Our integrated case management programs (ICM) reduce death and severe diseases by ensuring that prompt diagnosis and effective treatment for malaria, pneumonia, diarrhea and severe acute malnutrition – the leading causes of death among children – are provided where and when people need it most.
By building on existing interventions and leveraging network relationships already in place, we are able to improve access to high quality diagnosis and treatment, enhance quality of care and increase informed demand among patients and caregivers. Whether a public or private clinic, a pharmacy, a local outlet or kiosk that sells medicine, or a community health worker, we work to strengthen those preferred channels and the knowledge and skills of trusted providers to ensure a patient’s illness is assessed correctly and receives appropriate care. Through supply chain stimulation, we ensure that access to proper diagnostics and treatment is available where people need it most.
While malaria is still a leading cause of death of children under the age of five and a major cause of overall morbidity, malaria incidence is reducing. This means that while previously all fever was associated with malaria, this is no longer the case. As such, malaria diagnosis before treatment is required wherever patients seek care in order to prevent the development of dangerous drug resistance and to ensure non-malaria cases of fever are appropriately managed.
Our programs support efforts to increase effective access to malaria diagnosis through the use of rapid diagnostic tests (RDT) and treatment with Artemisinin-based combination therapies (ACT) wherever patients seeks care, prioritizing the private sector and community-based channels. These efforts are supported by innovative communications approaches that emphasize the need for prompt diagnosis and treatment of children with fever.
In most of the countries where we operate, bacterial pneumonia remains one of leading causes of death for children. Our programs focus on:
- Making antibiotic treatment accessible and affordable, especially to facilities utilized by low income families.
- Helping private and community-based providers better diagnose pneumonia and use a full course of antibiotics.
- Promoting early care seeking behaviors from the parents and caregivers of small children and babies.
Diarrheal disease continues to be one of the leading causes of child morbidity and mortality globally. . Many of these deaths can be prevented with oral rehydration solution (ORS) and zinc. Our programs focus on:
- Distribution (or market stimulation) of diarrhea treatment kits-oral rehydration solution (ORD) and zinc through a variety of channels.
- Promote early care-seeking for diarrhea, and use of treatment that reduces the duration and severity of diarrhea episodes.
Each year, severe acute malnutrition (SAM) affects an estimated 16 million children under five years old. Children with SAM are far more likely to die than well-nourished children, a direct result of malnutrition itself and an indirect result of other childhood illnesses such as diarrhea, malaria and pneumonia which malnourished children are less likely to survive.
Our programs focus on integrating the treatment of severe acute malnutrition using a community-based management approach. Given our vast network of community health workers and social franchises, outreach and care can be provided on an outpatient basis through early identification of children with acute malnutrition.