Community case management of pneumonia: at a tipping point?
David R Marsh, Kate E Gilroy, Renee Van de Weerdt, Emmanuel Wansi, Shamim Qazi
Volume 86, Number 5, May 2008, 381-389
Table 2. Description of programmes among 27 countries reporting implementation of CCM of pneumonia, by geographic region
| Characteristic | No. of reportsa |
||
|---|---|---|---|
| Asiab | Africac | Total | |
| Ministry of Health | 11/12 (92) | 10/15 (67) | 21/27 (78) |
| Research institution | 0/12 (0) | 3/15 (20) | 3/27 (11) |
| NGOs | 3/12 (25) | 4/15 (27) | 7/27 (26) |
| Community worker | 3/12 (25) | 13/15 (87) | 16/27 (59) |
| Government worker | 8/12 (67) | 4/15 (27) | 12/27 (44) |
| NGO/project worker | 6/12 (50) | 3/15 (20) | 9/27 (33) |
| 6/12 (50) | 3/15 (21) | 9/27 (33) | |
| 4/12 (33) | 8/14 (57) | 12/26 (46) | |
| If pays, some exemptions | 3/4 (75) | 3/8 (38) | 6/12 (50) |
| 10/11 (91) | 14/14 (100) | 24/25 (92) | |
| ORS | 12/12 (100) | 15/15 (100) | 27/27 (100) |
| Zinc for diarrhoea | 3/12 (25) | 7/15 (47) | 10/27 (37) |
| Antimalarials (non-ACT) | 6/12 (50) | 12/15 (80) | 18/27 (67) |
| Antimalarials (ACT) | 4/12 (33) | 9/15 (60) | 13/27 (48) |
| Official written policy | 2/10 (20) | 2/14 (14) | 4/24 (17) |
| Official recommendation | 7/10 (70) | 6/14 (43) | 13/24 (54) |
| Locally recommended | 0/10 (0) | 3/14 (21) | 3/24 (13) |
| No policy, but allowed in pilot | 1/10 (10) | 3/14 (21) | 4/24 (17) |
ACT, artemisinin combination therapies; CCM, community case management; CHW, community health worker; NGO, nongovernmental organization; ORS, oral rehydration solution.a Values in parentheses are percentages.b Afghanistan, Bangladesh, Cambodia, China, India, Indonesia, Myanmar, Nepal, Pakistan, Tajikistan, Turkmenistan and Yemen.c Benin, Democratic Republic of Congo, Ethiopia, Gambia, Ghana, Madagascar, Malawi, Mali, Niger, Senegal, Sierra Leone, Sudan, Togo, Uganda and Zambia.d Multiple responses possible.