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Showing content from https://pubmed.ncbi.nlm.nih.gov/19147699/ below:

Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia

Affiliations

• ¹ Department of Public Health Sciences, University of North Carolina at Charlotte, 28223-0001, USA. methomp1@uncc.edu

• PMID: 19147699
• DOI: 10.1093/heapol/czn048

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Michael E Thompson et al. Health Policy Plan. 2009 Mar.

• ¹ Department of Public Health Sciences, University of North Carolina at Charlotte, 28223-0001, USA. methomp1@uncc.edu

• PMID: 19147699
• DOI: 10.1093/heapol/czn048

Item in Clipboard

Background: Maternal and child health status in the Martuni region of Gegharkunik marz, Armenia, precipitously declined following Armenia's independence in 1991. In response, the American Red Cross (ARC) and the Armenian Red Cross Society (ARCS) implemented the WHO community-level Integrated Management of Childhood Illnesses (IMCI) strategy, complementing recent clinical IMCI training in the region in which 387 community health volunteers from 16 villages were trained as peer educators, and approximately 5000 caretakers of children under age 5 were counselled on key nutrition and health practices.

Methods: A pre-post independent sample design was used to assess the programme's impact. The evaluation instrument collected respondent demographic characteristics and knowledge, attitudes and practices consistent with 10 health indicators typical of child survival interventions. At baseline and at follow-up, 300 mothers were interviewed using a stratified simple random sampling of households with at least one child less than age 2.

Results: The assessment confirmed the population's poor health status and limited knowledge and application of recommended child care practices. The campaign reached its target: at follow-up, 67% had seen media messages within the past month, 82% had received the IMCI informational booklet, and 30% had seen other materials. Evidence of the success of the programme included the following: exclusive breastfeeding increased 31.4%, maternal knowledge of child illness signs increased 30%, knowledge of HIV increased 28.5%, and physician attended deliveries increased 15%.

Conclusions: This evaluation documented the significant and substantial impact of the community IMCI programme on both knowledge and practice in rural areas of Armenia. Consideration should be given to continuing and expanding this project as a complement to health sector development activities in this region.

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  Huicho L, Dávila M, Campos M, Drasbek C, Bryce J, Victora CG. Huicho L, et al. Health Policy Plan. 2005 Jan;20(1):14-24. doi: 10.1093/heapol/czi002. Health Policy Plan. 2005. PMID: 15689426

• The Ife South Breastfeeding Project: training community health extension workers to promote and manage breastfeeding in rural communities.

  Davies-Adetugbo AA, Adebawa HA. Davies-Adetugbo AA, et al. Bull World Health Organ. 1997;75(4):323-32. Bull World Health Organ. 1997. PMID: 9342891 Free PMC article.

• Performance of health workers after training in integrated management of childhood illness in Gondar, Ethiopia.

  Simoes EA, Desta T, Tessema T, Gerbresellassie T, Dagnew M, Gove S. Simoes EA, et al. Bull World Health Organ. 1997;75 Suppl 1(Suppl 1):43-53. Bull World Health Organ. 1997. PMID: 9529717 Free PMC article.

• [The integrated management of childhood illness: Haiti's example].

  Arrivé E, Perez F, Pierre LM. Arrivé E, et al. Sante. 2004 Jul-Sep;14(3):137-42. Sante. 2004. PMID: 15563407 Review. French.

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  Opondo C, Ayieko P, Ntoburi S, Wagai J, Opiyo N, Irimu G, Allen E, Carpenter J, English M. Opondo C, et al. BMC Pediatr. 2011 Nov 25;11:109. doi: 10.1186/1471-2431-11-109. BMC Pediatr. 2011. PMID: 22117602 Free PMC article. Clinical Trial.

• Factors influencing the uptake of a mass media intervention to improve child feeding in Bangladesh.

  Kim SS, Roopnaraine T, Nguyen PH, Saha KK, Bhuiyan MI, Menon P. Kim SS, et al. Matern Child Nutr. 2018 Jul;14(3):e12603. doi: 10.1111/mcn.12603. Epub 2018 Apr 11. Matern Child Nutr. 2018. PMID: 29644807 Free PMC article.

• Health education for microcredit clients in Peru: a randomized controlled trial.

  Hamad R, Fernald LCh, Karlan DS. Hamad R, et al. BMC Public Health. 2011 Jan 24;11(1):51. doi: 10.1186/1471-2458-11-51. BMC Public Health. 2011. PMID: 21261988 Free PMC article. Clinical Trial.

• "The staff are not motivated anymore": Health care worker perspectives on the Integrated Management of Childhood Illness (IMCI) program in the Philippines.

  Reñosa MDC, Bärnighausen K, Dalglish SL, Tallo VL, Landicho-Guevarra J, Demonteverde MP, Malacad C, Bravo TA, Mationg ML, Lupisan S, McMahon SA; National IMCI Evaluation Working Group. Reñosa MDC, et al. BMC Health Serv Res. 2021 Mar 24;21(1):270. doi: 10.1186/s12913-021-06209-6. BMC Health Serv Res. 2021. PMID: 33761936 Free PMC article.

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