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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During home visits by health workers the mother is taught how to recognise diseases early and when to seek medical help. Tribal women become torchbearers of education in Lalitpur district.

Of 1, health workers who observed across three districts in three states, 1, The study suggests that the training programme led to the uptake of skills among the trained workers and, importantly, also to contacts of the newborns with the trained health workers within the first week of their life. While assessment of the impact of incentives on the performance of the frontline health workers is beyond the scope of this study, experiences from similar settings suggest that monetary and non-monetary incentives help improve the performance of CHWs Regular reviews of the programme at the national, state and district levels would further enhance its importance and also identify the critical bottlenecks in its implementation in a timely manner.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

Double blessings for West Bengal Super Dad. The kmnci jointly assigned the final score by consensus. 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.

Except for the indicator—percentage of children fully immunized—the net change in the coverage levels of all other indicators was higher among the intervention districts than among the control districts. Following training, workers are supposed to make home-visits to all newborns within their areas on day 1, 3, and 7 of life. There are several imncci of concern. Abstract At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival.

Effectiveness and cost imhci facility-based integrated management of childhood illness in Tanzania.


The key indicators used for assessing the coverage of home-visits are shown in Table 1. India has made significant investments in terms of time, effort, and money to roll out the IMNCI programme in the country. Provision of care by IMNCI-trained workers Following training, workers are supposed to make home-visits to all newborns within their areas on day 1, 3, and 7 of life. A recent study has shown that, with fewer signs, specificity of the referral criteria for newborns can be enhanced while retaining the sensitivity The use of auto-disposable syringes remains crucial to injection safety; UNICEF works to help raise awareness about this.

United Nations Children’s Fund. Frontline community-based workers and auxiliary nursemidwives ANMs are trained together in basic health workers course.

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. Indian J Community Med. Distribution of category of workers trained in IMNCI, totalworkers in districts. Performance of trained health workers and community health workers Coverage of home-visits After training, the community health workers recorded the home-visits in a case record form.

The paper is based on review of information generated from different sources, using a mix of methods as described below. 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.

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

Fourth, besides strengthening the line supervisory structures, engagement of non-governmental organizations, universities, and other institutions should be considered in a systematic manner to ensure supportive supervision to the trained workers, at least for an initial few years after the training.

A detailed report on progress in training was available for 99 Using trainers as supervisors: Integrated management of neonatal and childhood illness: In three states, the trained supervisors assessed the performance of a sample of community workers undia home-visits to newborns using a standard checklist. The proportions of workers who appropriately classified, identified treatment, and counselled were used as key indicators to assess the quality of home-visits.

Is ‘Social and Behaviour Change Communication’ about campaigns and production of communication materials? Through local community structures, such as the Village Indoa 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.


Some states have been able to scale up training programmes at a faster pace using different approaches, such as engagement of private sectors Gujarat and full-time stand-alone trainers Mayurbhanj, Orissa. Such an assessment should lead to corrective actions. Of these births, 72, Operational guidelines for implementation of integrated management of neonatal and childhood illnesses. SwachhHeroes Laxmanlal Rajasthan With no access to transportation, ret Besides, their performance was also assessed during the rapid programme assessment of IMNCI in seven districts across seven ijdia as described in the next section.

It focuses on strengthening homebased care and provides special care for under-nourished newborns.

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

A mother with her child waiting to receive the polio vaccine. Recognizing imncl care as critical for improving child survival, it was strengthened in IMNCI by increasing the newborn-care component of the training programme and including prevention and management of health conditions in the first week of life.

Innovative ways of supportive supervision. The power supply needed to store the vaccine is unreliable in some states, so UNICEF supports monitoring and supervision of storage and transport equipment.

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

At the current rate of decline in infant mortality, India is unlikely to achieve the Millennium Development Goal on child survival. Second, incentives to the frontline workers for home-visits to all newborns should be strongly considered for increasing the coverage of home-visits.

The number of workers trained per year per district ranged from to 1, across different states, with a median of Two features distinguish this approach from the generic IMCI. A recent analysis of the effectiveness of the Accelerated Child Survival and Development Programme in Africa also highlighted the role of systemic issues affecting the effectiveness of the child-survival programmes Determined girls transform a village in Shrawasti.

As a result, in Kukshi alone, there has been a 10 per cent increase in institutional deliveries between and