RBM and IMCI: Making an impact on Child Health in the African Region

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RBM and IMCI Making an impact on Child Health
in the African Region
Fourth Meeting of the Global Partnership to Roll
Back Malaria, Washington, USA, 18 - 19 April 2001

• Dr Antoine B Kaboré
• Director, Prevention and Control of Communicable
  Diseases,
• WHO /AFRO

RBM/IMCI/AFRO
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RBM and IMCI Linkages

• Rationale for the linkage
• Both RBM and IMCI propose to
• reduce mortality from disease in children
• contribute to strengthen the health system
• improve family and community practices
• Objective
• To accelerate the reduction of morbidity and
  mortality from malaria in children under the age
  of five years

RBM/IMCI/AFRO
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RBM and IMCI Linkages

• Actions taken
• Framework for RBM/IMCI collaboration developed
• Statement on the joint collaboration made at
  Abuja Conference
• Joint meeting of RBM and IMCI Task Forces held
• Scaling-up framework for implementation of RBM
  and IMCI at country level developed

RBM/IMCI/AFRO
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Joint meeting of IMCI RBM Task Forces
recommendations

• Countries should accelerate implementation of
  RBM/IMCI community activities and provide an
  enabling environment to support mothers and other
  caregivers.
• Approaches for reducing malaria and other
  childhood diseases in the community should be
  linked with and supported by the health
  facilities. Regular supervision and provision of
  incentives for community health workers will be
  necessary

RBM/IMCI/AFRO
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Scaling up RBM/IMCI General operational
definition

• Scaling up is the acceleration and expansion of
  implementation of all components of RBM and IMCI
  in ALL districts of a country to obtain maximum
  impact on the reduction of morbidity and
  mortality due to malaria, diarrhoea, pneumonia,
  measles, malnutrition and HIV/AIDS in children
  under 5 years.

RBM/IMCI/AFRO
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Strategy for scaling up RBM IMCI

• Policy and enabling environment
• Broaden partnerships
• Advocacy and Resource Mobilisation
• Capacity building
• Strengthen health systems to support both Malaria
  Control and IMCI activities
• Improve family and community practices

RBM/IMCI/AFRO
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How to Scale-up RBM/IMCI implementation

• Scale up Support for RBM and IMCI
• Agree on a common National Framework and
  Strategic Plan which includes resource
  mobilization and management
• Develop mechanisms for co-ordination and
  collaboration between relevant programmes,
  sectors and stakeholders

RBM/IMCI/AFRO
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How to Scale-up e.g. Community Component

• Policy on drug availability at community level
  and use by CHWs
• Identify and involve main stakeholders at
  community level
• Use cost and cost saving information for advocacy
  e.g. reduced cost of treatment for families using
  ITNs
• Enlarge target group for capacity building e.g.
  community leaders, private providers, women's
  organizations etc.
• Strengthen the linkages between the communities
  and the health system, and between the health
  system and other sectors

RBM/IMCI/AFRO
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How to Scale-up implementation - Issues related
to Community Component

• Use cost-recovery mechanisms to contribute to key
  requirements at community level e.g. Bamako
  Initiative Acknowledge contribution of all
  partners including communities

RBM/IMCI/AFRO
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CONCLUSION

• Scaling up of RBM and IMCI implementation is
  necessary if the Abuja targets are to be met
• Scaling up RBM and IMCI implementation at the
  country level will ensure an impact on child
  health in the African Region
• Strong partnerships at all levels in countries is
  necessary for scaling up RBM and IMCI
  implementation.

RBM/IMCI/AFRO