Integrated Management of Neonatal and Childhood Illness Training in Lao PDR: A Pilot Study of an Adaptable Approach to Training and Supervision

2021 ◽  
Author(s):  
Freya O’Loughlin ◽  
Sommanikhone Phangmanixay ◽  
Kongkham Sisouk ◽  
Viengvaly Phommanivong ◽  
Onevanh Phiahouaphanh ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Integrated Management ◽  
Lao Pdr ◽  
Extended Period ◽  
Training Model ◽  
Teaching Quality ◽  
Childhood Illness ◽  
Pediatric Care ◽  
Multiple Challenges ◽  
Learning Principles

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.

scholarly journals The effect of training in Integrated Management of Childhood Illness (IMCI) on the performance and healthcare quality of pediatric healthcare workers: a systematic review

2008 ◽  
Vol 8 (2) ◽  
pp. 151-162 ◽  
Author(s):  
João Joaquim Freitas do Amaral ◽  
Cesar Gomes Victora
Keyword(s):  
Systematic Review ◽  
Healthcare Workers ◽  
Integrated Management ◽  
Childhood Illness ◽  
World Health ◽  
Control Group ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Health Organization

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.

The Integrated Management of Childhood Illness (IMCI) – Beyond Mortality Reduction IMCI and Its Potential to Reduce the Misuse of Antibiotics

2020 ◽  
Author(s):  
Susanne Carai ◽  
Aigul Kuttumuratova ◽  
Larisa Boderscova ◽  
Henrik Khachatryan ◽  
Ivan Lejnev ◽  
...  
Keyword(s):  
Integrated Management ◽  
Childhood Illness ◽  
Mortality Reduction

scholarly journals THE IMPACT OF HOSPITAL BASED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS TRAINING ON PEDIATRIC NURSE COMPETENCY

2018 ◽  
Vol 4 (1) ◽  
pp. 16-23
Author(s):  
Fitri Haryanti ◽  
Mohammad Hakimi ◽  
Yati Sunarto ◽  
Yayi S Prabandari
Keyword(s):  
Mixed Model ◽  
Linear Mixed Model ◽  
Integrated Management ◽  
Well Being ◽  
Childhood Illness ◽  
Internal Conflict ◽  
Child Health Services ◽  
Management Support ◽  
The Impact

Background: Although the WHO strategy integrated management of childhood illness (IMCI) for primary care has been implemented in over 100 countries, there is less global experience with hospital-based IMCI training. Until recently, no training had been done in Indonesia, and globally there has been limited experience of the role of IMCI in rebuilding health systems after complex emergencies.Objective: We aimed to examine the effect of hospital-based IMCI training on pedicatric nurse competency and explore the perception of Indonesian doctors, nurse managers and paediatricians about IMCI training and its development in West Aceh, a region that was severely affected by the South-Asian tsunami in December 2004.Methods: This study used stepped wedge design. Training was conducted for 39 nurses staff, 13 midwifes, 6 Head nurses, 5 manager of nurses, 5 doctors, 1 paediatricians, and 3 support facilities  (nutritionist, pharmacist, laboratory) in Cut Nyak Dien (CND) Hospital in Meulaboh, West Aceh, Indonesia. The IMCI training was developed based on the WHO Pocketbook of Hospital Care for Children. A nurses competency questionnaire was used based on the guideline of assessment of the quality of child health services at the first level reference hospitals in districts / municipalities issued by the Ministry of Health in 2007. A linear mixed model was used for data analysis.Results: The hospital based IMCI training improved the competences of nurses paediatric in assessing emergency signs of the sick children, management of cough and difficulty breathing, diarrhoea, fever, nutritional problems, supportive care, monitoring, discharge planning and follow up.  The assessment highlighted several problems in adaptation process of material training, training process and implementation in an environment soon after a major disaster.Conclusion: Hospital based IMCI training can be implemented in a setting after major disasters or internal conflict as part of a rebuilding process.  The program requires strong management support and the emergency phase to be subsided.  Other pre-requisites include the existence of standard operating procedures, adequate physical facilities and support for staff morale and well-being.  Improving the quality of paediatric care requires more than just training and clinical guidelines; internal motivation and health worker support are essential.

scholarly journals Peningkatan Disiplin Guru SD Melalui Pelatihan Partisipatif Model In-On

2018 ◽  
Vol 5 (1) ◽  
pp. 47-54
Author(s):  
Slameto ◽  
Agustina Tyas Asri Hardini ◽  
Tego Prasetyo ◽  
Endang Indarini
Keyword(s):  
Data Analysis ◽  
Elementary School Teachers ◽  
Quantitative Data ◽  
Rating Scale ◽  
Training Model ◽  
Reliable Data ◽  
School Teachers ◽  
Innovative Thinking ◽  
Participatory Training ◽  
Learning Principles

This research is taken place to describe the punctual improvement of the teacher who’s participated in participatory training model using in-on and to determine the influence of teacher optimism and teacher's ability to give feedback, along with the contribution of each variable. This research was conducted based on the assessment of elementary school teachers who are participated in training for classroom action research preparation in KKG Gugus Joko Tingkir Salatiga, with 42 selected people randomly. Data for this research is quantitative. Data were collected through a self-rating scale of 21 items that proved to be valid and reliable. Data analysis using multiple linear regression with Stepwise Model. Based on the result of this research, it can be proved participatory training model effective in improving teacher’s punctual in teaching. There are 2 variables/predictors of teacher optimism and or together with their ability to provide feedback on teacher’s punctual in teaching. Teacher's optimism has an effect (positive and significant) on teacher’s punctual in teaching equal to 35.20%. Teacher’s optimism along with their ability to give feedback impact teacher’s punctual in teaching as much as 42.9%. Thus participatory training model should be applying learning principles that emphasize positive optimistic psychology, get used to working effectively with challenges, have the confidence to use innovative thinking in achieving success.

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