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|Title: ||THE EFFECT OF COMMUNITY IMCI INTERVENTIONS ON CHILD HEALTH CARE IN DABAT WOREDA, AMHARA NATIONAL REGIONAL STATE|
|Authors: ||Tigist, G/Sellasie W/Giorgi|
|Advisors: ||Dr.Mesganaw Fentahun (MD, MPH, PHD)|
|Keywords: ||public health|
|Copyright: ||Apr-2008 |
|Date Added: ||3-May-2012 |
|Abstract: ||Success in reducing childhood mortality requires more than the availability of adequate
health services with well trained-personnel. As families have the major responsibility for
caring for their children, success requires a strong partnership between health workers
and families with support from these communities.
A comparative cross sectional survey was conducted in Dabat Woreda, North Gondar
zone to assess the effect of community integrated management of childhood illness on
family practices for child health care. The study was undertaken between November and
December 2007. A pre tested structured questionnaire was used to obtain relevant
Multi stage sampling technique used to get the required study subjects. Four kebeles
were randomly selected from the twenty intervention areas and four other kebeles were
randomly selected from the non-intervention areas. The study populations were children
under 2 years of age.
Most of the mothers from both group were illiterate (84%, 89.5), about 98% of the
mothers were housewives, and around 99% of the fathers were farmers.
Statistical significant difference was observed on the time breast feeding initiated
(OR=9.10, 95%CI= 6.45, 12.43), provision of prelacteal feeding (OR=11.01;
95%CI=7.98, 15.43), initiation of supplementary feeding (OR=3.63; 95%CI=2.23, 5.93) between
the intervention and non intervention areas.
Of those children aged 12-23 months, 99% received DPT3 in the intervention area while
91.3% received in the non-intervention area (OR=18.2; 95%CI 2.48, 139.4).
No statistical difference was observed on vitamin A supplementation in both areas.
Regarding water, personal hygiene and environmental sanitation, statistical significant
difference was observed on using safe drinking source of water (OR=6.36; 95%CI=4.49,
9.01), availability of pit latrines (OR=43.52; 95%CI= 25.46, 67.89) between the
intervention and non intervention areas
Almost all households have ITNs; more children had slept under the ITN the previous
night in the non intervention areas compared to the intervention areas. This difference
was statistically significant (OR=2.94; 95%CI=1.6, 5.5).
The households in the intervention areas were found to practice harmful traditional
practices like uvulectomy and false teeth removal less frequently than the non-
There is a statistically significance difference in the ANC and family planning practices
between the two areas, However the overall frequency in all the study areas is very low.
The chance of seeking care for diarrhea is five times higher and the chance of seeking
care for fever is three times higher in the intervention areas compared to the non-
intervention areas. These differences were statistically significant.
In general the study has indicated better health related behavior in the intervention areas
when compared to the non-intervention areas. Thus the programe should be scaled up to
include all kebeles in the country.
The study has also indicated a low ITN utilization in the intervention areas compared to
the non-intervention areas and an overall low ANC, use of Family planning and use of
soap while washing hands. Thus more attention should be given to improve on these
And in the already implementing kebeles, in order to prevent slide back of learnt
behaviors sustained information, education and communication should be in place.|
|Appears in:||Thesis - Public Health|
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