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Village team members in educate parents PROJECT BRIEF about the dangers of infectious childhood illnesses inSCALE Project The aim of the project is to demonstrate that coverage of government-led integrated case management programmes can be increased to cover up to 30 percent of the districts, primarily resulting in more children with diarrhoea, and accessing appropriate care

COUNTRIES PROJECT OUTLINE Uganda The Innovations at Scale for countries and elsewhere. These Community Access and Lasting solutions will be categorised DONOR Effects (inSCALE) project into the three constraint areas. The Bill & Melinda Gates will identify and document Those which have potential to Foundation limitations to national scale up address the project’s aims but of Integrated Community Case lack sufficient evidence of impact Management (ICCM) in terms of will be formally evaluated in a LENGTH OF PROJECT its geographical distribution and randomised controlled trial. Five years quality. The Ministries of Health (MoH) There are three main will play a major role throughout PARTNERS constraints that currently limit the life of the project. In particular, London School of Hygiene coverage of community based they will provide input into and , CIHD, management of childhood intervention design, participate Straight Talk Foundation, : supervision, motivation in dissemination activities, be Software Factory, Ministries and information flow. These involved in development of of Health, Makerere and any other constraints will guidelines for introduction of University, University of be identified and solutions will ICCM at district level, support Melbourne and Karolinska be formulated based on current districts to mobilise resources for Institute, Sweden knowledge and experiences ICCM and ensure a regular supply from ICCM of medicines, and sustain the implementation and other programme at a national scale. relevant community-based Continuous MoH support for initiatives in both project health facilities to provide referral Children are given health checks by community health workers in Mozambique care and equip community also critical for the success of the based agents with medicines, project. tools, supervision and training is This project has a direct PROJECT AIMS impact upon efforts to:

•• To identify best practices coverage of ICCM and improve 99 Combat malaria in starting up ICCM at sub- its quality through better CBA national levels and identify performance and retention. innovations with potential to •• To cost the innovations which 99 Manage common increase coverage of ICCM and demonstrate effectiveness in childhood illnesses improve its quality through improving ICCM coverage and better performance and quality through better CBA retention of community based performance and retention, 99 Strengthen health agents (CBA). and investigate the potential systems •• To assess the feasibility of for economies of scale and identified innovations and scope. assess their acceptability •• To promote implementation 99 Provide operational among community members, and spread of ICCM by sharing research ouptuts CBAs, facility-based health with MoH, sub-national health workers, sub-national and authorities and stakeholders, 99 Provide monitoring national health authorities. experiences and findings that •• To evaluate innovations with improve coverage of ICCM and and evaluation outputs the potential to increase improve its quality.

Malaria Consortium [email protected] Development House www.malariaconsortium.org 56-64 Leonard Street, London EC2A 4LT, UK Registered Charity No: 1099776

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