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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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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.

Change in coverage of key indicators in early-implementation IMNCI districts compared to control districts, ibdia Despite the variations in indiia performance of workers across the districts, there was a pattern. Accelerated child survival and development programme in West Africa: Courageous teen crafts rescue to save mother and her baby.

The information on the coverage of home-visits is based on those districts from where information was available. Analysis of programmatic data on IMNCI progress from all implementing districts from reports of supervisors and programme managers. The trained supervisors conducted the quality checks using a standard tool. United Nations Children’s Fund.

Integrated Management of Neonatal and Childhood Illnesses (IMNCI) | UNICEF

imjci What was the quality of care they provided to sick infants and children? A team of external supervisors visited the districts and collected information using semi-structured sets of questionnaires as follows: The study suggests that the training programme led to the uptake of skills among the trained workers and, importantly, also to contacts of the newborns with the trained health workers within the first week of their life.

Regular reviews of the programme at the national, state and district levels would further enhance its importance and also identify the critical bottlenecks in its implementation in a timely manner.


While doing so, it seeks to answer the following questions:. Through local community structures, such as the Village Health Committees, Panchayati Raj Institutions and self-help groups, and in co-ordination with the District Administration, UNICEF has helped to raise awareness and concern among families in the villages.

Effectiveness and cost of facility-based integrated management of childhood illness in Tanzania. International Institute for Population Sciences,; Some states have been able to scale up training programmes at a faster pace using different approaches, such as engagement of private sectors Gujarat and full-time stand-alone trainers Mayurbhanj, Orissa.

Guidelines – Governnment of India

They then reported inia the key coverage indicators. After training, the community health workers recorded the home-visits in a case record form. During home visits by health workers the mother is taught how to recognise diseases early and when to seek medical help. There are also potential ways to improve the supplies and logistics for the IMNCI-trained workers, such as stocking supplies with Village Health and Sanitation Infia, as has been tried in an ongoing randomized controlled trial in India that aims to assess the effectiveness of IMNCI on newborn and child mortality Bhandari N.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

Close to 50 per cent of newborn deaths in India occur during the first seven days of birth. 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. Table 5 summarizes the comparison between changes in the coverage of key indicators between the IMNCI districts and the control districts. Most deliveries take place at home.

Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India

There is a need to explore these approaches and adapt these in different states and districts. A boy receives omnci dose of oral polio vaccine. Quality of home-visits Of kndia, health workers who observed across three districts in three states, 1, Programme bottlenecks in training, supervision, and supplies Table 4 summarizes the bottlenecks in programme implementation, as identified by programme reviews in seven districts.


The tool scores on different dimensions of quality, and the range of score achievable is World Health Organization; http: Data from quality checks on a random subset of about 70 training programmes across 14 states, using a standard tool. Ministry of Health and Family Welfare.

Of 1, health workers who observed across three districts in three states, 1, Support Center Support Center. The IMNCI training programme focuses on building of individual skills and includes practice sessions in the field and in the hospital. Such innovative methods need to be quickly reviewed and scaled indua to ensure the appropriate implementation of the programme.

Of the districts in India, After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: World Water Day Median quality score on training programmes. Operational guidelines for implementation of integrated management of neonatal and childhood illnesses.

Healthcare for under-fives in rural Tanzania: Vigilante women make their village open defecation free.

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Indiz some information e. Stay Safe Online The Internet and social media provide This information will also be useful to other countries that are implementing large-scale community-based newborn and child-health interventions.