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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Guidelines – Governnment of India
The training batch is restricted to about 24 participants with the facilitator-participant ratio of about 1: 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.
Integrated management of childhood illnesses: Office of Registrar General. UNICEF has initiated the programme in one district in each of the following five states — Maharashtra, Rajasthan, Gujarat, Tamil Nadu and Madhya Pradesh — with plans to expand it into 20 other districts across the country. Community health worker incentives and disincentives: Following training, workers are supposed to make home-visits to all newborns within their areas on day 1, 3, and 7 of life. Innovative ways of supportive supervision.
The net difference in changes in coverage was then compared between the intervention and the control districts using linear regression adjusting for clustering and for sampling weights. One of the major reasons for the slow decline in the IMR is the stagnation in neonatal mortality.
At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival.
Assessment of Implementation of Integrated Management of Neonatal and Childhood Illness in India
Each training programme is run for eight days. UNICEF encourages social mobilisation as a means of reaching the maximum number of people by engaging community-based groups and self-help groups. What proportion of newborns was the CHW able to visit in the first week of life?
In the current decade, neonatal mortality is declining sluggishly, moving from 40 per 1, livebirths in to 36 per 1, livebirths in Weighted averages of the percentage change in coverage levels were calculated for the intervention and control districts. Find us on Facebook. Infia India has made significant investments in terms of time, effort, and money to roll out the IMNCI programme in the country.
Incomplete and indiaa data were corrected by contacting and seeking clarifications from the district and state authorities. During the same period, the frontline workers also assessedolder children and advised referral to about Each member of the team reviewed the collected information.
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. More thancommunity health workers and first-level healthcare providers were trained during at a variable pace across districts. Of these districts, 39 were in the introduction phase, in the early-implementation phase, 30 in the expansion phase, and 43 in the consolidation phase.
The newborns not reached are likely to be the ones who are most vulnerable. Through local community structures, such as the Village Health Committees, Panchayati Raj Institutions and self-help groups, and in co-ordination with the District Administration, UNICEF has helped to raise awareness and concern among families in the villages.
Integrated Management of Neonatal and Childhood Illness (IMNCI) | PSM Made Easy
The referral health centre in Kukshi block of Dhar is now just one of several with an efficient maternity ward. For depiction purposes, each indicator was given a colour code: United Nations Children’s Fund,; Summary report on causes of deaths: Ministry of Health and Family Welfare.
The proportions of workers who appropriately classified, identified treatment, and counselled were used as key indicators to assess the quality of home-visits.