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Varun Alwadhi, Pooja Dewan, Rajeev Kumar Malhotra, Dheeraj Shah, Piyush Gupta
OBJECTIVE: To compare the performance of respiratory rate and other clinical signs against pulse oximetry for predicting hypoxia in children with Severe pneumonia/Very severe disease as per Integrated Management of Neonatal and Childhood Illness (IMNCI) classification. DESIGN: Cross-sectional study. SETTING: Pediatric emergency department of a tertiary-care hospital in Delhi, India. SUBJECTS: 112 hospitalized children (2 mo - 5 y) with Severe pneumonia/Very severe disease as per IMNCI classification...
September 15, 2017: Indian Pediatrics
S B Neogi, J Sharma, M Chauhan, R Khanna, M Chokshi, R Srivastava, P K Prabhakar, A Khera, R Kumar, S Zodpey, V K Paul
India has contributed immensely toward generating evidence on two key domains of newborn care: Home Based Newborn Care (HBNC) and community mobilization. In a model developed in Gadchiroli (Maharashtra) in the 1990s, a package of Interventions delivered by community health workers during home visits led to a marked decline in neonatal deaths. On the basis of this experience, the national HBNC program centered around Accredited Social Health Activists (ASHAs) was introduced in 2011, and is now the main community-level program in newborn health...
December 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
Jarina Begum, Syed Irfan Ali, Radha Madhab Tripathy
BACKGROUND: Maternal and child mortality and morbidity continue to be high despite existence of various national health programmes in India. Annually 41% of all Under 5 mortality is comprised of neonates, 3/4 of who die within the first week of life. Even though effective programmes are existing, optimum utilization is still a question. So the present study was planned to assess utilisation of maternal and neonatal health services and its influence on neonatal health. OBJECTIVES: 1...
July 2016: Indian Journal of Community Medicine
Tarun Gera, Dheeraj Shah, Paul Garner, Marty Richardson, Harshpal S Sachdev
BACKGROUND: More than 7.5 million children younger than age five living in low- and middle-income countries die every year. The World Health Organization (WHO) developed the integrated management of childhood illness (IMCI) strategy to reduce mortality and morbidity and to improve quality of care by improving the delivery of a variety of curative and preventive medical and behavioral interventions at health facilities, at home, and in the community. OBJECTIVES: To evaluate the effects of programs that implement the IMCI strategy in terms of death, nutritional status, quality of care, coverage with IMCI deliverables, and satisfaction of beneficiaries...
June 22, 2016: Cochrane Database of Systematic Reviews
Shankar Prinja, Pankaj Bahuguna, Pavitra Mohan, Sarmila Mazumder, Sunita Taneja, Nita Bhandari, Henri van den Hombergh, Rajesh Kumar
INTRODUCTION: Despite the evidence for preventing childhood morbidity and mortality, financial resources are cited as a constraint for Governments to scale up the key health interventions in some countries. We evaluate the cost effectiveness of implementing IMNCI program in India from a health system and societal perspective. METHODS: We parameterized a decision analytic model to assess incremental cost effectiveness of IMNCI program as against routine child health services for infant population at district level in India...
2016: PloS One
Efrem Teferi, Dedefo Teno, Ismael Ali, Hibret Alemu, Tesfaye Bulto
BACKGROUND: The Integrated Management of New born and Childhood Illness (IMNCI) and the related Integrated Community Case Management (iCCM) are evidence-based strategies to reduce childhood mortality in Ethiopia at health centres and community health posts, respectively. The effect of introducing iCCM on IMNCI is not known. OBJECTIVE: To assess the caseload and quality of lMNCI service in under-five clinics in health centres after iCCM implementation. METHODS: This cross-sectional study used register review to assess the IMNCI service use (before and after iCCM, in 2010 and 2012, respectively) and quality throughout the period in randomly selected health centers in three regions of the Integrated Family Health Program (Oromia, SNNPR [Southern Nations and Nationalities and Peoples Region] and Tigray)...
October 2014: Ethiopian Medical Journal
Sunita Taneja, Shikhar Bahl, Sarmila Mazumder, Jose Martines, Nita Bhandari, Maharaj Kishan Bhan
BACKGROUND: A trial to evaluate the Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy showed that the intervention resulted in lower infant mortality and improved infant care practices. In this paper, we present the results of a secondary analysis to examine the effect of the IMNCI strategy on inequities in health indicators. METHODS: The trial was a cluster-randomized controlled trial in 18 primary health centre areas. For this analysis, the population was divided into subgroups by wealth status (using Principal Component Analysis), religion and caste, education of mother and sex of the infant...
June 2015: Journal of Global Health
Arun Kumar Aggarwal, Jaya Prasad Tripathy, Deepak Sharma, Ajith Prabhu
Introduction. The Integrated Management of Childhood and Neonatal Illness (IMNCI) recommends the use palmar pallor to diagnose anaemia. Earlier studies to validate palmar pallor as clinical sign for anaemia were largely done in African context. There was a need to test validity of palmar pallor to detect anemia in different settings. Objective. To study the validity and interobserver agreement of palmar pallor examination to diagnose anemia in children under 5 years of age in India. Methods. In a village in Northern India, hemoglobin estimation was done for 80 children using cyanomethemoglobin method...
2014: Anemia
Emily Das, Dharmendra Singh Panwar, Elizabeth A Fischer, Girdhari Bora, Martha C Carlough
OBJECTIVE: To assess Accredited social health activists' (ASHAs) ability to recognize illness in infants aged less than 2 months. METHODS: Investigators observed 25 ASHAs conducting 47 visits. RESULTS: ASHA-investigator agreement on the need to further assess infants was intermediate (kappa 0.48, P<0.001). Using IMNCI's color codes, ASHAs misclassified 80% of infants. ASHAs did not follow home-based newborn care formats and skipped critical signs...
February 2014: Indian Pediatrics
Agnihotri Bhattacharyya, Shuvankar Mukherjee, Chitra Chatterjee, Samir Dasgupta
BACKGROUND: Integrated management of childhood illness (IMNCI) is already operational in many states of India, but there are only limited studies in Indian scenario comparing its validity and reliability with the decisions of pediatricians. Aims and. OBJECTIVES: To assess the validity and reliability of the IMNCI algorithm with provisional diagnosis of senior pediatricians for each IMNCI classifications. MATERIALS AND METHODS: The present study is done with all the young infants between 0-2 months presented during the study period with a fresh episode of illness to test the validity and reliability of the algorithm in comparison to provisional diagnoses of senior pediatricians...
April 2013: Journal of Family Medicine and Primary Care
Salma Shaikh, Shazia Memon, Hafeezullah Memon, Imran Ahmed
OBJECTIVES: To assess the validity /strength of clinical diagnosis of Malaria on the basis of IMNCI algorithm by slide microscopy (gold standard) and to compare the effectiveness of Rapid Diagnostic Test (RDT )against slide microscopy. Methods : It is a descriptive cross sectional study of 6 month duration conducted at Pediatric Outpatient Department LUH Hyderabad from June-Dec. 2010. Sample of 400{the minimum required sample was 385 with malaria prevalence 5% (0.05) with margin of error of 3% (0...
September 2013: Pakistan Journal of Medical Sciences Quarterly
Kundan Mittal, Vikas Gupta, Pardeep Khanna, Jaya Shankar Kaushik, Anupama Sharma
A prospective observational study was conducted on 500 children to evaluate the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) algorithm for diagnosis and referral of children aged 0-59 mo. IMNCI algorithm performed well in diagnosis [except sepsis in 0-7 d (p < 0.01) and malaria in 2-59 mo (p < 0.01)] and referral of under five illnesses. The proportion of children with the mismatch between 'IMNCI' diagnosis and 'Gold Standard' diagnosis were highest (38.7 %) among children 0-7 d of age...
August 2014: Indian Journal of Pediatrics
Poonam Joshi, Manju Vatsa
OBJECTIVE: A cross-sectional survey of nursing personnel's knowledge, attitude and their consultations with sick children under 5 y of age, at specified levels of health care in terms of IMNCI guidelines, was conducted at six community health centers (CHC) of a selected district of Haryana, India. METHODS: Total enumeration technique was used to assess knowledge and attitude of 183 IMNCI trained nursing personnel towards the training programme using a pretested structured questionnaire...
May 2014: Indian Journal of Pediatrics
Shankar Prinja, Sarmila Mazumder, Sunita Taneja, Pankaj Bahuguna, Nita Bhandari, Pavitra Mohan, Henri Hombergh, Rajesh Kumar
BACKGROUND AND METHODS: In the setting of a cluster randomized study to assess impact of the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program in the district of Faridabad in India, we randomly selected auxiliary nurse midwives (ANM), anganwadi workers (AWW) and accredited social health activists (ASHA) from intervention and control areas to collect cost data using an economic perspective. Bootstrap method was used to estimate 95% confidence interval. RESULTS: The annual per-child cost of providing health services through an ANM, AWW and ASHA is INR 348 (USD 7...
December 2013: Journal of Tropical Pediatrics
Samir Dalwai, Panna Choudhury, Sandeep B Bavdekar, Rupal Dalal, Umesh Kapil, A P Dubey, Deepak Ugra, Manohar Agnani, H P S Sachdev
JUSTIFICATION: Severe acute malnutrition (SAM) is a major public health issue. It afflicts an estimated 8.1 million under-five children in India causing nearly 0.6 million deaths. The improved understanding of pathophysiology of SAM as well as new internationally accepted growth charts and newer modalities of integrated intervention have necessitated a relook at IAP recommendations. PROCESS: A National Consultative Meeting on Integrated Management of Severe Acute Malnutrition was held in Mumbai on 16th and 17th October, 2010...
April 2013: Indian Pediatrics
Poonam Joshi, Nanthini Subbiah
No abstract text is available yet for this article.
April 2012: Nursing Journal of India
Agnihotri Bhattacharyya, Chitra Chatterjee, Sukanta Chatterjee, Samir Dasgupta
BACKGROUND: Integrated management of neonatal and childhood illness (IMNCI) is already operational in many states of India, but there are very few studies in Indian scenario comparing its validity and reliability with the pediatricians' decisions. OBJECTIVES: 1) To compare the IMNCI decision with the decision of pediatricians; 2) to assess the significance of multiple presenting symptoms in the IMNCI algorithm. MATERIALS AND METHODS: The study was conducted among the sick children between 2 months to 5 years presented in pediatric department from January to March 2009...
July 2012: Indian Journal of Community Medicine
Hemant D Shewade, Arun K Aggarwal, Bhavneet Bharti
OBJECTIVE: To assess the skills (diagnostic/counseling) of Integrated Management of Neonatal and Childhood Illness (IMNCI) trained workers; and to assess the degree of agreement between the physician and the IMNCI trained workers of Raipurrani block, district Panchkula, India, to classify sick under-five children in field. METHODS: The cross-sectional study was conducted in Raipurrani in the outpatient departments of the community health centre and one primary health centre in 2010...
June 2013: Indian Journal of Pediatrics
Nita Bhandari, Sarmila Mazumder, Sunita Taneja, Halvor Sommerfelt, Tor A Strand
OBJECTIVE: To evaluate the Indian Integrated Management of Neonatal and Childhood Illness (IMNCI) programme, which integrates improved treatment of illness for children with home visits for newborn care, to inform its scale-up. DESIGN: Cluster randomised trial. SETTING: 18 clusters (population 1.1 million) in Haryana, India. PARTICIPANTS: 29,667 births in intervention clusters and 30,813 in control clusters. INTERVENTION: Community health workers were trained to conduct postnatal home visits and women's group meetings; physicians, nurses, and community health workers were trained to treat or refer sick newborns and children; supply of drugs and supervision were strengthened...
March 21, 2012: BMJ: British Medical Journal
Abraham Haileamlak, Sirak Hailu, Hailu Nida, Teshome Desta, Tesfaye Tesema
BACKGROUND: The Integrated Management of Newborn and Childhood Illness strategy equips health workers with essential knowledge and skills to effectively manage sick children with common neonatal and childhood diseases. Since in-service training is very demanding to achieve the desired coverage of training of health workers, pre-service training is taken as a solution. At the time of the survey, most public and some private health professionals' training institutions were conducting pre-service training...
March 2010: Ethiopian Journal of Health Sciences
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