B.S. Medical College, Bankura, West Bengal, India.
J Trop Pediatr. 2011 Oct;57(5):352-6. doi: 10.1093/tropej/fmq106. Epub 2010 Nov 16.
A cross-sectional study was conducted in Purulia district, West Bengal, India, to assess the skill of 155 frontline workers implementing Integrated Management of Neonatal and Childhood Illness (IMNCI) and the logistic support thereof. The skills of counting respiratory rate, assessing immunization status in both age groups, assessment of breastfeeding in young infants and plotting of weight in a growth chart in case of children aged 2-59 months were acquired by majority of workers. Around two-thirds workers synthesized correct classification and nearly 60% gave appropriate management of at least one subgroup. In 30-40% cases, carers received feeding advices. Around 50% casesheets were complete and timely report submission rate was nearly 70%. Necessary equipments were available with majority of workers except the utensils for preparation of ORS. The supply of essential drugs varied from 33.5 to 71.6%. These findings suggest that IMNCI program offered a scope for capacity-building and infrastructure strengthening of the health system.
一项横断面研究在印度西孟加拉邦的普鲁利亚区进行，旨在评估 155 名实施新生儿和儿童期疾病综合管理（IMNCI）的一线工作人员的技能及其后勤支持情况。大多数工作人员掌握了计数呼吸频率、评估两个年龄段的免疫状况、评估婴幼儿母乳喂养情况以及在 2-59 月龄儿童的生长图表上绘制体重的技能。约三分之二的工作人员能够正确综合分类，近 60%的工作人员能够对至少一个亚组进行适当的管理。在 30-40%的情况下，护理人员接受了喂养建议。约 50%的病例记录完整，及时报告提交率接近 70%。除了配制口服补液盐（ORS）的器具外，大多数工作人员都能获得必要的设备。基本药物的供应情况从 33.5%到 71.6%不等。这些发现表明，IMNCI 方案为卫生系统的能力建设和基础设施加强提供了机会。
