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. 2001;1(1):1.
doi: 10.1186/1472-698x-1-1.

Evaluating Niger's experience in strengthening supervision, improving availability of child survival drugs through cost recovery, and initiating training for Integrated Management of Childhood Illness (IMCI)

Youssef M Tawfik  1 , Stephane Legros, Colette Geslin
Affiliations

Evaluating Niger's experience in strengthening supervision, improving availability of child survival drugs through cost recovery, and initiating training for Integrated Management of Childhood Illness (IMCI)

Youssef M Tawfik et al. BMC Int Health Hum Rights. 2001.

Abstract

BACKGROUND: WHO and UNICEF have recently developed the "Integrated Management of Childhood Illness" (IMCI) as an efficient strategy to assist developing countries reduce childhood mortality. Early experience with IMCI implementation suggests that clinical training is essential but not sufficient for the success of the strategy. Attention needs to be given to strengthening health systems, such as supervision and drug supply. RESULTS: This paper presents results of evaluating an innovative approach for implementing IMCI in Niger. It starts with strengthening district level supervision and improving the availability of child survival drugs through cost recovery well before the beginning of IMCI clinical training. The evaluation documented the effectiveness of the initial IMCI clinical training and referral. CONCLUSIONS: Strengthening supervision and assuring the availability of essential drugs need to precede the initiation of IMCI Clinical training. Longer term follow up is necessary to confirm the impact of the approach on IMCI preparation and implementation.

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Figures

Figure 1
Figure 1
Number of Visits to Primary Health Facilities in Boboye District by Quarter (Q) in 1996, 1997 & 1998
Figure 2
Figure 2
Number of New Curative Visits at Two Health Facilities With & Without Cost Recovery by Quarter (Q) in 1997 & 1998
See this image and copyright information in PMC

References

    1. World Health Organization Department of Child and Adolescent Health and Development Health Systems and Community Health. Information Sheets on Integrated Management of Childhood Illness (IMCI) WHO Geneva. 1999.
    1. Basic Support for Institutionalizing Child Survival (BASICS) Pathways and Partnerships: BASICS Contributions to Child Survival. BASICS Project Arlington, Virginia, USA. 1999.
    1. Quality Assurance Project Quality Assurance Basic Course. Center for Human Services Bethesda MD USA. 1996.
    1. Kourgueni I, Gabra B, Barrere B. Enquete Demographique et de Sante, Niger 1992. Macro International Inc Columbia, Maryland USA. 1993.
    1. Management Sciences for Health Managing Drug Supply: The Selection, Procurement, Distribution, and Use of Pharamaceuticals, Second Edition. Kumarian Press Management Sciences for Health, Boston MA USA. 1997.

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