Integrated Community Case Management in DRC
In the DRC, under-five, infant and neonatal mortality rates remain high with 158, 97, and 42 deaths per 1,000 live births, respectively. As a consequence, close to half a million children die every year before their fifth birthday. The vast majority of these children die from conditions, such as malaria; respiratory infections; diarrhea; and neonatal complications, that could have been prevented or treated. In the DRC, most maternal and child health services are provided at health facilities; meanwhile, about 65% of the population have limited or no access to these centers due mainly to geographic and economic barriers. As a response, DRC-IHP has established integrated community case management sites (i-CCM) to bring health care services close to the population in need. In these community care sites, trained community health workers (CHWs) treat malaria, pneumonia, and diarrhea; CHWs also screen malnutrition among children under five and refer complicated cases to the health facilities. Currently, 326 care sites are up and running with 167 fully operational. The plan is to scale up the number of iCCM sites for populations that have limited or no access to health facilities to 900 sites by 2015. Each community care site will take care of about 300 children under five.