Interventions to Improve Motivation and Retention of Community Health Workers Delivering Integrated Community Case Management (iCCM): Stakeholder Perceptions and Priorities

摘要

It has been estimated that Millennium Development Goal (MDG) 4 of reducing under-five child mortality by two-thirds from base levels of 1990 may not be attained in sub-Saharan Africa until 21651 unless efforts are made to increase the coverage of key interventions. Integrated community case management (iCCM) of childhood illnesses could potentially prevent more than 60% of the annual deaths of under-five children due to malaria, pneumonia and diarrhoea in sub-Saharan Africa2 and is being adopted in several countries. To counter human resources and skill shortages, bring health service delivery closer to the community, and in response to the recent World Health Organization (WHO) emphasis on health worker task shifting to lay personnel, many countries are using volunteer community health workers (CHWs) to deliver iCCM.3-9