scholarly journals Factors affecting implementation of integrated community case management of childhood illnesses in South West Shoa Zone, Central Ethiopia

2018 ◽  
Vol 10 (5) ◽  
pp. 132-138
Author(s):  
Benti Hailu Wase ◽  
Beyene Salgedo Waju ◽  
Adamu Walle Ayinengida
Keyword(s):  
Case Management ◽  
Community Case Management ◽  
Integrated Community Case Management ◽  
Factors Affecting ◽  
Central Ethiopia ◽  
Childhood Illnesses ◽  
South West

scholarly journals Operationalising integrated community case management of childhood illnesses by community health workers in rural Haryana

2018 ◽  
Vol 107 ◽  
pp. 80-88 ◽  
Author(s):  
Sunita Taneja ◽  
Suresh Dalpath ◽  
Nita Bhandari ◽  
Jasmine Kaur ◽  
Sarmila Mazumder ◽  
...  
Keyword(s):  
Case Management ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Community Case Management ◽  
Integrated Community Case Management ◽  
Childhood Illnesses

Case Management Knowledge and Commodity Stocking Pattern for Common Childhood Illnesses among Patent and Proprietary Medicine Vendors in Ebonyi and Kaduna States, Nigeria

2021 ◽  
Author(s):  
Selema Margaret Akuiyibo ◽  
Jennifer Anyanti ◽  
Babatunde Abiodun Amoo ◽  
Dennis Aizobu ◽  
Omokhudu Idogho
Keyword(s):  
Case Management ◽  
Correct Diagnosis ◽  
Child Health Services ◽  
Community Case Management ◽  
Integrated Community Case Management ◽  
Cross Sectional ◽  
Under Five ◽  
Childhood Illnesses ◽  
Management Knowledge ◽  
Source Of Care

Abstract Background: The trio of commonest illnesses and causes mortality among children under five (Malaria, Pneumonia and Diarrhea) are easily treatable through timely exposure to cost effective interventions at the community level. Patent and proprietary medicine vendors (PPMVs) are a leading source of care for illnesses among under-five children in Nigeria. This study was designed to explore child health services offering, particularly commodity stocking patterns and case management knowledge for common childhood illnesses among PPMVs in Ebonyi and Kaduna States.Methods: A descriptive cross-sectional study was conducted among PPMVs in four local government areas across Ebonyi and Kaduna States. Data was collected using semi-structured interviewer-administered questionnaires. Information was obtained on medicine and supplies, knowledge of common childhood illnesses management and referral practices.Results: A total of 374 PPMVs were interviewed; the mean age was 33.7+­ 9.8 years. Among the 132 health trained respondents, 59.0% offer treatment services for sick children while 83.5% of the non-health trained respondents offer the same service. At least, 88.0% of the respondents keep stock ACTs, Amoxycilin DT, ORS and Zinc. About 38.5% reported stock-out of ACTs in the month preceding the study, 55.1% reported stock out lasting only 0 to 6 days. Only 83 (22.2%) of respondents knew the correct diagnosis of fast breathing among children aged 2 to less than 12 months old. Education and health training background were associated with a good knowledge of common childhood illnesses management (X2 = 44.88, p <0.001; X2 = 27.14, p <0.001).Conclusion: The relative constant availability of medicines and commodities for managing childhood illnesses positions PPMVs as a preferred source of care for these illnesses. There is a need to complement steady stock availability with provision of quality services by exposing PPMVs to trainings on integrated community case management of childhood illnesses and implementation of robust supervision mechanism to monitor them.

scholarly journals Changes in care-seeking for common childhood illnesses in the context of Integrated Community Case Management (iCCM) program implementation in Benishangul Gumuz region of Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242451
Author(s):  
Samson Gebremedhin ◽  
Ayalew Astatkie ◽  
Hajira M. Amin ◽  
Abebe Teshome ◽  
Abebe Gebremariam
Keyword(s):  
Case Management ◽  
Program Implementation ◽  
Health Workers ◽  
Public Hospitals ◽  
Care Seeking ◽  
Community Case Management ◽  
Health Extension Workers ◽  
Integrated Community Case Management ◽  
Childhood Illnesses ◽  
Benishangul Gumuz Region

Background Integrated Community Case Management (iCCM) is a strategy for promoting access of under-served populations to lifesaving treatments through extending case management of common childhood illnesses to trained frontline health workers. In Ethiopia iCCM is provided by health extension workers (HEWs) deployed at health posts. We evaluated the association between the implementation of iCCM program in Assosa Zuria zone, Benishangul Gumuz region and changes in care-seeking for common childhood illnesses. Methods We conducted a pre-post study without control arm to evaluate the association of interest. The iCCM program that incorporated training, mentoring and supportive supervision of HEWs with community-based demand creation activities was implemented for two years (2017–18). Baseline, midline and endline surveys were completed approximately one year apart. Across the surveys, children aged 2–59 months (n = 1,848) who recently had cough, fever or diarrhea were included. Data were analysed using mixed-effects logistic regression model. Results Over the two-year period, care-seeking from any health facility and from health posts significantly increased by 10.7 and 17.4 percentage points (PP) from baseline levels of 64.5 and 34.1%, respectively (p<0.001). Care sought from health centres (p = 0.420) and public hospitals (p = 0.129) did not meaningfully change while proportion of caregivers who approached private (p = 0.003) and informal providers (p<0.001) declined. Caregivers who visited health posts for the treatment of diarrhea (19.2 PP, p<0.001), fever (15.5 PP, p<0.001), cough (17.8 PP, p<0.001) and cough with respiratory difficulty (17.3 PP, p = 0.038) significantly increased. After accounting for extraneous variables, we observed that care-seeking from iCCM providers was almost doubled (adjusted odds ratio = 2.32: 95% confidence interval; 1.88–2.86) over the period. Conclusion iCCM implementation was associated with a meaningful shift in care-seeking to health posts.

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