This paper examines the acceptability and effectiveness of integrated community case management (iCCM) provided by volunteer, low literacy Mother Leaders (ML) and compare servicequality provided to that of paid Community Health Agents (CHAs).
Qualitative evidence at the community level suggested there is significant support for the MLs and their iCCM work. Care provided by MLs was widely accepted in the communities and replaced all other sources of care for children in their villages. Early treatment (< 24 hours after onset) increased significantly from 59 percent to 82 percent. MLs were as able as CHAs to achieve the benchmark of correct classification and treatment prescribed for at least 80% of the children consulted. Few MLs or CHAs were consistent in applying all steps for iCCM; though ML showed lower levels of compliance in some areas than CHAs.
Concern Worldwide, a company limited by guarantee, Registered Company Number: 39647, Registered Revenue Number: CHY 5745,
Registered Charity Number: 20009090, Registered in Ireland,
Registered address is 52 – 55 Lower Camden Street, Dublin 2.
Phone: +353 1 417 7700
