Evaluation of Short Term Integrated Management of
Childhood Illness Training on the Clinical Competency
of Village Doctors in Yunnan, China
Xiuyun Li MD*,**, Virasakdi Chongsuvivatwong MD, PhD**,
Pasuree Sangsupawanich MD, PhD***, Xiaoling Xia MD*
* Department of Pediatrics, The Second Affi liated Hospital of Kunming Medical University, Yunnan, P.R. China
** Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
*** Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
Affiliation :
Objective : Evaluate the clinical competency in detection and management complicated pneumonia, diarrhea, and measles
cases of trainees who were village doctors in Puer city of Yunnan province, China.
Material and Method: One hundred fi fty four village doctors working in the border areas were trained for 5-day Integrated
Management of Childhood Illness (IMCI) training, which was adapted to World Health Organization (WHO) guidelines.
Pre- and post-training assessment based on a modifi ed WHO package was carried out.
Results : Statistically signifi cant improvements in almost all performances were observed. However, the level of post-training
achievement was still low. Correct classifi cations of severe pneumonia, measles, and diarrhea were found in 63.0%, 54.3%
and 83.5%, respectively in the post-training period.
Conclusion : The training package needs to be further strengthened.
Keywords : Village doctor, Clinical competency, Integrated management of childhood illness
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