aonsectionIII_5.pdf - CHAPTER 5 Integrated Management of...

Info icon This preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
Opportunities for Africa’s Newborns 91 Every year, nearly 11 million children die before reaching their fifth birthday. In response to this challenge,WHO and UNICEF in the early 1990s developed Integrated Management of Childhood Illness (IMCI), a strategy designed to reduce child mortality and morbidity in developing countries.The approach focuses on the major causes of deaths in children through improving case management skills of health workers, strengthening the health system, and addressing family and community practices. However, the original IMCI modules did not include care of the sick newborn during the first week of life, the time when one in three child deaths occur, and it did not emphasise home-based newborn care. IMCI has become a main child survival strategy in almost all countries in the African region, creating a unique opportunity to scale up newborn health interventions using IMCI as a vehicle. Incorporating newborn algorithms in IMCI and strengthening the components of the strategy related to the health system and community will directly impact newborn health. Some of this work has already begun as generic IMCI guidelines and training materials have been revised to include the first week of life. Many countries in Africa are planning to adapt IMCI to include the missing aspects of newborn care. Questions about adapting IMCI in Africa remain, however. For example, should routine home visits for postnatal care in the first week of life be included in the IMCI strategy? Should IMCI include care at the time of birth? Should IMCI training start with management of young infants (0-2 months) rather than older infants and children? What are the challenges in implementing IMCI in an effective way? How can complementary facility-based and community-based approaches be combined? Many lessons can be gained from countries, especially in Asia, where IMCI has already been adapted to Integrated Management of Childhood and Neonatal Illness (IMNCI). Integrated Management of Childhood Illness (IMCI) Tigest Ketsela, Phanuel Habimana, Jose Martines,Andrew Mbewe,Abimbola Williams, Jesca Nsungwa Sabiiti,Aboubacry Thiam, Indira Narayanan, Rajiv Bahl CHAPTER 5 III
Image of page 1

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
92 Opportunities for Africa’s Newborns The IMCI package The Integrated Management of Childhood Illness (IMCI) strategy is central to the achievement of child survival and development, a key principle of the Convention on the Rights of the Child. The strategy is based on human rights that guarantee health care to all children, no matter where they live, and is implemented by addressing the gaps in knowledge, skill, and community practices regarding children’s health, recognition of illness, home management of the sick child, and appropriate careseeking behaviour. The IMCI strategy includes three important components: 1. Integrated management of ill children in facilities and health centres 2. Health system strengthening, particularly drugs and logistics support 3. Community IMCI, or promotion of key family and community practices
Image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern