scholarly journals Factors influencing the implementation of integrated management of childhood illness (IMCI) by healthcare workers at public health centers & dispensaries in Mwanza, Tanzania

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Augustine Kiplagat ◽  
Richard Musto ◽  
Damas Mwizamholya ◽  
Domenica Morona
2021 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
Eza Yuliarni ◽  
Nurhayati Siregar ◽  
Yofa Sukmawati

Introduction: Indonesia is one of the developing countries with a high under-five mortality rate due to the rough handling of Integrated Management of Childhood Illness (IMCI). Diseases that cause death can generally be treated at the hospital level, but it is still difficult at the public health center level. Public Health Centers have implemented (IMCI). Suppose they meet the criteria for implementing/implementing the IMCI approach at least 60% of the number of visits by sick toddlers. This study aimed to describe the knowledge and motivation of IMCI implementers regarding the implementation of IMCI at Lubuk Buaya Public Health Center, Padang, in 2014. Method: This research is descriptive. This research was conducted at the Lubuk Buaya Health Center Padang in May 2014. The population in this study were all IMCI implementers who were actively working at the Lubuk Buaya Public Health Center, Padang, with 37 people. Sampling with total sampling technique and analyzed univariately. Results: From 37 staff implementing IMCI, it was found that 31 (83.8%) staff had implemented IMCI well, 36 (97.3%) staff had high knowledge, and 23 (62.2%) staff had high motivation. Conclusions: This study shows that the knowledge and motivation of IMCI implementers are good in implementing IMCI. It is hoped that every IMCI implementer will further increase knowledge about IMCI and its performance so that all sick toddlers get the best IMCI services to prevent death in these toddlers.


2004 ◽  
Vol 94 (3) ◽  
pp. 406-415 ◽  
Author(s):  
Jennifer Bryce ◽  
Cesar G. Victora ◽  
Jean-Pierre Habicht ◽  
J. Patrick Vaughan ◽  
Robert E. Black

Author(s):  
Freya O’Loughlin ◽  
Sommanikhone Phangmanixay ◽  
Kongkham Sisouk ◽  
Viengvaly Phommanivong ◽  
Onevanh Phiahouaphanh ◽  
...  

Integrated Management of Neonatal and Childhood Illness (IMNCI) has been part of the national strategy for child health in Lao Peoples Democratic Republic since 2003. The program, while running for an extended period, has faced multiple challenges including maintaining the teaching quality for the implementation of the IMNCI guidelines and a structure to enable and support healthcare workers trained to apply the training in their workplace. A revised training model that focused on building skills for teaching according to adult learning principles in a pool of facilitators, a practical and hands-on training workshop for healthcare workers, and the establishment of a program of health center supervision was developed and implemented in three provinces. Participants in the revised model reported increased confidence in implementing IMNCI guidelines, they demonstrated competence in the steps of IMNCI and on follow-up assessment at a supervision visit were found to have improved patient care through the measurement of pediatric case management scores. This study highlights the importance of a focus on education to ensure the translation of guidelines into practice and thereby lead to improvements in the quality of pediatric care. The IMNCI training approach is acceptable and valued by healthcare worker participants.


2008 ◽  
Vol 8 (2) ◽  
pp. 151-162 ◽  
Author(s):  
João Joaquim Freitas do Amaral ◽  
Cesar Gomes Victora

OBJECTIVES: to analyze the effect of training in Integrated Management of Childhood Illness (IMCI) on the quality of case management by healthcare workers based on a systematic review of the literature. METHODS: the authors searched the databases MEDLINE, LILACS, PAHO and WHOLIS for the search terms Integrated Management of Childhood Illness (IMCI), and analyzed documents published by Pan American Health Organization, World Health Organization and the Brazilian Ministry of Health between January 1993 and July 2006. The quality of the methodology was assessed using the criteria developed by Downs and Black. RESULTS: thirty-five papers were reviewed. Twelve of these validated the IMCI algorithm and found the sensitivity to be high and the specificity to be over 80% for major illnesses. Twenty-three papers assessed the performance of healthcare workers, eight of these with no control group. The present study shows clear evidence of improvement in the performance of healthcare workers employed at healthcare facilities with IMCI. The main methodological weaknesses of the study were lack of control of confounding factors and lack of information regarding statistical power. CONCLUSIONS: the performance of healthcare workers tends to improve at public healthcare facilities when IMCI is introduced.


Author(s):  
Fadipe Ololade Omolayo

Background: In developing countries, parents seek health care for their sick children daily at available health centers, pharmacies, hospitals and traditional healing centers, but the care received are not always adequate, this invariably result in use of obsolete ideas and regimens in the care of sick children. However, it was observed that some nurses do not treat sick children according to IMCI module hence the objective of the study is to explore the outcome of nurses training in the treatment of selected childhood diseases utilizing IMCI.Methods: The study utilized one group pre-posttest quasi experimental research design. Total enumeration was used to enroll 150 participants. Two research instruments were used to collect data with reliability index of 0.803 and 0.617. Inferential statistics was used to test the hypotheses at 0.05 level of significance. Data were collected over six weeks in three phases.Results: Results revealed significant differences between pre and post intervention mean scores of nurses knowledge in the treatment of malaria (t=22.626, p=0.00); pneumonia (t=19.760, p=0.00); and diarrhoea (t=19.608, p=0.00).Conclusions: The training package used in this study enhanced the knowledge in the treatment of selected childhood illness. It is therefore recommended that there is need to train all nurses working at the primary health centers on the use of integrated management of childhood illness module which will contribute to the reduction of infant morbidity and mortality rate in Ages local government area of Lagos State.


GERMS ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 184-194
Author(s):  
Tantut Susanto ◽  
Erwin Nur Rif’ah ◽  
Latifa Aini Susumaningrum ◽  
Ira Rahmawati ◽  
Rismawan Adi Yunanto ◽  
...  

1990 ◽  
Vol 11 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Bruce P. Lanphear

There are several goals of a hepatitis B immunoprophylaxis program. Prevention of clinical disease and carrier status in healthcare workers (HCW) is the primary goal. In addition, the uncommon incidence of staff transmitting hepatitis B infection (HBV) to patients should not continue with available methods of prevention. The prevention of disease is not only desirable from a public health standpoint, it is also needed to protect health centers from liability that may result from the occurrence of preventable diseases of occupational origin, such as HBV.


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