Assessment of knowledge and practical skills among integrated management of neonatal and childhood illness program healthcare personnel in primary healthcare centers

Hussein, Shaymaa Sabah; Farhood, Hadeel Fadhil

doi:10.4103/mjbl.mjbl_50_19

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…Supportive supervision from formal health services is critical to CHWs' success (15) . Supportive supervision includes not just watching CHW Binomes and correcting them but providing opportunities to teach, disseminate new knowledge, discuss new policies, and keep CHW Binomes up to date with new knowledge (13) .…”

Section: Support and Supervision By The Institutionsmentioning

confidence: 99%

“…In addition, weak supportive supervision contributes to ineffective CHW programs. It is recommended that an improved supportive supervision program for institutional supervisors, accompanied by specific training on how to provide supportive supervision, is necessary (13,15) .…”

Section: Support and Supervision By The Institutionsmentioning

confidence: 99%

“…Supervision is widely recognized as one key way of improving CHWs' performance and motivation, and it often includes clinical practice observation, reviewing records and problem solving (12) . When supervision is done well in a favorable environment, objective expectations, performance monitoring, auditing of records, interpreting of data, clinical performance monitoring and observation of health workers can be seen as a positive experience (13) . However, many supervisors' performance may be inadequate and ineffective as they do not provide constructive feedback to the personnel they supervise.…”

Section: Introductionmentioning

confidence: 99%

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Institutional support to community health workers using integrated management of childhood illness program in Rwanda

Kamanzi¹,

Richter²

2021

Rev. Eletr. Enferm.

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The objective was to explore the support given to community health workers who use the integrated management of childhood illness (IMCI) approach and describe the supervision given to them. A non-experimental, exploratory, descriptive, quantitative design was used for this study. Data were collected using a structured questionnaire; 305 were interviewed (30% sample). The data were double entered, cleaned, and analyzed using Statistics Package of Social Sciences (SPSS) 19. Support and supervision in Rwanda are provided by the base institution and by supervisors. CHWs often had a shortage of drugs and equipment (63.3%) and 87.5% have experienced run out of equipment, medicines, and consumables. This created barriers to caring for sick children. To improve institutional support for community health workers, regular and continuous supportive supervision and supplies are essential.

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Section: Support and Supervision By The Institutionsmentioning

confidence: 99%

Section: Support and Supervision By The Institutionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Institutional support to community health workers using integrated management of childhood illness program in Rwanda

Kamanzi¹,

Richter²

2021

Rev. Eletr. Enferm.

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“…Researchers at the Al Kindy Faculty of Medicine, the University of Baghdad in 2018, were able to determine the shortcomings among healthcare workers who commit to the instructions of IMCI, especially regarding follow-up specifications, anemia classification, and evaluation of the nutritional condition for children [9]. A study conducted in Babel Governorate in 2020 recommended intensive training of healthcare workers due to their low level of knowledge and their inconsistent commitment to IMCI protocol [10]. Another study conducted in the city of Baquba, the center of Diyala Governorate, found that 78.4 % of health care providers received training on the IMCI program, however, their performance was not encouraging, as nearly a third of them examined temperatures and seventy percent of them conducted weight evaluation of children [11].…”

Section: Introductionmentioning

confidence: 99%

Assessment of factors related to caregivers and children on the IMCI program outcomes in Baghdad City in 2021

Al-Samarrai,

Sahib

2024

jidhealth

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Background: The implementation of the Integrated Management of Childhood Illness (IMCI) program has led to enhancement in outcomes for many treatable childhood diseases. This study aims to assess how implementing IMCI affects child mortality and morbidity in Iraq. Methods: A cross-sectional study spanning from January to December 2021 was carried out at primary healthcare centers (PHCCs) with IMCI units in Baghdad, Iraq. Using a lottery sampling method, 40 PHCCs were randomly chosen from a total of 235 centers across both sides of the city. A universal sampling technique was adopted to select all children attending these PHCCs regularly. With a p-value below 5%, multiple logistic regression analyses were performed to identify the significant independent predictors at a 95% confidence interval. Results: The majority of caregivers were mothers (97.8%), aged 20 to 30 years (75.8%), and housewives (59.2%). Sixty percent of children (6 to 35 months) had normal anthropometric measurements. Bottle feeding was common (44.2%), and most children had a normal neonatal history (82.9%). In bivariate analysis, the severity of illness, severe cases of diarrhea, and acute respiratory infection (ARI) showed significant associations with worsened or not improved outcomes (χ2 = 18.900, p < 0.001; χ2 = 6.265, p= 0.016; and χ2 = 7.549, p= 0.003, respectively). However, multiple logistic regression analysis indicated that mild and moderate illness severity (OR = 10.634, 95% CI: 6.985 to 16.192, p < 0.001), strict breastfeeding (OR = 3.307, 95% CI: 1.703 to 6.421, p < 0.001), and completing treatment at home (OR = 6.190, 95% CI: 4.115 to 9.311, p < 0.001) significantly improved outcomes through IMCI services. Conclusion: Severe illness, especially in diarrhea and ARI, correlates with poorer outcomes. Conversely, exclusive breastfeeding, prompt medical attention within a day of illness onset, and completing home treatment are associated with improved outcomes.

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Assessment of knowledge and practical skills among integrated management of neonatal and childhood illness program healthcare personnel in primary healthcare centers

Cited by 2 publications

References 5 publications

Institutional support to community health workers using integrated management of childhood illness program in Rwanda

Institutional support to community health workers using integrated management of childhood illness program in Rwanda

Assessment of factors related to caregivers and children on the IMCI program outcomes in Baghdad City in 2021

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