Implementation Strength
Quantity of a program
implemented in the field
What do Implementation Strength snapshots tell us?
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How widely and at what intensity programs are scaled-up
Why a program did or did not have an impact
Whether we can attribute observed effects to the program
Whether there is a dose-response: more coverage and impact in areas with stronger implementation
What problems exist with implementation and how can we solve them in real time
Core
components
for iCCM:
Deployment
Strength of Malawi’s iCCM program
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Census of all HSAs
Contacted HSAs by mobile
Conducted jointly with MOH
Data used immediately to
address programming gaps
• Completed in <2 months
• Cost <US$50k
Training
Commodities
Supervision
Composite Readiness Scores can be
calculated to compare across geographies
iCCM Readiness Score
3
2.5
2.3
2
1.6
1.5
1
1
0.5
0
Burkina
Faso
2013
Ethiopia
2012
Malawi
2014
• Composite variable is based on indicators
for supervision and drug stocks
(average score by CHW – range 0-3)
• Can be compared to other variables such
as utilization
Plan: Develop tools, train key Canadian leaders, make them available for use
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Use tools in at least two country settings per tool to improve them
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Develop accompanying documentation and guidance for use