Consistency of Integrated Management of Newborn and Childhood Illness (IMNCI) in Shire Governmental Health Institution in 2017

Overview

Journal BMC Res Notes

Publisher Biomed Central

Specialties Biology
General Medicine

Date 2018 Jul 18

PMID 30012196

Citations 12

Authors

Hadgu Gerensea

Awoke Kebede

Zeray Baraki

Hagos Berihu

Teklay Zeru

Eskedar Birhane

Dawit GHer

Solomun Hintsa

Hailay Siyum

Gizenesh Kahsay

Gebreamlake Gidey

Girmay Teklay

Gebremeskel Mulatu

Affiliations

Soon will be listed here.

Abstract

Objective: In an effort to reduce infant mortality and morbidity, the World Health Organization and other technical partners developed the Integrated Management of Newborn and Childhood Illness (IMNCI). This study focuses on assessment of consistency and completeness of integrated management of neonatal and child hood illness in primary health care units.

Results: A total of 384 cases were taken from 3562 cases both from young infant registration (under-2 month old) and child registration (2 months-5 year old). Out of 384 cases, 241 (62.8%) cases were correctly classified and 143 (37.2%) were incorrect classifications. Similarly 164 (42.7%) cases were treated correctly where as 220 (57.3%) treated incorrectly. Only 95 (24.7%) cases have given appropriate appointments where as 289 (75.3%) cases were appointed incorrectly. The overall consistency of IMNCI management is poor. Unless continuous follow up of and training was given, children are not treated as expected. More over using electronic method of IMNCI may alleviate the problem.

Citing Articles

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Cost-effectiveness of village health worker-led integrated community case management (iCCM) versus health facility based management for childhood illnesses in rural southwestern Uganda.

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Neonatal Sepsis and Associated Factors Among Neonates Admitted to Neonatal Intensive Care Unit in General Hospitals, Eastern Ethiopia 2020.

Kedir Roble A, Ayehubizu L, Olad H Clin Med Insights Pediatr. 2022; 16:11795565221098346.

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Renosa M, Barnighausen K, Dalglish S, Tallo V, Landicho-Guevarra J, Demonteverde M BMC Health Serv Res. 2021; 21(1):270.

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References

Steinhardt L, Onikpo F, Kouame J, Piercefield E, Lama M, Deming M . Predictors of health worker performance after Integrated Management of Childhood Illness training in Benin: a cohort study. BMC Health Serv Res. 2015; 15:276. PMC: 4509845. DOI: 10.1186/s12913-015-0910-4. View

Kumar D, Aggarwal A, Kumar R . The effect of interrupted 5-day training on Integrated Management of Neonatal and Childhood Illness on the knowledge and skills of primary health care workers. Health Policy Plan. 2009; 24(2):94-100. DOI: 10.1093/heapol/czn051. View

Rowe A, Rowe S, Holloway K, Ivanovska V, Muhe L, Lambrechts T . Does shortening the training on Integrated Management of Childhood Illness guidelines reduce its effectiveness? A systematic review. Health Policy Plan. 2011; 27(3):179-93. DOI: 10.1093/heapol/czr033. View

Gove S . Integrated management of childhood illness by outpatient health workers: technical basis and overview. The WHO Working Group on Guidelines for Integrated Management of the Sick Child. Bull World Health Organ. 1997; 75 Suppl 1:7-24. PMC: 2486995. View

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

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

El Arifeen S, Blum L, Hoque D, Chowdhury E, Khan R, Black R . Integrated Management of Childhood Illness (IMCI) in Bangladesh: early findings from a cluster-randomised study. Lancet. 2004; 364(9445):1595-602. DOI: 10.1016/S0140-6736(04)17312-1. View

Zhang Y, Wu Q, Van Velthoven M, Chen L, Car J, Li Y . Care-seeking and quality of care for outpatient sick children in rural Hebei, China: a cross-sectional study. Croat Med J. 2014; 54(6):541-9. PMC: 3893995. DOI: 10.3325/cmj.2013.54.541. View

Perkins B, Zucker J, Otieno J, Jafari H, Paxton L, Redd S . Evaluation of an algorithm for integrated management of childhood illness in an area of Kenya with high malaria transmission. Bull World Health Organ. 1997; 75 Suppl 1:33-42. PMC: 2487004. View

10.

Haileamlak A . Why is the Under-5 Mortality Rate in Ethiopia Slipped Back?. Ethiop J Health Sci. 2017; 27(4):314. PMC: 5615019. View

11.

. National scale-up of integrated community case management in rural Ethiopia: implementation and early lessons learned. Ethiop Med J. 2015; 52 Suppl 3:15-26. View

12.

Mittal K, Gupta V, Khanna P, Kaushik J, Sharma A . Evaluation of Integrated Management of Neonatal and Childhood Illness (IMNCI) algorithm for diagnosis and referral in under-five children. Indian J Pediatr. 2013; 81(8):797-9. DOI: 10.1007/s12098-013-1225-2. View

13.

Chopra M, Binkin N, Mason E, Wolfheim C . Integrated management of childhood illness: what have we learned and how can it be improved?. Arch Dis Child. 2012; 97(4):350-4. DOI: 10.1136/archdischild-2011-301191. View

14.

Rudan I, Tomaskovic L, Boschi-Pinto C, Campbell H . Global estimate of the incidence of clinical pneumonia among children under five years of age. Bull World Health Organ. 2005; 82(12):895-903. PMC: 2623105. DOI: /S0042-96862004001200005. View

15.

Hoque D, Arifeen S, Rahman M, Chowdhury E, Haque T, Begum K . Improving and sustaining quality of child health care through IMCI training and supervision: experience from rural Bangladesh. Health Policy Plan. 2013; 29(6):753-62. DOI: 10.1093/heapol/czt059. View

16.

Kaur S, Singh V, Dutta A, Chandra J . Validation of IMNCI algorithm for young infants (0-2 months) in India. Indian Pediatr. 2011; 48(12):955-60. DOI: 10.1007/s13312-011-0155-1. View

17.

Venkatachalam J, Kumar D, Gupta M, Aggarwal A . Knowledge and skills of primary health care workers trained on integrated management of neonatal and childhood illness: follow-up assessment 3 years after the training. Indian J Public Health. 2012; 55(4):298-302. DOI: 10.4103/0019-557X.92410. View

18.

Cunha A, Santos S, Martines J . Integrated care of childhood disease in Brazil: mothers' response to the recommendations of health workers. Acta Paediatr. 2005; 94(8):1116-21. DOI: 10.1111/j.1651-2227.2005.tb02054.x. View

19.

Victora C, Huicho L, Amaral J, Armstrong-Schellenberg J, Manzi F, Mason E . Are health interventions implemented where they are most needed? District uptake of the integrated management of childhood illness strategy in Brazil, Peru and the United Republic of Tanzania. Bull World Health Organ. 2006; 84(10):792-801. PMC: 2627500. DOI: 10.2471/blt.06.030502. View

20.

Shaikh B, Hatcher J . Health seeking behaviour and health services utilization trends in national health survey of Pakistan: what needs to be done?. J Pak Med Assoc. 2007; 57(8):411-4. View