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Financial challenges to ICMT scale-up and follow-up after training are common. The survey sought to review country adaptations of IMCI case management training, including adaptations to content and training methodologies i. Focus group discussions amongst health workers in South Africa also showed that although they found the training interesting, informative and empowering the training time was short and follow-up visits, though helpful, were often delayed resulting in no ongoing clinical supervision [ 13 ]. The introduction of IMCI at country level, however, requires a great deal of coordination among existing health programs and services. Linkages with other 'better-funded' programmes e.

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Author information Article plyer Copyright and License information Disclaimer. All IMCI focal persons, national programme officers, course directors, facilitators and trainees who participated in the review.

As any other computer-based training programmes ICATT must be complemented with practical training sessions to develop certain skills necessary for assessing, classifying and treating a child, as well as communication and counselling skills. According to the World Health Organization, nearly seven million children die every year before reaching their trraining birthday.

Research results with potential implications for updating the technical guidelines of IMCI are constantly emerging.

Data analysis Data were entered using EpiData v3. As IMCI is accepted globally as one of the key strategies to meet MDG4 several steps need to be taken to facilitate rapid acceleration of ICMT, including reviewing core competencies followed by competency-driven shortened training duration or 'on the job' training, 'distance learning' or training using mobile phones.

Our previous paper highlighted the acceptability of standardised shortened IMCI courses that include participatory methodologies and adequate clinical practice, amongst selected country respondents [ 14 ]. The commonest challenges to follow-up after ICMT were lack of funding The course comprises six key modules and clinical practice.

In view of the potential contribution that IMCI scale-up could have on childhood morbidity and mortality, and the dearth of documented information on how IMCI was actually being implemented globally we conducted a survey in to review the training approaches and methods used for IMCI case management, document challenges to rapid scale-up of ICMT, document how countries are addressing these barriers and explore country experiences with follow-up after ICMT.

The software runs on a PDA or mobile phone and guides health workers step-by-step through the full IMCI assessment, classification and treatment plan. Health Research Policy and Systems.

Similarly although IMCI trained health workers recognized the trqining of follow-up a group of trained health workers also expressed despondency about follow-up, likening it to policing.

Results of a multi-country exploratory survey of approaches and methods for IMCI case management training. Improving antimicrobial use among health workers in first-level facilities: According to WHO, every day approximately women die from preventable causes related to pregnancy and childbirth. The course was tested in a trianing setting in Tanzania and Peru and then as distance learning material in Tanzania, Indonesia and East Java.

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Thus the paper serves to benchmark the status of IMCI implementation and challenges to scale-up globally. WHO is further disseminating the software at the global level.

Secondly this paper describes challenges through the eyes plaayer several cadres of health workers from national level to sub-district level. American Journal of Public Health. Despite data on the effectiveness of IMCI in decreasing antimicrobial prescription by health workers, improving quality of care, child health indicators, quality of counselling provided to caregivers, and bed net use [ 3 - 10 ], current global coverage by IMCI-case playdr health workers is low [ 11 ].

Financial challenges to ICMT scale-up and follow-up after training, and human resource shortages in number or skill are critical bottle necks to ICMT scale-up.

eLearning in Maternal and Child Health: The Example of IMPACtt — Medicus Mundi Schweiz

Thus shortening duration of training as a means to reduce cost and facilitate scale-up of IMCI still needs to be further investigated. WHO recommends that The focus will be on testing the applicability and experiences with implementing IMPAC tt — ENC as a largely self-directed and ideally distance-learning approach.

These pilots have shown that ICATT can facilitate the scaling-up of training in IMCI as it requires less training time, it has also shown to have positive effects on the training outcomes and presents a more cost-effective option compared to traditional IMCI training. ICATT is an excellent training support tool which can be used for many training approaches, such as: A systematic review of the effectiveness of shortening Integrated Management of Childhood Illness guidelines training: Using the Training Player.

Countries have identified several challenges to rapid scale-up of ICMT. Finally, each session concludes with a TEST part to assess the acquired knowledge before continuing to the next session.

The IMCI management algorithms or charts are colour coded and each trained health care provider is provided with a chart booklet to use during consultations. National Center for Biotechnology InformationU. The study compares traditional IMCI courses with ICATT-based distance-learning, looking at the training outcomes, mid-term learning effects as well as cost-effectiveness.