Paediatric HIV management at primary care level an evaluation of the integrated management of childhood illness (IMCI) guidelines for HIV 英文参考文献.docVIP
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Paediatric HIV management at primary care level an evaluation of the integrated management of childhood illness (IMCI) guidelines for HIV 英文参考文献
BMC Pediatrics
BioMedCentral
Research article
Open Access
Paediatric HIV management at primary care level: an evaluation of
the integrated management of childhood illness (IMCI) guidelines
for HIV
Christiane Horwood*1, Kerry Vermaak1, Nigel Rollins2,3, Lyn Haskins1,
Phumla Nkosi1 and Shamim Qazi3
Address: 1Centre for Rural Health, University of KwaZulu-Natal, Umbilo Road, Durban 4013, South Africa, 2Department of Paediatrics and Child
Health, University of KwaZulu-Natal, Umbilo Road, Durban 4013, South Africa and 3Department of Child and Adolescent Health and
Development, World Health Organization, 20 Avenue Appia 1211, Geneva 27, Switzerland
Email: Christiane Horwood* - christiane@; Kerry Vermaak - vermaak@ukzn.ac.za; Nigel Rollins - rollinsn@;
Lyn Haskins - haskins@ukzn.ac.za; Phumla Nkosi - nkosip6@ukzn.ac.za; Shamim Qazi - qazis@
* Corresponding author
Published: 22 September 2009
Received: 5 February 2009
Accepted: 22 September 2009
BMC Pediatrics 2009, 9:59
doi:10.1186/1471-2431-9-59
This article is available from: /1471-2431/9/59
? 2009 Horwood et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Integrated Management of Childhood Illness (IMCI) is a WHO/UNICEF strategy to
improve child survival in resource poor settings. South Africa adopted IMCI in 1997, and IMCI
guidelines were adapted to include identification and management of HIV infected and exposed
children. This study describes the validity of the IMCI/HIV algorithm when used by IMCI experts,
the use of IMCI/HIV guidelines by IMCI trained health workers in routine clinical practice, and the
burden of HIV among children under 5 years attending first level health facilities.
Methods: Seventy seven randomly selec
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