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Table 2 Perceived Challences To IMCI Implementation Globally

From: Global challenges with scale-up of the integrated management of childhood illness strategy: results of a multi-country survey

 

Opinion of national Ministry of

Health/WHO National Professional Officer

Opinion of Course

Directors/Facilitators

POLITICAL

Lack of buy-in from national stakeholders

14 (45.2)

38 (23.5)

Competing priorities

7 (22.6)

45 (27.8)

COST

Inadequate funds for training

22 (71.0)

115 (71.4)

Too expensive

23 (74.2)

55 (34)

Inadequate fund for printing modules

12 (38.7)

62 (38.3)

Inadequate funds for refreshments

11 (35.5)

52 (32.1)

Inadequate fund for copying video

10 (32.3)

45 (27.8)

Prohibitive financial regulations

13 (41.9)

43 (26.5)

HR

Lack of facilitators

15 (48.4)

16 (9.9)

Lack of clinical instructors

13 (41.9)

30 (18.5)

Demands too high caliber trainers

11(35.5)

38 (23.5)

OTHER

Inadequate facilities for copying the training video

8 (25.8)

28 (17.3)

Long duration of course

16 (51.6)

40 (24.7)

Lack of clinical materials.

5 (16.1)

30 (18.5)

Lack of transport

6 (19.4)

22 (13.6)