Integrated Community Case Management
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Integrated Community Case Management (iCCM) of malaria, pneumonia and diarrhoea is a recently adopted strategy for the treatment of common childhood illness at community level by trained Community Health Workers since 2010. It addresses a gap in delivery of curative services to children below 5 years allowing:
- prompt and accessible treatment of uncomplicated malaria, pneumonia and diarrhoea
- identification of danger signs (convulsions, chest indrawing, unable to feed, vomiting everything, lethargy/unconsciousness) and pre-referral treatment
- monitoring of newborns during the first week of life, counselling and referral if any problem identified.
Community health workers work in close collaboration with the health unit, to which they report and refer cases and from which they receive supplies and supervision.
Supplies provided to trained community health workers
ICCM commodities
- Respiratory timers and Amoxicillin dispersible tablets for diagnosis and treatment of pneumonia
- ORS sachets and Zinc tablets for treatment of diarrhoea
- RDTs and ACTs for diagnosis and treatment of uncomplicated malaria
- Rectal artesunate for pre referral treatment of complicated malaria.
- Examination gloves
- Dispensing envelopes
- Registers, referral notes and sick job aids
Other commodities for community health workers
- Other preventive treatments: used in prevention and treatment of common conditions and neglected topical diseases like albendazole, azithromycin syrup and tablets, ivermectin, tetracycline eye ointment, praziquantel, COC.
Treatments prescribed by VHTs
TREATMENT |
INDICATION |
DOSES |
Amoxicillin DT 250 mg |
Pneumonia (cough < 21 days + increased respiratory rate) |
2-11 months: 1 tab every 12 hours for 5 days RED PACK 1-5 years: 2 tab every 12 hours for 5 days GREEN PACK |
Zinc Tablets and ORS |
Diarrhoea < 14 days without blood |
Zinc 2-6 months: ½ tab once a day for 10 days 6 months to 5 years: 1 tab once a day for 10 days ORS As much as the chid wants but at least ½ cup after each loose stool |
ACT |
Fever <7 days RDT positive |
4 months-2 years: 1 tab every 12 hours for 3 days (YELLOW PACK) 2-5 years: 2 tab every 12 hours for 3 days (BLUE PACK) |
Rectal Artesunate |
Fever and danger signs, prereferral |
4-11 months: 1 capsule 1-3 years: 2 capsules 3-5 years: 3 capsules |