Integrated Community Case Management Utilization Status and Associated Factors Among Caretakers of Sick Children Under the Age of 5 Years in West Shewa, Ethiopia

Debel, Lemessa Negeri; Nigusso, Fikadu Tadesse

doi:10.3389/fpubh.2022.929764

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…However, the study finding is different from those of a study conducted in Kabarole by (Rukundo, Kwesiga, & Ario, 2016) on the implementation of ICCM policy which reported the higher percentage of 52.3% of care givers had utilized ICCM services. This finding is also not similar to those of a study by (Debel & Nigusso, 2022) in West Shewa, Ethiopia that reported utilization of the integrated community case management by caretakers for children under 5 years old to be at 57% which is way higher than the uptake level reported in Apac district. These differences in the findings could be attributed to the differences in the settings where the study was conducted.…”

Section: Level Of Uptake Of Iccm Services Among Caregivers Of Childre...contrasting

confidence: 99%

Uptake of Integrated Community Case Management and Associated Factors Among Caregivers of Children Under Five Years in Apac District, Northern Uganda

Job¹,

Omech²,

Akello³

et al. 2023

Curr. Res. Interdiscip. Stud.

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Background: Globally, child mortality remains a public health concern with 38 deaths per 1000 live births and accounting for 5.2 million deaths in children under 5 years, with Sub-Saharan Africa region having the highest figure of 76 deaths per 1,000 live births that is equivalent to one child in 13 dying before reaching age five in 2019. In Uganda, the child mortality rate has reduced gradually from 191 deaths per 1000 live births to 45.8 deaths per 1000 live births in 2019. Objective: To determine the Uptake of integrated community case management of childhood illnesses and associated factors among caregivers of children under five years in Apac district. Methods: This was a cross-sectional study using quantitative methods, 403 family caregivers of children under five in Apac District. Data was collected using a semi-structured questionnaire on Uptake, associated factors, and perceptions of caregivers towards ICCM services. Data was analyzed using STATA version 15.1. Results: The majority of the caregivers were female 337 (83.6%), with a mean age of 27.7 years and standard deviation of 6.64 years, attained primary education, 253(62.8%), Christians, 393 (97.5%), and married 346 (85.9%) were married. The level of Uptake of ICCM services was 38.7% (156/403). Results of the study indicate that the child’s illness (p=0.01, AOR=3.5(2.1-7.2), knowledge of ICCM (P<0.01, AOR12.1 (1.7-87), timely services (p<0.001, AOR (12.7(3.4-47), and referral by VHT (P<0.01, AOR 4.0(1.4-11.0). were statistically significant. Conclusion: The Uptake level of ICCM services provided by the VHTs was low, though caregivers had a good perception of ICCM services and child referral to health facilities by VHT. To improve Uptake of ICCM services, there is a need to provide more information regarding ICCM within the community.

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Section: Level Of Uptake Of Iccm Services Among Caregivers Of Childre...contrasting

confidence: 99%

Uptake of Integrated Community Case Management and Associated Factors Among Caregivers of Children Under Five Years in Apac District, Northern Uganda

Job¹,

Omech²,

Akello³

et al. 2023

Curr. Res. Interdiscip. Stud.

View full text Add to dashboard Cite

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Utilization of integrated community-based case management of childhood illness and associated factors in Ethiopia: a systematic review and meta-analysis

Mekie,

Belachew,

Fenta

et al. 2024

Ital J Pediatr

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Background Despite significant progress being made in reducing under-five mortality, three-fourths of under-five deaths are still caused by preventable conditions such as pneumonia, diarrhea, malaria, and newborn issues. Integrated community case management of childhood illnesses (ICCM) could serve as a means to reduce preventable child mortality in Low- and Middle-Income countries. Our aim was to assess the overall level of ICCM utilization and its associated factors in Ethiopia. Methods Candidate studies for inclusion in this review were identified through searches across various databases, including PubMed, EMBASE, Google Scholar, and university repositories online databases, spanning from February 1, 2024, to March 18, 2024. The quality assessment of the studies included in this systematic review and meta-analysis was conducted using the Newcastle-Ottawa Quality Assessment Scale (NOS). Data extraction and analysis were carried out using Microsoft Excel and Stata 17 software, respectively. Heterogeneity among the studies was assessed using Cochran’s Q test and I2 statistics, while the presence of publication bias was evaluated through funnel plots and Egger’s regression asymmetry test. Subgroup analysis was performed based on sample size and study site. Results In this study, the pooled level of ICCM utilization was found to be 42.73 (95%, CI 27.65%, 57.80%) based on the evidence obtained from ten primary studies. In this review, parents’ awareness about illness (OR = 2.77, 95%, CI 2.06, 3.74), awareness about ICCM service (OR = 3.64, 95%, CI 2.16, 6.14), perceived severity of the disease (OR = 3.14, 95%, CI 2.33, 4.23), secondary/above level of education (OR = 2.57, 95%, CI 1.39, 4.77), and live within 30 min distance to the health post (OR = 3.93, 95%, CI 2.30, 6.74) were variables significantly associated with utilization of ICCM in Ethiopia. Conclusion The utilization of ICCM was found to be low in Ethiopia. Factors such as parents’ awareness about the illness, knowledge of ICCM services, perceived severity of the disease, attending a secondary or more level of education, and living within 30 min distance to the health post were significantly associated with the utilization of ICCM. Therefore, it is crucial to focus on creating awareness and improving access to high-quality ICCM services to reduce child morbidity and mortality from preventable causes.

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Integrated Community Case Management Utilization Status and Associated Factors Among Caretakers of Sick Children Under the Age of 5 Years in West Shewa, Ethiopia

Cited by 2 publications

References 20 publications

Uptake of Integrated Community Case Management and Associated Factors Among Caregivers of Children Under Five Years in Apac District, Northern Uganda

Uptake of Integrated Community Case Management and Associated Factors Among Caregivers of Children Under Five Years in Apac District, Northern Uganda

Utilization of integrated community-based case management of childhood illness and associated factors in Ethiopia: a systematic review and meta-analysis

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