TAILIEUCHUNG - Community Approaches to Child Health in Malawi: Applying the Community Integrated Management of Childhood Illness (C-IMCI) Framework

The production function characterizes health as a form of human capital, where current health status is a function of choices and shocks over the individual’s lifetime. Specifically, an individual’s health capital, such as height, is the result of a set of factors, including previous health status, medical care, personal behaviors, and environment –some of which are observed, ., altitude, whereas others are not. Some of the determinants are chosen, such as nutritional intake, medical care, and time spent in seeking care. Others, such as environmental health, are only partially determined by a household's choices of sanitation, waste disposal,. | Community Approaches to Child Health in Malawi Applying the Community Integrated Management of Childhood Illness C-IMCI Framework 5 coreq rou p cSXheauh I worldwide. WORLD RELIEF This document was made possible by support from the Child Survival and Health Grants Program within the Bureau of Global Health . Agency for International Development USAID under cooperative agreement GHS-A-00-05-00006-00. This publication does not necessarily represent the view or opinion of USAID. It may be reproduced if credit is properly given. Abstract The C-IMCI Framework created in January 2001 based on nongovernmental organization NGO child health program experiences presents a guide for programming community-based efforts that involve all of the institutions and people who play a critical role in improving child health. The C-IMCI Framework is made up of three elements 1 improving partnerships between health facilities and the communities they serve 2 increasing appropriate and accessible health care and information from community-based providers and 3 integrating promotion of key family practices critical for child health and nutrition and a multi-sectoral platform. The intent of the C-IMCI Framework is to enable NGOs and governments to categorize their existing community-based program efforts and develop and implement a coordinated integrated strategy to improve child health. The framework is designed to address each of the three key elements and a multi-sectoral platform that would be most effective in improving child health. Now that multiple NGOs have been implementing C-IMCI for several years the CORE Group seeks to document NGO country programs that have used the framework to 1 improve health outcomes 2 positively influence health policy and or 3 expand coordinated delivery of health interventions at a district or regional level. This paper documents World Relief s approach to C-IMCI interventions at the household level in Malawi where the government is dedicated to .

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