Table 1.
Overview of Malawi IMCI Technical Working Group consensus iCCM implementation strength indicator definitions
| Element | Indicator | Numerator | Denominator |
|---|---|---|---|
| Active HSA | 1. HSA-to-population ratio | HSAs working at time of assessment (Data source: MOH district records) | Total population under 5 years (Data source: NSO Census 2008 - 2013 Projection) |
| Training | 2a. Proportion of HSAs trained in iCCM | HSAs trained in iCCM | HSAs working at time of assessment (MOH district records) |
| Deployment | 2b. Proportion of hard-to-reach areas with iCCM-trained HSA | HSAs trained in iCCM who work in HTRA (Data not available) | Total no. of HTRA (Data not available) |
| 2c. Proportion of iCCM HSAs who have seen a sick child in the past 7 days | HSAs who have seen a sick child in the past 7 days | Surveyed HSAs working in iCCM at the time of the assessment | |
| 6. Proportion of iCCM HSAs who are living in their catchment area | HSAs who live in their catchment area | Surveyed HSAs working in iCCM at the time of the assessment | |
| Drug supply and equipment | 3a. Proportion of iCCM HSAs with supply of key iCCM drugs in last 3 months | HSAs with no stockouts of more than 7 days of co-trimoxizole, lumefantrine–artemether, ORS, and/or zinc in the last 3 months (HSA must have at least one dose of unexpired drug at the time of survey) | Surveyed HSAs working in iCCM at the time of the assessment |
| 3b. Proportion of iCCM HSAs with supply of life-saving CCM drugs in the last 3 months | HSAs with no stockouts of any duration of three life-saving drugs (co-trimoxizole, lumefantrine–artemether, and ORS) in the last 3 months (HSA must have at least one dose of unexpired drug at the time of survey) | Surveyed HSAs working in iCCM at the time of the assessment | |
| Supervision | 4. Proportion of iCCM HSAs supervised at village clinic in the last 3 months | HSAs supervised at village clinic in CCM in the last 3 months | Surveyed HSAs working in iCCM at the time of the assessment |
| 5. Proportion of iCCM HSAs supervised in the last 3 months with reinforcement of clinical practice | HSAs supervised at village clinic with observation of case management or practicing case scenarios or mentored in health facility in the last 3 months | Surveyed HSAs working in iCCM at the time of the assessment |
HSAs = Health Surveillance Assistants; HTRA = hard-to-reach areas; iCCM = Integrated Community Case Management; IMCI = Integrated Management of Childhood Illness; MOH = Ministry of Health; NSO = National Statistical Office; ORS = oral rehydration solution.