DOI: 10.36347/sjams.2013.v01i03.008

Pages: 177-190

Abstract: The aim of this study is to assess the Integrated Management of Childhood Illness (IMCI) approach in Alexandria, Egypt. Study design was a cross sectional comparative study. The study was conducted in two settings related to Ministry of Health; primary care facilities applying IMCI and the other setting not applying IMCI the sample size amounted to 200 infant and children. Observation was used as a tool to assess performance of child health care providers during caring for sick children in the study setting, in addition to supervisory checklist, focus group discussions and also reviewing the child's medical records. The researcher interviewed mothers and caretakers using a structured interview method. Results revealed that classification score percentage was higher in units applying IMCI than units not applying IMCI. The difference between the units was statistically significant in relation to assessment, classification and counseling. Also, counseling was mainly done by physicians in both units applying and units not applying IMCI but it ranked higher in units applying IMCI. The ideal treatment cost was less in units applying IMCI. Performance was much better in units applying IMCI mother's satisfaction was significantly high among those enrolled to units applying IMCI. Also, majority of the trained health staff participating in the study strongly agreed that IMCI is better than the traditional system of sick child management.