EMRO

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EMRO
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Requirements for IMCI sustainability

• 6. IMCI COMMUNITY COMPONENT

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Community and sustainability

• Most child care decisions and actions taken at
  home !
• Community active participation and involvement in
  the whole process (planning, implementation,
  monitoring, evaluation) ? sense of ownership ?
  readiness to contribute to current efforts and to
  continue in the future

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• Regional tools to guide planning for the IMCI
  community component
• Framework for the community component of the
  integrated child care strategy
• Planning steps for the IMCI community component
  at national level

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Process

• Brainstorming at EMRO, October 2000
• Regional IMCI Consultation, Alexandria, November
  2000
• Drafting of framework, mid-2001
• Inter-country meeting on IMCI community
  component, Lattakia, Syria, October 2001
• Revision of draft, November 2001
• Comments from countries, January 2002
• Final document, February 2002

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Framework main aspects

• FOUNDATION (Partnership)
• PLANNING PROCESS FIVE KEY ELEMENTS
• INDICATORS AND TARGETS

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12. Gather existing information do situation
analysis (collect additional information if
needed) ? 4. Set country priorities (needs and
family practices) ? 5. Identify potential
interventions and approaches to community
involvement ? 6. Define indicators with targets
and monitoring tools ? 7. Identify tools for
integrated supervision ? 8. Identify
resources ? 9. Define criteria to select priority
communities ? 10. Develop strategic plan within
national integrated child care strategy (3)
PARTNERSHIP
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• Five key elements
• 1. Selecting priority communities
• 2. Building on experience from existing community
  interventions
• 3. Linking the health system to the community
• 4. Improving access to quality child care by
  health providers
• 5. Promoting key family practices for child care

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• Indicators and targets
• go beyond monitoringprocess
• ... include also outcome ...

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• Workshop on planning for the IMCI community
  component
• EMRO, Cairo, July 2002
• CONCLUSIONS

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• Strategy on childcare from child illness to
  child health
• Implementation of the community component as part
  of the whole IMCI strategy, not in isolation
• Partnership defining and agreeing on partners
  role and responsibilities
• Situation analysis essential and crucial step
  (why people do what they do)
• Review of existing interventions lacks sound
  documentation
• Building on existing experience
• Setting linkages between the health system and
  the community, and between teaching institutions
  and the community
• Prioritization selective, focus-oriented, few
  practices at a time

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• Documentation
• Framework
• Guiding countries to plan for the IMCI community
  component
• Planning steps
• Intercountry workshop on planning for the IMCI
  community component

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Community

• key to sustainability