Community Approaches to Child Health in Malawi: - CORE Group
Community Approaches to Child Health in Malawi: - CORE Group
Community Approaches to Child Health in Malawi: - CORE Group
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promote appropriate child care, illness prevention, illness recognition,<br />
home management, care-seek<strong>in</strong>g and treatment compliance practices.<br />
This descriptive framework is based on the assumption that C-IMCI will<br />
differ from country <strong>to</strong> country, and with<strong>in</strong> countries, <strong>to</strong> respond <strong>to</strong> local<br />
opportunities and needs. Its elements are described below:<br />
Element 1: Improv<strong>in</strong>g partnerships between health facilities and the<br />
communities they serve<br />
Element 2: Increas<strong>in</strong>g appropriate and accessible health care and<br />
<strong>in</strong>formation from community-based providers<br />
Element 3: Integrat<strong>in</strong>g promotion of key family<br />
practices critical for child health and<br />
nutrition<br />
Multi-sec<strong>to</strong>ral Platform: L<strong>in</strong>k<strong>in</strong>g health efforts <strong>to</strong><br />
those of other sec<strong>to</strong>rs <strong>to</strong> address determ<strong>in</strong>ants of ill<br />
health and susta<strong>in</strong> improvements <strong>in</strong> health.<br />
A 2002 <strong>Health</strong> Policy and Plann<strong>in</strong>g article concluded<br />
that “while the Framework provides a useful<br />
reference for a vision of C-IMCI implementation,<br />
many people want <strong>to</strong> ‘see’ what one looks like <strong>in</strong> the<br />
field . . . Documentation of different approaches <strong>to</strong><br />
implementation of the three Elements is crucial,<br />
and will allow program planners <strong>to</strong> appreciate<br />
the options before them as they seek ways <strong>to</strong><br />
implement child health and nutrition <strong>in</strong>terventions<br />
at scale.” 2<br />
This case study takes on that challenge by<br />
document<strong>in</strong>g community-based programs and<br />
C-IMCI implementation <strong>in</strong> <strong>Malawi</strong> by the<br />
<strong>in</strong>ternational NGO World Relief. The study also<br />
shows how an effective C-IMCI approach l<strong>in</strong>ks and<br />
supports health workers with<strong>in</strong> a broader health<br />
system, <strong>in</strong> l<strong>in</strong>e with elements 1 and 2 of the overall<br />
framework.<br />
<br />
&<br />
<br />
<br />
Improv<strong>in</strong>g partnerships between<br />
health facilities and<br />
the communities they serve<br />
<br />
Integrat<strong>in</strong>g promotion of key family practices<br />
critical for child health & nutrition<br />
<br />
Increas<strong>in</strong>g appropriate and<br />
accessible health care and <strong>in</strong>formation<br />
from community-based providers<br />
design & illustrations: R. Doyle<br />
<br />
Optimiz<strong>in</strong>g a multi-sec<strong>to</strong>ral platform <strong>to</strong> support susta<strong>in</strong>able child health & nutrition<br />
2 W<strong>in</strong>ch P., LeBan K., Casazza L., Walker L., Pearcy K. (2002). An implementation framework for household and<br />
community <strong>in</strong>tegrated management of childhood illness. <strong>Health</strong> Policy and Plann<strong>in</strong>g, 17 (4): 345–353.<br />
2 <strong>Community</strong> <strong>Approaches</strong> <strong>to</strong> <strong>Child</strong> <strong>Health</strong> <strong>in</strong> <strong>Malawi</strong>