Program Planning & Implementation Overview
|Overview – This section includes documents to guide programme managers and partners in the development and revision of plans to implement iCCM, as well as managing programme implementation. Materials are intended to help programme managers bring together ongoing work (vertical programmes, multiple actors and partners), and to update, consolidate and integrate so that country implementation approaches may be standardized across partners.|
Overview – This section contains documents and guidelines to accompany countries during the design, the planning and the implementation of their iCCM programs. Generic materials and documents developed by global partners are provided, illustrated by selected country examples. These specimens of implementation guidelines (national-level) and some examples of specific planning and management tools illustrate how countries in different places have adapted the generic guidelines to their respective contexts. This section contains the following categories:
These materials can provide guidance on programme planning and management
• CCM Essentials (CORE group): this document aims to provide operational guidance to design, plan, implement, monitor, and/or advocate for CCM that responds to local needs. Various sections discuss elements of planning, situation analysis, policy environment, access to services, quality of care, increasing demand, increasing use of interventions.
• CCM detailed implementation plan (SAVE): based on the outline of the CCM Essentials guide, this provides a framework which national program managers can adapt as a model for development of their iCCM plan
• Managing programmes to improve child health: this is a 5-day workshop that leads participants through a process of planning / revising national or district plans for improving child health, using local data. The planning process is followed by practices on managing implementation. iCCM is one of the essential elements in most child health plans.
• Benchmarks matrix: this is a visual presentation of key components or elements required for iCCM planning and implementation. The matrix is useful to ensure that each component is taken into consideration in the planning process and can be monitored regularly. Each of the components is linked to a set of indicators at global and country level.
This section includes illustrative examples such as from the DRC, Madagascar, Niger and Uganda.
This section includes three sample work plans from Nicaragua, Senegal and Uganda, representing diverse country situations and geographical locations. It also includes an example of a monthly planning form from Benin, and an example from Ethiopia by an NGO on calculation of staffing ratio and needs for iCCM.
Overview — This section contains tools for mapping, assessing and analyzing the situation in countries. This section also includes examples of strategic planning and formative research tools. Some documents are specific to iCCM, whereas others consider iCCM in the context of overall activities to improve child health. Country examples are indicative rather than exhaustive. Tools are organized in the following categories:
The section includes tools from Save the Children for Health Services Assessment and CHW Mapping to assess the availability, accessibility and quality of case management at facility level and plan for community service delivery. This is linked to the case load project tool found under strategic planning. The two forms from DRC show some of the elements that need to be taken into consideration for mapping iCCM implementation.
***Please note that mapping for iCCM implementation is an area that requires strengthening.
This section includes a range of tools for national and sub-national level surveys that can be used to measure knowledge, practices and coverage of interventions. The rapid KPC surveys need to be taken together as a package, with the sick child questionnaire applied first and then the relevant disease specific questionnaires. The Health Facility survey measures quality of care. This section does not include the major coverage surveys such as DHS and MICS, but there is a need to ensure alignment of questions and indicators for iCCM so that results are standardized and comparable. Also included in this section are country case studies (program reviews) of policy, planning and implementation for iCCM.
This section contains guides to assess the community’s approach to childhood illness and care-seeking. This should complement and make use of the information gathered in the KPC surveys. This is also an area that requires strengthening, particularly for development of key messages for social and behavior change.
This section includes materials to guide decision making based on available data. The main tool is the Lives Saved Tool (LiST), and there are examples of how it has been used to guide iCCM programme planning in Burkina Faso, Ghana and Malawi. There are also a few selected country tools to help predict activity levels and projected treatment. There exist more comprehensive tools for overall strategic planning, including financing, which may be in use in various countries.