Implementation of IMCI in occupied Palestinian territory

INTRODUCTION PHASE

National IMCI Orientation Meeting and Preliminary Planning Workshop conducted

2000

National IMCI focal point appointed

2001

National IMCI Task Force established

2002

EARLY IMPLEMENTATION PHASE

Adaptation of IMCI clinical guidelines completed

April 2003

First IMCI case management course at central level for training of trainers conducted

May 2003

IMCI early implementation phase started in 10 provinces

August 2003

IMCI training package for 5-day courses for nurses developed in Arabic

2005

2nd adaptation of IMCI guidelines started, to include psychosocial development component

2005

Training manual on IMCI community component developed

2005

4-day courses on IMCI community component conducted for ‘health counsellors’ and nurses in 4 areas

2005

IMCI clinical training

Targeted coverage of providers at health facility

Physicians at Primary Health Care (PHC) facilities are currently targeted for training. Health providers from other organizations which are providing health care services have also been trained (e.g., NGOs, United Nations Relief and Works Agency for Palestine Refugees—UNRWA—). Training for nurses planned.

Course duration

  • Physicians: 11-day courses

  • Nurses: 5 days (planned)

Materials

Different training materials to be used for physicians and nurses, to reflect their different responsibilities.

Systematic approach to IMCI implementation at district level: key steps and tools

1. Selection of provinces for IMCI implementation

  1. Leadership and motivation of staff at different levels

  2. Easy accessibility of province to the central team

  3. Manageable number of health facilities to be covered and followed up during this phase

  4. Areas most in need for health services. 

2.  Creating a pool of facilitators in the 2 governorates

3. Training in case management (skills acquisition)

  1. Establishment of training centres at central and peripheral level

  2. Conduct of training (11-day courses for the IMCI case management training, and planned 5-day courses for nurses).

4. Follow up after training (skills reinforcement)

Carried out about 4 weeks after training.

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