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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While assessment of the impact of incentives on the performance of the frontline insia 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 Effectiveness in improving coverage ofnewborn and childcare practices Table 5 summarizes the imnck between changes in the coverage of key indicators between the IMNCI districts and the control districts.

Two features distinguish this approach from the generic IMCI. Line supervisors are supposed to supervise the trained workers, using the structured supervisory checklists.

After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: The AWWs manage a village-level community nidia centre, called Anganwadi, and provide a set of services for promoting the growth and development minci under-six children.

First, the programme assessment, as conducted in the selected districts, needs to be conducted immci all the states and districts to identify the programme bottlenecks. One of the reasons for the high rate of referrals could be high sensitivity and low specificity of the criteria used by the IMNCI approach for referral. Of 1, health workers who observed across three districts in three states, 1, While the roll-out is slow, the detailed operational plans ensured the reasonable quality of the training programmes and have enhanced the skills of the workers.


Seventy percent of the workers trained under the programme were CHWs: Author information Copyright and License information Disclaimer. Only two states, i.

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

Effectiveness and cost of facility-based integrated management of childhood illness in Tanzania. World Water Day Tribal women become torchbearers of education in Lalitpur district.

Vigilante women make their village open defecation free. 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.

In three states, the trained supervisors assessed the performance of a sample of community workers during home-visits to newborns using a standard checklist. As a result, in Kukshi alone, there has been a 10 per cent increase in institutional deliveries between and India has made significant investments imni terms of time, effort, and money to roll out the IMNCI programme in the country. At the current rate of decline in infant mortality, Imndi is unlikely to achieve the Millennium Development Goal on child survival.

Limitations There are certain limitations of the study. The number of workers trained per year per district ranged from to 1, across different states, with a median of Integrated management of childhood illnesses: Determined girls transform a village in Shrawasti.

Pace of training by year of initiation Year of initiation No. Third, for ensuring the regular availability of key supplies, the Village Health and Sanitation Committees should be entrusted to stock supplies for the frontline workers.

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. Dhar is a predominantly tribal district in southwestern Madhya Pradesh.


However, it was reported subsequently that even integrated and decentralized approaches to supervision in Tanzania and Uganda proved too ambitious, particularly with respect to the need to include clinical observations and feedback as part of all supervisory visits 1417 While indiq and assessment were fair, handwashing and counselling were weak components. 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.

In the intervention districts, the coverage levels of all the indicators were higher at the endline compared to the baseline; the differences were least in the case of ORS-use rates and immunization 1. It focuses on strengthening homebased care and provides special care for under-nourished newborns.

The power supply needed to store the vaccine is unreliable in some states, so UNICEF supports monitoring and supervision of storage and imjci equipment.

Integrated Management of Neonatal and Childhood Illnesses (IMNCI) | UNICEF

Finally, each component received a score indoa was the total of all the scores of its indicators: Data from supervisors and data from programme reports coverage of home-visits for newborns Follow-up after training by supervisor: Courageous ihdia crafts rescue to save mother and her baby. National family health survey NFHS-3— Chattisgarh and Gujarat, were able to train more than 1, workers per year per district Table 2.

Please review our privacy policy. The key indicators used for assessing the coverage of home-visits are shown in Table 1. More thancommunity health workers and first-level healthcare providers were trained during at a variable pace across districts. Operational guidelines for implementation of integrated management of neonatal and childhood illnesses.

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