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Integrated management of childhood illness: field test of the WHO / UNICEF training course in Arusha, United Republic of Tanzania. WHO Division of Child Health and Development and WHO Regional Office for Africa.
BULLETIN OF THE WORLD HEALTH ORGANIZATION. 1997; 75 Suppl 1:55-64.The World Health Organization/UNICEF training course on the integrated management of childhood illness (IMCI) for health workers in developing countries was field tested in Arusha, Tanzania, during February-March 1995 to determine whether it could effectively prepare participants to correctly manage sick children and to suggest improvements in course materials and teaching procedures. The 11-day course was tested upon the most peripheral first-level facility health workers: 8 medical assistants, 8 rural medical aides, and 7 maternal-child health (MCH) aides. Each trainee individually examined 9-10 inpatients and managed more than 30 sick children as outpatients. While some trainees had problems reading the training modules in English, all 3 groups overall could assess, classify, and treat most sick children by the end of the course. Most were also able to provide adequate counseling. Improvements were suggested and incorporated into the course guidelines and training materials.
IPPF Situation Report, June 1973. 10 p.The Indonesian Planned Parenthood Association (IPPA) was founded in 1957 and pioneered family planning services. It made little headway duri ng the pronatalist Sukarno regime, but in 1967 the present government announced an intensive family planning program and the IPPA was named as an implementing unit in 1971. 2 primary roles now are the training activities for fieldworkers and the development of community education and motivation programs. This complements the national mass media program. In 1970 the government took over all clinics except those in the Outer Islands (the islands outside Java, Bali, and Madura). The IPPA runs 150 clinics in the Outer Islands, is responsible for all supplies and maintenance, and has a number of model clinics in Java and Bali. The Community Education program has 8 components: speakers bureau, family planning clubs, mobile audiovisual units, exhibitions, tr aditional media, special events, local mass media support, and evaluatio n. In 1971 the 'ippa trained 2951 people; in 1972 this was increased by 25%. In 1973 the target is training 3000 fieldworkers with 16 centers for training and 16 field demonstration areas. An agreement with the U.N. Fund for Population Activities/International Development Association (UNFPA/IDA) will provide for building, equipping, and staffing. The research and evaluation function is also expanding to complement government activities. The government program aims to train 20,250 medical and paramedical personnel over 5 years and medical schools have incorporated the teaching of population and family planning. Government allowances are being curtailed for all children over 3 for government workers. An active clinic program aims to set up 1200 fully equipped and 1250 moderately equipped facilities by 1973. An active media campaign has been launched and for the 1st time in the population field the UNFPA and the IDA are helping to finance a project to expand a family planning program and broaden its activities. This su pport will provide for physical facilities, technical assistance, training, motivation, evaluation, research, and population education.