Adherence to case management guidelines of integrated management of childhood illness (IMCI) by healthcare workers in Tshwane, South Africa

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dc.contributor.author Mulaudzi, M.C. (Mphele)
dc.date.accessioned 2016-02-29T06:15:29Z
dc.date.available 2016-02-29T06:15:29Z
dc.date.issued 2015-08
dc.description.abstract BACKGROUND. Integrated Management of Childhood Illness (IMCI) is an essential strategy known to deliver childhood interventions that reduce the under-five mortality rate. Objective. To evaluate the adherence to the IMCI case management guidelines by primary healthcare workers in the Tshwane area, South Africa. METHODS. The study was conducted between July and December 2012 on children referred from clinics to Kalafong Hospital. Data on IMCI clinical symptoms and signs, classification and treatment given at the clinics before referral to the hospital were collected from patients’ referral letters. An interview with the caregiver on counselling received at the clinic was done using an adapted World Health Organization health facility survey tool. RESULTS. Eighty children between 2 and 60 months referred from 12 local clinics were included in the study. IMCI classification was done in just over half (52.9%) of 34 children with cough and 73% of 15 children with diarrhoea. Only 18% of children with chest indrawing and fast breathing were classified correctly. Prereferral treatment for all children with severe dehydration had been given correctly but not so for children with severe pneumonia and severe malnutrition. None of the children with severe disease had been checked for glucose levels before referral. CONCLUSIONS. The IMCI guidelines had not been adhered to in all children referred to the hospital. Children, particularly those with severe disease, had been incorrectly classified, leading to inadequate prereferral treatment. Healthcare workers had not given the expected treatment at the clinic before referral. en_ZA
dc.description.librarian am2015 en_ZA
dc.description.uri http://www.sajch.org.za/index.php/SAJCH en_ZA
dc.identifier.citation Mulaudzi, MC 2015, 'Adherence to case management guidelines of integrated management of childhood illness (IMCI) by healthcare workers in Tshwane, South Africa', South African Journal of Child Health, vol. 9, no. 3, pp. 89-92. en_ZA
dc.identifier.issn 1994-3032 (print)
dc.identifier.issn 1999-7671 (online)
dc.identifier.other 10.7196/SAJCH.7959
dc.identifier.uri http://hdl.handle.net/2263/51574
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.relation.ispartofseries South African Journal of Child Health, vol. 9, no. 3, pp. 89-92. en_ZA
dc.rights © 2015 Health and Medical Publishing Group. This work is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject Mortality rate en_ZA
dc.subject Healthcare workers en_ZA
dc.subject Integrated management of childhood illness (IMCI) en_ZA
dc.subject Tshwane (South Africa) en_ZA
dc.title Adherence to case management guidelines of integrated management of childhood illness (IMCI) by healthcare workers in Tshwane, South Africa en_ZA
dc.type Article en_ZA


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