scholarly journals Improving the Assessment and Classification of Sick Children according to the Integrated Management of Childhood Illness (IMCI) Protocol at Sanja Primary Hospital, Northwest Ethiopia: A Pre-Post Interventional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Mohammed Abayneh ◽  
Tsegaye Gebremedhin ◽  
Endalkachew Dellie ◽  
Chalie Tadie Tsehay ◽  
Asmamaw Atnafu
Keyword(s):  
Integrated Management ◽  
Northwest Ethiopia ◽  
Mean Difference ◽  
Childhood Illness ◽  
Successful Implementation ◽  
Interventional Study ◽  
Essential Drugs ◽  
Primary Hospital ◽  
Sick Children

Background. A complete and consistent use of integrated management of childhood illness (IMCI) protocol is a strategic implementation that has been used to promote the accurate assessment and classifications of childhood illnesses, ensures appropriate combined treatment, strengthens the counseling of caregiver, and speeds up the referrals to decrease child mortality and morbidity. However, there is limited evidence about the complete and consistent use of IMCI protocol during the assessment and classifications of childhood illness in Ethiopia. Therefore, this intervention was implemented to improve the assessment and classifications of childhood illness according to the IMCI protocol in Sanja primary hospital, northwest Ethiopia. Methods. A pre-post interventional study was used in Sanja primary hospital from January 01 to May 30, 2019. A total of 762 (381 for pre and 381 for postintervention) children from 2 months up to 5 years of age were involved in the study. Data were collected using a structured questionnaire prepared from the IMCI guideline, and a facility checklist was used. A five-month in-service training, weekly supportive supervision, daily morning session, and availing essential drugs and materials were done. Both the descriptive statistics and independent t -test were done. In the independent t -test, a p value of <0.05 and a mean difference with 95% CI were used to declare the significance of the interventions. Results. The findings revealed that the overall completeness of the assessment was improved from 37.8 to 79.8% (mean difference: 0.17; 95% CI: 0.10-0.22), consistency of assessment with classification from 47.5 to 76.9% (mean difference: 0.34; 95% CI: 0.27-0.39), classification with treatment from 42.3 to 75.4% (mean difference: 0.35; 95% CI: 0.28-0.47), and classification with follow-up from 32.8 to 73.0% (mean difference: 0.36; 95% CI: 0.29-0.42). Conclusion. The intervention has a significant improvement in the assessment and classification of childhood illness according to the IMCI protocol. Therefore, steps must be taken to ensure high quality of training, adequate supervision including the observation of health workers managing sick children during supervisory visits, and a constant supply of essential drugs and job aids for successful implementation of IMCI in the hospital and also to other facilities.

scholarly journals The impact of simulation practice on student nurses’ skills: the case of integrated newborn and childhood illness management at the university of Namibia

2016 ◽  
Vol 5 (1) ◽  
pp. 76
Author(s):  
Hermine Iita ◽  
Hanna Neshuku ◽  
Moses Chirimbana
Keyword(s):  
Quantitative Research ◽  
Integrated Management ◽  
Student Nurses ◽  
Childhood Illness ◽  
Research Approach ◽  
Sick Children ◽  
The Impact ◽  
Classroom Simulation ◽  
Simulation Practice

<p>The purpose of this study was to determine if guided simulation practice could enhance practical skills of student nurses in management of childhood illnesses, based on the Integrated Management of Newborn and Childhood Illness (IMNCI) approach.</p><p>The objective was to determine the level at which guided classroom simulation practice enhances the skills of student nurses regarding assessment and classification of sick children aged two months to five years for treatment. A quantitative research approach using a pre-test and post- test strategy was used. Descriptive statistics were done and a t-test was also performed to determine the difference in the means. Findings demonstrate that there is an improvement in the performance of student nurses as a result of the guided classroom simulation practice. Recommendations include that student nurses be exposed to guided simulation practice before they are deployed in the clinical area for the actual assessment and classification of sick children based on the Integrated Management of Neonatal and Childhood Illness.</p>

scholarly journals DEVELOPING TEACHING LEARNING FOR INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI): A QUALITATIVE STUDY IN ACEH INDONESIA

2017 ◽  
Vol 3 (5) ◽  
pp. 555-568
Author(s):  
Wirda Hayati ◽  
Sri Supar Yati Soenarto ◽  
Fitri Haryanti ◽  
Yayi Suryo Prabandari
Keyword(s):  
Nursing Students ◽  
Qualitative Study ◽  
Learning Process ◽  
Nurse Educators ◽  
Integrated Management ◽  
Community Health Center ◽  
Childhood Illness ◽  
Clinical Instructors ◽  
Sick Children ◽  
Teaching Learning

Background: Integrated Management of Childhood Illness (IMCI) is an integrated guideline in dealing with infants and sick children at the community health center. However, many students cannot apply this guideline because they are not being exposed.Objective: This study aims to explore the perspectives of nurse educators and clinical instructors regarding the effectiveness of teaching learning process of IMCI in diploma nursing students.Methods: This was a qualitative study with interpretive approach. There were 9 informants selected using purposive sampling, which consisted of nurse educators and clinical instructors. Data collection was conducted in December 2016 - February 2017 using focus group discussions and in-depth interviews. Data were analyzed using Colaizzi process.Result: There were four themes emerged from data, namely 1) Competency of IMCI for Diploma Nursing Students, 2) Deepening of IMCI Material, 3) Learning methods of IMCI in the class and clinic should be active and structured, 4) Student confidence in the application of IMCI in clinical setting.Conclusion: The learning process of IMCI will have an impact on the improvement of knowledge, skills and attitude in the application of IMCI in the clinical setting.

scholarly journals Comparison of Two Methods: Problem-based Learning vs Lecture in Integrated Management of Childhood Illness Workshops

2016 ◽  
Vol 50 (3) ◽  
pp. 123-126
Author(s):  
Fardin Assadi ◽  
Parisa Khoshnevisasl ◽  
Mansor Sadeghzadeh ◽  
Korosh Kamali
Keyword(s):  
Medical Students ◽  
Integrated Management ◽  
Problem Based Learning ◽  
Knowledge Retention ◽  
Childhood Illness ◽  
Quality Of Education ◽  
Medical Sciences ◽  
Interventional Study ◽  
Hospital Wards

ABSTRACT Objectives The aim of this study was to compare problembased learning (PBL) with lecture presentation in education of clinical medical students in Integrated Management of Childhood Illness (IMCI) workshops. Materials and methods This crossover interventional study was conducted on clinical medical students in pediatric disease department of Zanjan University of Medical Sciences. Fortyfour students were randomly divided into two groups and two subjects in IMCI courses were chosen. One of the topics was presented as lecture for the first group of students and as PBL for the second group. The second topic was presented as PBL for the first group and as lecture for the second group of students. Results The students’ scores in intervention groups for both topics of “loss of consciousness” and “management of diarrheal diseases” were significantly higher than controls. Each student got significantly higher score in subject presented as PBL. Students preferred PBL compared to lecture for increasing their motivation, a higher quality of education, knowledge retention, and class attractiveness. Discussion Besides the attractiveness of PBL, it seems that this method is more successful than lecture in increasing student's knowledge. We propose to use this method in workshops and medical education in clinic and hospital wards. How to cite this article Assadi F, Khoshnevisasl P, Sadeghzadeh M,Kamali K. Comparison of Two Methods: Problem-based Learning vs Lecture in Integrated Management of Childhood Illness Workshops. J Postgrad Med Edu Res 2016;50(3):123-126

scholarly journals Integrated Management of Childhood Illness: efficiency of primary health in Northeast Brazil

2008 ◽  
Vol 42 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Débora G Amorim ◽  
Taghreed Adam ◽  
João J F Amaral ◽  
Eleanor Gouws ◽  
Jennifer Bryce ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Integrated Management ◽  
Childhood Illness ◽  
Northeastern Brazil ◽  
Child Health Care ◽  
Single Measure ◽  
Sick Children ◽  
The Impact

OBJECTIVE: The Integrated Management of Childhood Illness is a strategy designed to address major causes of child mortality. The aim of this study was to assess the impact of the strategy on the quality of child health care provided at primary facilities. METHODS: Child health quality of care and costs were compared in four states in Northeastern Brazil, in 2001. There were studied 48 health facilities considered to have had stable strategy implementation at least two years before the start of study, with 48 matched comparison facilities in the same states. A single measure of correct management of sick children was used to assess care provided to all sick children. Costs included all resources at the national, state, local and facility levels associated with child health care. RESULTS: Facilities providing strategy-based care had significantly better management of sick children at no additional cost to municipalities relative to the comparison municipalities. At strategy facilities 72% of children were correctly managed compared with 56% in comparison facilities (p=0.001). The cost per child managed correctly was US$13.20 versus US$21.05 in the strategy and comparison municipalities, respectively, after standardization for population size. CONCLUSIONS: The strategy improves the efficiency of primary facilities in Northeastern Brazil. It leads to better health outcomes at no extra cost.

scholarly journals Outcome of nurses’ training on treatment of selected diseases, utilising integrated management of childhood illness module inagege local governemnt, Lagos State

2020 ◽  
Vol 8 (11) ◽  
pp. 3876
Author(s):  
Fadipe Ololade Omolayo
Keyword(s):  
Integrated Management ◽  
Childhood Illness ◽  
Health Centers ◽  
Post Intervention ◽  
Childhood Diseases ◽  
Seek Health Care ◽  
Lagos State ◽  
Quasi Experimental ◽  
Sick Children ◽  
Level Of Significance

Background: In developing countries, parents seek health care for their sick children daily at available health centers, pharmacies, hospitals and traditional healing centers, but the care received are not always adequate, this invariably result in use of obsolete ideas and regimens in the care of sick children. However, it was observed that some nurses do not treat sick children according to IMCI module hence the objective of the study is to explore the outcome of nurses training in the treatment of selected childhood diseases utilizing IMCI.Methods: The study utilized one group pre-posttest quasi experimental research design. Total enumeration was used to enroll 150 participants. Two research instruments were used to collect data with reliability index of 0.803 and 0.617. Inferential statistics was used to test the hypotheses at 0.05 level of significance. Data were collected over six weeks in three phases.Results: Results revealed significant differences between pre and post intervention mean scores of nurses knowledge in the treatment of malaria (t=22.626, p=0.00); pneumonia (t=19.760, p=0.00); and diarrhoea (t=19.608, p=0.00).Conclusions: The training package used in this study enhanced the knowledge in the treatment of selected childhood illness. It is therefore recommended that there is need to train all nurses working at the primary health centers on the use of integrated management of childhood illness module which will contribute to the reduction of infant morbidity and mortality rate in Ages local government area of Lagos State.

An Interventional Study on the Integrated Management of Childhood Illness Training Program among Medical Interns

2014 ◽  
Vol 2 (2) ◽  
pp. 46
Author(s):  
Pawan Parashar ◽  
Amit Mohan ◽  
Sartaj Ahmad ◽  
Rahul Bansal ◽  
Samir Chatoupadhayay ◽  
...  
Keyword(s):  
Training Program ◽  
Integrated Management ◽  
Childhood Illness ◽  
Interventional Study ◽  
Medical Interns

The Integrated Management of Childhood Illness (IMCI) – Beyond Mortality Reduction IMCI and Its Potential to Reduce the Misuse of Antibiotics

2020 ◽  
Author(s):  
Susanne Carai ◽  
Aigul Kuttumuratova ◽  
Larisa Boderscova ◽  
Henrik Khachatryan ◽  
Ivan Lejnev ◽  
...  
Keyword(s):  
Integrated Management ◽  
Childhood Illness ◽  
Mortality Reduction
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