Heilbrigðisþjónusta við veik börn með IMCI vinnuferlum í Monkey Bay, Malaví
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
Other TitlesHealth services for children and the implementation of IMCI in Monkey Bay, Malawi
CitationLæknablaðið 2006, 92(4):271-9
AbstractOBJECTIVES: Examine primary health care services for ill children in a sub-Saharan African country, assess the appropriateness of the Integrated Management of Childhood Illness (IMCI) in such a setting and evaluate its implementation. MATERIAL AND METHODS: The study was carried out in March, 2005 in the Monkey Bay area, Malawi, in two state-run health facilities that provide services free of charge and in three privately run facilities that charge user fees. Data was collected from each facility regarding all out-patient visits but in particular of children under five years of age (U5s). Interviews were conducted with health workers and drug inventories were carried out in the facilities. RESULTS: Eight out of 10 health workers were trained in IMCI. It was 1.22 times more likely (RR, 95% CI 1.18-1.26) that U5s were brought to a state-run facility than a private one. Around 4/5 of all disease classifications during the research period are dealt with in the IMCI. About half of U5s were classified with malaria, 28% with other respiratory infections, 6% with pneumonia, and 5% with diarrhoea. Most IMCI-recommended drugs were in stock at the time of inspection but all facilities lacked at least one recommended drug. CONCLUSION: Results show that IMCI reaches the periphery of the health care system in a low-income country such as Malawi. They confirm that IMCI deals with the majority of diseases affecting U5s in such a setting. User fees seem to influence health care seeking behaviour. It is important to support and strengthen health services for ill children in the area, support continuous education of staff and ensure availability of drugs and equipment.
DescriptionHægt er að lesa greinina í heild sinni með því að smella á hlekkinn View/Open
- Improving antimicrobial use among health workers in first-level facilities: results from the multi-country evaluation of the Integrated Management of Childhood Illness strategy.
- Authors: Gouws E, Bryce J, Habicht JP, Amaral J, Pariyo G, Schellenberg JA, Fontaine O
- Issue date: 2004 Jul
- Evaluation of an algorithm for integrated management of childhood illness in an area of Kenya with high malaria transmission.
- Authors: Perkins BA, Zucker JR, Otieno J, Jafari HS, Paxton L, Redd SC, Nahlen BL, Schwartz B, Oloo AJ, Olango C, Gove S, Campbell CC
- Issue date: 1997
- The integrated management of childhood illness.
- Authors: Robinson D
- Issue date: 1996 Sep
- Quality of care for under-fives in first-level health facilities in one district of Bangladesh.
- Authors: Arifeen SE, Bryce J, Gouws E, Baqui AH, Black RE, Hoque DM, Chowdhury EK, Yunus M, Begum N, Akter T, Siddique A
- Issue date: 2005 Apr
- Management of severely ill children at first-level health facilities in sub-Saharan Africa when referral is difficult.
- Authors: Simoes EA, Peterson S, Gamatie Y, Kisanga FS, Mukasa G, Nsungwa-Sabiiti J, Were MW, Weber MW
- Issue date: 2003