iCCM FTT and UNICEF-convened Regional Consultation on Scaling Up Integrated Community Case Management

In April 2014, the Global Fund and UNICEF signed a Memorandum of Understanding (MoU) to better coordinate efforts aimed at reducing the burden of HIV, tuberculosis and malaria and improving the health of mothers, newborns, and children in a select number of high burden countries. UNICEF and the Global Fund agreed to work together in the context of the Global Fund’s New Funding Model (NFM) to include support for a complementary and comprehensive MNCH intervention package in line with national strategies for maternal and child survival. More specifically, the Global Fund permitted countries to apply for funding to support selected components of the iCCM package under the NFM, such as community health worker (CHW) training and salaries, malaria commodities, supportive supervision, as well as supply chain and health information system strengthening activities. Simultaneously, UNICEF committed to using its “best efforts” to support governments to secure and deliver additional basic child health commodities — antibiotics for pneumonia and oral rehydration salts (ORS) and zinc for diarrhea for children — to deliver an integrated iCCM package at the community level. 
To support this process, the iCCM Financing Task Team (FTT) — a multi-organizational team of global partners led by UNICEF — was formed in early 2014 to provide technical assistance to countries interested in integrating iCCM into their Global Fund malaria and/or health systems strengthening (HSS) concept notes.

During Phase 1 (2014/2015), the iCCM FTT focused its effort on supporting countries to: 1) undertake gap analyses and revise/strengthen national strategies for iCCM; 2) develop strong, technically sound concept Global Fund concept notes; and 3) successfully navigate the Global Fund’s grant approval and grant-making processes. During Phase II (2015/2016), as countries transition into the grant implementation phase, the iCCM FTT is focusing its efforts on ensuring maximum value for money and the optimal implementation of integrated delivery.

The purpose of the Nairobi iCCM consultation — Scaling up integrated Community Case Management (iCCM) in the context of the UNICEF-GFATM Memorandum of Understanding — was to bring key stakeholders from the global, regional and country level together to share knowledge, lessons learned and experiences across countries to accelerate progress from approved Global Fund malaria and HSS grants to integrated iCCM programming and implementation on the ground.

The specific objectives of the workshop were to:

  • •  Review implementation planning and monitoring of the iCCM component of Global Fund malaria and HSS grants to 1) share lessons learned/experiences across countries, 2) define key constraints and identify potential solutions, and 3) develop a common performance monitoring framework, with an emphasis on community information strengthening linked to HMIS, to assess the outcomes and impact of iCCM implementation;
  • •  Share country experiences with integrating iCCM supplies into national procurement and supply chain management (PSM) systems and develop draft country action plans, which identify key bottlenecks, solutions, and critical actions for fostering this integration, including PSM capacitation/strengthening;
  • •  Assist country teams to develop resource mobilization plans for co-financing needed as described in the concept note; and
  • •  Identify technical assistance needs for ongoing support for implementation and scale-up of iCCM-Global Fund grants.

Background Materials:

Please find below key background materials for the meeting:

Agenda (Available in English and  French)

Concept note (Available in English and French)

Meeting report (Available in English and French)

iCCM Nairobi Report Annexes 

Sessions:

Session I – Overview of iCCM (Session outline available in English and French)

Session II – Implementation Planning  (Session outline available in English and French)

Session III – Integrated PSM for iCCM  (Session outline available in English and French)

Session IV – Integrated Monitoring and Evaluation  (Session outline available in English and French)

Session V – Resource Mobilization (Session outline available in English and French)

Session VI – Workshop Synthesis (Session outline available in English and French)