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AuthorAbrar, Saidul
AuthorHafeez, Asad
AuthorKhan, Muhammad Naseem
AuthorMarwat, Muhammad Imran
Available date2024-06-11T10:56:56Z
Publication Date2024-03-07
Publication NameJournal of Child Health Care
Identifierhttp://dx.doi.org/10.1177/13674935241238474
CitationAbrar, S., Hafeez, A., Khan, M. N., & Marwat, M. I. (2024). Perspectives of healthcare workers on integrated management of childhood illness in Pakistan: A phenomenological approach. Journal of Child Health Care, 13674935241238474.
ISSN1367-4935
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85186940921&origin=inward
URIhttp://hdl.handle.net/10576/56075
AbstractIn 2019, an estimated 5.2 million deaths were reported among children less than 5 years of age. At primary healthcare level, healthcare workers (HCWs) mostly rely on history and clinical findings and less on inadequate diagnostic facilities. To enhance case management skills of HCWs, World Health Organization devised an integrated management of childhood illnesses (IMCI) strategy in 1995, modified to distance learning IMCI in 2014. A qualitative phenomenological study was conducted to explore perceptions of HCWs about standard and distance IMCI. Four focus group discussions were conducted with purposively selected 26 HCWs (IMCI trained) from 26 basic health units of Abbottabad district in Pakistan. Gadamer’s philosophical hermeneutics were adopted during the inductive thematic analysis. Five themes that emerged are inexorable health seeking behaviors, IMCI being a comprehensive algorithm for consultation, a tedious protocol, scaling up protocol to specialists and private practitioners, and administrative insufficiency by the department of health. Improvement in case management skills of HCWs was reported as a result of IMCI trainings. It needs administrative support, regulations to control poly-pharmacy and provision of drugs without prescription, and a curb on political and bureaucratic interference.
Languageen
PublisherSAGE
SubjectChild health
health facilities
healthcare worker
hermeneutics
in-service training
Pakistan
TitlePerspectives of healthcare workers on integrated management of childhood illness in Pakistan: A phenomenological approach
TypeArticle
ESSN1741-2889
dc.accessType Abstract Only


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