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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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The IMNCI training programme focuses on building of individual skills and includes practice sessions in the field and in the hospital. The key indicators indja to assess the effectiveness of the programme are listed in Table 1which also summarizes the methodology of the assessment. During12 early-implementing districts had covered most key newborn and child practice indicators compared to the control districts; however, the difference was significant only for care-seeking for acute respiratory infection net imcni First, the programme assessment, as conducted in the selected districts, needs to be conducted in all the states and districts to identify the programme bottlenecks.

Weighted averages of the percentage change in coverage levels were calculated for the intervention and control districts. The comparison of the DLHS data also provides an early evidence of the effectiveness of the programme on the coverage of some key newborn and childcare practices, such as care-seeking for ARI, institutional delivery, early initiation of breastfeeding, and exclusive breastfeeding.

United Nations Children’s Fund,; In three states, the trained supervisors assessed the performance of a sample of community workers during home-visits to newborns using a standard checklist. Using trainers as supervisors: The training batch is restricted to about 24 participants with the facilitator-participant ratio of about 1: Ingle GK, Malhotra C.


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. Ensuring quality implementation of such a time-and effort-intensive programme would, therefore, require patience and persistence among the policy-makers and programme managers at all levels. Chattisgarh and Gujarat, were able to train more than 1, workers per year per district Table 2.

A systematic assessment of the programme implementation was carried out among seven early-implementing districts across seven states.

In addition, the workers are expected to assess sick children, manage children with minor illness, and refer severelyill children. Performance of trained health workers and community health workers Coverage of home-visits After training, the community health workers recorded the home-visits in a case record form.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

Of these districts, 39 were in the introduction phase, in the early-implementation phase, 30 in the expansion phase, and 43 in the consolidation phase. Pace of training by year of initiation Year of initiation No. Supervision was the weakest component of programme implementation across all the districts Table 4. 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.

What was the quality of care they provided to sick infants and children? Coverage of home-visits Implementation status based on reports from 99 districts No. Recognizing newborn care as critical for improving child survival, it was strengthened in IMNCI by increasing the newborn-care component of the training programme and including prevention and management of health conditions in the first week of life.

Effectiveness and cost of facility-based integrated management of childhood illness in Tanzania.

indja 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 Vigilante women make their village open defecation free.


Conclusions India has made significant investments in terms of time, effort, and money to roll out the IMNCI programme in the country.

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

The key indicators used for assessing the coverage of home-visits are shown in Table 1. The trainers train for half a month and supervise the trained workers in the remaining half. After training, the community health workers recorded the home-visits in a case record form. The tool scores on different dimensions of quality, and the range of score achievable is There is a need jndia explore these approaches and adapt these in different states and districts.

Guidelines – Governnment of India

Such innovative methods need to be quickly reviewed and scaled up to ensure the appropriate implementation of the programme. Training, Supervision, Supplies, and Performance. While assessment of 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 imnck incentives help improve the performance of CHWs While the roll-out is slow, the detailed operational plans ensured the reasonable quality of the training programmes and have enhanced minci skills of the workers.

National Center for Biotechnology InformationU.

When compared with the improvements in the control districts during the same period, improvements in the intervention districts were higher on all indicators, except the immunization coverage, although improvement in care-seeking for ARI was the only indicator that assumed statistical significance.