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The role of governance in implementing sustainable global health interventions

Review of health system integration for integrated community case management (iCCM) of childhood illnesses

Bibliographic Data

ID21880708
AuthorsKoya C Allen (0000-0001-5510-4198, Barcelona Institute for Global Health, corresponding author), Kate Whitfield (Barcelona Institute for Global Health), Regina Rabinovich (0000-0003-1065-0173, Harvard University), Salim Sadruddin (0000-0001-6023-2477, U.S. Global Leadership Coalition)
Year2021
Volume6
Issue3
Pagese003257
Publication date2021-03-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-003257
PMID33789866
OpenAlexW3146748098
LanguageEN
Citations received5
References cited53

Improving health outcomes in countries with the greatest burden of under-5 child mortality requires implementing innovative approaches like integrated community case management (iCCM) to improve coverage and access for hard-to-reach populations. ICCM improves access for hard-to-reach populations by deploying community health workers to manage malaria, diarrhoea and pneumonia. Despite documented impact, challenges remain in programme implementation and sustainability. An analytical review was conducted using evidence from published and grey literature from 2010 to 2019. The goal was to understand the link between governance, policy development and programme sustainability for iCCM. A Governance Analytical Framework revealed thematic challenges and successes for iCCM adaptation to national health systems. Governance in iCCM included the collective problems, actors in coordination and policy-setting, contextual norms and programmatic interactions. Key challenges were country leadership, contextual evidence and information-sharing, dependence on external funding, and disease-specific stovepipes that impede funding and coordination. Countries that tailor and adapt programmes to suit their governance processes and meet their specific needs and capacities are better able to achieve sustainability and impact in iCCM

Business · Corporate governance · Economic growth · Economics · Environmental resource management · Global health · Health care · Political science · Psychological intervention · Qualitative research · Sociology · Sustainability · Thematic analysis · Child Nutrition and Water Access · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing · Health Policy

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  • Breaking barriers

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  • Implementing community case management of malaria

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  • Local governance and climate change adaptation

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  • Analysis of evolution of the policy framework and governance mechanisms and their influence on the institutionalisation process of integrated community case management in Burkina Faso between 2010 and 2024

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  • Countdown to 2015

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  • Achieving child survival goals

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  • News

    Open Access•Theresa Diaz, Samira Aboubaker et al.•Journal of Global Health•2014

  • The way forward for integrated community case management programmes

    Open Access•Mark Young, Alyssa Sharkey et al.•Journal of Global Health•2014

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  • Costs of implementing integrated community case management (iCCM) in six African countries

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  • Integrated community case management

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  • Evidence of Impact

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  • Relaunch of the official community health worker programme in Mozambique

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  • Monitoring iCCM

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  • Evidence-informed policymaking in practice

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  • Epistemic communities in global health and the development of child survival policy

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  • Integrated community case management for childhood illnesses

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  • Integrated community case management in Malawi

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Citations per year5
Citation span2025 - 2026 (2)
Highly citedNo

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