Community-Based Integrated Management of Childhood Illness Sample Clauses

Community-Based Integrated Management of Childhood Illness. (CB-IMCI) IMCI is the official child health strategy in Bolivia. The MOH in Oruro began planning for the implementation of clinical IMCI in 1999 with training initiated in 2000. Implementation went much more slowly than expected and is still in process, complicated even further by the rapid turnover of health staff, with some doctors and nurses staying as little as a few months in their positions. SC/B facilitated training of MOH staff in both clinical IMCI and CB-IMCI. In total, 316 communities were implementing CB-IMCI at the time of the evaluation. The MTE reported that monitoring and supervision at that time were not functioning well with the majority of health facilities having had no supervisory visits at all. Monitoring and supervision have improved since the mid-term since Xxxx Xxxx’s team arranged to conduct biannual supervisory visits to health facilities with the Health Network Directors and other regional level health staff. Wawa Sana provided the transportation for the visits. SC/B has been a very active member of a national IMCI working group, along with UNICEF, PAHO, Plan International and other NGOs. With funding from the CORE Group, and in coordination with PROCOSI and BASICS, they have developed and tested attractive field materials and approaches to CB-IMCI. The materials for Promoters to use during their home visits were completed, printed, distributed and are in use now in the field. Most Promoters liked the materials including a training manual, a procedure manual and registration sheets, although Promoters found one of the algorithms (Sheet #4) complicated and difficult to use. Promoters who were interviewed also mentioned that the process was sometimes long and they would like to simplify it. Wawa Sana team members commented that it was unfortunate that the materials were not yet available when the CB-IMCI training for Promoters was held since there had been an unanticipated delay in printing. They recommend that in the future program planners ensure that all materials be ready before scheduling training.
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