The results framework provides conceptual guidance for all steps in the situation analysis. “Strategies and programs for each intermediate result” are current or planned programs and services that affect how the result can be achieved. “External factors” are factors outside the health system that may help or hinder the effect of the planned strategies and intermediate results and the strategic objective and goal. External factors might include macroeconomic policies, food security, political violence, or other facts beyond the control of program managers or the MOH. Information about both kinds of factors is critical for deciding whether iCCM is an appropriate delivery strategy in a particular environment and for determining how best to implement iCCM in a specific setting. A situation analysis should describe the state of the issues included in each box in the amplified results framework. A situation analysis for iCCM ideally gathers data to inform the issues addressed in each of the eight boxes in the expanded results framework. Four boxes (goal, strategic objective, result 1 [social and policy environment], and result 2 [access]) are essential. The remaining four boxes (result 3 [quality], result 4 [demand], strategies, and external factors) are supportive for a complete understanding of the situation.

CCM-Expanded Results Framework

The first four boxes are essential because the information obtained can confirm:

  • High mortality due to CCM-treatable conditions;
  • Low use of case management services;
  • Low access to case management; and
  • A supportive policy environment.

Information collected about the four supportive boxes may describe:

  • The likely additive roles of quality and demand on use;
  • The current strategies and their state of implementation for each intermediate result; and
  • Important external factors that may be influencing results now—and that may do so in the future.

The content and graphic on this page were adapted from the following document: CORE Group, Save the Children, BASICS, and MCHIP. Community Case Management Essentials: Treating Common Childhood Illnesses in the Community; A Guide for Program Managers. 2nd ed. Washington, DC: 2012.