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GLOBAL iCCM SCALE-UP
33 35
28 31
6
28
05
10152025303540
Malaria Diarrhea Pneumonia Malnutrition NewbornIllness
iCCMNum
ber o
f Afr
ican
Cou
ntrie
s
Rasanathan et al, 2014
BURKINA FASO ETHIOPIA MALAWI
Utilization Rate of CHW Services
Low: No significant change
Low: No significant change Low: No significant change
Under-Five Mortality Rate
No significant difference
No significant difference No significant difference
NATIONAL iCCM SCALE-UP: 3 RECENT STUDIES
2008 2011
155
17
Source: You D, et al, on behalf of the United Nations Inter- agency Group for Child Mortality Estimation (2015) Levels and Trends in Child Mortality: Report 2016. Available: http://childmortality.org/files_v20/download/IGME%20Report%209_8%20LR%20Web.pdf Accessed 2015 Sep 22.
Child Mortality With Pro-CCM
PROACTIVE COMMUNITY CASE MANAGEMENT
Proactive Search
Doorstep Care: CCM
Rapid-Access Health Centers
Care without Fees
Recommending to Remove User Fees
• Ineffective at cost-recovery • Regressive: increase health inequalities, drive
millions of patients into poverty annually • Reduces and delays utilization of care
FINANCING CHW SCALE-UP IN MALI
Medium Term Bilateral and Multilateral Support
• Major commitment by the Global Fund signed in February to co-finance CHW scale-up along with USAID, UNICEF, and other key partners
Long Term
Budget Reallocation
• Mali currently spends 5.6% of its budget on health, but has committed through Declaration of Abuja to increase this to 15%
Mobilizing new tax revenue , novel financing mechanisms
• Taxes on extractive industries (UNITLIFE), on financial transactions, on products with negative health effects (tobacco, alcohol, sugar-sweetened beverages)
FINANCING CHW SCALE-UP IN MALI