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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Integrated Management of Neonatal and Childhood Illness (IMNCI)
Correspondence and reprint requests should be addressed to: The key indicators analyzed to assess the effectiveness of the programme are listed in Table 1which also summarizes the methodology of the assessment. In the intervention districts, the coverage levels of all the indicators were higher at the imnnci compared to the baseline; the differences were least in the case of ORS-use rates and immunization 1. Seventy percent of the workers trained under the programme were CHWs: Campaigns Videos Photo Albums.
Ensuring quality implementation of such a time-and effort-intensive programme would, therefore, require patience and persistence among the policy-makers and programme managers at all levels.
There are certain limitations of the study. Support Center Support Center. Based on assessment of the quality of training from 70 training programmes for frontline workers across 14 states, the median quality score was 88 out of It was recommended that public accountability should be enhanced to identify and address the bottlenecks of delivery There are several areas of concern.
SwachhHeroes Laxmanlal Rajasthan With no access to transportation, ret World Health Organization; http: After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: It focuses on strengthening homebased care and provides special care for under-nourished newborns. The net difference in changes in coverage was then compared between the intervention and the control districts using linear regression adjusting for clustering and for sampling weights.
Analysis of programmatic data on IMNCI progress from all implementing districts from reports of supervisors and programme managers. However, it was reported subsequently that even integrated and decentralized approaches to supervision in Tanzania and Uganda proved too ambitious, particularly with respect to the need to include clinical observations and feedback as part of all supervisory visits 1417 Results of an initial evaluation of IMCI implementation in Tanzania showed significantly improved supervision in implementing districts than in control districts.
Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India
The guidelines relied on the detection of cases using simple clinical signs without laboratory tests and offered empirical treatment. Of these districts, 39 were in the introduction phase, in the early-implementation phase, 30 in the expansion phase, and 43 in the consolidation phase. In addition, the workers are expected to assess sick children, manage children with minor illness, and refer severelyill children.
Of the seven district where a systematic programme review was conducted, three fared good on the performance of trained workers; three fared average, and two fared poor. Programme bottlenecks in training, supervision, and supplies A systematic assessment of the programme implementation was carried out among seven early-implementing districts across seven states. Poor supervision and jmnci and poor availability of logistics and supplies were the major bottlenecks in programme implementation.
Guidelines – Governnment of India
United Nations Children’s Fund,; Close to 50 idnia cent of newborn deaths imncci India occur during the first seven days of birth. In the current decade, neonatal mortality is declining sluggishly, moving from 40 per 1, livebirths in to 36 per 1, livebirths in What proportion of newborns was the CHW able to visit in the first week of life?
A team of external supervisors visited the districts and inida information using semi-structured sets of questionnaires as follows: There is a need to explore these approaches and adapt these in different states and districts.
During home visits by health workers the mother is taught how to recognise diseases early and when to seek medical help. This paper assessed the progress of IMNCI in India, identified the programme bottlenecks, and also assessed the effect on coverage of key newborn and childcare practices.
Integrated management of neonatal and childhood illness: Effectiveness in improving coverage ofnewborn and childcare practices Table 5 summarizes the comparison between changes in the coverage of key imndi between the IMNCI districts and the control districts. India has made significant investments in terms of time, effort, and money to roll out the IMNCI programme in the country. While assessment of the impact of incentives on the performance of the frontline health workers is beyond the imnic of this study, experiences from similar settings suggest that monetary and non-monetary incentives imnic improve the performance of CHWs However, to ensure that the investments made so far lead to reduction in newborn and infant mortality in the medium to long term, some urgent actions are required.
Sample registration system statistical report While doing so, it seeks to answer the following questions: There are several reasons why home-visits did not reach about one-third of all newborns: Community action for safe motherhood Dhar, Madhya Pradesh. Supervisors are trained additionally in a two-day course 10 – When compared with the improvements in the control districts during the same period, improvements in the intervention districts were higher immnci all indicators, except the immunization coverage, although improvement in care-seeking for ARI was the only indicator that assumed statistical significance.
During these visits, the health workers assess the newborns, ensure breastfeeding, counsel on warmth and danger-signs, indoa local infections, and refer to appropriate facilities for possible serious bacterial infections. Such information is critical to guide the further implementation of the programme and to modify the course.