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Year : 2005  |  Volume : 5  |  Issue : 2  |  Page : 43-47

Determinants of correct Case Management of Common Childhood Illness by Primary Health Care Workers in an Urban LGA in Ibadan, Oyo State

Department of Community Health, College of Medicine, University of Lagos

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Background: Inappropriate case management of common childhood illnesses is one of the factors responsible for the high childhood mortality in developing countries. Identification of factors which influence correct case management by health workers is imperative for interventions to improve Quality of case management. Objective: to identify determinants of correct case management of common childhood illnesses by primary health care workers in Ibadan South East LGA. Design: A descriptive cross sectional study was carried out over a 3-week period in September 2002 at Ibadan South East LGA. Study materials included observation checklists, validation checklist, and health worker interview questionnaires. Results: Twenty health workers were observed managing 132 children with various childhood conditions that was subsequently validated by the investigators. 9.2% , 81.8% and 23.1% of children with malaria, diarrhoea with severe dehydration and pneumonia received correct treatment respectively even though some children had more than one diagnosis. In-service training was significantly associated with correct treatment of ARI and Diarrhoea (odd's ratio 7.43 and 16.2 respectively.) Category of health worker was not significantly associated with correct management in all the disease categories. Conclusions: In-service training had a significant impact on correct case management of childhood illness. There is a need for training in Integrated Management Childhood Illness (IMCI) for all health workers in the LGA in order to improve the quality of care of children.

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