The adaptation of WHO IMCI approach
As it was reported earlier at our web-site, there is the process of adaptation of WHO IMCI approach in Ukraine at the moment. Implementation of this approach is guided jointly by MoH of Ukraine, Medical Sciences Academy, WHO, and UNICEF. Swiss-Ukrainian MCH Programme has also jointed to this collaboration: Programme consultant, Dr Oksana Chopko, has been included into the “IMCI adaptation” working group created by MoH order.
The IMCI materials are intended for the usage by doctors of primary level: family doctors and district pediatricians. Current health care system of Ukraine puts on these specialists the responsibility for full and qualitative ambulatory care for children, and also for the timely referral to particular specialists if needed.
The document elaborated by WHO allows to classify the pathology with the help of simple and clear criteria and choose the effective scheme of care provision. IMCI materials include the care for children from birth to 5 years. Considering the peculiarities of morbidity, two chapters are defined:
Also, the IMCI includes the training materials for doctors: theoretical and practical skills of diagnostic and treatment, parents counseling on child care at home, and considerable amount of illustrative materials.
Regular meeting of working group took place on 25-28 of August 2009. It aimed to analyze the changes included into the document, to assure the correspondence of IMCI guidelines to national protocols.
The next meeting of working group and WHO experts is planned on 16-18 of September 2009. It will be the final meeting in the process of IMCI adaptation. During this meeting, the format of training seminars will be also agreed, as well as options of usage of e-learning manuals during the training. The training seminars will precede the adaptation of IMCI in the pilot regions. Pilot implementation of IMCI approach is planned in three oblasts of Ukraine: Kyiv, Zhytomyr and Vinnytsia. The one rayon will be defined in each oblast to approbate the IMCI.