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

João Joaquim Freitas Do Amaral, Cesar Gomes Victora

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)151-162
Number of pages12
JournalRevista Brasileira de Saude Materno Infantil
Volume8
Issue number2
DOIs
StatePublished - Apr 2008
Externally publishedYes

Keywords

  • Child health
  • Child health sevices
  • Integrated management of childhood illness

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'The effect of training in Integrated Management of Childhood Illness (IMCI) on the performance and healthcare quality of pediatric healthcare workers: A systematic review'. Together they form a unique fingerprint.

Cite this