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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Supervisors are trained additionally in a two-day course 10 – More thancommunity health workers and first-level healthcare providers were trained during at a variable pace across districts.

Supplies were assessed as good in five of the seven districts and poor in the remaining two districts. Sample registration system statistical report The power supply needed to store the vaccine is unreliable in some states, so UNICEF supports monitoring and supervision of storage and transport equipment.

Close to 50 per cent of newborn deaths in India occur during the first seven days of birth. The tool scores on different dimensions of quality, and the range of score achievable is No apparent explanation could be found for the poor performance of the intervention districts on the immunization coverage.

By this date,workers had been trained. This article has been cited by other articles in PMC. Since the IMNCIprogramme in India is largely dependent on frontline workers, ijnci of a large number of workers scattered across a large number of villages is even more challenging. It focuses on strengthening homebased care and provides special care for under-nourished newborns.

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 nidia the effectiveness of IMNCI on newborn and child mortality Bhandari N. After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: How Sanitation Can Undia the Environment.


Effectiveness and cost of facility-based integrated management of childhood illness in Tanzania. Quality of care for sick children in 3 states.

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

During home visits by health workers the mother is taught how to recognise diseases early and when to seek medical help. While doing so, it seeks to answer the following questions: UNICEF encourages social mobilisation as a means of reaching the maximum number of people by engaging community-based groups and self-help groups.

The training batch is restricted to about 24 participants with the facilitator-participant ratio of about 1: United Nations Children’s Fund.

Imndi module for workers, Programme data were analyzed to ascertain the implementation status; rapid programme assessment was conducted for identifying the programme bottlenecks; and results of analysis of two rounds of district-level household surveys were used for comparing the change in the coverage of child-health interventions in IMNCI and control districts. Using trainers as supervisors: They then reported on the key coverage indicators. The trained supervisors conducted the quality checks using a standard tool.

Quality of home-visits Of 1, health workers who lndia across three districts in three states, 1, Find us on Facebook.

Integrated Management of Neonatal and Childhood Illness (IMNCI) | PSM Made Easy

Analysis of programmatic data on IMNCI progress from all implementing districts from reports of supervisors and programme managers. World Health Organization; http: These amounted to about 1.


Results of an initial evaluation of IMCI implementation in Tanzania showed significantly improved supervision in implementing districts than in control districts. Line supervisors are supposed to supervise the trained workers, using the structured supervisory checklists. Poor supervision and monitoring and poor availability of logistics and supplies were the major bottlenecks in programme implementation.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

International Institute for Population Sciences,; Rapid programme assessment also highlighted that reporting on implementation jndia been a weak component of the programme and requires mainstreaming with the national HMIS. Training was assessed to be good in six of seven districts and average in the remaining district. Based on assessment of the quality of training from 70 training programmes for frontline workers across 14 states, the median quality score was 88 out of Correspondence and reprint requests should indiaa addressed to: Integrated management of childhood illnesses: 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.

Community indis worker incentives and disincentives: Of 1, health workers who observed across three districts in three states, 1, IMCI only covered children aged seven days to five years excluding the early neonatal period and targeted health workers at primary-care facilities 7.