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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Table 4 summarizes the bottlenecks in programme implementation, as identified by programme reviews in seven districts. J Health Popul Nutr. A recent analysis of the effectiveness of the Accelerated Child Survival and Development Programme in Africa also highlighted the role of systemic issues affecting the effectiveness of the child-survival programmes Most deliveries take place at home. The coverage of child-health interventions imnco highly inadequate in India.
In the current decade, neonatal mortality is declining sluggishly, moving from 40 per 1, livebirths in to 36 per 1, livebirths in The median quality score was used as the indicator for the quality of training programme.
Child survival, Infant health, Integrated management of childhood illness, Neonatal mortality, Newborn care, Performance evaluation, India. There are certain limitations of the study.
Besides, their performance was also assessed during the rapid programme assessment of IMNCI in seven districts across seven states as described in the next section. Community health worker incentives and disincentives: Such innovative methods need to be quickly reviewed and scaled up idnia ensure the appropriate implementation of the programme.
Integrated Management of Neonatal and Childhood Illness (IMNCI)
While a large number of workers have been trained, indiz 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. Finally, each component received a score that was the total of all the scores of its indicators: They receive a fixed remuneration for the services.
Such an assessment should lead to corrective actions. After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: Fourth, besides strengthening the line supervisory structures, imncl 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.
Jmnci apparent explanation could be found for the poor performance of the intervention districts on the immunization coverage.
Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India
Ondia programme bottlenecks affect the effective implementation of the strategy and how have they been addressed so far, if at all? The paper is based on review of information generated from different sources, using a mix of methods as described below.
Line supervisors are supposed to supervise the trained workers, using the structured supervisory checklists. Two features distinguish this approach from the generic IMCI.
For depiction purposes, each indicator was given a colour code: Data from quality checks on a random subset imnxi about 70 training programmes across 14 states, using a standard tool. The AWWs manage a village-level community nutrition centre, called Anganwadi, and provide a set of services for promoting the growth and development of under-six children.
International Institute for Population Sciences. During the same period, the frontline workers also assessedolder children and advised referral to about Girls demand education, not marriage. Of these districts, 39 were in the introduction iknci, in the early-implementation phase, 30 in the expansion phase, and 43 in the consolidation phase.
There is a need to explore these approaches and adapt these in different states and districts. Limitations There are certain limitations of the study. The information on the coverage of home-visits is based on those districts from where information was available.
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 IMCI only covered children aged seven days to five years excluding the early neonatal period and targeted health workers at primary-care facilities 7.
Such information is critical to guide the further implementation of the programme and to modify the course. The key indicators analyzed to assess the effectiveness of the programme are listed in Table 1which also summarizes the methodology of the assessment.
While assessment imni the impact of incentives on the performance of the frontline health workers is beyond the scope of this study, experiences from similar settings suggest that monetary and non-monetary incentives help improve the performance of CHWs Analysis of programmatic data on IMNCI progress from all implementing districts from reports of supervisors and programme managers.
Some states have been able immnci 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.
UNICEF encourages social mobilisation as a means of reaching the indua number of people by engaging community-based groups and self-help groups. Ministry of Health and Family Welfare.
Integrated Management of Neonatal and Childhood Illness (IMNCI) | PSM Made Easy
Table 5 summarizes the comparison between changes in the coverage of key indicators between the IMNCI districts and the control districts.
World Water Day Provision of care by IMNCI-trained workers Following training, workers incia supposed to make home-visits to all newborns within their areas on day 1, 3, and 7 of life. A systematic assessment of the programme implementation was carried out among seven early-implementing districts across seven states.
Little information was available on the coverage from other districts.