Yolanda Barberá CCM Technical Advisor

IMPROVING COMMUNITY CASE MANAGEMENT

OF PNEUMONIA AT SCALE

Pneumonia1.8

Diarrhea1.5

Malaria0.8

Oct-04

Apr-05

Oct-05

Apr-06

Oct-06

Apr-07

Oct-07

Apr-08

Oct-08

Apr-09

Oct-09

Apr-10

Oct-10

Apr-11

0

20,000

40,000

60,000

80,000

The program has scaled up significantly in the last 7 years

Trea

tmen

ts g

iven

by

CHW

s

Expected incidence

Uganda

Sierra Leone

Respiratory timers

Checking the CHWs capacity to

count respiratory

rates correctly

Nov-08 Feb-09 May-09 Aug-09 Nov-09 Feb-10 May-10 Aug-100

500

1,000

1,500

2,000

2,500

Frequency of supervision increased in Sierra Leone

Supervisions CHWs

Nov-08 Feb-09 May-09 Aug-09 Nov-09 Feb-10 May-10 Aug-100.0

0.5

1.0

1.5

CHW treatments of pneumonia per child per year are decreasing steadily in Sierra Leone

Pneumonia treatment rate Expected incidence

Sep-08 Dec-08 Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-100.0

0.5

1.0

1.5

CHW treatments of pneumonia per child per year are close to the expected incidence in

Uganda

Pneumonia treatment rate Expected incidence

Community case management of

pneumonia can be improved at scale in low-

resource settings in a short time without expensive

measures