Policy Challenges Facing Integrated Community Case Management in Sub-Saharan Africa
Journal Article
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| Format: | Article |
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Tropical Medicine and International Health
2024
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| Online Access: | https://repository.daystar.ac.ke/handle/123456789/4766 |
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| 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 |
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