Compliance with referrals for non-acute child health conditions: evidence from the longitudinal ASENZE study in KwaZulu Natal, South Africa

Uwemedimo, Omolara; Arpadi, Stephen M.; Chhagan, Meera; Kauchali, Shuaib; Craib, Murray H.; Bah, Fatimatou; Davidson, Leslie L.

doi:10.1186/1472-6963-14-242

Cited by 18 publications

(16 citation statements)

References 21 publications

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“…The study conducted in Hawassa shows that compliance to recommend follow-up visit was 19.7%, which lower than the findings of this study. The study conducted in KwaZulu Natal, South Africa compliance with the primary referral was reported by less than half (45%) of care givers which is higher than the findings of this study (6,7,5,8). The difference may be due to socio-demographic difference between the study areas.…”

Section: Discussioncontrasting

confidence: 78%

Care taker’s compliance and Associated factors in integrated management of newborn and childhood illness with respect to antibiotics treatment in Enebise Sarmidir woreda, West Amhara, Ethiopia

Alemirew¹,

Zeru

2020

Preprint

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Background:-The Integrated Management of Newborn and Childhood Illness strategy encompasses a range of interventions to prevent and manage the major childhood illness, both in health facilities and in the home. Information on actual compliance of care takers in integrated management of newborn and childhood illness is important for program planners, policy makers, health care providers and care takers to design appropriate local and national intervention plan, to increase community participation and to improve knowledge of care takers. Based on our knowledge there are limited studies regarding to care takers compliance towards integrated management of new born and childhood illness in the study area. Therefore the result of this study used for design appropriate intervention.Objective: - The objective of this study was to assess the care takers compliance and associated factors in integrated management of newborn and childhood illness with respect to counseling.Methods:-Community based cross-sectional study was conducted. The study populations were all care takers of under-five children who attended integrated management of newborn and childhood illness clinic at health center. A total of 394 respondents were randomly selected by using systematic random sampling method from the seven health centers. Information on the care takers compliance was collected using structured, pre-tested questionnaire. Data entry and analysis were conducting using Statistical Package for Social Science version 16. Significance of the study was presented by using adjust odd ratio, confidence interval and p value. The result was presented in texts, tables and graphs.Result:-Three hundred seventy three care takers with under-five year children were voluntary to be interviewed, making the response rate 94.7 %. The findings of this study showed that 144(39%) were compliance to antibiotic treatment and 102(27.3%) were compliance to counseling. Compliance to counseling was significantly associated with age categories between 25-34 year with (AOR=2.118, 95% CI: 1.042, 4.305), post-secondary education with (AOR=2.959, 95% CI: 1.354, 6.463), knowledge with (AOR= 2.574, 95% CI: 1.482, 4.469), trust on health workers with (AOR= 2.781, 95% CI: 1.344, 5.752) and distance with (AOR= 2.214, 95% CI: 1.254, 3.91).Conclusion: The finding of this study revealed that the high rates of noncompliance with antibiotic treatment were identified. Therefore, implementation of integrated management of childhood illness activities at all levels should be strengthened and need to improve the social status of care takers in order to reduce child hood morbidity and mortality.

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Section: Discussioncontrasting

confidence: 78%

Care taker’s compliance and Associated factors in integrated management of newborn and childhood illness with respect to antibiotics treatment in Enebise Sarmidir woreda, West Amhara, Ethiopia

Alemirew¹,

Zeru

2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 78%

Care taker’s compliance and Associated factors in integrated management of newborn and childhood illness with respect to Counseling in Enebise Sarmidir woreda, West Amhara, Ethiopia.

Alemirew¹,

Zeru²

2020

Preprint

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Background: - The Integrated Management of Newborn and Childhood Illness strategy encompasses a range of interventions to prevent and manage the major childhood illness, both in health facilities and in the home. Information on actual compliance of care takers in integrated management of newborn and childhood illness is important for program planners, policy makers, health care providers and care takers to design appropriate local and national intervention plan, to increase community participation and to improve knowledge of care takers. Based on our knowledge there are limited studies regarding to care takers compliance towards integrated management of new born and childhood illness in the study area. Therefore the result of this study used for design appropriate intervention.Objective: - The objective of this study was to assess the care takers compliance and associated factors in integrated management of newborn and childhood illness with respect to antibiotic treatment.Methods:-Community based cross-sectional study was conducted. The study populations were all care takers of under-five children who attended integrated management of newborn and childhood illness clinic at health center. A total of 394 respondents were randomly selected by using systematic random sampling method from the seven health centers. Information on the care takers compliance was collected using structured, pre-tested questionnaire. Data entry and analysis were conducting using Statistical Package for Social Science version 16. Significance of the study was presented by using adjust odd ratio, confidence interval and p value. The result was presented in texts, tables and graphs.Result:-Three hundred seventy three care takers with under-five year children were voluntary to be interviewed, making the response rate 94.7 %. The findings of this study showed that 144(39%) were compliance to antibiotic treatment. Compliance to antibiotic treatment was significantly associated with post-secondary education with (AOR=5.33, 95%CI: 2.557, 11.109), private/NGO employee with (AOR=5.936, 95%CI: 1.632, 21.582), knowledge with (AOR=1.806, 95%CI: 1.096, 2.976) and distance with (AOR=2.366, 95%CI: 1.419, 3.945). Conclusion and recommendation: The finding of this study revealed that the high rates of noncompliance with counseling were identified. Therefore, the implementation of integrated management of childhood illness activities at all levels should be strengthened. There is a great need to improve the social status of care takers in order to reduce child hood morbidity and mortality.

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“…The present analysis uses data from this initial study visit. Detailed information on Asenze cohort study methods has been published previously (Ajayi et al, 2017a(Ajayi et al, , 2017bChhagan et al, 2011;Knox et al, 2018;Uwemedimo et al, 2014).…”

Section: Methodsmentioning

confidence: 99%

Cognitive and Language Development at Age 4–6 Years in Children HIV‐Exposed But Uninfected Compared to Those HIV‐Unexposed and to Children Living With HIV

Gruver

Kvalsvig

Knox

et al. 2020

New Directions for Child and Adolescent Development

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Perinatal HIV infection is associated with delayed neurocognitive development, but less is known about children perinatally HIV‐exposed but uninfected (CHEU). We compared cognitive and language outcomes in 4–6‐year old CHEU versus children HIV‐unexposed and uninfected (CHUU) and children living with HIV (CLHIV). We enrolled 1,581 children (77% of the child population) in five communities in KwaZulu‐Natal, South Africa. Children completed: Grover‐Counter Scale of cognitive development, sub‐scales of the Kaufman Assessment Battery for Children, Reynell Developmental Language Scales. HIV status of children and primary caregivers was determined by repeated rapid tests or report of prior testing. We conducted a cross‐sectional multivariable linear regression on 922 dyads with complete data (257 CHEU, 627 CHUU, 38 CLHIV). On all outcome measures, CHEU and CHUU groups had comparable scores; CLHIV scored significantly lower. Emerging global progress toward the elimination of vertical HIV transmission may not only reduce mortality, but also positively impact child development.

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Compliance with referrals for non-acute child health conditions: evidence from the longitudinal ASENZE study in KwaZulu Natal, South Africa

Cited by 18 publications

References 21 publications

Care taker’s compliance and Associated factors in integrated management of newborn and childhood illness with respect to antibiotics treatment in Enebise Sarmidir woreda, West Amhara, Ethiopia

Care taker’s compliance and Associated factors in integrated management of newborn and childhood illness with respect to antibiotics treatment in Enebise Sarmidir woreda, West Amhara, Ethiopia

Care taker’s compliance and Associated factors in integrated management of newborn and childhood illness with respect to Counseling in Enebise Sarmidir woreda, West Amhara, Ethiopia.

Cognitive and Language Development at Age 4–6 Years in Children HIV‐Exposed But Uninfected Compared to Those HIV‐Unexposed and to Children Living With HIV

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