and International Health
spellingShingle child health services
community health services
health policy
Cliff, Julie
Bennett, Sara
George, Asha
Rodriguez, Daniela
Shearer, Jessica
Diallo, Brahima
Konate, Mamadou
Dalglish, Sarah L.
Juma, Pamela A.
Namakhoma, Ireen
Banda, Hastings
Chilundo, Baltazar
Mariano, Alda
Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
title Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
title_full Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
title_fullStr Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
title_full_unstemmed Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
title_short Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
title_sort policy challenges facing integrated community case management in sub-saharan africa
topic child health services
community health services
health policy
url https://repository.daystar.ac.ke/handle/123456789/4766
work_keys_str_mv AT cliffjulie policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT bennettsara policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT georgeasha policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT rodriguezdaniela policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT shearerjessica policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT diallobrahima policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT konatemamadou policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT dalglishsarahl policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT jumapamelaa policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT namakhomaireen policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT bandahastings policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT chilundobaltazar policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica
AT marianoalda policychallengesfacingintegratedcommunitycasemanagementinsubsaharanafrica