iCCM in Zambia is currently considered to be in a stage of expansion. By policy, CHWs must be certified by the district and it is only these certified CHWs that can be trained by partners in iCCM. Since the CHW has already been certified, they come to the iCCM training with previous experience in a variety of health issues. Depending on the district and partners, they may have a background and be tasked to support health issues including water and sanitation, maternal and child health, nutrition, HIV, vaccination, and antenatal care. While CHWs are frequently supervised by either an Environmental Health Technician or a MCH Nurse from the nearest health center, there is inconsistency throughout Zambia in supervisory structure. CHWs are provided a variety of incentives and many NGOs also provide a transportation or monthly stipend. There is a new cadre of CHW, the Community Health Assistant (CHAs), who is a paid government worker. The CHAs are trained for twelve months and iCCM training is conducted during this time. There are currently only about 300 CHAs deployed nation-wide, most to health facilities. The CHAs and CHWs are currently housed under different ministries; the Ministry of Health oversees the CHA program and the new Ministry of Community Development, Maternal and Child Health oversees the CHWs.
Year of Introduction
Identification and treatment of diarrhea (with ORS and zinc), pneumonia (with antibiotics), malaria (with mRDTs and ACTs), and malnutrition (moderate)
All 10 provinces and in 36 of 105 districts (before the creation of new districts) (as of September 2012)
Name for Service Provider
Community health worker (CHW)