There have been multiple pilot projects over the years, largely implemented
by NGOs that provided evidence on what kinds of activities
were feasible in the Kenyan context as well as informing training
guidelines. For instance, CARE Kenya developed IMCI algorithms
for use by community-based providers in Siaya District. In this pilot,
CHWs used septrin to treat childhood pneumonia (Rowe 2007).
However, the study revealed concerns about the quality of care provided
by CHWs and interventions related to training, supervision
and other factors did not appear to increase adherence to guidelines.
Catholic Relief Services implemented C-IMCI in Mbeere district
(CRS 2003), with CHWs diagnosing and treating malaria, but only
recognizing and referring cases of childhood pneumonia. The tools
developed by these projects, along with WHO/UNICEF guidelines
were useful in developing iCCM training guidelines.
More recently the Kenya Red Cross implemented and evaluated
a pilot project in the coastal region for CCM for malaria (Kisia et al.
2012).
There have been multiple pilot projects over the years, largely implementedby NGOs that provided evidence on what kinds of activitieswere feasible in the Kenyan context as well as informing trainingguidelines. For instance, CARE Kenya developed IMCI algorithmsfor use by community-based providers in Siaya District. In this pilot,CHWs used septrin to treat childhood pneumonia (Rowe 2007).However, the study revealed concerns about the quality of care providedby CHWs and interventions related to training, supervisionand other factors did not appear to increase adherence to guidelines.Catholic Relief Services implemented C-IMCI in Mbeere district(CRS 2003), with CHWs diagnosing and treating malaria, but onlyrecognizing and referring cases of childhood pneumonia. The toolsdeveloped by these projects, along with WHO/UNICEF guidelineswere useful in developing iCCM training guidelines.More recently the Kenya Red Cross implemented and evaluateda pilot project in the coastal region for CCM for malaria (Kisia et al.2012).
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