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;.
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The AWWs manage a village-level community nutrition centre, called Anganwadi, and provide a set of services for promoting the growth and development of under-six children. Second, incentives to the frontline workers for home-visits to all newborns should be strongly considered for increasing the coverage of home-visits.
Using trainers as supervisors: In Tanzania, a decentralized approach was adopted to improve supervision to overcome the barriers of distance, transportation, and cost. What proportion of newborns was the CHW able to visit in the first week of life?
One of the trained frontline workers is engaged and trained as supervisor to support her peers, with some allowance for mobility. Some states have been able to scale up training ijnci at a faster pace using different approaches, such as engagement of private sectors Gujarat and full-time stand-alone trainers Mayurbhanj, Orissa.
Performance of imnic 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.
In three states, the trained supervisors assessed the performance of a sample of community workers during home-visits to newborns using a standard checklist.
Training, Supervision, Supplies, and Performance. A team of external supervisors visited the districts and collected information using semi-structured sets of questionnaires as follows: The performance of the health workers on the coverage of home-visits to newborns was assessed from the monthly reports. Based on the early experience of IMNCI implementation in different states of India, measures need to be taken to improve supportive supervision, availability of essential supplies, and monitoring of the programme if the strategy has to translate into improved child survival in India.
Despite the variations imncj the performance of workers across the districts, there was a pattern. Table 4 summarizes the bottlenecks in programme implementation, as identified by programme reviews in seven districts.
Performance of health workers after training coverage and quality.
Guidelines – Governnment of India
Of these births, 72, Limitations There are certain limitations of the study. Median quality score on training programmes. Programme data were analyzed to ascertain the implementation status; rapid programme assessment was conducted for identifying the undia bottlenecks; and results of analysis of two rounds of district-level household surveys were used for comparing the change in the coverage of child-health interventions in IMNCI and control districts.
They then reported on the key coverage indicators. Girls demand education, not marriage.
Integrated Management of Neonatal and Childhood Illness (IMNCI) | PSM Made Easy
In some states, such as in Gujarat, the frontline workers are being given incentives for home-visits. Similarly, each component was also given a colour code: During this period, there was also an increase in the coverage levels of all the indicators in the control districts, except for the proportion of children with acute respiratory infection Indiwwho sought care.
Since the IMNCIprogramme in India is largely dependent on frontline workers, supervision of a large number of workers scattered across a large number of villages is even more challenging. Chattisgarh and Gujarat, were able to train more than 1, workers per year per district Table 2. Each component training, supervision, supplies, and performance had a set of five indicators, i. The programme planned a comprehensive package of newborn and child-health interventions aiming at achieving a decisive decline in neonatal, infant and child mortality.
Supervision was the weakest component of programme implementation across all the districts Table 4. Author information Copyright and License information Disclaimer. Sample registration system statistical report Effectiveness and cost of facility-based integrated management of childhood illness in Tanzania.
Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India
The coverage of child-health interventions remains highly inadequate in India. Following training, workers are supposed to make home-visits to all newborns within their areas on day 1, 3, and 7 of life. Of the districts in India, Besides, their performance was also assessed during the rapid programme assessment of IMNCI in seven districts across seven states as described in the next section.