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ICATT

IMCIComputerizedAdaptationandTrainingTool
anditspotentialforstrengtheninghealthsystems
AprojectoftheWorldHealthOrganization,
theNovartisFoundationforSustainableDevelopment
andSiriusTechnologies,byVeraHaagArbenz
NovartisFoundationforSustainableDevelopment
IntegratedManagementofChildhoodIllness
IntegratedManagementofChildhoodIllness(IMCI) isastrategy
developedbyWHOandUNICEFinthe1990s.
Primaryobjective:toreducechildhoodmortality worldwide
Threecomponents:
Improvingcasemanagementskillsofhealthcarestaff
Improvingoverallhealthsystems
Improvingfamilyandcommunityhealthpractices
Asetofevidencebasedguidelines arethecornerstoneoftheIMCI
strategy(chartbooklet).
Morethan100countries adoptedtheIMCIstrategy.
Impressiveresults bothinaddressingchildhoodmortalityandin
improvingthequalityofcareofchildrenallovertheworld.
NovartisFoundationforSustainableDevelopment
MajorchallengesinIMCI
Adaptationofguidelines atthecountryorsubcountrylevelisoften
difficultandtakesalotoftime.
Ensuringadaptationandperiodicalupdates ofnationalandsub
nationalIMCIguidelinestorespondtolocalhealthneeds
IncreasingthecoverageofIMCItrainedhealthworkers alloverthe
world.
standardtrainingcourse11days
considerablecosts
NovartisFoundationforSustainableDevelopment
ICATTcouldbetheanswer
InnovativecomputerizedsoftwareapplicationforIMCI thatallows
toadaptandupdateIMCIguidelines atnationalandsubnational
levels,
todevelopICATTbasedtrainingcourses tosupportvarioustraining
approaches,and
tobe translatedintodifferentlanguages andusedinarangeof
environmentsandsettings.
Applicationcanbeclosed anddistributedtoendusers(trainers,
trainees,NGOs)
Version1/2008 nowreleased(doesnotaddresscareforHIV
infectedinfantsandchildren)
NovartisFoundationforSustainableDevelopment
ICATTcomponents
Chartbookletbuilder
Thebuilderpermitstheeasyrevisionofthechartbooklet
accordingtonationalorsubnationalguidelines.
Library
includesreferenceandeducationalmaterialsonIMCI
andrelatedchildhealthissues
furtherincludesawidevarietyofvideos,picturesandsounds
foraudiovisualpracticeinthetrainingcourse.
Trainingset
allowstoadaptthegenerictrainingcourse;training
approachflexibleaccordingtolocalneeds.
Trainingplayer
displaysthetrainingsessionforselflearnersorinclassroom
settings.
NovartisFoundationforSustainableDevelopment
ICATTinterfaces
Openinterface allowstodo
virtuallyeverything
Change/adaptguidelinesand
createchartbooklet
Updatelibraryofdocuments,
andotherresources
Designtrainingprogramme
Closedenduserinterface
trainingplayer,whichcanbe
used
bytraineeforselflearning
bytrainerforteaching
NovartisFoundationforSustainableDevelopment
Builderandmanager openinterface
Fixedstructure,adaptable
content
Changesimmediately
visible
Resourcescanbeinserted
ordeleted
Allcomponentsonone
tree
Userfriendly nospecial
computerskillsneeded
Nolanguagerestrictions
NovartisFoundationforSustainableDevelopment
Trainingplayer closedinterface
Userfriendly nospecial
computerskillsneeded
Canbeused:
Byatraineeforselflearning
Byatrainerforteaching
Suggestedorderoftraining
units
Freenavigationpossible
Keepstrackofeverystudent
NovartisFoundationforSustainableDevelopment
ICATTtrainingunits
READ includes
Key technical
information and
links to the
reference materials
(additional reading)
PRACTISE includes
Various exercises
with immediate
feedback to trainee
and guidance for
clinical practice
SEE includes
illustration materials
(pictures, videos,
flash movies) with
explanations
TEST includes
Test questions, with
final answers
available only from
facilitator
NovartisFoundationforSustainableDevelopment
HowtouseICATT
ICATT
Self
learning
Reference
Test Update
Teaching
tool
NovartisFoundationforSustainableDevelopment
ICATTbetatests
3BetaTestscarriedoutin2005and2006
Lusaka/Zambia(July2005):toassessusabilityofthechartbooklet
builderwithtargetusersfrom4countriesinvolvedinIMCIadaptation
Basle(July2006):toassessusabilityandfunctionalityofthetraining
setwithtargetusersfrom4countriesinvolvedinIMCIadaptationor
training
Lusaka/Zambia(July2006):toassessusabilityandfunctionalityof
trainingplayerwithfirstlevelhealthworkers
NovartisFoundationforSustainableDevelopment
Pretestandtimingtest
1Pretestcarriedoutin2007:
Basle(May2007):toassesscontentoftrainingunits,userguideand
supportingmaterialswithtargetusersfromallWHOregions
1Timingtestcarriedoutin2008:
Basle(February2008):toestimatetimeofICATTbasedtrainingcourse
withdifferentstudentsfromBasle
NovartisFoundationforSustainableDevelopment
TimeforICATTbasedIMCItraining
Lessthan20hoursinthe
classroom(2.5timesless
thaninthestandardIMCI
course).
Lesstimeneededfor
teachers:ICATTprovides
immediatefeedback
Moreflexibilityinthe
trainingapproach
(classroomteaching,self
learning,distance
learning)
Timeforclinicalpractice
andcommunication/
counsellingskillsnot
counted
NovartisFoundationforSustainableDevelopment
Earlyapplication currentactivities
ICATTversion1/2008distributedtocountriesinApril2008
EarlyapplicationofICATTatcountryandregionallevel
Tanzania:IntroductionworkshopinDaresSalaam,November2007;
PlanningwithWHO,MoHSW,TraininginstitutionsinApril2008
India:IntroductioninDelhi,January2008;Planningwithkeypartners,
July2008
Peru:IntroductioninLima,March2008,TranslationintoSpanishand
adaptationtoPeruvianIMCIguidelinesMarchJune2008;thenfurther
planning
CapacitybuildingworkshopinSeoulforWHOWesternPacificregion,
May2008
TranslationintoFrench andRussian is
underway
Preparationofgenerictrainingcoursefor
countrieswithhighHIVprevalenceinitiated
NovartisFoundationforSustainableDevelopment
Potentialforimprovinghealthsystems
Increasedcoverage ofIMCItrainedhealthworkers
Provisionofmoretrainingoptions (e.g.individuallearning,
classroomlearning,distancelearninginin andpreservicesettings)
Enhancedtrainingquality
Tailormadecoursesforspecificgroupsofhealthworkers
Guidelinescanbequicklyupdatedandincorporated
Variouspossibilitiesforrefreshertrainingcourses
Betteruseofhumanresources
Onthejobtrainingallowstraineesforlessabsenceattheworkplace
Lesstimerequiredforprofessionaltrainers
Costeffectiveness
Shortertrainingtime
Lessprintedteachingmaterialsneeded
NovartisFoundationforSustainableDevelopment
Moreinformation
Formoreinformation,pleasevisitourwebsite:
www.icatttraining.org
Thankyouforyourattention!

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