Operations research on Integrated Management of Childhood Illness (IMCI)
Resumen
[Preface]. The commitment assumed by the countries during the Millennium Summit to reduce mortality
in children under 5 by two-thirds over 1990 figures by the year 2015 restores the priority
and importance accorded to child survival for improving the health of the population. In
the Region of the Americas, meeting this target will require the continued strengthening of interventions
for the prevention and effective treatment of infectious diseases, respiratory illnesses,
and malnutrition, which are still responsible for roughly 30% of the deaths each year in children
under 5. However, since these diseases and health problems no longer cause most of the deaths
in this age group, attaining the Millennium Development Goals (MDG) will require the prevention
and control of other health problems, such as peri-neonatal disorders, which account for 40% of
the mortality in children under 5 and 60% of infant mortality.
Ensuring that more and more children survive the first years of life cannot be the sole objective of
action to improve the health of the population. It must be complemented with interventions
designed to provide all children with the proper conditions for growth and development. This is
the only way to help boys and girls grow into healthy adolescents, young adults, and adults who
can contribute to the development and growth of their families and communities...Thus, the IMCI operations research projects are presented as a tool to support the ongoing identification
of problems and actions to solve them and to assess the impact of these actions. Within
this context, these protocols are expected not only to demonstrate the impact of the strategy on
child health, but to provide more in-depth knowledge about the health situation of children, in
addition to boosting local capacity to identify and solve problems.
In light of all this, it is hoped that just as the benefits of the IMCI strategy extend beyond child
health, improving the ability of families to prevent disease and promote health, the application of
these protocols will also extend beyond actions in child health, upgrading the skills of all people
working in local health services and the community to improve the health of the population.
Título traducido
Investigaciones operativas sobre Atención Integrada a las Enfermedades
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