» Articles » PMID: 28584603

A Hypothetical Model to Predict the Potential Impact of Government and Management Support in Implementing Integrated Management of Childhood Illness Practices

Overview
Journal Oman Med J
Specialty General Medicine
Date 2017 Jun 7
PMID 28584603
Citations 3
Authors
Affiliations
Soon will be listed here.
Abstract

Objectives: Despite broad adoption and implementation of Integrated Management of Childhood Illness (IMCI) in more than 100 countries, childhood mortality and morbidity rates continue to prevail. This calls for further investigation to identify the factors that prevent actual application of IMCI-recommended clinical practices. This study tests a hypothetical structural model to investigate potential role of government and healthcare policymakers on improving implementation and application of IMCI-recommended practices in clinical setting.

Methods: The study was carried out at Sur and Ibra Nursing Institutes in Oman, in June 2016. We used six pre-tested and validated constructs for developing a hypothetical structural model. The constructs were used as underlying variables to examine the probable influence of government and policymakers on actual application of IMCI-recommended practices. Data were collected through structured questionnaires, which designed to measure healthcare professionals' perceptions. Each construct was pre-loaded with three sub-constructs. Cronbach's alpha (CA) was used to calculate the internal consistency and reliability.

Results: Factor loadings for each item in the model were ≥ 0.700. CA values for all the studied constructs were > 0.600. The average variance extracted values for all the constructs were > 0.500.

Conclusions: The findings support the hypothetical structural model and highlights governments could play a significant role in ensuring that IMCI strategy is not only implemented, but also its recommended practices are applied in clinical setting.

Citing Articles

Perceptions of Interns Toward Integrated Management of Childhood Illness (IMCI) Pre-service Education and Its Impact on Their Clinical Knowledge: A Study at Sultan Qaboos University, Muscat.

Al Huti S, Al Kiyumi M, Jaju S, Al Saadoon M Cureus. 2024; 16(9):e69620.

PMID: 39429305 PMC: 11486922. DOI: 10.7759/cureus.69620.


Integrated Management of Childhood Illness in Oman: 16 Years of Pre-service Initiatives for Education and Training.

Al Nasiri Y, Al Balushi A, Al Oraimi F, Al Awaidy S Oman Med J. 2024; 38(6):e565.

PMID: 38283211 PMC: 10822131. DOI: 10.5001/omj.2023.127.


Perceptions of Undergraduate Medical Students Toward Integrated Management of Childhood Illness (IMCI) Pre-service Education at Sultan Qaboos University, Muscat.

Al-Yahyahi M, Al Kiyumi M, Jaju S, Al Saadoon M Cureus. 2023; 15(10):e47260.

PMID: 38022356 PMC: 10655620. DOI: 10.7759/cureus.47260.

References
1.
Arifeen S, Hoque D, Akter T, Rahman M, Hoque M, Begum K . Effect of the Integrated Management of Childhood Illness strategy on childhood mortality and nutrition in a rural area in Bangladesh: a cluster randomised trial. Lancet. 2009; 374(9687):393-403. DOI: 10.1016/S0140-6736(09)60828-X. View

2.
Lange S, Mwisongo A, Maestad O . Why don't clinicians adhere more consistently to guidelines for the Integrated Management of Childhood Illness (IMCI)?. Soc Sci Med. 2014; 104:56-63. DOI: 10.1016/j.socscimed.2013.12.020. View

3.
Bryce J, Victora C, Habicht J, Vaughan J, Black R . The multi-country evaluation of the integrated management of childhood illness strategy: lessons for the evaluation of public health interventions. Am J Public Health. 2004; 94(3):406-15. PMC: 1448266. DOI: 10.2105/ajph.94.3.406. View

4.
Al-Araimi F, Langrial S . A Hypothetical Model to Predict Nursing Students' Perceptions of the Usefulness of Pre-Service Integrated Management of Childhood Illness Training. Sultan Qaboos Univ Med J. 2016; 16(4):e469-e474. PMC: 5135459. DOI: 10.18295/squmj.2016.16.04.011. View

5.
Dopson S, Fitzgerald L, Ferlie E, Gabbay J, Locock L . No magic targets! Changing clinical practice to become more evidence based. Health Care Manage Rev. 2002; 27(3):35-47. DOI: 10.1097/00004010-200207000-00005. View