iCCM in Senegal is currently considered to be in a stage of expansion. The CHW training is part of the PECADOM strategy of home case management. The term “CHW” encompasses a number of different types of community actors, literate or non-literate, who work as a team. The distributeurs de soins à domicile (DSDOM) were originally home care dispensers for malaria. Their duties recently expanded to include pneumonia and diarrhea. There are also the relais communautaire, or community relays, who conduct mostly promotional and behavior change communication (BCC) activities; the matrone (TBA), who help with pregnancy, delivery, post-partum (also trained in iCCM), and the agent de santé communautaire (ASC), who treat pneumonia, diarrhea, and malaria at a health hut. There were more than 1,600 ASCs in Senegal as of April 2012.
1. MCHIP. Review of Integrated Community Case Management Materials: Ten African Countries. Washington, DC: 2013.
Year of Introduction
Identification and treatment of diarrhea (with zinc and ORS), pneumonia (with antibiotics), and malaria (with mRDTs and ACTs)
58 districts of 69 (as of 2010)
Name for Service Provider
Distributeur de soins à domicile (DSDOM), relais communautaire (English:community relay), matrone, and ASC (English:CHW)