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https://www.readbyqxmd.com/read/29163934/determinants-of-integrated-management-of-childhood-illness-imci-non-severe-pneumonia-classification-and-care-in-malawi-health-facilities-analysis-of-a-national-facility-census
#1
Emily White Johansson, Humphreys Nsona, Liliana Carvajal-Aguirre, Agbessi Amouzou, Helena Hildenwall
Background: Research shows inadequate Integrated Management of Childhood Illness (IMCI)-pneumonia care in various low-income settings but evidence is largely from small-scale studies with limited evidence of patient-, provider- and facility-levels determinants of IMCI non-severe pneumonia classification and its management. Methods: The Malawi Service Provision Assessment 2013-2014 included 3149 outpatients aged 2-59 months with completed observations, interviews and re-examinations...
December 2017: Journal of Global Health
https://www.readbyqxmd.com/read/29161375/health-system-factors-affecting-implementation-of-integrated-management-of-childhood-illness-imci-qualitative-insights-from-a-south-african-province
#2
Himani Pandya, Wiedaad Slemming, Haroon Saloojee
The Integrated Management of Childhood Illness (IMCI) strategy has been adopted by 102 countries including South Africa, as the preferred primary health care (PHC) delivery strategy for sick children under 5 years. Despite substantial investment to support IMCI in South Africa, its delivery remains sub-optimal, with varied implementation in different settings. There is scarce research globally, and in the local context, examining the effects of health system characteristics on IMCI implementation. This study explored key determinants of IMCI delivery in a South African province, with a specific focus on health system building blocks using a health system dynamics framework...
November 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29075300/adherence-to-integrated-management-of-childhood-illnesses-guideline-in-treating-south-sudanese-children-with-cough-or-difficulty-in-breathing
#3
Jonathan Izudi, Stanley Anyigu, David Ndungutse
BACKGROUND: Pneumonia substantially kills children aged 2-59 months in South Sudan. However, information on health workers adherence to Integrated Management of Childhood Illnesses (IMCI) guideline in treating children with cough/difficulty in breathing remains scarce. This study assessed factors associated with adherence to IMCI guideline in Aweil East County, South Sudan. METHODS: This cross-sectional study involved 232 health workers from 36 health facilities...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/29059253/a-novel-electronic-algorithm-using-host-biomarker-point-of-care-tests-for-the-management-of-febrile-illnesses-in-tanzanian-children-e-poct-a-randomized-controlled-non-inferiority-trial
#4
RANDOMIZED CONTROLLED TRIAL
Kristina Keitel, Frank Kagoro, Josephine Samaka, John Masimba, Zamzam Said, Hosiana Temba, Tarsis Mlaganile, Willy Sangu, Clotilde Rambaud-Althaus, Alain Gervaix, Blaise Genton, Valérie D'Acremont
BACKGROUND: The management of childhood infections remains inadequate in resource-limited countries, resulting in high mortality and irrational use of antimicrobials. Current disease management tools, such as the Integrated Management of Childhood Illness (IMCI) algorithm, rely solely on clinical signs and have not made use of available point-of-care tests (POCTs) that can help to identify children with severe infections and children in need of antibiotic treatment. e-POCT is a novel electronic algorithm based on current evidence; it guides clinicians through the entire consultation and recommends treatment based on a few clinical signs and POCT results, some performed in all patients (malaria rapid diagnostic test, hemoglobin, oximeter) and others in selected subgroups only (C-reactive protein, procalcitonin, glucometer)...
October 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28992150/are-children-presenting-with-non-imci-complaints-at-greater-risk-for-suboptimal-screening-an-analysis-of-outpatient-visits-in-afghanistan
#5
Maya Venkataramani, Anbrasi Edward, Paul Ickx, Motawali Younusi, Syed Ali Shah Alawi, David H Peters
Objective: To determine if children presenting without complaints related to the Integrated Management of Childhood Illness (IMCI) are at greater risk for suboptimal screening for IMCI conditions. Design: Cross-sectional study. Setting: Thirty-three provinces in Afghanistan. Participants: Observation of 3072 sick child visits selected by systematic random sampling. Main outcome measure(s): A 10 point IMCI assessment index...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28584603/a-hypothetical-model-to-predict-the-potential-impact-of-government-and-management-support-in-implementing-integrated-management-of-childhood-illness-practices
#6
Fannah Al Fannah Al Araimi
OBJECTIVES: Despite broad adoption and implementation of Integrated Management of Childhood Illness (IMCI) in more than 100 countries, childhood mortality and morbidity rates continue to prevail. This calls for further investigation to identify the factors that prevent actual application of IMCI-recommended clinical practices. This study tests a hypothetical structural model to investigate potential role of government and healthcare policymakers on improving implementation and application of IMCI-recommended practices in clinical setting...
May 2017: Oman Medical Journal
https://www.readbyqxmd.com/read/28499327/impact-of-polyethyleneglycol-addition-on-diffusion-coefficients-in-binary-ionic-liquid-electrolytes-composed-of-dicationic-ionic-liquid-and-polyethyleneglycol
#7
Tzi-Yi Wu, Shyh-Gang Su, Chuen-Lin Chiu, Chung-Wen Kuo, Yi-Hsuan Tung
We conduct a comparative study of conductivity and diffusion coefficient of two dicationic ionic liquids (3,3'-(octane-1,8-diyl)bis(1-ethyl-3-imidazolium) bis(trifluoromethylsulfonyl)amide ([IMCI][TFSI], S1) and 3,3'-(2,2'-(ethane-1,2-diylbis(oxy))bis(ethane-2,1-diyl))bis(1-ethyl-3-imidazolium) bis(trifluoromethylsulfonyl)amide ([IMOI][TFSI], S2)) at various temperatures. The diffusion coefficients of cation and anion in ionic liquids (ILs) are determined using pulse gradient spin-echo nuclear magnetic resonance (PGSE-NMR) method...
May 12, 2017: Magnetic Resonance in Chemistry: MRC
https://www.readbyqxmd.com/read/28451028/profile-of-c-reactive-protein-white-cells-and-neutrophil-populations-in-febrile-children-from-rural-north-eastern-tanzania
#8
Coline Mahende, Billy Ngasala, John Lusingu, Thomas Mårtensson, Paminus Lushino, Martha Lemnge, Bruno Mmbando, Zul Premji
INTRODUCTION: C-reactive protein (CRP), white blood cell (WBC) and absolute neutrophil counts (ANC) are important inflammatory biomarkers in the early diagnosis of infections. However, little is known on their profile and usefulness in fever case management in children attending outpatient clinic in rural north-eastern Tanzania. METHODS: Patients aged between 2 and 59 months presenting with fever at Korogwe District Hospital were enrolled. Venous blood was collected for evaluation of serum CRP, WBC and ANC...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28122537/reliability-and-validity-of-pediatric-triage-tools-evaluated-in-low-resource-settings-a-systematic-review
#9
Bhakti Hansoti, Alexander Jenson, Devin Keefe, Sarah Stewart De Ramirez, Trisha Anest, Michelle Twomey, Katie Lobner, Gabor Kelen, Lee Wallis
BACKGROUND: Despite the high burden of pediatric mortality from preventable conditions in low and middle income countries and the existence of multiple tools to prioritize critically ill children in low-resource settings, no analysis exists of the reliability and validity of these tools in identifying critically ill children in these scenarios. METHODS: The authors performed a systematic search of the peer-reviewed literature published, for studies pertaining to for triage and IMCI in low and middle-income countries in English language, from January 01, 2000 to October 22, 2013...
January 26, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28003894/a-hypothetical-model-to-predict-nursing-students-perceptions-of-the-usefulness-of-pre-service-integrated-management-of-childhood-illness-training
#10
Fannah A Al-Araimi, Sitwat U Langrial
OBJECTIVES: This study aimed to test a hypothetical model to predict nursing students' perceptions of the usefulness of pre-service Integrated Management of Childhood Illness (IMCI) training and their intention to apply this training in clinical practice. METHODS: This study was carried out at the Sur Nursing Institute, Sur, Oman, in May 2015. Using six predefined constructs, a hypothetical structural model was created. The constructs were used as latent variables to highlight their probable impact on intention to apply IMCI-related knowledge and skills in practice...
November 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/27989273/beyond-test-and-treat-malaria-diagnosis-for-improved-pediatric-fever-management-in-sub-saharan-africa
#11
Emily White Johansson
BACKGROUND: Malaria rapid diagnostic tests (RDTs) have great potential to improve quality care and rational drug use in malaria-endemic settings although studies have shown common RDT non-compliance. Yet, evidence has largely been derived from limited hospital settings in few countries. This article reviews a PhD thesis that analyzed national surveys from multiple sub-Saharan African countries to generate large-scale evidence of malaria diagnosis practices and its determinants across different contexts...
2016: Global Health Action
https://www.readbyqxmd.com/read/27939058/a-cleaner-burning-biomass-fuelled-cookstove-intervention-to-prevent-pneumonia-in-children-under-5-years-old-in-rural-malawi-the-cooking-and-pneumonia-study-a-cluster-randomised-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Kevin Mortimer, Chifundo B Ndamala, Andrew W Naunje, Jullita Malava, Cynthia Katundu, William Weston, Deborah Havens, Daniel Pope, Nigel G Bruce, Moffat Nyirenda, Duolao Wang, Amelia Crampin, Jonathan Grigg, John Balmes, Stephen B Gordon
BACKGROUND: WHO estimates exposure to air pollution from cooking with solid fuels is associated with over 4 million premature deaths worldwide every year including half a million children under the age of 5 years from pneumonia. We hypothesised that replacing open fires with cleaner burning biomass-fuelled cookstoves would reduce pneumonia incidence in young children. METHODS: We did a community-level open cluster randomised controlled trial to compare the effects of a cleaner burning biomass-fuelled cookstove intervention to continuation of open fire cooking on pneumonia in children living in two rural districts, Chikhwawa and Karonga, of Malawi...
January 14, 2017: Lancet
https://www.readbyqxmd.com/read/27836999/quality-of-child-healthcare-at-primary-healthcare-facilities-a-national-assessment-of-the-integrated-management-of-childhood-illnesses-in-afghanistan
#13
Ghulam Farooq Mansoor, Paata Chikvaidze, Sherin Varkey, Ariel Higgins-Steele, Najibullah Safi, Adela Mubasher, Khaksar Yusufi, Sayed Alisha Alawi
Objective: To assess quality of the national Integrated Management of Childhood Illness (IMCI) program services provided for sick children at primary health facilities in Afghanistan. Design: Mixed methods including cross-sectional study. Setting: Thirteen (of thirty-four) provinces in Afghanistan. Participants: Observation of case management and re-examination of 177 sick children, exit interviews with caretakers and review of equipment/supplies at 44 health facilities...
February 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27788179/mpneumonia-an-innovation-for-diagnosing-and-treating-childhood-pneumonia-in-low-resource-settings-a-feasibility-usability-and-acceptability-study-in-ghana
#14
Amy Sarah Ginsburg, Charlotte Tawiah Agyemang, Gwen Ambler, Jaclyn Delarosa, Waylon Brunette, Shahar Levari, Clarice Larson, Mitch Sundt, Sam Newton, Gaetano Borriello, Richard Anderson
Pneumonia is the leading cause of infectious disease mortality in children. Currently, health care providers (HCPs) are trained to use World Health Organization Integrated Management of Childhood Illness (IMCI) paper-based protocols and manually assess respiratory rate to diagnose pneumonia in low-resource settings (LRS). However, this approach of relying on clinical signs alone has proven problematic. Hypoxemia, a diagnostic indicator of pneumonia severity associated with an increased risk of death, is not assessed because pulse oximetry is often not available in LRS...
2016: PloS One
https://www.readbyqxmd.com/read/27725040/imci-indicators-of-childhood-tbm-at-primary-health-care-level-in-the-western-cape-province-of-south-africa
#15
R Solomons, M Grantham, B J Marais, R van Toorn
BACKGROUND: The diagnosis of tuberculous meningitis (TBM) in children is often delayed, with disastrous consequences. The Integrated Management of Childhood Illness (IMCI) strategy aims to ensure the accurate assessment of ill children using simple yet reliable clinical signs. METHODS: We conducted a retrospective observational study of 30 consecutive children aged 3 months to 5 years diagnosed with TBM at Tygerberg Hospital, Cape Town, South Africa. Clinical records were reviewed to assess diagnostic delay and identify IMCI indicators that were present at the time of initial presentation...
October 2016: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/27567350/external-validation-of-the-dhaka-score-and-comparison-with-the-current-imci-algorithm-for-the-assessment-of-dehydration-in-children-with-diarrhoea-a-prospective-cohort-study
#16
Adam C Levine, Justin Glavis-Bloom, Payal Modi, Sabiha Nasrin, Bita Atika, Soham Rege, Sarah Robertson, Christopher H Schmid, Nur H Alam
BACKGROUND: Dehydration due to diarrhoea is a leading cause of child death worldwide, yet no clinical tools for assessing dehydration have been validated in resource-limited settings. The Dehydration: Assessing Kids Accurately (DHAKA) score was derived for assessing dehydration in children with diarrhoea in a low-income country setting. In this study, we aimed to externally validate the DHAKA score in a new population of children and compare its accuracy and reliability to the current Integrated Management of Childhood Illness (IMCI) algorithm...
October 2016: Lancet Global Health
https://www.readbyqxmd.com/read/27488566/a-mixed-methods-protocol-to-evaluate-the-effect-and-cost-effectiveness-of-an-integrated-electronic-diagnosis-approach-ieda-for-the-management-of-childhood-illnesses-at-primary-health-facilities-in-burkina-faso
#17
Karl Blanchet, James J Lewis, Francisco Pozo-Martin, Arsene Satouro, Serge Somda, Patrick Ilboudo, Sophie Sarrassat, Simon Cousens
BACKGROUND: Burkina Faso introduced the Integrated Management of Childhood Illnesses (IMCI) strategy in 2003. However, an evaluation conducted in 2013 found that only 28 % of children were assessed for three danger signs as recommended by IMCI, and only 15 % of children were correctly classified. About 30 % of children were correctly prescribed with an antibiotic for suspected pneumonia or oral rehydration salts (ORS) for diarrhoea, and 40 % were correctly referred. Recent advances in information and communication technologies (ICT) and use of electronic clinical protocols hold the potential to transform healthcare delivery in low-income countries...
August 4, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27488477/measuring-pediatric-quality-of-care-in-rural-clinics-a-multi-country-assessment-cambodia-guatemala-zambia-and-kenya
#18
Anbrasi Edward, Kim Dam, Jane Chege, Annette E Ghee, Hossein Zare, Chea Chhorvann
OBJECTIVE: To assess the quality of care provided in rural pediatric facilities in Cambodia, Guatemala, Kenya and Zambia DESIGN: All public health facilities in four districts in each country were included in the assessment. Based on utilization patterns, five children under five were selected randomly from each facility to perform the Integrated Management of Childhood Illness (IMCI) assessments followed by exit interviews with their caretakers. SETTING: Seventy rural ambulatory pediatric care facilities...
October 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27488343/integrated-paediatric-fever-management-and-antibiotic-over-treatment-in-malawi-health-facilities-data-mining-a-national-facility-census
#19
Emily White Johansson, Katarina Ekholm Selling, Humphreys Nsona, Bonnie Mappin, Peter W Gething, Max Petzold, Stefan Swartling Peterson, Helena Hildenwall
BACKGROUND: There are growing concerns about irrational antibiotic prescription practices in the era of test-based malaria case management. This study assessed integrated paediatric fever management using malaria rapid diagnostic tests (RDT) and Integrated Management of Childhood Illness (IMCI) guidelines, including the relationship between RDT-negative results and antibiotic over-treatment in Malawi health facilities in 2013-2014. METHODS: A Malawi national facility census included 1981 observed sick children aged 2-59 months with fever complaints...
August 4, 2016: Malaria Journal
https://www.readbyqxmd.com/read/27378094/integrated-management-of-childhood-illness-imci-strategy-for-children-under-five
#20
REVIEW
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
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