Integrated management of childhood illness with the focus on caregivers: an integrative literature review

Abstract

The Integrated Management of Childhood Illness (IMCI) strategy addresses the diseases most prevalent in infancy, the reception of the child and family, and the comprehension the problem and effective procedures. The aim was to identify, between 1998 and 2008, publications relating to the IMCI strategy focusing on the caregiver. This study is an Integrative literature review in the Pubmed, Lilacs and Scielo databases. The caregivers knew one or more warning signs for acute respiratory infection, but not for diarrhea. Pneumonia was perceived as a serious childhood disease. Communication skills among health professionals trained in the IMCI strategy were different to those in untrained professionals. The followup of the health of the child is higher according to the education level of the caregiver, and according to the medications supplied in the consultation and in the follow-up. Regarding the health of the child it is relevant to focus on the IMCI strategy, favoring experiences that include the family in the care. La atención integrada de las enfermedades prevalentes en la infancia y el enfoque en los cuidadores: revisión integradora de la literaturaLa estrategia Atención Integrada a las Enfermedades Prevalentes en la Infancia (AIEPI) aborda las enfermedades de mayor prevalencia en la infancia, el acogimiento del niño y de la familia, la comprensión del problema y los procedimientos eficaces. El objetivo fue identificar, entre 1998 y 2008, publicaciones relacionadas a la estrategia AIEPI con enfoque en el cuidador. Revisión integradora con evidencias en la literatura, en las bases de datos Pubmed, Lilacs y Scielo. Los cuidadores conocen una o más señales de alarma para infección respiratoria aguda, pero no para diarrea. La neumonía es percibida como una grave enfermedad infantil. Las habilidades comunicativas entre los profesionales de la salud capacitados en la estrategia AIEPI y los no capacitados son diferentes. El seguimiento de la salud del niño es mayor de acuerdo con la escolaridad del cuidador, los medicamentos ofrecidos en la consulta y el retorno. En la salud del niño es relevante enfocar la estrategia AIEPI, favoreciendo vivencias que incluyan a la familia en el cuidado.Descriptores: Salud del niño; Atención Integrada a las Enfermedades Prévalentes de la Infancia; Cuidadores.

Care taker’s compliance and Associated factors in integrated management of newborn and childhood illness with respect to Counseling in Enebise Sarmidir woreda, West Amhara, Ethiopia.

“…The study conducted in Hawassa shows that compliance to recommend follow-up visit was 19.7%, which lower than the findings of this study. The study conducted in KwaZulu Natal, South Africa compliance with the primary referral was reported by less than half (45%) of care givers which is higher than the findings of this study (6,7,5,8). The difference may be due to socio-demographic difference between the study area.…”

Teaching of the Integrated Management of Childhood Illness strategy in undergraduate nursing programs

“…The IMCI strategy is fundamental to training nursing students, mainly because it integrates practical and technical-scientific knowledge to promote child health in health services, homes, and communities (16) , improving their abilities to communicate with caregivers (13) . In this study, however, the incorporation of IMCI theoretical The use of case studies, on the other hand, was also much cited, this being a more active method, as it makes it possible to place the students before a situation which is similar to reality, in which they can carry out a diagnostic analysis of the problem, seek information for referring the problem situation, apply the necessary knowledge and integrate theory and practice; this prepares them to face complex and contextualized situations (17) .…”

“…However, the curricula in many nursing programs remain linked to the biomedical model, and many do not include concepts of critical thinking and current pedagogical practices due to inadequate preparation of faculty (12) . The current literature addresses benefits of IMCI strategy for children and caregivers (13) ; however compared with private, which included "philanthropic", "mixed", and "others", using Fisher's exact test for the categorical variables, and the t test for continuous variables, both with a 5% level of significance. (Table 3).…”

Efeitos da acupuntura no tratamento da ansiedade: revisao integrativa

“…This is an integrative review, one of the research methods used in EBP, which allows incorporating evidence in clinical practice. This method aims to gather and summarize results from investigations on a certain topic or issue, in a systematic and organized way, to get more knowledge on the investigated topic (17,(23)(24) .…”