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Implementation of IMCI in Morocco
Provinces which have started implementing IMCI
Districts which have started implementing IMCI
Health facilities implementing IMCI | Graphs
Health providers trained in IMCI
IMCI case management training courses conducted
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IMCI strategy formally endorsed by the Minister of Health and National IMCI Task Force established with national IMCI coordinator appointed |
March 1997 |
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National IMCI Orientation Meeting and Preliminary Planning Workshop conducted |
November 1997 |
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National IMCI Planning and Adaptation Workshop |
December 1997 |
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Adaptation of IMCI clinical guidelines completed |
June 1998 |
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First 11-day IMCI case management course at central level for doctors conducted |
July 1998 |
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IMCI clinical guidelines revised |
December 1998 |
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IMCI early implementation phase started at district level |
February 1999 |
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First IMCI follow-up visits after training conducted |
April 1999 |
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Early implementation phase in 2 districts completed |
September 1999 |
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Review of Early Implementation Phase and planning for the Expansion Phase conducted |
October 1999 |
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Health facility survey to evaluate the introduction of the IMCI strategy (comparing the 2 “IMCI provinces” with a control group of 2 provinces without IMCI) |
April 2000 |
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Beginning of expansion to new districts and provinces |
December 2000 |
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Introduction of IMCI in pre-service education |
January 2001 |
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Child health situation analysis for a national child health policy prepared |
October 2005 |
| IMCI health facility survey |
October-December 2007 |
| Launching of clinical training in the management of the healthy child for nurses |
July 2008 |
IMCI clinical training
Targeted coverage of providers at health facility
Both physicians and paramedical staff have been targeted for IMCI clinical training. The target health facility is the Primary Health Care facility, although health providers from emergency and outpatient departments of hospitals have also been trained.
Course duration
The duration of courses have changed over time, from 11-day courses at national level and 12-day courses during the early implementation phase, to 10-day courses during the expansion phase.
Materials
The adapted, Moroccan version of the IMCI clinical guidelines and training materials has been used for training.
Implementation of IMCI in Jordan
Governorates which have started implementing IMCI
Districts which have started implementing IMCI
Health facilities implementing IMCI | Graphs
Health providers trained in IMCI
IMCI case management training courses conducted
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INTRODUCTION PHASE |
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IMCI strategy endorsed by the Minister of Health |
2002 |
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IMCI focal point appointed |
January 2003 |
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National IMCI orientation meeting held |
2003 |
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Official commitment of the ministry of health to the introduction of the IMCI strategy in the health system |
2003 |
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Orientation on IMCI for 300 physicians |
2003 |
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Additional orientation meetings |
April 2004 |
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Establishment of an IMCI unit at the ministry of health |
May 2004 |
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Establishment of a national IMCI working group and task force |
July - August 2004 |
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Situation analysis of health facilities and community-based initiatives |
October 2004 |
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EARLY IMPLEMENTATION PHASE |
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Adaptation of IMCI clinical guidelines and training materials: draft completed |
January 2005 |
| Establishment of IMCI community working group |
May 2005 |
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EXPANSION PHASE |
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| Expansion to new districts and governorates |
2006 |
IMCI training
Targeted coverage of providers at health facility
Physicians and nurses at Primary Health Care (PHC) facilities are targeted for training.
Course duration
-
Physicians: 11-day courses
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Nurses: 5 days (planned)
Materials
Different training materials to be used for physicians and nurses, to reflect their different responsibilities. Materials for nurses not yet developed.
National training courses with the Jordan adaptation of IMCI guidelines and materials will start once the adaptation process is completed. A total of 9 physicians have attended training courses in IMCI case management (see graph) outside the country, as of the end of 2005, to build national capacity.Top
Systematic approach to IMCI implementation at district level: key steps and tools
1. Selection of districts for IMCI implementation
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Interest in the IMCI strategy
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Availability of recent information on the health situation in the district
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Presence of health facilities with high/moderate caseload and regular drug supply
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Access of PHC facilities to referral facilities
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Easy accessibility to the central team for follow-up
2. Situation analysis and preparation of health facilities
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Review of drug supply and availability at the health facility pharmacy, to ensure that all essential drugs required for IMCI are available
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Organization of work and arrangement of flow of patients in line with the IMCI tasks
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Assessment of health provider’s case management practices for the sick child and approach to the healthy child Top
Implementation of IMCI in Iraq
Governorates which have started implementing IMCI
Districts which have started implementing IMCI
Health facilities implementing IMCI | Graphs
Health providers trained in IMCI
IMCI case management training courses conducted
|
INTRODUCTION PHASE |
|
| IMCI strategy formally endorsed by the Minister of Health, national IMCI Task Force established and IMCI coordinator appointed |
October 1998 |
| IMCI adaptation subgroup, implementation subgroup and community subgroup established National IMCI Orientation Meeting and Preliminary Planning Workshop conducted |
November 1998 |
| National IMCI orientation meeting and workshops |
December 1998; May and June 1999 |
| First national 11-day IMCI case management training course conducted at central level for MOH programme managers and academic personnel, using the WHO/UNICEF generic version of training modules. |
October 1999 |
|
EARLY IMPLEMENTATION PHASE |
|
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1st phase: 2001 - 2003 |
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| National IMCI Planning and Adaptation Workshop |
May 2001 |
| Adaptation of IMCI clinical guidelines completed |
May 2002 |
| Implementation of the IMCI community component started: training courses on 12 key family practices for teachers of primary health schools, community child care units (CCCUs), traditional birth attendants and health workers working at education units in the PHC centre |
May – October 2002 |
| Plans to conduct the 1st IMCI course with Iraqi adapted materials for PHC centre staff with WHO technical support postponed because of the prevailing security situation |
June 2002 |
| 40-hour breast feeding counselling training courses conducted for doctors working at PHC centres involved in IMCI implementation |
August – September 2002 |
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2nd phase: 2004 - 2005 |
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| Revitalization of IMCI activities in close cooperation with WHO: selection of new governorates, districts and PHC centres for implementation of IMCI strategy in the south, centre, and northern governorates |
August 2004 |
| Recovery and printing of IMCI adapted guidelines and training materials |
August – December 2004 |
| Preparation ready to start implementation |
February 2005 |
| 2nd Adaptation of IMCI clinical guidelines |
May 2005 |
| First 11-day IMCI case management course at central level for doctors using the Iraq adapted guidelines conducted |
May 2005 |
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EXPANSION PHASE |
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| Expansion to new districts and governorates | 2006 |
PHC = primary health care
IMCI clinical training
Targeted coverage of providers at health facility
Physicians at Primary Health Care (PHC) facilities are targeted for training.
Course duration
-
Physicians: 11-day courses
Materials
Iraq adapted version of training materials for physicians developed and used for the first time in May 2005.
