摘要：Background Community case management (CCM) involves training, supporting, and supplying community health workers (CHWs) to assess, classify and manage sick children with limited access to care at health facilities, in their communities.This paper aims to provide an overview of the status in 2013 of CCM policy and implementation in sub–Saharan African countries.Methods We undertook a cross–sectional, descriptive, quantitative survey amongst technical officers in Ministries of Health and UNICEF offices in 2013.The survey aim was to describe CCM policy and im- plementation in 45 countries in sub–Saharan Africa, focusing on: CHW profile, CHW activities, and financing.Results 42 countries responded.35 countries in sub–Saharan Africa reported implementing CCM for diarrhoea, 33 for malaria, 28 for pneumonia, 6 for neonatal sepsis, 31 for malnutrition and 28 for in- tegrated CCM (treatment of 3 conditions: diarrhoea, malaria and pneumonia) – an increase since 2010.In 27 countries, volunteers were providing CCM, compared to 14 countries with paid CHWs.User fees persisted for CCM in 6 countries and mark–ups on com- modities in 10 countries.Most countries had a national policy, memo or written guidelines for CCM implementation for diarrhoea, malar- ia and pneumonia, with 20 countries having this for neonatal sepsis.Most countries plan gradual expansion of CCM but many countries' plans were dependent on development partners.A large group of countries had no plans for CCM for neonatal sepsis.
