BACKGROUND Integrated Management of Childhood Illness (IMCI) is regarded as a standard public health approach to lowering child mortality in developing countries. However, little is known about how health workers adhere to the guidelines at the national level in sub-Saharan African countries. METHODS Data from the Service Provision Assessment surveys of Namibia (NA) (survey year: 2009), Kenya...

Abstract Background The Integrated eDiagnosis Approach (IeDA), centred on an electronic Clinical Decision Support System (eCDSS) developed in line with national Management of Childhood Illness (IMCI) guidelines, was implemented primary health facilities two regions Burkina Faso. An evaluation performed using a stepped-wedge cluster randomised design the aim determining whether IeDA intervention...

OBJECTIVE To test a quality improvement approach called COPE (Client-Oriented, Provider-Efficient services), for use in strengthening health systems and supporting Integrated Management of Child Health (IMCI) efforts. DESIGN Pre- and post-intervention observations of client/provider interactions, facility audits, staff and client surveys, and focus groups to evaluate differences between eight...

BACKGROUND The Integrated Management of Newborn and Childhood Illness strategy equips health workers with essential knowledge and skills to effectively manage sick children with common neonatal and childhood diseases. Since in-service training is very demanding to achieve the desired coverage of training of health workers, pre-service training is taken as a solution. At the time of the survey, ...

Under-five mortality in Nepal remains high, at approximately 100 deaths per 1,000 live births, and as in other high mortality settings, pneumonia is a leading cause of childhood death. However, Nepal is an exceptional example of donorlMOWNGO partnership on a large scale to reduce childhood deaths through case management at the community-level. Nepal's CB-IMCI initiative has grown out of experie...

One of the policies for promoting health children under five years age by Indonesian Ministry Health is implementation Integrated Management Childhood Illness (IMCI) in country’s Puskesmas (Community Centre). In current IMCI, Puskesmas’ medical staff have to work using a 72 pages manual book, write down symptoms an IMCI form, and then determine condition patient proscribed actions. The requirem...

Pneumonia is the single commonest cause of death in children under five years old, accounting for 2 million out of 10 million childhood deaths worldwide [1]. Severe pneumonia is an important diagnostic syndrome within the World Health Organization (WHO)/UNICEF system for triage and clinical management in developing countries, the Integrated Management of Childhood Illness (IMCI). The objective ...

INTRODUCTION Hypoglycemia is a defining feature of severe malaria and several other infectious diseases in children but the prevalence, significance, and prognosis of abnormal blood glucose, including hyperglycemia, have rarely been addressed in severely ill children in non-malaria endemic areas. METHODS In Madagascar, consecutive children (1 month-15 years) admitted to the pediatric ward of ...

Background Integrated management of childhood illnesses (IMCI) strategy has been proven to improve health outcomes in children under 5 years of age. Pakistan, despite being in the late implementation phase of the strategy, continues to report high under-five mortality due to pneumonia, diarrhea, measles, and malnutrition - the main targets of the strategy. Objective The study determines the fac...