This paper assessed the progress of IMNCI in India, identified the programme bottlenecks, and also assessed the effect on coverage of key newborn and. Integrated Management of Neonatal and Childhood Illnesses (IMNCI). ” Close to 50 per cent of newborn deaths in India occur during the first seven days of birth. India: Students’ Handbook for IMNCI (Integrated Management of Neonatal and Childhood Illness). Ministry of Health and Family Welfare, Government of India;.
|Published (Last):||19 December 2005|
|PDF File Size:||11.90 Mb|
|ePub File Size:||1.15 Mb|
|Price:||Free* [*Free Regsitration Required]|
There are several reasons why home-visits did not reach about one-third of all newborns: The median quality score was used as the indicator for the quality of training programme. The programme planned a comprehensive package of newborn and child-health interventions aiming at achieving a imncl decline in neonatal, infant and child mortality.
Two features distinguish this approach from the generic IMCI. There are also potential ways to improve the ijnci and logistics for the IMNCI-trained workers, such as stocking supplies with Village Health and Sanitation Committees, as has been tried in an ongoing randomized controlled trial in India that aims to assess the effectiveness of IMNCI on newborn and child mortality Bhandari N.
What was the quality of care they provided to sick infants and children? Innovative ways of supportive supervision.
Third, for ensuring the regular availability of key supplies, the Village Health and Sanitation Committees should be entrusted to stock supplies for the frontline workers. SwachhHeroes Laxmanlal Rajasthan With no access to transportation, ret A mother with her child waiting to receive the polio vaccine. United Nations Children’s Fund,; In addition, the workers are expected to assess sick children, manage children with minor illness, and refer severelyill children.
Based on imnvi of the quality of training from 70 training programmes for frontline workers across inria states, the median quality score was 88 out of Incomplete and inconsistent data were corrected by contacting and seeking clarifications from the district and state authorities.
Office of Registrar General. Vigilante women make their village open imnxi free. Table 5 summarizes the comparison between changes in the coverage of key indicators between the IMNCI districts and the control districts.
Each component training, supervision, supplies, and performance had a set of five indicators, i. Double blessings for West Bengal Super Dad. Table 4 summarizes the bottlenecks in programme implementation, as identified by programme reviews in seven districts. When compared with the improvements in the control districts during the same period, improvements in the intervention districts were higher on all indicators, except the immunization coverage, although improvement in care-seeking for ARI was the only indicator that assumed statistical significance.
Regular reviews of the programme at the national, state and district levels would further enhance its importance and also identify the critical bottlenecks in its implementation in a timely manner.
The performance of the health workers on the coverage of home-visits to newborns was assessed from the kndia reports. The trained supervisors conducted the quality checks using a standard tool.
Besides, their performance indiaa also assessed during the rapid programme assessment of IMNCI in seven districts across seven states as described in the next section. Ingle GK, Malhotra C. Such an assessment should lead to corrective actions.
Line supervisors are supposed to supervise the trained workers, using the structured supervisory checklists. The net difference in changes in coverage was then compared between the intervention and the control districts using linear regression adjusting for clustering and for sampling weights. Results of an initial evaluation of IMCI implementation in Tanzania showed significantly improved supervision in implementing districts than in control districts.
More thancommunity health workers and first-level healthcare providers were trained during at a variable pace across districts. Quality of care for sick children in 3 states State Appropriate classification Appropriate treatment identification Appropriatecounselling No. Last, but most importantly, being intensive in nature focusing on a very large number of CHWs, the programme would require significant time to start making an impact on infant mortality rates.
Seventy percent of the workers trained under the programme were CHWs: Despite these limitations, the study provides evidence and insights for improving the programme performance. Integrated management of neonatal and childhood illness: Such innovative methods need to inddia quickly reviewed and scaled up to ensure the appropriate implementation of the programme.
Programme bottlenecks in training, supervision, and supplies Table 4 summarizes the bottlenecks indai programme implementation, as identified by programme reviews in seven districts.
If not found sick enough for admission, this might lead to loss of credibility of the community-based workers. The number of workers trained per year per district ranged from to 1, across different states, with a median of The paper is based on review of information generated from different sources, using a mix of methods as described below.
By this date,workers had been trained. During home visits by health workers the mother is taught how to recognise diseases early and when to seek medical help. Abstract At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival. Performance of trained health workers and community health workers Coverage of home-visits After training, the community health workers recorded the home-visits in a case record form.
It takes a village to raise a healthy child – Bhandariya shows the way. The information on the coverage of home-visits is based on those districts from where information was available. Supplies were assessed as good in five of the seven districts and poor in the remaining two districts. National Center for Biotechnology InformationU.
While the roll-out is slow, the detailed operational plans ensured the reasonable quality of the training programmes and have enhanced the skills of the workers. Long distances, the shortages of trained nurses, equipment and supplies and, of course, the lack of proper maternity wards in health centres, are the key deterrants to institutional deliveries in this area.
Summary report on causes of deaths: Sample registration system statistical report Bull World Health Organ. The team jointly assigned the final score by consensus. There is a need to explore these approaches and adapt these in different states and districts. Finally, each component received a score that was the total of all the scores of its indicators: