J Med Assoc Thai 2012; 95 (7):890

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Evaluation of Short Term Integrated Management of Childhood Illness Training on the Clinical Competency of Village Doctors in Yunnan, China
Li X Mail, Chongsuvivatwong V , Sangsupawanich P , Xia X

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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