A CHW in Tanzania holds a negative rapid diagnostic test for malaria. Photo by Zina Jarrah, courtesy of MSH.

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An iCCM program is dependent on the constant availability of commodities for its success. Medicines and supplies used in iCCM should be consistent with the national integrated management of childhood illness (IMCI) guidelines, the essential medicines list, and other medicine regulations. This contributes to sustainability and continuity in CHW training and practice, as well as to containing antimicrobial resistance. Sometimes, however, weaknesses in existing logistics management systems or policies that limit the selection of medicines for iCCM suggest that an alternative to the national or district system is needed to carry out iCCM. Although such parallel systems may overcome limitations on a small scale, they usually cannot be replicated on a larger scale or be sustained once a project ends. Taking time to address weaknesses in existing systems contributes to sustainability: the upgraded structures remain long after a project has ended.

To reduce the likelihood of problems in the availability of commodities, the Supply Chain Management subgroup of the iCCM Task Force would like to share practical tips that any iCCM program manager, or technical committee, could benefit from having as they start-up their iCCM program. These supply chain management “tips” represent solutions or strategies based on real-life experiences in different iCCM programs. These documents can be found here.


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