iCCM in Malawi is currently considered to be in a stage of expansion. At the community level in Malawi, health services are provided by Health Surveillance Assistants (HSAs) who are employed by the government to provide primary health care services through the village health clinics and outreach clinics. The HSAs have been identified as a cornerstone of the health system in the Malawi Essential Health Package (EHP) and an additional 12,000 HSAs were recruited to achieve the target of 1 HSA per 1000 population. HSAs receive a 10-week basic training in which integrated management of childhood illness (IMCI) is incorporated. HSAs also promote hygiene and sanitation, maintain community registers, conduct disease surveillance, and do counseling and testing for HIV. They are central to the immunization program throughout Malawi.
1. MCHIP. Child Health Country Profile: Malawi. Washington, DC: 2012.
2. UNICEF. Review of Systematic Challenges to the Scale-up of Integrated Community Case Management: Emerging Lessons & Recommendations from the Catalytic Initiative (CI/IHSS). New York, NY: 2012.
Year of Introduction
Identification and treatment of acute diarrhea (with zinc and ORS), pneumonia (with antibiotics), malaria (with mRDTs and ACTs), and eye infections (with antibiotics)
All 28 districts (as of 2011)
Name for Service Provider
Health surveillance assistant (HSA)