Overview

Global Fund investments in malaria control and health systems strengthening (HSS) have played an important role in supporting the iCCM platform across sub-Saharan Africa particularly in countries like Ethiopia, Malawi, and Uganda. In 2014, the Global Fund issued a strong endorsement of ICCM and through its new funding model (NFM) permitted countries to include select iCCM components in their malaria and health system strengthening (HSS) NFM proposals (e.g. training and salary costs for CHWs, malaria commodities, supportive supervision, supply chain system strengthening, and health information system costs). Click here for an overview brochure on the New Funding Model.

iCCM offers an important entry point for driving progress against country-level malaria treatment objectives. The Global Fund and Roll Back Malaria’s Harmonization Working Group (HWG) have encouraged countries for which iCCM is appropriate to incorporate this strategy into their Global Fund NFM concept note submissions.

A coordinated approach to supporting integrated community case management

To leverage opportunities for iCCM scale up afforded by the Global Fund’s NFM, the iCCM Financing Task Team—a multi-organizational team of global partners led by UNICEF – was formed in February 2014 to provide technical assistance to countries interested in integrating iCCM into their malaria and/or health systems strengthening (HSS) Global Fund NFM concept notes (CN). For additional information, about the composition and work of the ICCM FTT click here.

Soon thereafter, on 22 April 2014, UNICEF and the Global Fund reinforced their long-standing partnership through a new agreement to better coordinate efforts aimed at reducing the burden of HIV, tuberculosis and malaria and improving the health of mothers, newborns, and children. The press release can be accessed on the UNICEF website here. The signed memorandum of agreement is available for download by clicking here.

UNICEF, The RMNCH Strategy and Coordination Team (SCT), and the Global Fund also released a joint statement on strengthened coordination and financing for integrated delivery and especially for iCCM. The statement encourages countries to review their national strategies and express any potential iCCM need and gap alongside the Global Fund malaria concept note. For more information on the joint statement, please contact Mark Young at myoung@unicef.org. To download the statement, click accordingly (English) (French).

The RMNCH information note from the Global Fund provides additional guidance to countries for incorporating RMNCH interventions (including iCCM) into concept notes and Country Coordinating Mechanism (CCM) discussions where relevant as well as further information on co-financing opportunities with partner organizations (including UNICEF and RMNCH Trust Fund). The information note can be accessed by clicking here.

Application

To make the most of available resources and maximize impact on malaria control, it will be critical to continue to support countries that wish to prioritize iCCM and CHWs in their New Funding Model concept note and proposal submissions.

All those interested in providing Phase II support which include scale-up planning, procurement and supply chain  (PSM), planning and developing monitoring and evaluation plans for countries with approved concept notes should read the Terms of Reference and send an email to Dyness Kasungami at dyness.kasungami@mcsprogram.org.

Leveraging the Global Fund New Funding Model for Integrated Community Case Management

The Maternal and Child Survival Program (MCSP), Secretariat of the CCM Task Force, reviewed efforts to incorporate integrated Community Case Management (iCCM) into eligible countries’ malaria and health systems strengthening concept notes to leverage resources to scale up iCCM for the 2014-2017 round of NFM funding. The process of concept note development was explored in five countries:

In these five countries selected for this review, the U.S. Agency for International Development (USAID) funded technical assistance through MCSP to assist country teams with program and financial gap analyses, costing the iCCM package and drafting the iCCM portion of the concept notes. With child health stakeholders increasingly focused on mobilizing resources to scale-up iCCM as an important strategy to complement investments at the facility level, a close look at these country stories provides valuable lessons about ways to increase the likelihood of integration to ensure that all children have access to lifesaving health services. The recent push to consolidate funding and increase efficiency using existing resources makes these stories important to inform efforts to leverage other funding sources to ensure equitable access to case management.

Read the synthesis report of the five country experiences.

Access a presentation about these country experiences.

Country Terms of Reference

Ethiopia | Malawi | Nigeria | Uganda

Gap Analysis Resources

To include iCCM within a Global Fund malaria concept note, country teams must first complete an iCCM gap analysis.

The iCCM Financing Task Team has developed a summary gap table that reflects the format and style of the HWG malaria summary gap table. Country teams can use the iCCM summary gap table to highlight their gaps around iCCM commodity and delivery costs, including the costs for training, supervising, supporting, and incentivizing CHWs.

Once the iCCM summary gap table has been completed, country teams can add the iCCM spreadsheet tabs to the HWG malaria summary gap table, and this integrated table can be appended to the Global Fund malaria concept note.  The HWG malaria gap analysis materials can also be found here: Roll Back Malaria HWG website.

Countries that have already conducted a gap analysis or costing exercise for iCCM can use these existing analyses to complete the summary gap table.

Download the summary gap analysis table here (English) (French). Download the instructions for the summary gap analysis here (English) (French).

The iCCM Gap Analysis Workbook by AMREF and UNICEF ESARO is also available for download. This multi-country analysis tool was developed to assist countries to estimate the unmet needs for implementation of iCCM (and LLINs for iCCM covered populations) to reduce under-5 mortality. It uses current demographic, coverage and economic parameters to estimate these unmet needs, which include total quantities of commodities and funding required to scale-up iCCM as detailed in MoH plans and targets for pneumonia, malaria, diarrhea, and CMAM.

Download the AMREF/UNICEF ESARO iCCM Gap Analysis Workbook here.

For more information on how to utilize the iCCM Summary Gap Table or iCCM Gap Analysis Workbook, please contact Mark Young at myoung@unicef.org