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Integrated Management of Neonatal and Childhood Illnesses (IMNCI) |
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Background |
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Significant gains have been made in bringing down Infant Mortality Rate (IMR) in India. The decline has hoh now constitutes almost 65% of the total IMR in the country. IMNCI strategy has emerged as a promising approach to deal with issues related to child survival in a more holistic manner. However since implewever hit a plateau in the past decade. Equally important is the challenge of high neonatal mortality, whicmentation of IMNCI requires training a huge number of health functionaries across the country as well as improvement in the overall health systems, it is only prudent that feasibility and effectiveness of this strategy is studied before its countrywide implementation is effected. The IPEN field trial aims to study in a comprehensive manner the existing baseline in selected study districts. Thereafter, various processes of implementation of IMNCI and its impact on various child survival and development indices would be concurrently assessed. |
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Goal |
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To assess current status of child survival indicators and process indicators for existing program activities in Intervention (IMNCI program was expected to be implemented in 2007) and Comparison (with ongoing RCH-I based child health strategy/ planned IMNCI implementation in 2010) districts. |
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Objectives |
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1. To determine baseline mortality among children under-five years of age (NMR, IMR, U5MR)
2. To determine prevalence of fever, loose motion, cough and any other illness (morbidity density) in two weeks prior to day of field survey among children under-five years of age.
3. To assess effective program coverage for specified disease condition (cough with fast breathing) occurring in two weeks prior to day of field survey.
The study also aims to assess:
4. Causes of under-five mortality (verbal autopsy) and pathway analysis of events prior to death and recovery of sick under-five children.
5. Sickness management practices at household, community level and health facility level.
6. Skills and care providing competencies of health care providers (doctors, heath workers and other community level non-conventional service providers)
7. Health system support for manpower, logistics, referral mechanism, intersectoral coordination, social mobilization and monitoring & supervision. |
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Key Activities: |
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1. Proposal finalization |
5. Data collection and analysis |
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2. Instrument development |
6. Draft Report writing |
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3. National Protocol Finalization Workshop |
7. Dissemination of results |
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4. Regional Training Workshops |
8. Final Report Writing and Publication | |
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Achievements so far: |
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Current Status: |
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Final analysis and draft report writing is in progress. |
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Next Step: |
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Dissemination of results, final report writing and publication of final report. |
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Time Line: |
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1. Instrument Development (July-Sep 2006) |
6. Regional Training Workshops (February-March 2007) |
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2. Program Managers Meeting (August 2006) |
7. Data Collection (March-May 2007) |
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3. International Advisory Board meeting
(September 2006) |
8. Data Analysis (ongoing) |
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4. National Orientation & Protocol Finalization Workshop (September 2006) |
9. Draft Report Writing (ongoing) |
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5. Second International Advisory Board meeting (November 2006) |
10. Dissemination of Results (July 2009) |
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11. Final Report (August 2009) | |
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Geographical Focus: |
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Uttar Pradesh, Rajasthan, Orissa, Madhya Pradesh, Karnataka, Maharashtra, Haryana and Meghalaya |
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Key Stakeholders: |
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UNICEF, USAID, Ministry of Health & Family Welfare (GoI) |
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Expected Outcome: |
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For further info contact: Ms. Vaishali Deshmukh, Program Consultant at vaishali@inclentrust.org
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