International Journal of Health Policy and Management

International Journal of Health Policy and Management

Unresolved Issues in Implementing Integrated Management of Childhood Illness (IMCI) Approach

Document Type : Letter to Editor

Author
Masahiro J. Morikawa
Department of Family Medicine, University of Virginia, Charlottesville, VA, USA
10.34172/ijhpm.2020.89
Keywords
Global Health
Policy
Child Survival
Pediatrics

 

Dear Editor,

Debate has been continuing for the implementation for Integrated Management of Childhood Illnesses (IMCI) strategy on childhood pneumonia to curve under-5 mortality in low- and middle-income countries (LMICs). Recent systematic reviews are still divided into both positives1,2 and negatives3 on the effectiveness of training and supportive supervision.4 ... (Read more...)

 

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  2. Baynes C, Mboya D, Likasi S, et al. Quality of sick child-care delivered by community health workers in Tanzania. Int J Health Policy Manag. 2018;7(12):1097-1109. doi:10.15171/ijhpm.2018.63
  3. Clarke-Deelder E, Shapira G, Samaha H, et al. Quality of care for children with severe disease in the Democratic Republic of the Congo. BMC Public Health 2019;19(1):1608.  doi:10.1186/s12889-019-7853-3
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  5. The Young Infants Clinical Signs Study Group. Clinical signs that predict severe illness in chidlren under age 2 months: a multicenter study. Lancet. 2008;371:135-142. doi:10.1016/S0140-6736(08)60106-3
  6. Rambaud-Althaus C, Althaus F, Genton B, et al. Clinical features for diagnosis of pneumonia in childrne younger than 5 years: a systematic review and meta-analysis. Lancet Infect Dis 2015;15:439-450. doi:10.1016/S1473-3099(15)70017-4
  7. World Health Organization (WHO). Exploratory meeting to review new evidence for Integrated Management of Childhood Illnedd danger signs, Geneva, Switzerland, 4-5 September 2018. Gevena, Switzerland: WHO; 2019.
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  9. Masigati H, Potter G, Morikawa M, et al. Strengthening distric healthcare in rural Africa: a cross-sectional survey assessing difficulties in pulse oximetry use and handoff practice. Int J Commun Med Public Health. 2019;6(1):57-60. doi:10.18203/2394-6040.ijcmph20185227
  10. McCollum E, King C, Deula R, et al. Pulse oximetry for children with pneumonia treated as outpatients in rural Malawi. Bull World Health Organ. 2016;94:893-902. doi:10.2471/BLT.16.173401
  11. Ginsburg A, Delarosa J, Brunette W, et al. mPneumonia: Development of an innovative mHealth application for diagnosing and treating childhood pneumonia and other childhood illnesses lin low-resource settings. PloS One. 2015;10(10):e0139625. doi:10.2471/BLT.16.173401
  12. Shaikh B, Hatcher J. Health seeking behaviour and health service utilization in Pakistain: challenging the policy makers. J Public Health (Oxf). 2005;27(1):49-54. doi:10.1093/pubmed/fdh207
  13. Oswald S, Clewett J. Delivering health services in fragile states and difficult environments: 13 key principles. London, UK: Health Unlimited; 2007.
  14. Simoes E, Desta T, Tessema T, et al. Performance of health workers after training in integrated management of childhood illness in Gondar, Ethiopia. Bull World Health Organ. 1997;75 (Suppl 1):43-53.
  15. Kalter H, Schillinger JA, Hossain M, et al. Identifying sick children requiring referral to hospital in Bangladesh. Bull World Health Organ. 1997;75 Suppl 1:65-75.
International Journal of Health Policy and Management
Volume 10, Issue 5
May 2021
Pages 293-294

  • Received Date 16 April 2020
  • Revised Date 31 May 2020
  • Accepted Date 31 May 2020
  • First Published Date 01 May 2021
  • Published Date 01 May 2021