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Lessons from the integrated community case management (iCCM) Rapid Access Expansion Program

Salim Sadruddin1, Franco Pagnoni2, Gunther Baugh3

  • 1Global Malaria Programme, World Health Organization, Geneva Switzerland.

Journal of Global Health
|July 31, 2019
PubMed

Insights

The Rapid Access Expansion Programme (RAcE) improved child survival by expanding integrated community case management (iCCM) for common childhood illnesses in sub-Saharan Africa. This initiative also supported policy updates and disseminated best practices for sustainable iCCM delivery.

Area of Science:

  • Global Health
  • Public Health Policy
  • Pediatric Infectious Diseases

Background:

  • The World Health Organization's Global Malaria Programme (GMP) received Canadian government funding in 2012 to scale up integrated community case management (iCCM) for pneumonia, diarrhea, and malaria in children under five in sub-Saharan Africa through the Rapid Access Expansion Programme (RAcE).
  • RAcE aimed to reduce child mortality by enhancing access to diagnostics, treatment, and referral services, while also stimulating policy changes and catalyzing iCCM scale-up via best practice dissemination.

Discussion:

  • Implementation research and programmatic lessons from RAcE provide evidence on the impact and coverage improvements of iCCM within routine health systems.
  • The program highlights opportunities and challenges associated with implementing and sustaining iCCM delivery at scale in diverse healthcare settings.

Key Insights:

  • Increased access to diagnostics and treatment for childhood illnesses significantly contributes to reducing child mortality.
  • Successful scale-up of iCCM requires robust health system integration and supportive policy environments.
  • Documenting and disseminating best practices are crucial for catalyzing widespread adoption and sustainability of iCCM.

Outlook:

  • Continued investment in integrated community case management is essential for achieving global child survival goals.
  • Further research is needed to address the long-term sustainability and equity of iCCM programs in resource-limited settings.
  • Policy advocacy and knowledge sharing will remain critical for expanding effective child health interventions.

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