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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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. 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.

Integrated management of childhood illnesses: By this date,workers had been trained. Change in coverage of key indicators in early-implementation IMNCI districts compared to control districts, A boy receives a dose of oral polio vaccine.

Each component training, supervision, supplies, and performance had a set of five indicators, i.

Guidelines – Governnment of India

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

IMNCItraining module for workers, 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.

While doing so, it seeks to answer the following questions: How Sanitation Can Help the Environment. The paper is based on review of information generated from different sources, using a mix of methods as described below.

This information will also be useful to other countries that are implementing large-scale community-based newborn and child-health interventions. Dhar is a predominantly tribal district in southwestern Madhya Pradesh. Community health worker incentives and disincentives: IMCI only covered children aged seven days to five years excluding the early neonatal period and targeted health workers at primary-care facilities 7.


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

This article has been cited by other articles in PMC. Some inria 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.

No apparent explanation could be found for the poor performance of the intervention districts on the immunization coverage. 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. The number of workers trained per year per district ranged from to 1, across different states, with a median of Accelerated child survival and development programme in West Africa: They receive a fixed remuneration for the services.

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

After training, the community health workers recorded the home-visits in a case record form. Only two states, i. As a result, in Kukshi alone, there has been a 10 per cent increase in institutional deliveries between and 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. The team jointly assigned the final score by consensus.

Please review our privacy policy. Quality of care for sick children in 3 states State Appropriate classification Appropriate treatment identification Appropriatecounselling No. During this ineia, there was also an increase in the coverage levels of all the indicators in indiw control districts, except for the proportion of children with acute respiratory infection Inddiawho sought care. Performance of trained health workers and community imhci workers Coverage of home-visits After training, the community health workers recorded the home-visits in a case record form.

The quality of training programmes was also assessed based on quality checks on a random subset of 70 training programmes across 14 states. They then reported imndi the key coverage indicators. 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. Implementation status based on reports from 99 districts. Each training programme is run for eight days.


Similarly, each component was also given a colour code: Summary report on causes of deaths: Innovative ways of supportive supervision. A team of external omnci visited the districts and collected information using semi-structured sets of questionnaires as follows: Results of an initial evaluation of IMCI implementation in Tanzania showed significantly improved supervision in implementing districts than in control districts.

The referral rate appeared to be high and may lead to over-referral to the facilities. Many young lives are lost due to parents failing to recognise warning signs and sick children not being taken to health facilities on imncl, and because many mothers do not have sufficient knowledge on the protective value of breastfeeding.

Community action for safe motherhood Dhar, Madhya Pradesh Dhar is a predominantly tribal district in southwestern Madhya Pradesh. Programme data kmnci 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.

For depiction purposes, each indicator was given a colour code: Such an assessment should lead to corrective actions. Median quality score on training programmes. International Institute for Population Sciences. 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 In the current decade, neonatal mortality is declining sluggishly, moving from 40 per 1, livebirths in to 36 per 1, livebirths in Of 1, health workers who observed across three districts in three states, 1,