Factors Affecting Achievement of Program Objectives. IMCI training and the use of a clinical history form based on the IMCI approach has helped health facilities improve pneumonia case management. Use of motorcycles to transport sick children to health centers has improved access, and educational sessions in homes and at group meetings have helped to increase awareness. Essential medicines have been available for treatment of pneumonia cases during the implementation of the project. The majority of health centers have made a commitment to provide 24-hour service, assigning someone on duty during nights and weekends. The AN is to be available at his/her home to treat emergencies when not on duty at the health post. The treatment is free of charge to the patient, and costs are reimbursed to health facilities by the Basic Health Insurance. Health volunteers have been trained to count rapid breathing using a chronometer and observe chest in-drawing to diagnose cases of probable pneumonia. The most highly trained HVs are authorized to administer cotrimoxazol.
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Sources: Cooperative Agreement, Cooperative Agreement