The effect of training in Integrated Management of Childhood Illness (IMCI) on the performance and healthcare quality of pediatric healthcare workers: a systematic review

Revista Brasileira de Saúde Materno Infantil

João Joaquim Freitas Do Amaral²  Cesar Gomes Victora¹ 

[1] ,Universidade Federal do Ceará Faculdade de Medicina Departamento de Saúde Materno InfantilFortaleza CE ,Brasil

关键词: Integrated Management of Childhood Illness;    Child Health Services;    Child health;    Atenção Integral às Doenças Prevalentes na Infância;    Serviços de saúde da criança;    Saúde da criança;   

DOI  :  10.1590/S1519-38292008000200002

来源: SciELO

【 摘 要 】

OBJECTIVES: to analyze the effect of training in Integrated Management of Childhood Illness (IMCI) on the quality of case management by healthcare workers based on a systematic review of the literature. METHODS: the authors searched the databases MEDLINE, LILACS, PAHO and WHOLIS for the search terms Integrated Management of Childhood Illness (IMCI), and analyzed documents published by Pan American Health Organization, World Health Organization and the Brazilian Ministry of Health between January 1993 and July 2006. The quality of the methodology was assessed using the criteria developed by Downs and Black. RESULTS: thirty-five papers were reviewed. Twelve of these validated the IMCI algorithm and found the sensitivity to be high and the specificity to be over 80% for major illnesses. Twenty-three papers assessed the performance of healthcare workers, eight of these with no control group. The present study shows clear evidence of improvement in the performance of healthcare workers employed at healthcare facilities with IMCI. The main methodological weaknesses of the study were lack of control of confounding factors and lack of information regarding statistical power. CONCLUSIONS: the performance of healthcare workers tends to improve at public healthcare facilities when IMCI is introduced.

【 授权许可】

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