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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)