photo courtesy of MCHIP

These eight components reflect the most essential thematic areas to consider at all stages of iCCM implementation. A large challenge across all components and all stages of iCCM programs is the bottleneck in monitoring implementation and evaluating progress. This issue is compounded by the fact that iCCM is often a newly introduced intervention, conducted in the community and disconnected from data collection through routine health management information systems (HMISs). While national programs and development partners usually develop specific protocols at the start of iCCM programs (referred to as the “national iCCM protocol handbook”), they often measure monitoring and evaluation (M&E) indicators that are nonstandard and therefore not comparable to other country’s iCCM programs. In response to a lack of recommended standard iCCM indicators, global partners came together through the iCCM Task Force (TF) to develop a list of proposed iCCM indicators that programs might adopt to monitor implementation and evaluate progress. The components are as follows:

Coordination and Policy Setting

Costs, Cost Effectiveness, and Financing

Human Resources and Deployment

Supply Chain Management

Service Delivery and Referral

Communications, Demand Generation and Social Mobilization

Supervision and Quality Assurance

Monitoring and Evaluation and HMIS