Evaluation of technical support to commune health level in Quynh Phu district, Thai Binh province

ABSTRACT

This study was to evaluate the effect of technical support in terms of providing training on integrated management of childhood illness (IMCI) to commune health centers of Quynh Phu district and Hung Ha district of Thai Binh province. The results of a comparison between the baseline survey in 2002 and the follow-up survey in 2004 showed that case management of health workers in 2 districts had improved significantly and were more comprehensive in terms of assessment, classification, treatment and counseling mothers. The proportion of correct assessment of cases on general danger signs increased by 47.5%. The proportion of correct assessment of cases on main symptoms (cough, diarrhea and fever) increased by 63.4%, on the correct classification of cases increased by 72,5% and the correct drug use increased by 46.7%. Th proportion of caregivers/mothers received proper advice on drug use, proper feeding and follow-up increased by 43.5%, 34.9% and 41.1%, respectively