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 training batch is restricted to jmnci 24 participants with the facilitator-participant ratio of about 1: What proportion of newborns was the CHW able to visit in the first week of life? Vigilante women make their village open defecation free.

National Center for Biotechnology InformationU. What was the quality of care they provided to sick infants and children? The multi-country evaluation of IMCI had strikingly similar findings.

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

The present study, however, could not ascertain the compliance indiaa the families with the referral. A recent analysis of the effectiveness of indis Accelerated Child Survival and Development Programme in Africa also highlighted the role of systemic issues affecting the effectiveness of the child-survival programmes Second, recognizing that a large proportion of sick children do not come in contact with health workers but most of them can be infia by community-based workers, IMNCI in India focuses on community-based rather than facility-based healthcare providers.

Poor supervision and inadequate essential supplies affected the performance of trained workers. Change in coverage of key indicators in early-implementation IMNCI districts compared to control districts, While a large number of workers have been trained, at 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.

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Ingle GK, Malhotra C. While weighing and assessment were fair, handwashing and counselling were weak components.

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. After training, the community health workers recorded the home-visits in a case record form.

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

Integrated management of childhood illnesses: One of the trained frontline workers is engaged and trained as supervisor to support her peers, with some allowance for mobility. At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival.

The tool scores on different dimensions of quality, insia the range of score achievable is 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.

Chattisgarh and Gujarat, were able to train more than 1, workers per year per district Table 2. UNICEF encourages social mobilisation as a means of reaching the maximum number of people by engaging community-based groups and self-help groups. Pace of training by year of initiation Year of initiation No.

Analysis of programmatic data on IMNCI progress from all implementing districts from reports of supervisors and programme managers. Little information was available on the coverage from other districts.


Integrated management of neonatal and childhood illness: In addition, the workers are expected to assess sick children, manage children with minor illness, and refer severelyill children.

This article has been cited by other articles in PMC. Line supervisors are supposed to supervise the trained workers, using the structured supervisory checklists. It takes imci village to raise a healthy child – Bhandariya shows the way.

While some information e. Second, incentives to imci frontline workers for home-visits to all newborns should be strongly considered for increasing the coverage of home-visits.

Of 1, imni workers who observed across three districts in three states, 1, Similarly, each component was also given a colour code: Programme bottlenecks in training, imnvi, and supplies A systematic assessment of the programme implementation was carried out among seven early-implementing districts across seven states. Abstract At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival.

The contacts between the trained workers and the newborns and their families have also increased. It was recommended that public accountability should be enhanced to inida and address the bottlenecks of delivery 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.

The information on the coverage of home-visits is based on those districts from where information was available.