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On-line version ISSN 2223-6279
Print version ISSN 0379-8577

Curationis vol.32 n.3 Pretoria  2009




Experiences of primary health care nurses in implementing integrated management of childhood illnesses strategy at selected clinics of Limpopo Province



EN VhuromuI; M Davhana-MaseleseleII

IM Cur. School of Health Sciences, University of Venda
IID Phil. Faculty of Agriculture; Science and Technology, North West University: Mafikeng campus





Treatment of the under five years is a national priority as an attempt in curbing deaths and deformities affecting children. Primary health care was implemented in the clinics in order to help in the treatment of illnesses affecting the community, including children. As a result of childhood illnesses; the World Health Organization (WHO) and United Nation Children's Fund (UNICEF) came up with Integrated Management of Childhood illnesses (IMCI) strategy to enhance treatment of such illnesses in developing countries. Primary health care nurses (PHCNS) in Limpopo province were also trained to implement the strategy.
This study is intended to explore and describe the experiences of PHCNS in implementing the IMCI strategy at selected clinics in Vhembe District in the Limpopo Province. A qualitative, explorative, descriptive and contextual design was used. In-depth interviews were conducted with PHCNS who are IMCI trained and have implemented the strategy for a period of not less than two years. Data analysis was done through using Tesch's method of open coding for qualitative analysis.
Findings revealed that PHCNS had difficulty in rendering IMCI services due to lack of resources and poor working conditions. Recommendations address the difficulties experienced by PHCNS when implementing the IMCI strategy.

Key words: Integrated Management of Childhood Illnesses; Primary health care nurse; Primary health care; Supermarket approach



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ADALI, E & PRIAMI, M 2002: Burnout among nurses in intensive care Units, internal medicine and emergency departments in Greek hospitals. Intensive Care Units and Nursine Journal. 10(11)19-38.         [ Links ]

BABBIE, E 2004: The practice of social research. 10th Edition. Thomson Wadsworth: United States of America.         [ Links ]

BABBIE, E & MOUTON, J 2002: The practice of social research. Oxford: University Press.         [ Links ]

BRINK, HL 2006: Fundamentals of research methodology for health care professionals. Cape Town: Juta & company.         [ Links ]

BRYCE, J; VICTORA, C & HABICHT, J 2004: The multi-country evaluation of the IMCI strategy: Lessons for the evaluation of public health interventions. American Journal of Public Health. 94 (3). 406-411.         [ Links ]

BURNS, N & GROVE, SK 2001 : The practice of nursing research, conduct, critique & utilization. Philadelphia: WB Saunders company.         [ Links ]

CHAUDHARY, N; MOHANTY, PN & SHARM A, M 2005: IMCI follow up of basic health workers. Indian Journal Paediatrics. 44 (47) 735-739.         [ Links ]

CHOPRA, M; PATES, S; CHOELE, K; SANDERS, D & PETERSON, S 2005: Effect of an IMCI intervention on quality of care across four districts in Cape Town, South Africa. Achieves of disease on childhood. 90. (4) 397-398.         [ Links ]

CRESWELL, JW 1996: Research design: Qualitative and quantitative approach. Thousand Oaks: Sage Publications.         [ Links ]

CRITCHTON, AC & BOTMAN, Y 2002: Achieving better learning. A computer-mediated instruction. A success story. International Health Profession Education Conference. South Africa.         [ Links ]

DE VOS, AS; STRYDOM, H; FOUCHE, CB & DELPORT, CSL 2002: Research at grass roots. 2nd edition. Pretoria: Van Schaik.         [ Links ]

GREENGLASS, ER «Sc BURKE, RJ 2002: Hospital restructuring and burnout. Journal of Health and Human Services Administration. 25 (1) 89-114.         [ Links ]

HENNING, E; VAN RENSBURG, W & SMIT, B 2002: Finding your way in academic writing. Pretoria: VanSchaick Publishers.         [ Links ]

HOLLIDAY, A 2002. Doing and writing qualitative research. London: Sage.         [ Links ]

IGUMBOR, EU; BRADSHOW, D & LAUBSCHER, R 2003: Morbidity Profile from registered deaths for the Limpopo Province, South Africa 1997-2001. South African Medical Research Council. South Africa. Cape Town: University of Venda.         [ Links ]

KAMARAGICAS; LU BANGA, RGN & HEGGENHOGEN, P 2004: Health providers counselling of care givers in IMCI program. Pupmed: University of Makerere 4 31-39(1).         [ Links ]

KHAN, MM; AHMED, S & SAHA, KK 2000: Implementing IMCI in a developing country: Estimating the need for additional health workers in Bangladesh. Human resource for health development journal (HRDJ) 4 (2) 73-82.         [ Links ]

LAMBRECHTS, T; BYCE, J & ORINDA, V 1999 : IMCI: a summary of experiment. National Library of medicines now. 77(7) 582-594.         [ Links ]

LEHMANN, U & SAUNDERS, D 2002: Investigating the roles and functions of clinic supervisors in three districts in the Eastern Cape Province. HST Technical Report. Durban: Health System Trust.         [ Links ]

MANOJLOVICH, M & KETEF1AN, S 2002: The effects of organizational culture of nursing professionalism: Implication for health resource planning. The Canadian Journal of Nursing Research. 33. 15-34.         [ Links ]

MARIANI, D; GCABA, R & DALTON, J 2003: Survey on, attitude and practice (KAP) on professional nurses working at the PHC level in Kwazulu-Natal.        [ Links ]

MAYAN, M J 2001: An introduction to qualitative methods: A training module for students and professionals.         [ Links ]

MCCOY, D; BESSER, M; VISSER, R & DOHERTY, T 2002: Interim Findings on the National PMTCT Pilot Sites. Durban: Health Systems Trust.         [ Links ]

MCGRATH, A; REID, N & BOORE, J 2003: Occupational stress in nursing. International Journal of Nursing Studies. 40(5)555-565.         [ Links ]

MERRICK, J 2003: Prevalence of childhood illnesses and care in rural Uganda. The Scientific World Journal 33:2 1537-1744.         [ Links ]

NEMATHAGA, L 2005: Experiences of primary health care nurses regarding the provision of free health care services in the Northern region of the Limpopo Province. Unpublished Masters Dissertation. University of Venda.         [ Links ]

NEWMAN, WL 2000: Social research methods: qualitative and quantitative approaches. 4th dition. United States of America: Pearson Education company.         [ Links ]

POLIT, DF& BECK, TC 2006: Essentials of Nursing Research methods, appraisal and utilization. 6" edition. Phyladelphia. Lippincot.         [ Links ]

RED CROSS WORKS. 2003: To keep children healthy. http://www.redcross. 12 November.         [ Links ]

RICE, PI & EZZY, D 2001 Qualitative research methods. A health focus. New York: Oxford.         [ Links ]

TARUS, M 2004: Chief of Department for mother and child assistance. Ministry of Health: Moldova.         [ Links ]

TERRE BLANCHE, MT & DURRHEIM, K 2004: Research in practice moon STATS CD & user guide Applied methods for the social science. Cape town: University of Cape Town Press.         [ Links ]

UNITED NATIONS CHILDREN'S FUND. 2000: IMCI: An initiative for effective care management. UNICEF: End Decade databases.         [ Links ]

WORLD HEALTH ORGANISATION. 2002: Regional office for Africa IMCI Newsletter. Editorial IMCI pre-service training. 5 (3)        [ Links ]

WORLD HEALTH ORGANISATION. 2003: Regional office for Europe. IMCI information source 02 November.         [ Links ]

WORLD HEALTH ORGANISATION. 2003-2007: Country cooperation strategy: Botswana. Regional offices for Africa: Brazaville.         [ Links ]

WORLD HEALTH ORGANISATION. 2004a: Child and adolescent health and development, Analytic review of IMCI strategy.         [ Links ]

WORLD HEALTH ORGANISATION. 2004b: Child and Adolescent health and development, IMCI.         [ Links ]

WORLD HEALTH ORGANISATION & UNITED NATIONS CHILDREN'S FUND. 2002a: South African adaptation IMCI.         [ Links ]

WORLD HEALTH ORGANISATION & UNITED NATIONS CHILDREN'S FUND. 2002b: IMCI Take-home booklet. South African adaptation.         [ Links ]

WIRZBA, H & JUNCKER, T 1995: Disease patterns, treatment practices and drug requirements in rural MCH-FP governmentfacilities of Bangladesh. Dhaka: Published report, ICDDR.B.         [ Links ]



Prof M. Davhana-Maselesele
Executive Dean of Faculty of Agriculture Science and Technology
North West University (Mafikeng Campus)
Private Bag X2046, Mmabatho, 2735
Tel: (018)3892050; Fax: (018)3892052

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