scholarly journals Improving quality and efficiency of facility-based child health care through Integrated Management of Childhood Illness in Tanzania

2005 ◽  
Vol 20 (suppl_1) ◽  
pp. i69-i76 ◽  
Author(s):  
Jennifer Bryce ◽  
Eleanor Gouws ◽  
Taghreed Adam ◽  
Robert E Black ◽  
Joanna Armstrong Schellenberg ◽  
...  
2008 ◽  
Vol 42 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Débora G Amorim ◽  
Taghreed Adam ◽  
João J F Amaral ◽  
Eleanor Gouws ◽  
Jennifer Bryce ◽  
...  

OBJECTIVE: The Integrated Management of Childhood Illness is a strategy designed to address major causes of child mortality. The aim of this study was to assess the impact of the strategy on the quality of child health care provided at primary facilities. METHODS: Child health quality of care and costs were compared in four states in Northeastern Brazil, in 2001. There were studied 48 health facilities considered to have had stable strategy implementation at least two years before the start of study, with 48 matched comparison facilities in the same states. A single measure of correct management of sick children was used to assess care provided to all sick children. Costs included all resources at the national, state, local and facility levels associated with child health care. RESULTS: Facilities providing strategy-based care had significantly better management of sick children at no additional cost to municipalities relative to the comparison municipalities. At strategy facilities 72% of children were correctly managed compared with 56% in comparison facilities (p=0.001). The cost per child managed correctly was US$13.20 versus US$21.05 in the strategy and comparison municipalities, respectively, after standardization for population size. CONCLUSIONS: The strategy improves the efficiency of primary facilities in Northeastern Brazil. It leads to better health outcomes at no extra cost.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Dinh Thac ◽  
Freddy Karup Pedersen ◽  
Tang Chi Thuong ◽  
Le Bich Lien ◽  
Nguyen Thi Ngoc Anh ◽  
...  

A study of 600 rural under-five mothers’ knowledge, attitude, and practice (KAP) in child care was performed in 4 southern provinces of Vietnam. The mothers were randomly selected and interviewed about sociodemographic factors, health seeking behaviour, and practice of home care of children and neonates. 93.2% of the mothers were literate and well-educated, which has been shown to be important for child health care. 98.5% were married suggesting a stable family, which is also of importance for child health. Only 17.3% had more than 2 children in their family. The mother was the main caretaker in 77.7% of the families. Only 1% would use quacks as their first health contact, but 25.2% would use a private clinic, which therefore eases the burden on the government system. Nearly 69% had given birth in a hospital, 27% in a commune health station, and only 2.7% at home without qualified assistance. 89% were giving exclusive breast feeding at 6 months, much more frequent than in the cities. The majority of the mothers could follow IMCI guideline for home care, although 25.2% did not deal correctly with cough and 38.7% did not deal correctly with diarrhoea. Standard information about Integrated Management of Childhood Illnesses (IMCI) based home care is still needed.


2005 ◽  
Author(s):  
Harold Alan Pincus ◽  
Stephen B. Thomas ◽  
Donna J. Keyser ◽  
Nicholas Castle ◽  
Jacob W. Dembosky ◽  
...  

2010 ◽  
Author(s):  
Alan Mendelsohn ◽  
Samantha Berkule-Silberman ◽  
Lesley Morrow ◽  
Catherine S. Tamis-LeMonda ◽  
Carolyn Brockmeyer ◽  
...  

2016 ◽  
Vol 1 ◽  
pp. 60-65
Author(s):  
Umi Solikhah ◽  
Hari Kusnanto ◽  
Fitri Haryanti

Community empowerment with regard to maternal and child health services at the community level carried out by cadre.Cadre is health volunteers, selected by the community.404 number of active cadres in primary health care of South Purwokerto entirely female, although it may be a cadre of men. Active cadre toddler actively providing services every month for child before 5 years age. Interest to know the various reasons committed cadres in performing their duties. The method used is qualitative study,to describe a variety of reasons commitment to perform cadre duties in child health care. Retrieving data using interview techniques through the focus group discussion. Data from 30 cadres.Results of interviews taken until the data saturation, as a reason believed by cadres in the commitment to carry out tasks of serving the Muslim community. Characteristic respondent are mean of age 38 years (the youngest age of 25 years and the oldest 55 years old), a 100% Islamic religion, level of education majority of senior high school(at least primary school). Educational level health cadres in Banyumas has met the minimum requirements by the WHO.Results of the analysis showed thatcommitment includes a cadre of dedicated, caring community, a desire to learn, social esteem, individual satisfaction, togetherness, organization, and spirituality. The spirit of cadre to the community need the attention of the government for development and prosperity in accordance with their duties.Spiritual reasons become one of the motivations in providing health services to the community, albeit to a spirit of dedication and a great desire to learn. Cadres continue to provide services, even to families with different spiritual.


2020 ◽  
pp. archdischild-2020-319584
Author(s):  
Hilary Hoey ◽  
Massimo Pettoello-Mantovani ◽  
Mehmet Vural

2016 ◽  
Vol 177 ◽  
pp. S68-S70 ◽  
Author(s):  
Lali Margvelashvili ◽  
Rusudan Karseladze ◽  
Gia Abesadze ◽  
Oleg Kvlividze

Sign in / Sign up

Export Citation Format

Share Document