iCCM example implementation documentation

[MaxDiz]

Integrated Community Case Management is a workflow deployed across 60%+ of CHT projects. We should provide a detailed example on the documentation site for implementing partner reference. Proposed structure of the documentation:

• intro
• problem being addressed
• solution overview
• user roles
• reporting hierarchy
• care / app workflow
• impact metrics (or reference to related documentation)

cc: @helizabetholsen

[helizabetholsen]

Already existing documentation on iCCM to pull from (see examples for PNC and FP drafted in their respective tickets)

Impact Logic: https://docs.google.com/document/d/1l-sMXMOHnBUlyXuBo7wTZAxc7X4ZKZ-3SxUoha2NSWQ/edit

Impact Metrics: https://docs.google.com/spreadsheets/d/1hBjxX5EOUe7Th5jtPMmDF6jYSfooI2StH_FTyPxex0c/edit

Interpretation Guide: https://docs.google.com/presentation/d/1C4mFU3ISyamjxs9JTxOuFuASNeDapYSaYJVsDOC6bnE/edit

[helizabetholsen]

Introduction

Integrated Community Case Management (iCCM) is a Community Health Toolkit workflow that is used by over 60% of our implementing partners. The goal of iCCM is to ensure timely assessment, diagnosis, and referral of children under the age of five.

Background

Globally, under-five mortality remains unacceptably high with over 5.6 million children estimated to die annually (WHO 2016). The leading three preventable causes of under-five mortality in much of the world - malaria, pneumonia, and diarrheal diseases - are preventable and treatable at a low-cost to families and communities. However, timely screening, treatment, and referral requires a health system that includes proactive care touch points with community members and proactive engagement by CHWs. CHWs engaging in iCCM supported by the CHT are able to better address gaps in care provision by ensuring timely assessment, diagnosis, and treatment of sick children through proactive visits and referrals for facility-based services to ensure access to life-saving treatment.

Solution Overview

CHWs equipped with the CHT use the software to screen children under-five in their community for symptoms related to diarrhea, pneumonia, and malaria. CHWs then record which children have a suspected diagnosis, refer to the facility for treatment, and support on-time appointments with automated messaging and proactive follow-up.

A successful iCCM workflow seeks to accomplish the following:

• Identify symptomatic children within households and, when possible, provide care at the point of assessment
• Guide CHWs through proper iCCM protocols, including immediate health facility referral when danger signs are present
• Customize timely and automated reminders for follow-up based on care protocols

User Roles Discuss with service design team

Reporting Hierarchy Discuss with service design team

Workflow Diagram Discuss with service design team

Impact Monitoring & Metrics There are a few key impact metrics that we use to track activity and impact across deployment of the CHT that include the iCCM workflow. These are intended for cross-project learnings across model-building partners, informing product feature updates, and other research purposes.

Our prioritized metrics include the following:

• number of CHWs participating in iCCM
• number of iCCM assessments
• number of iCCM follow-ups

For more information, please refer to our Impact Metrics & Monitoring documentation.