iCCM in Guinea:
In Guinea, the integrated package of iCCM is being implemented since 2013 as an introductory phase for gradual expansion nationwide. To date there are 346 CHWs in 12 districts (of 34 in the country). There are on average 5 CHWs per health center. The MoH plan is to scale up nationally as soon as possible through 2014 and 2015 depending on funding.
The iCCM package currently implemented is treatment of children under 5 with malaria, diarrhea and pneumonia.
The model is that the CHWs resupply at the health center on a monthly basis, when they go for a monthly meeting. They complete a report of the starting stock, quantities received, their consumption, days of stock out, and stock on hand. This form was designed for the level of the CHWs as they have an educational level high enough to be able to complete the report.
The form is a combined report and order form (similar to scenario 3 in the generic forms) – the order quantity is calculated using a simple formula: quantity consumed x 2 minus the stock on hand to provide 2 months of stock for each CHW, based on past consumption. As each health center only has 5 CHWs, the health center staff can attend the CHWs when they come each month to check over their report and provide their supplies.
A minimum stock level has been set arbitrarily at the beginning of the program to trigger an emergency order between regular monthly orders.
As this is an introductory phase the form is still being evaluated to ensure it is being used correctly or whether simplifications will need to be made.
LMIS at community level
At present there is no functioning logistics management information system in the country for the data to feed into and so a temporary solution is being set up to monitor consumption and availability at community levels. The order form serves as a reporting form also and the data will be compiled at health center level (paper based). The compiled report will then be sent (physically) to the district where it will be compiled in an excel spreadsheet. The electronic form will be e mailed up the system to the regional level where it will be compiled and then sent to the IMCI coordination unit at the MoH for analysis and compilation for use in the quantification review process.