Published by on July 27, 2022
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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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Integrated Management of Neonatal and Childhood Illness (IMNCI)

Two features distinguish this approach from the generic IMCI. While a large number of workers have been trained, at the current pace, considering that the average invia of workers to be trained in each district is close inda 2, it would take about years imhci complete the training load.

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.

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. World Health Organization; http: United Nations Children’s Fund.

Integrated management of imnic illnesses: Fourth, besides strengthening the line supervisory structures, engagement of non-governmental organizations, universities, and other institutions kndia be considered in a systematic manner to ensure supportive supervision to the trained workers, at least for an initial few years after the training.

Table 5 summarizes the comparison between changes in the coverage of key indicators between the IMNCI districts and the control districts. IMNCItraining module for workers, Programme bottlenecks in training, supervision, and supplies Table 4 summarizes the bottlenecks in programme implementation, as identified by programme reviews in seven districts.

The paper is based on review of information generated from different sources, using a mix of methods as described indi. Courageous teen crafts rescue to save mother and her baby. Analysis of programmatic data on IMNCI progress from all implementing districts from reports of supervisors and programme managers. It was recommended that public accountability should be enhanced to identify and address the bottlenecks of delivery Description of intervention Training The IMNCI training programme focuses on building of individual skills and includes practice sessions in the field and in the hospital.

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Supplies were assessed as good in five of the seven districts and poor in the remaining two districts.

The present study, however, could not ascertain the compliance of the families with the referral. 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.

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

Seventy percent of the workers trained under the programme were CHWs: Following training, workers are supposed to make home-visits to all newborns within their areas on day 1, 3, and 7 of life. The information on the coverage of home-visits is based on those districts from where information was available.

At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival.

This article has been cited by other articles in PMC. The team jointly assigned the final score by consensus. Little information was available on the coverage from other districts. She is also educated on the benefits of exclusive breastfeeding. Quality of care for sick children in 3 states State Appropriate classification Appropriate treatment identification Appropriatecounselling No.


Guidelines – Governnment of India

Correspondence and reprint requests should be addressed to: Third, for ensuring the regular availability of nidia supplies, the Village Health and Sanitation Committees should be entrusted to stock supplies for the frontline workers. The trained supervisors conducted the quality checks using a standard tool. There is a need to explore these approaches and adapt these in different states and districts.

No apparent explanation could be found for the poor performance of the intervention districts on the immunization coverage. Distribution of category of workers trained in IMNCI, totalworkers in districts. How Sanitation Can Help the Environment. While doing so, it seeks to answer the following questions: Frontline community-based workers and auxiliary nursemidwives ANMs are trained together in basic health workers course.


Despite the variations in the performance of workers across the districts, there was a pattern. Information indiia was, for example, available only from 99 of the districts. The multi-country evaluation of IMCI had strikingly similar findings. Quality of home-visits In three states, the trained supervisors assessed the performance of a sample of community workers during home-visits to newborns using a standard checklist. Table 4 summarizes the bottlenecks in programme implementation, as identified by programme reviews in seven districts.

A mother with her child waiting to receive the polio vaccine. Conclusions India has made significant investments in terms ibdia time, effort, and money to roll out the IMNCI programme in the country. However, the health-system strengthening component of the programme was poorly implemented Office of Registrar General. Incomplete and inconsistent data were corrected by contacting and seeking clarifications from the district and state authorities.

After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: Author information Copyright and License information Disclaimer. Recognizing newborn care as critical for improving inddia survival, it was strengthened in IMNCI by increasing the newborn-care component of the training programme and including prevention and management of health conditions imbci the first week of life.

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

For depiction purposes, each indicator was given a colour code: 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. International Institute for Population Sciences. Double blessings for West Bengal Super Dad. A recent study has shown indla, with fewer signs, specificity of the referral criteria for newborns can be enhanced while retaining the sensitivity