Percepciones de gestores de salud y facilitadores de la estrategia Atención Integrada a las Enfermedades Prevalentes (AIEPI) en una zona del Noreste de Brasil y Perú

Background Integrated Management of Childhood Illnesses (IMCI) is a strategy developed by the World Health Organization (WHO) and UNICEF in 1992. It was deployed as an integrated approach to improve children’s health in the world. This strategy is divided into three components: organizational, clinical, and communitarian. If the Integrated Management of Childhood Illnesses implementation-related factors in low- and middle-income countries are known, the likelihood of decreasing infant morbidity and mortality rates could be increased. This work aimed to identify, from the clinical component of the strategy, the implementation-related factors to Integrated Management of Childhood Illnesses at 18 Colombian cities. Methods A quantitative cross-sectional study was performed with a secondary analysis of databases of a study conducted in Colombia by the Public Health group of Universidad de Los Andes in 2016. An Integrated Care Index was calculated as a dependent variable and descriptive bivariate and multivariate analyses to find the relationship between this index and the relevant variables from literature. Results Information was obtained from 165 medical appointments made by nurses, general practitioners, and pediatricians. Health access is given mainly in the urban area, in the first level care and outpatient context. Essential medicines availability, necessary supplies, second-level care, medical appointment periods longer than 30 min, and care to the child under 30 months are often related to higher rates of Integrated Care Index. Conclusion Health care provided to children under five remains incomplete because it does not present the basic minimums for the adequate IMCI’s implementation in the country. It is necessary to provide integrated care that provides medicine availability and essential supplies that reduce access barriers and improve the system’s fragmentation.

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Integrated Management of Childhood Illnesses implementation-related factors at 18 Colombian cities

Sierra

Cañas

2020

BMC Public Health

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Prevención de infecciones respiratorias en instituciones de atención integral en el Norte de Santander.

Pineda

Ortega

Betancur

et al. 2020

Hacia Promoc. Salud

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Objetivo: prevenir infecciones respiratorias agudas en instituciones de atención integral mediante la implementación del programa “Sonríele a la ternura: Educación y salud de la mano por la primera infancia”. Materiales y métodos: estudio observacional descriptivo con enfoque mixto en 40 instituciones estatales del departamento de Norte de Santander con la participación de agentes educativos, padres de familia, personal administrativo, niñas y niños. Se diseñaron acciones para la implementación del programa como talleres, seminarios, dramatizaciones, funciones de títeres, consultorías y capacitaciones. Se entregaron folletos, afiches y adhesivos con base en las prácticas clave de la estrategia de atención integrada a las enfermedades de la infancia. Resultados: se beneficiaron 1331 padres de familia, 242 agentes educativos, 108 colaboradores administrativos y 4781 infantes; “La práctica clave de saneamiento” demostró ser herramienta indispensable para la prevención de la infección respiratoria aguda. Conclusión: se evidenciaron conductas para el control de factores de riesgo modificables de infecciones respiratorias que permitieron sensibilizar a la población sobre la adopción de medidas y prácticas saludables.

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Percepciones de gestores de salud y facilitadores de la estrategia Atención Integrada a las Enfermedades Prevalentes (AIEPI) en una zona del Noreste de Brasil y Perú

Cited by 2 publications

References 16 publications

Integrated Management of Childhood Illnesses implementation-related factors at 18 Colombian cities

Integrated Management of Childhood Illnesses implementation-related factors at 18 Colombian cities

Prevención de infecciones respiratorias en instituciones de atención integral en el Norte de Santander.

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