Use of a pneumonia management tool to manage children with pneumonia at the first level health care facilities

To describe the application and evaluation of Pneumonia Management Tool (PMT) to manage children with non-severe pneumonia (NSP) at the first level health care (FLHC) facilities according to the standard case management (SCM) guidelines for acute respiratory infections (ARI). The ARI SCM guidelines...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2011-05, Vol.61 (5), p.481-485
Main Authors: QAYYUM ALI NOORANI, SHAMIM AHMED QAZI, RASMUSSEN, Zeba A, MUHAMMAD, Yaqoob
Format: Article
Language:English
Subjects:
Adult
Algorithms
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Case Management - standards
Child
Child, Preschool
Female
Follow-Up Studies
General aspects
Guideline Adherence - statistics & numerical data
Health Care Surveys
Health Facilities - standards
Health Facilities - statistics & numerical data
Health Personnel
Humans
Male
Medical sciences
Medication Adherence
Pneumology
Pneumonia - drug therapy
Practice Guidelines as Topic
Primary Health Care - standards
Respiratory system : syndromes and miscellaneous diseases
Severity of Illness Index
Treatment Outcome
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Summary:To describe the application and evaluation of Pneumonia Management Tool (PMT) to manage children with non-severe pneumonia (NSP) at the first level health care (FLHC) facilities according to the standard case management (SCM) guidelines for acute respiratory infections (ARI). The ARI SCM guidelines were simplified to a PMT and used by health workers at 14 FLHC facilities to assess, manage and monitor children with NSP and to educate caretakers on home care and follow-up visits. The district supervisors provided on the job support to various cadres of health workers of both public and private facilities. Of 949 children with NSP, 940 (99%) were successfully treated at FLHC facilities. Caretakers found PMT useful and of 1888 follow-up visits: 1872 (99.2%) brought PMT copy; 1627 (86.2%) brought their children to the facility; 1799 (95.3%) were on time and; 1857 (98.4%) had maintained antibiotic compliance. Using PMT, health workers adherence to SCM guidelines improved from 14% at baseline to 29% after training and 65% with on the job support. The practices remained similar among various cadres of health workers. Health workers used PMT in managing children with NSP, counselling caretakers on home care, follow-up visits and monitoring the treatment outcome. District level supervision helped to maintain a uniform skill enhancement.
ISSN:0030-9982