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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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.
Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India
Table 4 summarizes the bottlenecks in programme implementation, as identified by programme reviews in seven districts. United Nations Children’s Fund.
Despite the variations in the performance of workers across the districts, there was a pattern. The team jointly assigned the final score by consensus. A detailed report on progress in training was available for 99 Little information was available on the coverage from other districts. This article has been cited by other articles in PMC.
Integrated Management of Neonatal and Childhood Illnesses (IMNCI) | UNICEF
A West Bengal father and his special daily inda. The tool scores on different ineia of quality, and the range of score achievable is The median quality score was used as the indicator for the quality of training programme. Healthcare for under-fives in rural Tanzania: This paper assessed the umnci of IMNCI in India, identified the programme bottlenecks, and also assessed the effect on coverage of key newborn and childcare practices.
Only two states, i. 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 ARIwho sought care. The study was conducted based on information from multiple sources, at different times and, thus, cannot be equated with a structured programme evaluation.
India has made significant investments in terms of time, effort, and money to roll out the IMNCI programme in the country.
IMNCItraining module for workers, National Center for Biotechnology InformationU.
Integrated Management of Neonatal and Childhood Illness (IMNCI)
Quality of care imncci sick children in 3 states. Third, for ensuring the regular availability of key supplies, the Village Health and Sanitation Committees should be entrusted to stock supplies for the frontline workers.
What proportion of newborns was the CHW able to visit in the first week of life?
There is a need to explore these approaches and adapt these in different states and districts. Such an assessment should lead to corrective actions.
Is ‘Social and Behaviour Change Communication’ about campaigns and production of communication materials? The performance of the health workers on the coverage of home-visits to newborns was assessed from the monthly reports.
The contacts between the trained workers and the newborns and their families have also increased.
The IMNCI training programme focuses on building of individual skills and includes practice sessions in the field and in the hospital. Girls demand education, not marriage.
Guidelines – Governnment of India
Median quality score on training programmes. Performance of trained 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.
Long distances, the shortages of trained nurses, equipment and supplies and, of course, the lack of proper maternity wards in health centres, are the key deterrants indi institutional deliveries in this area.
They receive a fixed remuneration for the services. No apparent explanation could be found for the poor performance of the intervention districts on the immunization coverage. There are several reasons why home-visits did not reach about one-third of all newborns: Programme bottlenecks in the following domains: When compared with the improvements in the control districts during the same period, improvements in the intervention districts were higher on all indicators, except the immunization coverage, although improvement in care-seeking for ARI was the only indicator that assumed statistical significance.
Provision of care by IMNCI-trained workers Following training, workers are supposed to make home-visits to all newborns within their areas on day 1, 3, and 7 of life. What programme bottlenecks affect the effective implementation of the strategy and how have they been addressed so far, if at all? Dhar is a predominantly tribal district in southwestern Madhya Pradesh.
The comparison of the DLHS data also provides an early evidence of the effectiveness of the programme on the coverage of some key newborn and childcare practices, such as care-seeking for ARI, institutional delivery, early initiation undia breastfeeding, and exclusive breastfeeding. Recognizing newborn care as critical for improving child survival, it was strengthened in IMNCI by increasing the newborn-care component of the training programme and including prevention and management of health conditions in the ineia week of life.
Fourth, besides strengthening the line supervisory structures, engagement of non-governmental organizations, universities, and other institutions should be considered in a systematic manner to ensure supportive supervision to the trained workers, at least for an initial few years after the training.