Assessment of Integrated Management of Childhood Illness Approach in Alexandria, Egypt.
Thesis
AbdelKader, Sabah . 2013
نوع عمل المنشور:
PhD
مدينة النشر:
Riyadh, KSA
رابط المنشور على الويب:
نوع الإطروحة:
PhD
المدرسة:
High Institute of Public Health, Alexandria University
مستخلص المنشور:
The aim of this study is to assess the Integrated Management of Childhood Illness (IMCI) approach in
Alexandria, Egypt. Study design was a cross sectional comparative study. The study was conducted in two settings
related to Ministry of Health; primary care facilities applying IMCI and the other setting not applying IMCI the sample
size amounted to 200 infant and children. Observation was used as a tool to assess performance of child health care
providers during caring for sick children in the study setting, in addition to supervisory checklist, focus group discussions
and also reviewing the child's medical records. The researcher interviewed mothers and caretakers using a structured
interview method. Results revealed that classification score percentage was higher in units applying IMCI than units not
applying IMCI. The difference between the units was statistically significant in relation to assessment, classification and
counseling. Also, counseling was mainly done by physicians in both units applying and units not applying IMCI but it
ranked higher in units applying IMCI. The ideal treatment cost was less in units applying IMCI. Performance was much
better in units applying IMCI mother's satisfaction was significantly high among those enrolled to units applying IMCI.
Also, majority of the trained health staff participating in the study strongly agreed that IMCI is better than the traditional
system of sick child management.