MCDI’s specializes in improving the quality of case management of uncomplicated and severe malaria in public and private clinical facilities as well as at the community level. MCDI works with partners and governments to create training and clinical guidelines, provide training and supportive supervision, and ensuring the appropriate use prescription and use of antimalarials.
Development of Case Management Policies and Guidelines
MCDI provides input on global malaria treatment guidelines aimed to increase the accessibility and quality of recuperative services through the Roll Back Malaria Partnership working groups.
Through one of the first ever President’s Malaria Initiative grants issued by the CDC in Equatorial Guinea, MCDI supported the Ministry of Health in the updating their National Malaria Case Management policies and guidelines to introduce artemisinin-based combination therapies (ACTs) in the country. Subsequently, MCDI, through the BIMCP project in Equatorial Guinea and the ARM3 project in Benin, assisted the Ministries of Health in these two countries in further updating their case management guidelines.
Case Management Refresher Training
MCDI has designed a 5-day course for clinical supervisors and clinicians to refresh their training in case management practices for malaria. The course focuses on key competencies, including using rapid diagnostic tests appropriately, calculating the correct dose of treatment and recognizing danger signs of complications.
Treatment of Uncomplicated Malaria
A focus of many of MCDI’s malaria projects has been the training of health personnel in both the public and private health sectors on case management of uncomplicated malaria. Under the ARM3 project in Benin, MCDI trained health workers in ACT treatment, treatment of malaria in pregnancy, health management information systems and the management of malaria commodities. MCDI has provided similar training for health workers in Equatorial Guinea, Mali and Madagascar.
Treatment of Severe Malaria
In Benin and Equatorial Guinea, MCDI facilitated and enhanced the treatment of severe malaria by government and private health sector officials. In both countries, MCDI conducted an assessment of basic equipment needed in hospitals to manage severe malaria cases, and based on this information, minimal equipment sets were provided. In Benin, MCDI implemented the Pediatric Hospital Improvement Collaborative (PHIC) approach, which strengthens care for children within hospitals. The emergency triage and treatment (ETAT) approach is also used in Benin and Equatorial Guinea as well.
Integrated Community Case Management
MCDI has successfully implemented integrated Community Case Management (iCCM) strategies in South Africa, Benin, Bolivia, Malawi and Madagascar. In Madagascar, MCDI developed the iCCM Training Manual for Community Health Workers, which was ultimately adopted by the national malaria control program. In Benin, the ARM3 project helped to develop the Integrated Management of Childhood Illnesses (IMCI) National Policy and Training Manual, and followed up with training at the national and local levels.
Integrated Supportive Supervision
In Benin under the ARM3 project, health facility staff received regular integrated supportive supervision with MCDI’s support. This supervision included the treatment of uncomplicated and severe malaria. MCDI also worked with the government in Benin to conduct integrated supervision and training in malaria diagnosis and treatment through Health Zone training teams throughout Benin.
Collaborative Improvement Approach and Leadership Development Program.
MCDI introduced a collaborative improvement approach in twelve of Benin’s Health Zones between 2012 and 2014, bringing members of health facilities working in this network together to share their experience on best practices and develop their plans to improve the quality of case management.
In those same twelve Health Zones, MCDI introduced a Leadership Development Program approach, working with management teams to improve their abilities as leaders and provide them with planning and managerial tools that allow them to improve the quality of malaria program indicators.