Adherence to the integrated management of childhood illness guidelines in Namibia, Kenya, Tanzania and Uganda: Evidence from the national service provision assessment surveys

BMC Health Services Research

Volumn 17, Issue 1, 2017, Pages

  Krüger, Carsten ^a,b   Heinzel Gutenbrunner, Monika ^c   Ali, Mohammed ^d  

^a UNIVERSITY OF WITTEN HERDECKE   (Germany)

^b St Franziskus Hospital   (Germany)

^c MH Statistical Consulting   (Germany)

^d CURTIN UNIVERSITY   (Australia)

Author keywords

Adherence; Health workers; Integrated management of childhood illness; Sub Saharan Africa

Indexed keywords

AFRICA SOUTH OF THE SAHARA; CHILD; CHILD HEALTH CARE; CHILDHOOD MORTALITY; DIARRHEA; DISEASE MANAGEMENT; EDUCATION; FEMALE; HEALTH CARE PERSONNEL; HEALTH CARE SURVEY; HUMAN; INFANT; INTEGRATED HEALTH CARE SYSTEM; MALE; ORGANIZATION AND MANAGEMENT; PHYSICAL EXAMINATION; PNEUMONIA; PRESCHOOL CHILD; PROTOCOL COMPLIANCE;

AFRICA SOUTH OF THE SAHARA; CHILD; CHILD HEALTH SERVICES; CHILD MORTALITY; CHILD, PRESCHOOL; DELIVERY OF HEALTH CARE, INTEGRATED; DIARRHEA; DISEASE MANAGEMENT; FEMALE; GUIDELINE ADHERENCE; HEALTH CARE SURVEYS; HEALTH PERSONNEL; HUMANS; INFANT; MALE; PHYSICAL EXAMINATION; PNEUMONIA;

EID: 85038037646     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-017-2781-3     Document Type: Article

References (66)

1. UN. The millennium development goals report. New York: UN; 2015. p. 2015.
2. GBD 2015 Child Mortality Collaborators. Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980-2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1725-74.
3. UN. The sustainable development goals report. New York: UN; 2016. p. 2016.
4. Campbell H, Duke T, Weber M, English M, Carai S, Tamburlini G. Pediatric hospital improvement group. Global initiatives for improving hospital care for children: state of the art and future prospects. Pediatrics. 2008;121:e984-92.
5. Costello AM, Dalglish SL, on behalf of the Strategic Review Study Team. Towards a grand convergence for child survival and health: A strategic review of options for the future building on lessons learnt from IMNCI. Geneva: WHO; 2016.
6. Gove S. Integrated management of childhood illness by outpatient health workers: Technical basis and overview. The WHO working group on guidelines for integrated Management of the Sick Child. Bull World Health Organ. 1997;75(Suppl 1):7-24.
7. Chopra M, Binkin NJ, Mason E, Wolfheim C. Integrated management of childhood illness: what have we learned and how can it be improved? Arch Dis Child. 2012;97:350-4.
8. Simoes EA, Peterson S, Gamatie Y, Kisanga FS, Mukasa G, Nsungwa-Sabiiti J, et al. Management of severely ill children at first-level health facilities in sub-Saharan Africa when referral is difficult. Bull World Health Organ. 2003;81:522-31.
9. Victora CG, Huicho L, Amaral JJ, Armstrong-Schellenberg J, Manzi F, Mason E, et al. Are health interventions implemented where they are most needed? District uptake of the integrated management of childhood illness strategy in Brazil, Peru and the United Republic of Tanzania. Bull World Health Organ. 2006;84:792-801.
10. El Arifeen S, Blum LS, Hoque DM, Chowdhury EK, Khan R, Black RE, et al. Integrated Management of Childhood Illness (IMCI) in Bangladesh: early findings from a cluster-randomised study. Lancet. 2004;364:1595-602.
11. Arifeen SE, Hoque DM, Akter T, Rahman M, Hoque ME, Begum K, et al. Effect of the integrated Management of Childhood Illness strategy on childhood mortality and nutrition in a rural area in Bangladesh: A cluster randomised trial. Lancet. 2009;374:393-403.
12. Chopra M, Patel S, Cloete K, Sanders D, Peterson S. Effect of an IMCI intervention on quality of care across four districts in cape town, South Africa. Arch Dis Child. 2005;90:397-401.
13. Armstrong Schellenberg J, Bryce J, de Savigny D, Lambrechts T, Mbuya C, Mgalula L, et al. The effect of integrated Management of Childhood Illness on observed quality of care of under-fives in rural Tanzania. Health Policy Plan. 2004;19:1-10.
14. Armstrong Schellenberg JR, Adam T, Mshinda H, Masanja H, Kabadi G, Mukasa O, et al. Effectiveness and cost of facility-based integrated Management of Childhood Illness (IMCI) in Tanzania. Lancet. 2004;364:1583-94.
15. Bryce J, Gouws E, Adam T, Black RE, Schellenberg JA, Manzi F, et al. Improving quality and efficiency of facility-based child health care through integrated Management of Childhood Illness in Tanzania. Health Policy Plan. 2005;20(Suppl 1):i69-76.
16. Amaral J, Gouws E, Bryce J, Leite AJ, Cunha AL, Victora CG. Effect of integrated Management of Childhood Illness (IMCI) on health worker performance in Northeast-Brazil. Cad Saude Publica. 2004;20(Suppl 2):S209-19.
17. Pariyo GW, Gouws E, Bryce J, Burnham G, Uganda IMCI. Impact study team. Improving facility-based care for sick children in Uganda: Training is not enough. Health Policy Plan. 2005;20(Suppl 1):i58-68.
18. Huicho L, Dávila M, Campos M, Drasbek C, Bryce J, Victora CG. Scaling up integrated management of childhood illness to the national level: Achievements and challenges in Peru. Health Policy Plan. 2005;20:14-24.
19. Huicho L, Dávila M, Gonzales F, Drasbek C, Bryce J, Victora CG. Implementation of the integrated Management of Childhood Illness strategy in Peru and its association with health indicators: An ecological analysis. Health Policy Plan. 2005;20(Suppl 1):i32-41.
20. Naimoli JF, Rowe AK, Lyaghfouri A, Larbi R, Lamrani LA. Effect of the integrated Management of Childhood Illness strategy on health care quality in Morocco. Int J Qual Health Care. 2006;18:134-44.
21. Walter ND, Lyimo T, Skarbinski J, Metta E, Kahigwa E, Flannery B, et al. Why first-level health workers fail to follow guidelines for managing severe disease in children in the coast region, the United Republic of Tanzania. Bull World Health Organ. 2009;87:99-107.
22. Horwood C, Vermaak K, Rollins N, Haskins L, Nkosi P, Qazi S. An evaluation of the quality of IMCI assessments among IMCI trained health workers in South Africa. PLoS One. 2009 Jun 17;4(6):e5937.
23. Baiden F, Owusu-Agyei S, Bawah J, Bruce J, Tivura M, Delmini R, et al. An evaluation of the clinical assessments of under-five febrile children presenting to primary health facilities in rural Ghana. PLoS One. 2011;6:e28944.
24. Rowe AK, Osterholt DM, Kouamé J, Piercefield E, Herman KM, Onikpo F, et al. Trends in health worker performance after implementing the integrated Management of Childhood Illness strategy in Benin. Tropical Med Int Health. 2012;17:438-46.
25. Edward A, Kumar B, Niayesh H, Naeem AJ, Burnham G, Peters DH. The association of health workforce capacity and quality of pediatric care in Afghanistan. Int J Qual Health Care. 2012;24:578-86.
26. Nguyen DT, Leung KK, McIntyre L, Ghali WA, Sauve R. Does integrated management of childhood illness (IMCI) training improve the skills of health workers? A systematic review and meta-Analysis. PLoS One. 2013;8:e66030.
27. Hoque DM, Arifeen SE, Rahman M, Chowdhury EK, Haque TM, Begum K, et al. Improving and sustaining quality of child health care through IMCI training and supervision: experience from rural Bangladesh. Health Policy Plan. 2014;29:753-62.
28. Steinhardt LC, Onikpo F, Kouamé J, Piercefield E, Lama M, Deming MS, et al. Predictors of health worker performance after integrated Management of Childhood Illness training in Benin: A cohort study. BMC Health Serv Res. 2015;15:276.
29. Edward A, Dam K, Chege J, Ghee AE, Zare H, Chhorvann C. Measuring pediatric quality of care in rural clinics-A multi-country assessment-Cambodia, Guatemala, Zambia and Kenya. Int J Qual Health Care. 2016;28:586-93.
30. Mansoor GF, Chikvaidze P, Varkey S, Higgins-Steele A, Safi N, Mubasher A, et al. Quality of child healthcare at primary healthcare facilities: A national assessment of the integrated Management of Childhood Illnesses in Afghanistan. Int J Qual Health Care. 2017;29:55-62.
31. El-Ayady AA, Meleis DE, Ahmed MM, Ismaiel RS. Primary health care Physicians' adherence and attitude towards integrated Management of Childhood Illness Guidelines in Alexandria governorate in Egypt. Glob J Health Sci. 2015;8:217-24.
32. Horwood C, Voce A, Vermaak K, Rollins N, Qazi S. Experiences of training and implementation of integrated management of childhood illness (IMCI) in South Africa: A qualitative evaluation of the IMCI case management training course. BMC Pediatr. 2009;9:62.
33. Mushi HP, Mullei K, Macha J, Wafula F, Borghi J, Goodman C, et al. The challenges of achieving high training coverage for IMCI: case studies from Kenya and Tanzania. Health Policy Plan. 2011;26:395-404.
34. Kiplagat A, Musto R, Mwizamholya D, Morona D. Factors influencing the implementation of integrated management of childhood illness (IMCI) by healthcare workers at public health centers & dispensaries in Mwanza, Tanzania. BMC Public Health. 2014;14:277.
35. Lange S, Mwisongo A, Mæstad O. Why don't clinicians adhere more consistently to guidelines for the integrated Management of Childhood Illness (IMCI)? Soc Sci Med. 2014;104:56-63.
36. Ministry of Health and Social Services (MoHSS) [Namibia] and ICF Macro. Namibia Health Facility Census 2009. Windhoek: Namibia MoHSS and ICF Macro; 2010.
37. National Coordinating Agency for Population and Development (NCAPD) [Kenya], Ministry of Medical Services (MOMS) [Kenya], Ministry of Public Health and Sanitation (MOPHS) [Kenya], Kenya National Bureau of Statistics (KNBS) [Kenya], ICF Macro. Kenya Service Provision Assessment Survey 2010. Nairobi, Kenya: National Coordinating Agency for Population and Development, Ministry of Medical Services, Ministry of Public Health and Sanitation, Kenya National Bureau of Statistics, and ICF Macro; 2011.
38. National Bureau of Statistics (NBS) [Tanzania] and Macro International Inc. Tanzania Service Provision Assessment Survey 2006. Dar es Salaam: National Bureau of Statistics and Macro International Inc.; 2007.
39. Ministry of Health (MOH) [Uganda] and Macro International Inc. Uganda service provision assessment survey 2007. Kampala, Uganda: Ministry of Health and Macro International Inc.; 2008.
40. UNICEF. The state of the world's children 2009. New York: UNICEF; 2009.
41. UNICEF. The state of the world's children 2011. New York: UNICEF; 2011.
42. UNICEF. The state of the world's children 2012. New York: UNICEF; 2012.
43. UNICEF. The state of the world's children 2014. New York: UNICEF; 2014.
44. WHO. Integrated Management of Childhood Illness (IMCI) chart booklet. Geneva: WHO; 2014.
45. Mullan F, Frehywot S. Non-physician clinicians in 47 sub-Saharan African countries. Lancet. 2007;370:2158-63.
46. Swart E, Gothe H, Geyer S, Jaunzeme J, Maier B, Grobe TG, Ihle P; German Society for Social Medicine and Prevention; German Society for Epidemiology. [good practice of secondary data analysis (GPS): guidelines and recommendations]. Gesundheitswesen 2015;77:120-126.
47. Biswas AB, Mukhopadhyay DK, Mandal NK, Panja TK, Sinha N, Mitra K. Skill of frontline workers implementing integrated management of neonatal and childhood illness: experience from a district of West Bengal, India. J Trop Pediatr. 2011;57:352-6.
48. Shewade HD, Aggarwal AK, Bharti B. Integrated Management of Neonatal and Childhood Illness (IMNCI): skill assessment of health and integrated child development scheme (ICDS) workers to classify sick under-five children. Indian J Pediatr. 2013;80:448-54.
49. Joshi P, Vatsa M. Knowledge, attitude and performance of IMNCI trained nursing personnel: An evaluative survey. Indian J Pediatr. 2014;81:450-4.
50. Mayhew M, Ickx P, Newbrander W, Stanekzai H, Alawi SA. Long and short integrated Management of Childhood Illness (IMCI) training courses in Afghanistan: A cross-sectional cohort comparison of post-course knowledge and performance. Int J Health Policy Manag. 2015;4:143-52.
51. Huicho L, Scherpbier RW, Nkowane AM, Victora CG. Multi-country evaluation of IMCI study group. How much does quality of child care vary between health workers with differing durations of training? An observational multicountry study. Lancet. 2008;372:910-6.
52. Goga AE, Muhe LM, Forsyth K, Chopra M, Aboubaker S, Martines J, et al. Results of a multi-country exploratory survey of approaches and methods for IMCI case management training. Health Res Policy Syst. 2009;7:18.
53. Kumar D, Aggarwal AK, Kumar R. The effect of interrupted 5-day training on integrated Management of Neonatal and Childhood Illness on the knowledge and skills of primary health care workers. Health Policy Plan. 2009;24:94-100.
54. Harerimana JM, Nyirazinyoye L, Ahoranayezu JB, Bikorimana F, Hedt-Gauthier BL, Muldoon KA, et al. Effect of shortened integrated Management of Childhood Illness training on classification and treatment of under-five children seeking care in Rwanda. Risk Manag Healthc Policy. 2014;7:99-104.
55. Venkatachalam J, Kumar D, Gupta M, Aggarwal AK. Knowledge and skills of primary health care workers trained on integrated management of neonatal and childhood illness: follow-up assessment 3 years after the training. Indian J Public Health. 2011;55:298-302.
56. Rowe AK, Rowe SY, Holloway KA, Ivanovska V, Muhe L, Lambrechts T. Does shortening the training on integrated Management of Childhood Illness guidelines reduce its effectiveness? A systematic review. Health Policy Plan. 2012;27:179-93.
57. Arifeen SE, Bryce J, Gouws E, Baqui AH, Black RE, Hoque DM, et al. Quality of care for under-fives in first-level health facilities in one district of Bangladesh. Bull World Health Organ. 2005;83:260-7.
58. Adam T, Manzi F, Schellenberg JA, Mgalula L, de Savigny D, Evans DB. Does the integrated Management of Childhood Illness cost more than routine care? Results from the United Republic of Tanzania. Bull World Health Organ. 2005;83:369-77.
59. Adam T, Amorim DG, Edwards SJ, Amaral J, Evans DB. Capacity constraints to the adoption of new interventions: consultation time and the integrated Management of Childhood Illness in Brazil. Health Policy Plan. 2005;20(Suppl 1):i49-57.
60. Gera T, Shah D, Garner P, Richardson M, Sachdev HS. Integrated management of childhood illness (IMCI) strategy for children under five. Cochrane Database Syst Rev. 2016;6:CD010123.
61. Mohan P, Kishore B, Singh S, Bahl R, Puri A, Kumar R. Assessment of implementation of integrated management of neonatal and childhood illness in India. J Health Popul Nutr. 2011;29:629-38.
62. Bhandari N, Mazumder S, Taneja S, Sommerfelt H, Strand TA, Evaluation Study IMNCI. Group. Effect of implementation of integrated Management of Neonatal and Childhood Illness (IMNCI) programme on neonatal and infant mortality: cluster randomized controlled trial. BMJ. 2012;344:e1634.
63. Rakha MA, Abdelmoneim AN, Farhoud S, Pièche S, Cousens S, Daelmans B, et al. Does implementation of the IMCI strategy have an impact on child mortality? A retrospective analysis of routine data from Egypt. BMJ Open. 2013;3:e001852.
64. Bryce J, Victora CG, Habicht JP, Black RE, Scherpbier RW. MCE-IMCI technical advisors. Programmatic pathways to child survival: results of a multi-country evaluation of integrated Management of Childhood Illness. Health Policy Plan. 2005;20(Suppl 1):i5-i17.
65. Goga AE, Muhe LM. Global challenges with scale-up of the integrated management of childhood illness strategy: results of a multi-country survey. BMC Public Health. 2011;11:503.
66. Mupara LU, Lubbe JC. Implementation of the integrated Management of Childhood Illnesses strategy: challenges and recommendations in Botswana. Glob Health Action. 2016;9:29417.