scholarly journals Improving pneumonia case-management in Benin: a randomized trial of a multi-faceted intervention to support health worker adherence to Integrated Management of Childhood Illness guidelines

2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Dawn M Osterholt ◽  
Faustin Onikpo ◽  
Marcel Lama ◽  
Michael S Deming ◽  
Alexander K Rowe
2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Janetta Roos ◽  
Udes Naidoo ◽  
Peter Sandy

  The Integrated Management of Childhood Illness Computerised Adaptation and Training Tool (ICATT) is an emergent training tool for improving the efficiency of the Integrated Management of Childhood Illness (IMCI) case management training in an in-service or pre-service context. This article reports on a study that explored nursing campuses’ readiness to use ICATT. A qualitative, exploratory, descriptive design was employed at 10 nursing campuses in KwaZulu-Natal (KZN), South Africa. Campus principals, nurse educators and learners were purposively sampled. The inclusion criteria were: for the campus principals – their willingness to participate; for the nurse educators – having received and facilitated IMCI case management training; and for the learners – being either second or third year trainees in the R425 training programme. In-depth semi-structured interviews were conducted to collect data from the seven campus principals, while eight focus group discussions (FGDs) were held with the nurse educators and learners. The interviews were audio-taped and transcribed verbatim. Data analysis was conducted manually, and trustworthiness was ensured. The determinants identified were: a positive attitude; enablers for ICATT implementation; and barriers to ICATT implementation. However, the barriers could have an impact on the adoption of an electronic tool for IMCI case management training. Recommendations include developing the infrastructure at nursing campuses; offering nurse educators training on the implementation of ICATT for teaching; and developing the learners’ computer skills. Nurse educators may use ICATT effectively in teaching IMCI case management, while also stimulating independent learning and creativity for the learners involved.


2009 ◽  
Vol 99 (5) ◽  
pp. 837-846 ◽  
Author(s):  
Alexander K. Rowe ◽  
Faustin Onikpo ◽  
Marcel Lama ◽  
Dawn M. Osterholt ◽  
Samantha Y. Rowe ◽  
...  

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Laura C. Steinhardt ◽  
Faustin Onikpo ◽  
Julien Kouamé ◽  
Emily Piercefield ◽  
Marcel Lama ◽  
...  

2012 ◽  
Vol 17 (4) ◽  
pp. 438-446 ◽  
Author(s):  
Alexander K. Rowe ◽  
Dawn M. Osterholt ◽  
Julien Kouamé ◽  
Emily Piercefield ◽  
Karen M. Herman ◽  
...  

2004 ◽  
Vol 20 (suppl 2) ◽  
pp. S209-S219 ◽  
Author(s):  
João Amaral ◽  
Eleanor Gouws ◽  
Jennifer Bryce ◽  
Álvaro Jorge Madeiro Leite ◽  
Antonio Ledo Alves da Cunha ◽  
...  

A multi-country evaluation is being carried out in Brazil and four other countries to determine the effectiveness, cost, and impact of the Integrated Management of Childhood Illness (IMCI). We examine the effect of IMCI on the quality of health care provided to children under five visiting health facilities. A health facility survey was conducted at 24 facilities (12 with IMCI) in each of four States in the Northeast. We assessed the quality of care provided to children between 2 months and 5 years attending the facilities. Health workers trained in IMCI provided significantly better care than those not trained. Significant differences between health workers who were trained or not trained in IMCI were found in the assessment of the child, disease classification, treatment, and caretaker communication. Nurses trained in IMCI performed as well as, and sometimes better than, medical officers trained in IMCI. We conclude that while there is room for further improvement, IMCI case management training significantly improves health worker performance, and that parts of Brazil that have not yet introduced IMCI should be encouraged to do so.


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