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 coverage of child-health interventions remains highly inadequate in India.
Office of Registrar General. First, the programme assessment, as conducted in the selected districts, needs to be conducted in all the states and districts to identify the programme bottlenecks. Frontline community-based workers and auxiliary nursemidwives ANMs are trained together in basic health workers course. During the same period, the frontline workers also assessedolder children and advised referral to about One of the reasons for the high rate of referrals could be high sensitivity and low specificity of the criteria used by the IMNCI approach for referral.
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 Effectiveness and cost of facility-based integrated management of childhood illness in Tanzania.
The use of auto-disposable syringes remains crucial to injection safety; UNICEF works to help raise awareness about this.
If not found sick enough for admission, this might lead to loss of credibility of the community-based workers. Dhar is a predominantly tribal district indi southwestern Madhya Pradesh. The trained supervisors conducted the quality checks using a standard tool. Performance of health workers after training coverage and quality. The AWWs manage a kmnci community nutrition centre, called Anganwadi, and provide a set of services for promoting the growth and development of under-six children.
Training, Supervision, Supplies, and Performance. A systematic assessment of the programme implementation was carried out among seven early-implementing districts across seven states.
Integrated Management of Neonatal and Childhood Illnesses (IMNCI) | UNICEF
Of 1, health workers who observed across three districts in three states, 1, Line supervisors are supposed to supervise the trained workers, using the structured supervisory checklists. They receive a fixed remuneration for the services.
Each component training, supervision, supplies, and performance had a set of five imnc, i. 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.
Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India
Second, recognizing that a large proportion of sick children do not come in contact kndia health workers but most of them can be reached by community-based workers, IMNCI in India focuses on community-based rather than facility-based healthcare providers. Accelerated child survival kmnci development programme in West Africa: Rapid programme assessment also highlighted that reporting on implementation has been a weak component of the programme and requires mainstreaming with the national HMIS.
Supervisors are trained additionally in a two-day course 10 – There are certain limitations of the study.
Little information was available on the coverage from other districts.
No apparent explanation could be found for the poor performance of the intervention districts on the immunization coverage. The referral health centre in Kukshi block of Dhar is now just one of several with an efficient maternity ward.
Integrated Management of Neonatal and Childhood Illness (IMNCI)
What was the quality of care they provided to sick infants and children? The trainers train for half a month and supervise the trained workers in the remaining half. In the current decade, neonatal mortality is declining sluggishly, moving from 40 per 1, livebirths in to 36 per 1, livebirths in However, the health-system strengthening component of the programme was poorly implemented The median quality score was used as the indicator for the quality of training programme.
Campaigns Videos Photo Albums. In three states, the trained supervisors assessed the performance of a sample of community workers during home-visits to newborns using a standard checklist. Data from supervisors and data from programme reports coverage of home-visits for newborns Follow-up after training by supervisor: UNICEF encourages social mobilisation as a means of reaching the maximum number of people by engaging community-based groups and self-help groups.
World Health Organization; http: At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival. One of the trained frontline workers is engaged and trained as supervisor to support her peers, with some allowance for mobility.
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. While the roll-out is slow, the detailed operational plans ensured the reasonable quality of the training programmes and have enhanced the skills of the workers. Ministry of Health and Family Welfare. Seventy percent of the workers trained under the programme were CHWs: Each member of the team reviewed the collected information.
Courageous teen crafts rescue to save mother and her baby. Compared to the target of implementing IMNCI in districts bythe strategy was introduced in districts, of which 73 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. This information will indla be useful to other countries that are implementing large-scale community-based newborn and child-health interventions.
After training, the community health ondia recorded the home-visits in a case record form. The tool scores on different dimensions of quality, and the range of score achievable is It was recommended that public accountability should be enhanced to identify and address the bottlenecks of delivery National family health survey NFHS-3— The comparison of the DLHS data also provides an early evidence of the effectiveness of indi programme on the coverage of some key newborn and childcare practices, such as care-seeking for ARI, institutional delivery, early initiation of breastfeeding, and exclusive breastfeeding.