Case Study (Lecture)

For the last few years there were substantial efforts to improve infant and child
health and nutrition in town “A”. However, one out of five babies born in the town in a
given year dies before they reach their 5th birthday, many of them during the first
year of life. The Zonal Health Department recognized that improving the quality of
care for sick children at the health facility alone would have a limited impact
on reducing child mortality. Town A was, therefore, chosen as a pilot site for the
development and implementation of a household and community-based approach to
promote key household practices for child survival, growth and development.

1. Develop goal and objectives for a program aimed at improving

family and community practice in town “A”.
Goal: To reduce infant and child mortality rates in town "A" by improving family and
community practices related to child survival, growth, and development.
Objectives:
To increase knowledge and awareness of key household practices for child survival,
growth, and development among caregivers in town "A".
To increase adoption of key household practices for child survival, growth, and
development among caregivers in town "A".
To strengthen the capacity of community health workers and volunteers to provide
information and support to caregivers in town "A".
To improve the overall health and nutrition status of infants and young children in
town "A".
To reduce the incidence of common childhood illnesses and promote prompt
treatment-seeking behavior among caregivers in town "A".
2. Develop a logic model for the program to improve infant and child
health and nutrition in town “A”.

Logic model for the program to improve infant and child health and nutrition in town
"A":
Inputs:
Funding from donors or government
Technical expertise in community-based programming
Human resources for program management and implementation
Training materials and equipment for community health workers and volunteers
Stakeholder engagement and support from local leaders and community members
Activities:

Conduct community mobilization and sensitization campaigns to increase awareness

and knowledge of key household practices for child survival, growth, and
development.
Train community health workers and volunteers on the promotion of key household
practices and basic health education.
Establish support groups for caregivers to share experiences, receive information,
and provide peer support.
Conduct regular household visits to provide information and support to caregivers on
key household practices and prompt treatment-seeking behavior.
Strengthen referral systems and linkages between households and health facilities
for prompt and appropriate care of sick children.
Outputs:

Increased knowledge and awareness of key household practices for child survival,
growth, and development among caregivers in town "A".
Increased adoption of key household practices for child survival, growth, and
development among caregivers in town "A".
Improved capacity of community health workers and volunteers to provide
information and support to caregivers in town "A".
Increased engagement of local leaders and community members in supporting child
health and nutrition programs.
Outcomes:

Improved overall health and nutrition status of infants and young children in town "A".
Reduced incidence of common childhood illnesses and improved treatment-seeking
behavior among caregivers in town "A".
Reduced infant and child mortality rates in town "A".

3. List some of HMIS indicator that will help track the progress of this
program.

Some HMIS indicators that could help track the progress of this program include:
Number and percentage of households visited by community health workers and
volunteers.
Number and percentage of caregivers with knowledge of key household practices for
child survival, growth, and development.
Number and percentage of caregivers who adopt key household practices for child
survival, growth, and development.
Number and percentage of children under five years of age with appropriate growth
and development indicators.
Number and percentage of children under five years of age with access to prompt
and appropriate care for common childhood illnesses.
Infant and child mortality rates in town "A" before and after the implementation of the
program.