Strengthening the capabilities of families and communities to improve child health in low and middle income countries

Prost, Audrey; Sanders, David; Costello, Anthony; Vogel, Joanna; Baqui, Abdullah H; Nair, Nirmala; Romedenne, Magali; Chitnis, Ketan; Bisoborwa, Geoffrey; Doherty, Tanya

doi:10.1136/bmj.k2649

Cited by 10 publications

(6 citation statements)

References 26 publications

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“…Egypt and Tanzania have successfully allocated a separate funding stream for IMCI within all district budgets to ensure sufficient and reliable funding of program activities [11]. The health system must also consider the importance of legitimacy and ownership at district level [58][59][60]. In Nepal and Democratic Republic of Congo (DRC), strengthening district health capacity has been an integral part in reaffirmation of IMCI and prevents donor-driven re-prioritization [58].…”

Section: Discussionmentioning

confidence: 99%

Key challenges of health care workers in implementing the integrated management of childhood illnesses (IMCI) program: a scoping review

Reñosa

Dalglish

Bärnighausen

et al. 2020

Global Health Action

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Background: Several evaluative studies demonstrate that a well-coordinated Integrated Management of Childhood Illnesses (IMCI) program can reduce child mortality. However, there is dearth of information on how frontline providers perceive IMCI and how, in their view, the program is implemented and how it could be refined and revitalized. Purpose: To determine the key challenges affecting IMCI implementation from the perspective of health care workers (HCWs) in primary health care facilities. Methods: A scoping review based on the five-step framework of Arskey and O'Malley was utilized to identify key challenges faced by HCWs implementing the IMCI program in primary health care facilities. A comprehensive search of peer-reviewed literature through PubMed, ScienceDirect, EBSCOhost and Google Scholar was conducted. A total of 1,475 publications were screened for eligibility and 41 publications identified for full-text evaluation. Twentyfour (24) published articles met our inclusion criteria, and were investigated to tease out common themes related to challenges of HCWs in terms of implementing the IMCI program. Results: Four key challenges emerged from our analysis: 1) Insufficient financial resources to fund program activities, 2) Lack of training, mentoring and supervision from the tertiary level, 3) Length of time required for effective and meaningful IMCI consultations conflicts with competing demands and 4) Lack of planning and coordination between policy makers and implementers resulting in ambiguity of roles and accountability. Although the IMCI program can provide substantial benefits, more information is still needed regarding implementation processes and acceptability in primary health care settings. Conclusion: Recognizing and understanding insights of those enacting health programs such as IMCI can spark meaningful strategic recommendations to improve IMCI program effectiveness. This review suggests four domains that merit consideration in the context of efforts to scale and expand IMCI programs.

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Section: Discussionmentioning

confidence: 99%

Key challenges of health care workers in implementing the integrated management of childhood illnesses (IMCI) program: a scoping review

Reñosa

Dalglish

Bärnighausen

et al. 2020

Global Health Action

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“…Meta-analysis of trials leading to a formal guideline from WHO has shown that community mobilisation through women’s groups and participatory learning and action cycles can substantially improve newborn survival in marginalised and rural communities. 8 …”

Section: Unicef-who Leadership Strategy: Five Key Areasmentioning

confidence: 99%

Where’s the leadership? Future commitments of Unicef and WHO for global child health

Costello

Peterson

Rasanathan

et al. 2018

BMJ

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“…These include home visits, women’s groups, community discussion and health committees. 14 However, practice has not matched the increasing evidence, which requires sustained funding and coordination of country-led planning, processes that may be supported by a global re-emphasis on community engagement. Global child health strategies have rarely extended to collaboration with private healthcare providers, even though most children receive private healthcare in many countries.…”

Section: Findings and Insights Into Improving Child Health Strategiesmentioning

confidence: 99%

Introductory commentary: a strategic review of options for building on lessons learnt from IMCI and iCCM

Jacobs

Merson

2018

BMJ

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Strengthening the capabilities of families and communities to improve child health in low and middle income countries

Abstract: Audrey Prost and colleagues discuss how best to enable families and communities to improve child health

Cited by 10 publications

References 26 publications

Key challenges of health care workers in implementing the integrated management of childhood illnesses (IMCI) program: a scoping review

Key challenges of health care workers in implementing the integrated management of childhood illnesses (IMCI) program: a scoping review

Where’s the leadership? Future commitments of Unicef and WHO for global child health

Introductory commentary: a strategic review of options for building on lessons learnt from IMCI and iCCM

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