An Investment Case for Integrated Community Case Management of Childhood Illness 2021–2026

The program focuses on providing integrated case management services for common childhood illnesses, including pneumonia, diarrhea, malaria, and malnutrition. The program is implemented through a network of community health workers (CHWs) who are trained to provide basic medical care and refer complex cases to health facilities. The iCCM program structure consists of a service package that includes training, supervision, and management of CHWs. The program is implemented in a phased manner, with a focus on scaling up services in rural areas. The program aims to achieve a 50% reduction in under-five mortality rates by 2031. To achieve this goal, the program requires significant investment in training, supervision, and management of CHWs, as well as provision of essential commodities such as medicines and equipment. The total cost of scaling up iCCM implementation in Uganda is estimated to be $13.4 million per year for the period 2021-2026. The cost drivers for the program include training and supervision of CHWs, provision of essential commodities, and management of the program. The private sector is expected to play a significant role in providing iCCM services, particularly in urban areas. The per capita cost of iCCM services is estimated to be $0.50 per child per year. The expected return on investment for the iCCM program is significant, with an estimated 27% reduction in under-five mortality rates by 2031. The program is expected to save an estimated 1.3 million lives between 2022 and 2031. The funding landscape for iCCM is complex, with multiple stakeholders involved in providing funding for the program. The current financing for iCCM is primarily provided by the government of Uganda, with support from international partners. The resource mobilization strategy for the iCCM program involves a combination of government funding, international funding, and private sector investment. The guiding principles for resource mobilization include transparency, accountability, and sustainability. The resources mobilization strategies include a combination of grants, loans, and private sector investment. The mechanism for oversight, coordination, and monitoring of resource mobilization involves a combination of government agencies, international partners, and civil society organizations. The iCCM program has made significant progress in scaling up services in Uganda, with a total of 15,000 CHWs trained and deployed in rural areas. The program has also made significant progress in improving access to healthcare for children under the age of five, with a 25% reduction in under-five mortality rates between 2016 and 2020. However, the program still faces significant challenges, including inadequate funding, inadequate infrastructure, and inadequate human resources.