Feasibility of engaging “Village Doctors” in the Community-based Integrated Management of Childhood Illness (C-IMCI)
Experience from rural Bangladesh
Dados Bibliográficos
BACKGROUND: Informal health care providers particularly "village doctors" are the first point of care for under-five childhood illnesses in rural Bangladesh. We engaged village doctors as part of the Multi-Country Evaluation (MCE) of Integrated Management of Childhood Illness (IMCI) and assessed their management of sick under-five children before and after a modified IMCI training, supplemented with ongoing monitoring and supportive supervision. METHODS: In 2003-2004, 144 village doctors across 131 IMCI intervention villages in Matlab Bangladesh participated in a two-day IMCI training; 135 of which completed pre- and post-training evaluation tests. In 2007, 38 IMCI-trained village doctors completed an end-of-project knowledge retention test. Village doctor prescription practices for sick under-five children were examined through household surveys, and routine monitoring visits. In-depth interviews were done with mothers seeking care from village doctors. RESULTS: = 0.0005). Village doctors retained this knowledge over three years except for home management of pneumonia. No significant differences were observed in prescribing practices for diarrhoea and pneumonia management between trained and untrained village doctors. Village doctors were accessible to communities; 76% had cell phones; almost all attended home calls, and did not charge consultation fees. Nearly all (91%) received incentives from pharmaceutical representatives. CONCLUSIONS: Village doctors have the capacity to learn and retain knowledge on the appropriate management of under-five illnesses. Training alone did not improve inappropriate antibiotic prescription practices. Intensive monitoring and efforts to target key actors including pharmaceutical companies, which influence village doctors dispensing practices, and implementation of mechanisms to track and regulate these providers are necessary for future engagement in management of under-five childhood illnesses
Community health workers · Environmental health · Family medicine · Health services · Integrated Management of Childhood Illness · Pneumonia · Population · Child and Adolescent Health · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Pediatrics
Global, regional, and national causes of child mortality
What Is the Role of Informal Healthcare Providers in Developing Countries? A Systematic Review
The behaviour change wheel
Are 'Village Doctors' in Bangladesh a curse or a blessing
Can interventions improve health services from informal private providers in low and middle-income countries? A comprehensive review of the literature
Making health markets work better for poor people
Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh
| Obras citantes distintas | 1 |
|---|---|
| Citações por ano | 0,33 |
| Intervalo de citações | 2023 - 2023 (1) |
| Velocidade de citação | historical |
| Altamente citado | Não |
| Tipos de citação | Neutras: 1 |