Authors :
Joaquim Pinto, Lic.SP, M.M, M.MTSC; DR. Lidia Gomes SKM, MPH; Dr. Avelino Guterres Correia, MPH
Volume/Issue :
Volume 5 - 2020, Issue 12 - December
Google Scholar :
http://bitly.ws/9nMw
Scribd :
https://bit.ly/3mI9HSe
Abstract :
To explore adherence to Integrated Management of
Childhood Illness(IMCI)guidelines for assessment,
classification, treatment, counselling and follow-upfor
children under 5 years of age with acute diarrhoea.
This descriptive study used both quantitative and
quantitative methods together, specifically a
retrospective review of children’s case files and
interviews with health workers. Data were gathered
using both methods concurrently. Quantitative data
were analysed using descriptive statistics and interview
data were incorporated in the findings to provide depth
and explanations for interpreting the results.
Health Services in one Municipality in Timor-Leste
The IMCI trained heads of community health
centresand IMCI facilitators in the municipality.
Adherence to the IMCI algorithm and guidelines
for assessment, classification, treatment, counselling and
follow-up for children under five year with acute
diarrhea.
The study found high levels of adherence to the
IMCI guidelines for assessment and classification of
cases, but low levels of adherence to guidelines for
treatment, counselling and follow-up of these
children.Overall 61.7% of the case files showed
adherence to guidelines. Explanations for non-adherence
to guidelines were related to shortages of resources such
as zinc tablets and a lack of mentoring, follow up
training and supervision of health workers.
The quality of IMCI case management for children
with acute diarrhoea is hinderedby a lack of resources,
increasing the risk of malnutrition and recurrence of
diarrhoea in this already vulnerable population of
children. System improvements can ensure appropriate
resourcing and staff knowledge and skills for IMCI
Keywords :
Children’s Health Services, East Timor, Diarrhoea, Guideline Adherence, Quality of Health Care. From the journal database:- Quality Management, guidelines, children, developing countries, primary care, digestive diseases
To explore adherence to Integrated Management of
Childhood Illness(IMCI)guidelines for assessment,
classification, treatment, counselling and follow-upfor
children under 5 years of age with acute diarrhoea.
This descriptive study used both quantitative and
quantitative methods together, specifically a
retrospective review of children’s case files and
interviews with health workers. Data were gathered
using both methods concurrently. Quantitative data
were analysed using descriptive statistics and interview
data were incorporated in the findings to provide depth
and explanations for interpreting the results.
Health Services in one Municipality in Timor-Leste
The IMCI trained heads of community health
centresand IMCI facilitators in the municipality.
Adherence to the IMCI algorithm and guidelines
for assessment, classification, treatment, counselling and
follow-up for children under five year with acute
diarrhea.
The study found high levels of adherence to the
IMCI guidelines for assessment and classification of
cases, but low levels of adherence to guidelines for
treatment, counselling and follow-up of these
children.Overall 61.7% of the case files showed
adherence to guidelines. Explanations for non-adherence
to guidelines were related to shortages of resources such
as zinc tablets and a lack of mentoring, follow up
training and supervision of health workers.
The quality of IMCI case management for children
with acute diarrhoea is hinderedby a lack of resources,
increasing the risk of malnutrition and recurrence of
diarrhoea in this already vulnerable population of
children. System improvements can ensure appropriate
resourcing and staff knowledge and skills for IMCI
Keywords :
Children’s Health Services, East Timor, Diarrhoea, Guideline Adherence, Quality of Health Care. From the journal database:- Quality Management, guidelines, children, developing countries, primary care, digestive diseases
