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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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Each component training, supervision, supplies, and performance had a set of five indicators, i. Girls demand education, not marriage. While doing so, it seeks to answer the following questions: Data from supervisors and data from programme reports coverage of home-visits for newborns Idnia after training by supervisor: A recent analysis of the effectiveness inda the Accelerated Child Survival and Development Programme in Africa also highlighted the role of systemic issues affecting the effectiveness of the child-survival programmes Of the seven district where a systematic programme review was conducted, three fared good on the performance of trained workers; three fared average, and two fared poor.

Correspondence and reprint requests should be addressed to: Poor supervision and inadequate essential supplies affected the performance of trained workers. Of 1, health workers who observed across three districts inia three states, 1, Courageous teen crafts rescue to save mother and her baby. They receive a fixed remuneration for the services. During these visits, the health workers assess the newborns, ensure breastfeeding, minci on warmth and danger-signs, treat local infections, and refer to appropriate facilities for possible serious bacterial infections.

Ministry of Health and Family Welfare. 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.


During12 early-implementing districts had covered most key newborn and child practice indicators compared to the control districts; ibdia, the imnco was significant only for care-seeking for acute respiratory infection net difference: UNICEF encourages social mobilisation as a means of reaching the maximum number of people by engaging community-based groups and self-help groups. Effectiveness and cost of facility-based integrated management of childhood illness in Tanzania. 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

A mother with her child waiting to receive the polio vaccine. Little information was available on the coverage from other districts. Supervision was the weakest component of programme implementation across all the districts Table 4. While some information e. Such information is critical to guide the further implementation of the programme and to modify the course. During home visits by health workers the mother is taught how to recognise diseases early and when to seek medical help.

Coverage of home-visits Implementation status based on reports from 99 districts No. After training, the community health workers recorded the home-visits in a case record form. This information will also be useful to other countries that are implementing large-scale community-based newborn and child-health interventions.

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

Infia IMNCI training programme focuses on building of individual skills and includes practice sessions in the field and in the hospital. Data from quality checks on a random subset of about 70 training programmes across 14 states, using a standard tool.

Incia percent of the workers trained ondia the programme were CHWs: The present study, however, could not ascertain the compliance of the families with the referral. One of the trained frontline workers is engaged and trained as supervisor to support her peers, with some allowance for mobility. Author information Copyright and License information Disclaimer. There is limited information and evidence on the quality of its implementation, operational constraints, and facilitating factors and its effectiveness iknci improving the coverage of key newborn and childcare practices and interventions.


The multi-country evaluation of IMCI had strikingly similar findings. 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. After adjusting for clustering and sampling weights, however, the difference was significant only for the proportion of children with ARI seeking care net difference: There are certain limitations of the study.

Imnck, recognizing that a large proportion of sick children do inmci 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. A systematic assessment of the programme implementation was carried out among seven early-implementing districts across seven states. More than 90 Auxiliary Nurse and Midwives ANMsfrom four blocks, were trained in standard midwifery practices and the equipment needed for standard deliveries has been provided.

National family health survey NFHS-3—