Rapid Access Expansion programme (RAcE)

In 2012, the Government of Canada awarded a grant to the WHO Global Malaria Programme to support the scale-up of integrated community case management of childhood diseases (iCCM) in sub-Saharan Africa, using malaria as an entry point. Through the Rapid Access Expansion Programme (RAcE), WHO has awarded funding of up to US$ 3 million annually to nongovernmental organizations who submitted successful proposals. The programme is now being rolled out in 5 malaria-endemic countries: the Democratic Republic of the Congo, Malawi, Mozambique, Niger and Nigeria.

Programme objectives

The programme’s first objective is to contribute to the reduction of child mortality due to malaria, pneumonia and diarrhoea by increasing access to diagnostics, treatment and referral services for these diseases, and thereby accelerate progress toward the health-related Millennium Development Goals by 2015 and beyond. The activities also directly contribute to the implementation of the UN Secretary General’s Every Woman Every Child initiative.

The programme’s second objective is to generate evidence to inform WHO policy recommendations and programmatic guidance on iCCM. Lessons learned will be reviewed to share experiences and identify best practices for the scale-up of iCCM programmes across sub-Saharan Africa. The project will also serve as a foundation for a comprehensive policy review on case management in the 5 target countries, and a review of WHO’s policy guidance on iCCM.

RAcE will provide lifesaving services to 1.4 million children in 5 countries

Some 6834 community health workers are now actively working across all RAcE implementation sites. Since the start of the project, a total of 1 297 499 cases of malaria, 642 099 cases of pneumonia, and 485 509 cases of diarrhoea have been treated. By 2017, a total of approximately 8900 community health workers will be supported and trained in iCCM and approximately 1.4 million children in the 5 countries will have access to life saving interventions for malaria, pneumonia and diarrhoea.

Governance and project oversight

The RAcE programme is governed by an international steering group, which provides general oversight to the WHO Global Malaria Programme to help improve the relevance, impact, and sustainability of the RAcE programme. A project review panel has been appointed to review grant applications from nongovernmental organizations and to make recommendations to WHO.

For further information, please contact:

Dr Salim Sadruddin
RAcE Project Team Leader
WHO Global Malaria Programme
Tel: +41 22 791 4743

Last updated: 23 December 2015

Implementing the RAcE project

In September 2013, GMP and the WHO Regional Office for Africa held a joint meeting to review progress on the programme's implementation. The presentations given during this meeting contain a wealth of information about iCCM, and the burden of malaria, pneumonia and diarrhoea in the 5 selected countries.