Challenges identified by experienced IMCI-1-trained registered nurses in implementing the integrated management of childhood illnesses (IMCI) strategy in Gaborone, Botswana
Mupara, Lucia Mungapeyi
The study was a descriptive quantitative survey which endeavoured to identify
challenges experienced by IMCI trained registered nurses in implementing the
guidelines and procedures of the strategy when tending children under 5 years in
Gaborone health district. The study also solicited for recommendations on how to
address the identified challenges. The research population comprised of all the IMCI-1
trained registered nurses and systematic sampling was employed to randomly select
study participants. Data were collected using a questionnaire and was analysed using
Excel Advanced software package. Study findings identified challenges related to
political support, cost of IMCI training, training coverage, health systems and features of
the IMCI strategy. Recommendations for improving use of the strategy included
garnering for more political support, adopting short duration training courses, scaling up
both pre-service and in-service training as well as addressing the challenges related to
health systems and the unique features of the strategy
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