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Integrated Community Case Management (iccm) Project in Ajuong Thok- End of project evaluation

Executive Summary

This report presents the findings of the end of project evaluation for the UNICEF funded Integrated Community Case Management (iCCM) project in Ajuong Thok, Jam Jang, Pariang, Ruweng State.

AHA started the implementation of the iCCM project with the support of UNICEF and UNHCR since April 2016. The project was designed to achieve the following results:

  • Reduced U5 morbidity and mortality due to malaria, diarrhea and pneumonia;
  • Reduced vaccination dropout rate in the camp;
  • Reduced decongestion on existing health facilities;
  • Strengthened referral and linkages between the health facilities and the community-based programs;
  • Enhance the head of household’s knowledge on the five critical hand washing times.

 

The major results were reduction in child mortality due to malaria, pneumonia and diarrhoea from 2%, 6% and 7% in 2016 to 1%, 0% and 4% respectively. This implies that, the annual reduction in under five mortality due to malaria, pneumonia and diarrhoea with iCCM intervention has been approximately 0.5% per 100 children per year, 3% for pneumonia and 1.5% for diarrhoea. Given the continuation of the project in the next one year, it can be safely anticipated that under five mortality due the three diseases could reduce further to 0.5%. Dropout rate from immunization reduced also from 26.5% in 2016 to 9.1% in 2018; and immunization coverage from 26% in 2016 to 95.6% in 2018. 68% of under five children that fell sick of either of the diseases were treated effectively at home by the Community Based Distributors (CBDs). The key recommendations arising from the findings are the following;

  • The community health seeking behaviour has improved. But absence of adequate light hinders the CBDs to examine children seeking their services during the night. Supply of a light provision system will improve the CBDs working conditions;
  • The project has good supervision structure to monitor and support the intervention activities at facility and partners level. Structured supervision systems and tools at community level will help complete and enrich data collection;
  • AHA and the CBDs are willing to continue providing services beyond the project life. But would be constrained by lack of drugs and other supplies. UNICEF to continued supply of essential drugs and commodities will ensure maintenance of achieved results;
  • The metallic boxes are durable but due to the high heat potency of the drugs could diminish. Replacing the metallic boxes with wooden boxes could mitigate against the loss of the drugs potency.

For full report please follow the link: https://drive.google.com/open?id=1jD9RpNEnbiiB1YuBbmm1LA83NRWJOckD