Challenges in Scaling Up Childhood Illness Management Training
Author Information
Author(s): Goga Ameena E, Muhe Lulu M
Primary Institution: Health Systems Research Unit, Medical Research Council
Hypothesis
What are the barriers to rapid acceleration of Integrated Management of Childhood Illness Training (ICMT) and how can countries address these challenges?
Conclusion
Financial challenges to ICMT scale-up and follow-up after training are common, and several steps need to be taken to facilitate rapid acceleration of ICMT.
Supporting Evidence
- Funding was identified as a major barrier to scaling up ICMT.
- 93.1% of respondents reported lack of funding for follow-up as a challenge.
- Countries have addressed challenges by increasing advocacy and redistributing funds.
Takeaway
This study found that many countries struggle to train health workers to manage sick children due to high costs and lack of resources, but there are ways to improve the situation.
Methodology
A multi-country exploratory cross-sectional questionnaire survey was conducted in 27 countries using quantitative and qualitative methods.
Potential Biases
Responses may be influenced by the perspectives of national focal persons and course directors, potentially leading to biased reporting of challenges.
Limitations
The study may not capture all challenges faced by every country due to the subjective nature of responses.
Participant Demographics
Key informants included national focal persons for IMCI, WHO National Programme Officers, course directors, and IMCI-trained health workers from 27 countries.
Statistical Information
Confidence Interval
95% CI 35.9-61.7%
Digital Object Identifier (DOI)
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