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  1. Quality Improvement and the Integrated Management of Childhood IIIness : Lessons from Developed Countries.

    Article - En anglais

    Background :

    The World Health Organization (WHO) and the United Nations Children's Fund have launched a global initiative to reform the health care received by sick children in developing countries.

    The core of this initiative, known as Integrated Management of Childhood IIIness (IMCI), is a clinical practice guideline.

    The guideline addresses the case management of clinically ill children under the conditions typical of peripheral facilities, focusing on the most common serious conditions, such as pneumonia and malaria.

    WHO estimates that up to 70% of childhood deaths in developing countries are attributable to conditions addressed by IMCI.

    About 40 developing countries have made commitments to implementing IMCI in public-sector programs.

    QI strategies and guidelines in developing countries : Like other clinical guidelines, which are increasingly accepted in developing countries'health programs, IMCI raises difficult quality issues.

    High levels of guideline compliance are needed for IMCI to be effective.

    However, many developing countries have achieved relatively low levels of compliance with far simpler guidelines, such as those for diarrhea case management. (...)

    Mots-clés Pascal : Maladie, Enfant, Age, Population, Démographie, Recommandation, Droit, Guide, Information, Soin, Pays, Géographie, Classe âge, Document, Typologie, Qualité, Pays en développement

    Mots-clés Pascal anglais : Disease, Child, Age, Population, Demography, Recommendation, Right, Guide, Information, Care, Countries, Geography, Age distribution, Document, Typology, Quality, Developing countries

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 11/09/1998.