Integrated Community Case Management

An equity-focused strategy to improve access to essential treatment services for children.[1]. Simplified integrated management protocols are used to treat common childhood illnesses in children aged 2 to 59 months in community settings.[2]

CHWs are trained, equipped and supervised to deliver treatment for diarrhoea, malaria, and pneumonia; and in some contexts for dysentery, newborn sepsis and malnutrition. The interventions require the use of four low-cost medicines (antimalarial, antibiotic, ORS and zinc) and one rapid diagnostic test (RDT) in addition to the MUAC (mid-upper arm circumference) strip. iCCM encompasses treatment for childhood pneumonia with antibiotics; diarrhoea with zinc and oral rehydration salts (ORS); and malaria with artemisinin combination therapy (ACT). Children with red MUAC and bilateral pitting oedema (severe acute malnutrition) are referred to the health facility. Uncomplicated cases may be managed by the CHW or referred to a feeding programme.

See also: CIC, IMCI