Soltani M S, El Mhamdi S, Sriha A, Bouanene I, Bouchahda I, Bouchahda M
Service de Médecine préventive et d'Epidémiologie, CHU Fattouma Bourguiba, Monastir (Tunisie).
Centre de protection maternelle et infantile, Zeramdine (Tunisie).
East Mediterr Health J. 2014 Aug 19;20(8):483-90.
The programme of integrated management of child health (IMCI) was established in Tunisia in 2002 in some health districts. This study evaluated the management of children under 5 years of age and their mothers using the IMCI programme in Zeramdine, a town 20 km south-west of Monastir. A cross-sectional study was conducted on a convenience sample of 526 medical records of children under 5 years attending the Zeramdine maternal and child health centre. The study evaluated preventive and curative aspects of child health. The mean age was 21.9 (SD 16.7) months. On the curative side, respiratory diseases were the leading reason for consultation (71.2%) followed by diarrhoea (15.4%). For preventive services, physicians systematically checked the child's immunization status and height and weight on the growth charts, and screened for strabismus and anaemia. The contribution to child health of IMCI is undeniable; it allows comprehensive care of the child, develops staff skills, upgrades the health system and improves family and community practices.
儿童疾病综合管理（IMCI）项目于2002年在突尼斯的一些卫生区启动。本研究在莫纳斯提尔西南20公里处的泽拉姆丁镇，对使用IMCI项目管理5岁以下儿童及其母亲的情况进行了评估。对泽拉姆丁母婴健康中心526份5岁以下儿童病历的便利样本进行了横断面研究。该研究评估了儿童健康的预防和治疗方面。平均年龄为21.9（标准差16.7）个月。在治疗方面，呼吸道疾病是就诊的主要原因（71.2%），其次是腹泻（15.4%）。对于预防服务，医生会系统地检查儿童的免疫状况，并对照生长图表检查身高和体重，筛查斜视和贫血情况。IMCI对儿童健康的贡献不可否认；它能为儿童提供全面护理，提升工作人员技能，改善卫生系统，并改进家庭和社区的做法。
