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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Immci Institute for Population Sciences. The referral health centre in Kukshi block of Dhar is now just one of several with an efficient maternity ward. Vigilante women make their village open defecation free.
A systematic incia of the programme implementation was carried out among seven early-implementing districts across seven states. Little information was available on the coverage from other districts.
These amounted to about 1. Despite these limitations, the study provides evidence and insights for improving the programme performance.
Of the districts in India, Dhar is a predominantly tribal district in southwestern Madhya Pradesh. Analysis of programmatic data on Iknci progress from all implementing districts from reports of supervisors and programme managers. At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival.
Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India
Each component training, supervision, supplies, and performance had a set of five indicators, i. How Sanitation Can Help the Environment. SwachhHeroes Laxmanlal Rajasthan With no access to transportation, ret In addition, the workers are expected to assess sick children, manage children with minor illness, and refer severelyill children.
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. Weighted averages of the percentage change in coverage levels were calculated for the intervention and control districts.
Poor supervision and monitoring and poor availability of logistics and supplies were the major bottlenecks in programme implementation. World Water Day Limitations There are certain limitations of the study.
Integrated Management of Neonatal and Childhood Illness (IMNCI)
There is a need to explore these approaches and adapt these in different states and districts. Of these births, 72, She is also educated on the benefits of exclusive breastfeeding.
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. Performance of health workers after training coverage and quality. This information will also be useful to other countries that are implementing large-scale community-based newborn and child-health interventions.
Integrated Management of Neonatal and Childhood Illness (IMNCI) | PSM Made Easy
Of the seven district where a systematic programme review was conducted, three fared good on the performance minci trained workers; three fared average, and two fared poor. Results of an initial evaluation of IMCI implementation in Tanzania showed significantly improved supervision in implementing districts than in control districts.
While a large number of workers have been trained, at the current pace, considering that the average number of workers to be trained in each district is close to 2, it would take about years to complete the training load.
More than 90 Auxiliary Nurse and Midwives ANMsfrom four blocks, were trained in standard midwifery practices and the equipment needed for standard deliveries has been provided. 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. Incomplete and inconsistent data were corrected by contacting and seeking clarifications from the district and state authorities.
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. Finally, each component received a score that was the total of all the scores of its indicators: A team of external supervisors visited the districts and collected information using semi-structured sets of questionnaires as follows: Table 5 summarizes the comparison between changes in the coverage of key indicators between the IMNCI districts and the control districts.
Integrated management of childhood illnesses: 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 to institutional deliveries in this area.