1. iCCM components based on EPOC taxonomy (EPOC 2015).
EPOC category and subcategory | iCCM component | Input | Target | Bhandari 2012a | Boone 2016 | Kalyango 2012a | Mubiru 2015 | Munos 2016 | White 2018 | Yansaneh 2014 |
Who provides care and how the healthcare workforce is managed – Role expansion or task shifting – Recruitment and retention strategies for underserved areas |
Training and deployment | Intervention to recruit, train and retain lay health workers to provide iCCM | Lay health workers | Y (d, m, p, nut, newb) children 0–59 months |
Y (d, m, p) children 0–59 months |
Y (m, p) children 4–59 months |
Y (d, m, p) children 0–59 months |
Y (d, m, p, nut) children 2–59 months |
Y (d, m, p, nut) children "under‐five" |
Y (d, m, p) children "under‐five" |
Interventions to recruit, train and retain other types of health workers to provide integrated case management services for children < 5 years of age (iCCM/IMCI/IMNCI) | Doctors | Y (IMNCI) | None reported | Y (iCCM) | None reported | Y (IMCI) | None reported | None reported | ||
Nurses/midwives | Y (IMNCI) | None reported | Y (iCCM) | None reported | Y (IMCI) | None reported | None reported | |||
Interventions targeted at health workers – Clinical practice guidelines |
Implementation of simplified IMCI‐adapted clinical guidelines for iCCM providers | iCCM providers | Y (d, m, p, nut, newb) children 0–59 months |
Y (d, m, p) children 0–59 months |
Y (m, p) children 4–59 months |
Y (d, m, p) children 0–59 months |
Y (d, m, p, nut) children 2–59 months |
Y (d, m, p, nut) children "under‐five" |
Y (d, m, p) children 0–59 months |
|
Mechanisms for the payment of health services – Payment methods for health workers |
Interventions for the payment of iCCM providers such as salary, fees for service, capitation | iCCM providers | Y | None reported | None reported | N* | Y | Y | N* | |
Co‐ordination of care and management of care processes – Referral systems |
Systems component | Interventions to improve systems for referral of patients between community and facility level | Health system | N | Y | Y (intervention and control arms) | Y | Y | Y | Y |
– Procurement and distribution of supplies | Interventions to improve the supply of iCCM drugs and equipment | Health system | Y | Y | Y | Y | Y | Y | Y | |
Information and communication technology – Health information systems |
Interventions to improve health information systems and use of information communication technology for iCCM | Health system | None reported | None reported | None reported | None reported | None reported | Y | None reported | |
– The use of information and communication technology | Interventions to improve health information systems and use of information communication technology for iCCM | Health system | None reported | None reported | None reported | None reported | None reported | Y | None reported | |
Interventions targeted at health workers – Monitoring the performance of the delivery of health care |
Interventions to improve monitoring, evaluation and research for iCCM | iCCM providers, supervisors, managers, policy makers | None reported | None reported | None reported | Y | None reported | Y | Y | |
– Managerial supervision | Interventions to improve managerial supervision of iCCM | Supervisors, managers | Y | Y | Y (intervention and control arms) | Y | Y | Y | Y | |
Authority and accountability for health policies – Community mobilisation |
Communication and community mobilisation | Interventions to promote good practices for health and nutrition and generate demand for use of iCCM providers when children are ill | Communities and caregivers | Y | Y | None reported | Y | Y | Y | Y |
iCCM components based on EPOC taxonomy EPOC 2015 Y = information reported sufficient to indicate yes. N = information reported sufficient to indicate no. N*= information reported sufficient to indicate no, however other types of incentives provided (see Additional Table 2b for details). None reported = Information reported not sufficient to indicate yes or no. d = diarrhoea; m = malaria; p = pneumonia; nut = malnutrition; newb = newborn infection. |
EPOC: Effective Practice and Organisation of Care; iCCM: integrated community case management; IMCI: integrated management of childhood illness; IMNCI: Integrated Management of Neonatal and Childhood Illness.