Integrated Management of Neonatal and Childhood Illnesses (IMNCI) Training Enhanced Child-Survival Knowledge of Anganwadi Workers in Odisha, India
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 5
Abstract
Integrated management of neonatal and childhood illness (IMNCI), a universally acclaimed community-based child-survival programme was rolled out in Odisha during 2006 and the Anganwadi workers (AWWs) were trained to be the frontline implementers. It was perceived that IMNCI has developed operational weakness that led to the decision of discontinuing its implementation through AWWs, hence, withdrawing state support from their training. Alternatively, Accredited Social Health Activists (ASHA), the village-based health volunteers, were to be engaged through a re-packaged programme – Home-based Newborn Care (HBNC). But, neither HBNC has provision for children beyond 42 days, nor the relatively less-educated ASHAs are trained as intensely. This study aims to assess the influence of IMNCI training on the AWW’s knowledge regarding childhood illnesses. A cross-sectional study was conducted in 10 districts of Odisha that recruited a probability sample of AWWs (n=443) among both trained and untrained AWWs. During interviews, the AWWs were asked of various aspects of IMNCI-related knowledge. The trained AWWs, as compared to untrained, possessed substantially more IMNCI knowledge. Knowledge of possible serious bacterial infection and nutrition in children aged 0-2 months was almost twice and 1.2 times higher about diarrhoea respectively among trained (p<0.0001). Knowledge for age-group of 2–59 months had modest association with training. IMNCI training is associated with significantly higher knowledge levels among the AWWs, despite operational lacunae in IMNCI. This may provide evidence for the Odisha policy-makers to continue the training of AWWs and continuation of IMNCI implementation, to complement ASHA-led HBNC.
Authors and Affiliations
Meena Som
Keywords
Related Articles
- EP ID EP369712
- DOI -
- Views 40
- Downloads 0
A Study to Assess the Therapeutic Compliance and Associated Factors among Tuberculosis Patients in Selected DOTS Centres of City Ludhiana, Punjab
Introduction: Tuberculosis is considered second most important cause of adult death worldwide due to infectious diseases after HIV/AIDS. According to WHO incidence rate of tuberculosis in India was 181 lakh people per ye...
A Pre-Experimental Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge and Attitude Regarding Prevention of Obesity among Adolescent Girls in Selected Schools of Joginder Nagar, Mandi District, Himachal Pradesh
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems. An evaluatory appro...
Varied Clinical Presentations of Meckel’s Diverticulum
Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract. They are largely asymptomatic; complications are rare and include diverticulitis, bleeding and obstruction. This is a report on three ca...
Pre- and Post-Examinational Stress Effect on Anti-Oxidant Level and Plasma Glucose Level of Students of College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
This study investigated the effect of pre- and –post examinational stress on antioxidant and plasma glucose levels in apparently healthy students. A total of 50 subjects aged 18-30 years, were recruited for the study. A...
Prevalence of Risk Factors in Pediatric History of Currently Overweight and Obese Adults
Obesity has been recognized as a disease of the modern society. It is a highly prevalent condition in today’s world where constant efforts are made by a number of researches and treatment efforts being found in order to...