Yasmin Chandani

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BACKGROUND A UNICEF review of the challenges to scaling up integrated community case management (iCCM) found that drug shortages were a common bottleneck. In many settings, little thought has gone into the design of supply chains to the community level and limited evidence exists for how to address these unique challenges. SC4CCM's purpose was to conduct(More)
To understand how supply chain factors affect product availability at the community level, the Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood Project developed a theory of change (TOC) framework for gathering, organizing, and interpreting evidence about supply constraints to community case(More)
BACKGROUND In 2010, 7.6 million children under five died globally - largely due to preventable diseases. Majority of these deaths occurred in sub-Saharan Africa. As a strategy to reduce child mortality, the Government of Malawi, in 2008, initiated integrated community case management allowing health surveillance assistants (HSAs) to treat sick children in(More)
The link between data and governance are key to making public health supply chains more integrated and responsive in order to get life-saving commodities to those in need. In particular, considering its significant health challenges, poor maternal and child health indicators, and major recent devolution in political authority, Kenya represents a country in(More)
Background In Rwanda, 30,000 volunteer community health workers (CHWs) treat children under five for pneumonia, diarrhoea and malaria. A 2010 community supply chain (SC) assessment identified a lack of SC skills and poor coordination between CHWs, health centres (HCs) and districts as barriers to CHW product availability. SC4CCM tested standard resupply(More)
BACKGROUND Supply chain bottlenecks that prevent community health workers (CHWs) from accessing essential medicines significantly increase under-5 child mortality, particularly in poor and rural areas. OBJECTIVE Using implementation research, interventions aimed at improving supply chain practices and access to medicines were tested in Malawi and Rwanda.(More)
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