The overall goal of the ICATT project is to contribute to the effective and efficient implementation of the IMCI strategy. At this stage the project team will focus on provision of intensified support to some selected countries in order to gain experience with early application of ICATT in different settings using various training approaches. For this purpose the latest ICATT version 1 will be used. It is based on the latest WHO IMCI guidelines for low HIV prevalence settings (February 2008).
After detailed discussions between WHO CAH and NFSD at this stage of the project three countries were selected for early implementation of ICATT as a tool to update local IMCI guidelines and to develop ICATT-based IMCI training courses for various categories of health workers. These are Indonesia, Peru and Tanzania. In addition, the global ICATT team provide support to other countries and regions focusing on introducing the tool and capacity building.
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Main focus of early use of ICATT in Tanzania will be to strengthen the in-service training of first level health workers in Tanzania through close collaboration with the Ifakara Health Research and Development Centre (IHRDC). Initially a standard IMCI course will be conducted using ICATT in autumn 2008. After its evaluation further ICATT-based training courses for both in-service and pre-service settings will be planned together with Tanzanian partners.
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The key objectives of ICATT implementation in Peru include translation of the tool into Spanish for future use in other Spanish speaking countries, and preparation of the ICATT-based IMCI training curricula for pre-service training of health care providers. Though the Ministry of Health in Peru has the main responsibility for the technical content of the adapted IMCI materials, the National Institute of Child Health (IMCI Research and Training Unit) is responsible for the Spanish translation and the pedagogical adaptation of the generic training materials.
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Indonesia is one of the three early application countries in which WHO will try out how ICATT can best be used for IMCI training in both pre- and in- service settings. The adaptation of ICATT for Indonesia in the national language Bahasa and in English started in December 2008 and is still ongoing. Ministry of Health decided that the adaptation of the Indonesian ICATT would be ready by the end of May 2009.
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