儿童疾病综合管理早期实施研究

Research of the Early Implementation of Integrated Management of Childhood Illness(IMCI)

【目的】 分析儿童疾病综合管理 (IMCI)早期实施阶段取得的成绩及存在的问题 ,为进一步扩展提供指导。 【方法】 根据WHO的评估方法 ,进行实施前的基础调查和实施后随访 ,比较分析二者的资料。 【结果】 实施IMCI后 ,医务人员的病例管理水平、卫生机构的设备及药品供应以及家长的健康知识都有显著改善。 【结论】 IMCI是加强儿童卫生服务的一个有效策略 ,应该根据中央和省级实施IMCI的能力继续加以扩展。

To find the achievements and problems of the early lmplementation phase of IMCI in China and thus to provide guidance for the expansion phase. Baseline survey before implementation and follow visit after implementation were conducted based on the WHO assessment tools,and data acquired were analyzed. After the implementation of IMCI,there were significant improvements in terms of health workers' case management skills,facilities support and caretakers' knowledge. [Conclusions] IMCI is an effective strategy to strengthen child health services in China and should be progressively expanded in line with central and provincial capacity.