March 4, 2021

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;.

Author: Gardagore Mekinos
Country: Indonesia
Language: English (Spanish)
Genre: Spiritual
Published (Last): 15 July 2015
Pages: 353
PDF File Size: 3.35 Mb
ePub File Size: 5.8 Mb
ISBN: 754-6-81035-597-4
Downloads: 55937
Price: Free* [*Free Regsitration Required]
Uploader: Dazahn

Training, Supervision, Supplies, and Performance.

Guidelines – Governnment of India

During home visits by health workers the mother is taught how to recognise diseases innci and when to seek medical help. Of these births, 72, She is also educated on the benefits of exclusive breastfeeding.

Office of Registrar General. Community action for safe motherhood Dhar, Madhya Pradesh. 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 Committees, 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.

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. There is a need to explore these approaches and adapt these in different states and districts. 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.

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. Distribution of category of workers trained in IMNCI, totalworkers in districts. Implementation status based on reports from 99 districts. The contacts between the trained workers and the newborns and their families have also increased.

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. 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.


Despite the variations in the performance of workers across the districts, there was a pattern. After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: The guidelines relied on the detection of cases using simple clinical signs without laboratory tests and offered empirical treatment.

Except for the indicator—percentage of children fully immunized—the net change in the coverage levels of all other indicators was higher among the intervention districts than among the control districts. 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. Second, recognizing that a large proportion of sick children do not come in contact with 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.

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

Tracking progress in maternal, newborn and child survival: The newborns not reached are likely to be the ones who are most vulnerable. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits inci use, distribution, and reproduction in any medium, provided the original work is properly cited.

IMNCItraining module for workers, Find us on Facebook. There are several areas of concern. Quality of care for sick indiia in 3 states.

Integrated management of neonatal and childhood illness: What programme bottlenecks affect the effective implementation of the strategy and how have they been addressed so far, if at all?

What proportion of newborns was the CHW able to visit in the first week of life?

Compared to the target of implementing IMNCI in districts bythe strategy was introduced in districts, of which 73 Double blessings for West Bengal Super Dad. The key indicators analyzed to assess the effectiveness of the programme are listed in Table 1which also summarizes the methodology of the assessment. The power supply needed to store the immci is unreliable in some states, so UNICEF supports monitoring and supervision of imbci and transport equipment.


World Water Day How Sanitation Can Help the Environment.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

Campaigns Videos Photo Albums. While some information e. Based on the early experience of IMNCI implementation in different states of India, measures need to be taken to improve supportive supervision, availability of essential supplies, and monitoring of the programme if the strategy has to translate into improved child survival in India. Some weeks before the national and state immunisation days, UNICEF provides support at the district and sub-district levels in identifying areas where services need to be urgently provided and in ensuring their delivery.

Bull World Health Organ. Tribal women become torchbearers of education in Lalitpur district. Please review our privacy policy.

Quality of care for sick children in 3 idia State Appropriate classification Appropriate treatment identification Appropriatecounselling No. Correspondence and reprint requests should be addressed to: Second, incentives to the frontline workers for home-visits to all newborns should be strongly considered for increasing the coverage of home-visits. 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.

Programme bottlenecks in training, supervision, and supplies Table 4 summarizes the bottlenecks in programme implementation, as identified by programme inxia in seven districts. Vigilante women make their village open defecation free. If not found sick enough for admission, this might lead to loss of credibility of the community-based workers. In addition, the workers are expected to assess sick children, manage children with minor illness, and refer severelyill children.

The referral health centre in Kukshi block of Dhar is now just one of several with an efficient maternity ward. 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.