Table 2.
Cross-country comparison of evaluation findings
| Definition | Burkina Faso | Ethiopia | Malawi | |
|---|---|---|---|---|
| Policy | Presence of national iCCM policy | Partial | Yes | Yes |
| Readiness | Score of CHW “readiness” based on supervision and continuous drug stocks in the previous 3 months (n = CHWs providing iCCM)* | 1† (385) | 2.3† (137) | 1.6† (3,392) |
| Quality of care | Percent of children receiving correct treatment from CHWs for iCCM illnesses (n = sick children seen by iCCM CHW)‡ | 36 (668) | 78† (174) | 6311 (242) |
| Utilization | Estimated number of child contacts with an iCCM-trained CHW, per child per year | 0.23† | 0.26† | 0.93† |
| Coverage | Change in coverage of care seeking from all formal providers for the three illnesses combined in iCCM intervention areas between baseline and endline (baseline and endline [n = sick children 2–59 months of age]; pp difference) | 57% (4,244) | 23% (657) | 68% (7,607) |
| 54% (3,915) | 29% (1,116) | 68% (9,634) | ||
| −3 pp† | +6 pp† | 0 pp† | ||
| Mortality | Mortality reduction attributable to iCCM program | None | None | None |
CHW = community health worker; iCCM = integrated community case management; pp = percentage points. All data is from the three country papers in this series unless referenced otherwise.
*
On a scale of 0–3; 3 is highest level of implementation strength.
†
Data represent new analysis done for this commentary. See Webannex A for additional details on calculations.
‡
Defined as correct treatment and dosage: antibiotics for pneumonia, antimalarial for fever/malaria, oral dehydration salts (+recommended home fluids in Ethiopia), and zinc (Burkina and Ethiopia only; zinc treatment was not available through the iCCM program at the time of the Malawi study) for diarrhea.