66 out of 105 districts
CHWs are able to treat and assess pneumonia, malaria, and diarrhea. They are also able to check for malnutrition, check for immunization, do growth monitoring and promotion (GMP), assess and administer the micro-nutrients (Vitamin A and Deworming). They are equipped to distribute Insecticide Treated Nets (ITNs) and perform health education promotion during community and Home visits.
The Community Health Worker (CHW) lives (usually) over five kilometers from a health facility. They are both male and female who are literate (able to read and write English), and they specialize in hard-to-reach and underserved areas. Other cadre include: CHAs, SMAGs, HIV supporters, Lay counsellor, TB supporters, Environmental agents, Growth monitoring promotors, Malaria agents and Neighborhood Health Committees etc.
Total of 5060 CHWs and 983 Health Centre supervisors in iCCM have been trained to date.
There is an opportunity for more partners to support capacity building to saturate to all the districts to have an impact.
The Ministry of Health coordinates and spearheads iCCM implementation in Zambia and holds IMCI sub-committee meetings every after two months with partners.
Not all partners attend meetings regularly.
Partners may avail the Ministry with action plans for better coordination.
The Government of the Republic of Zambia allocates funds for iCCM and about 10 partners support iCCM implementation.
The funding for iCCM from some partners is not well known and there remains inadequate funding for iCCM implementation overall.
There is a need for more partners to come on board to accelerate scale-up.
The supply chain is managed by the Ministry of Health through the Child Health Unit.
There is an opportunity for procurement of iCCM supplementary drugs (Antibiotics, Zinc sulphate and ORS).
Health centre supervisors are the immediate supervisors for the CHWs. Supervision is conducted on a monthly and quarterly basis.
More than two supervisors should be trained per facility for better supervision and mentorship to address these challenges.
Social mobilization is done during outreach and GMP in Zambia.
The challenge is reaching every caregiver.
There is an opportunity to better engage the community to reach every caregiver.
M&E experts are still working on improving the community HMIS.
It has been challenging to operationalize in a timely manner.
A study was done in two districts on mhealth and the results are yet to be disseminated, but this study could potentially inform the Zambia M&E agenda.
1. MCHIP. Review of Integrated Community Case Management Materials: Ten African Countries. Washington, DC: 2013.
2. MCHIP. Child Health Country Profile: Zambia. Washington, DC: 2012.