Millions of babies, children and women die every year, mostly due to preventable and treatable conditions related to pregnancy, deliveries and common childhood disease. IMCI (Integrated Management of Childhood Illness) was developed by WHO and UNICEF in the 1990s. The IMCI implementation faces however two main challenges: a) the need for regular adaptation of the generic guidelines and periodic updates to meet the needs of a particular country, and b) the sizable effort to provide upscaling training to a large number of health care workers. In order to complement IMCI, a new computerised eLearning tool had been developed to cover maternal and childhood health issues; the IMPACtt (
Objectives and Aims
The 'ICATT initiative (IMCI Computerised Adaptation and Training Tool) had been launched in 2010 to address the challenges outlined above. The overall aim of ICATT is to contribute to the reduction of child mortality by enhancing the effectiveness and wide scale utilisation of IMCI. IMPACtt had been developed as an extended tool to accomodate topics in the field of pregnancy, delivery and neonatal care (antenatal care, labout&childbirth care, essential newborn care and postnatal care)
Methods / Approaches
ICATT and IMPACtt allow easy adaptation of guidelines and chart booklets. The focus is on routing care (primary healthcare). A variety of different training sets can be created (e.e. pre-service and in-service training of different professional groups. Interactive training modules contain audiovisuals and thus enhance the training outcome. IMPACtt is still under development. In terms of information technology: Whereas the training tool was first available on CD Rom, it is now available online for easy download: www.icatt-impactt.org
Seven countries implemented ICATT in trainign (Tanzania, South Africa, Peru, Indonesia, Fiji, Philippines, Solomon Islands). Twelf countries completed IMCI adaptation through ICATT (Tanzania,Mosambique, Cambodia, Malaysia, Vietnam, Kiribati South Africa, Peru, Indonesia, Fiji, Philippines, Solomon Islands).
The ICATT/ IMPACtt initiative aims at reducing disease burden and mortality for infants and pregnant women. Directly the tools target health care workers entrusted with maternal and child care.
Further lines of action / next steps
IMPACtt requires further content material to be developed, translated into an eLearning format, integrated into the IMPACtt software and tested (validated). This is the case for antenatal care, Labour&Childbirth and postnatal care.
Partners for the implementation of ICATT and IMPACtt are the WHO and the Novartis Foundation for Sustainable Development.