Integrated Community Case Management
Integrated Community Case Management (iCCM)
What is CCM/ iCCM?
Community Case Management (CCM) involves trained and supervised community members, linked to facility-based health services, delivering essential curative care within their communities.
These providers may include Ministry of Health outreach workers, trained community health workers (CHWs), or private sector health providers. CHWs may deliver services from their homes, a community-constructed site, or a government or private health facility.
Integrated Community Case Management (iCCM) is an expansion of this approach. It equips CHWs with the skills, tools, and support needed to diagnose and treat multiple common childhood illnesses - specifically pneumonia, diarrhoea, and malaria - particularly among children in families with limited access to health facilities.
Why iCCM?
CCM and iCCM are critical strategies for improving child survival, particularly in underserved areas:
- Addresses leading causes of child mortality: CCM targets major contributors to child deaths in low- and middle-income countries, including pneumonia, diarrhoea, malaria, and neonatal conditions.
- Evidence-based and cost-effective: It is one of the most cost-effective child survival interventions, proven to save the lives of newborns and children under five at an affordable cost.
- Improves access to live-saving care: By bringing curative services closer to home, CCM ensures timely treatment for children in hard-to-reach communities.
- Aligned with global recommendations: CCM aligns with guidance from WHO, UNICEF, and other global health agencies, which promote strong community-based approaches to deliver interventions for childhood illnesses, newborn care, and acute malnutrition, alongside strengthening first-level health services.

World Vision’s iCCM work
World Vision implements iCCM in partnership with Ministries of Health across Africa and Asia, improving access to essential child health services in remote and underserved communities.
One example is the NICe/RAcE iCCM project in Niger, which focused on expanding equitable access to quality care for children under five.