Assessment of Factors Influencing The Implementation of Integrated Managaement of Neonatal and Child Hood Illness (IMNCI) By Nurse at Public Health Institutions in Four Woredas of West Arsi Zone, Ethiopia,2016

dc.contributor.advisorGemechu Endalew
dc.contributor.authorShemsi Sheka
dc.date.accessioned2018-07-18T08:08:49Z
dc.date.accessioned2023-11-06T09:01:54Z
dc.date.available2018-07-18T08:08:49Z
dc.date.available2023-11-06T09:01:54Z
dc.date.issued2016-06
dc.description.abstractBackground-Every year, nearly 11 million children die before reaching their fifth birthday. Inresponse to this challenge, World health organization (WHO) and United Nations for Children‘sfund (UNICEF) in the early 1990s developed Integrated Management of Childhood Illness(IMCI), a strategy designed to reduce child mortality and morbidity in developing countries.Research that examines assessment of factors influencing the implementing the integrated management of neonatal and childhood illnesses (IMCI) strategy in Ethiopia is limited. Objective- To assess factors influencing the implementation of the IMNCI strategy by nursesinpublic health institutions of West Arsi zone, South West Ethiopia, 2016. Method- An institutional based cross-sectional studywas conducted from February to March. Atotal of 185 nurses were selected using proportionally allocated to population sizeandinterviewed using structured and pretestedquestionnaires. Data was coded, entered andcleaned using Epi-data 3.1 and exported to SPSS version 22 for analysis.Univariate and bivariateanalysis was performed. Multivariate analysis was also done to control for possible confoundingvariables Results: Data were obtained from 185 nurses, yielding a response rate of 100%. The overallIMNCI implementation was 58.7% as high level implementation and 41.3% as low levelimplementation. In multivariate analysis the implementation of IMNCI was higher amongIMNCI trained nurses ([AOR=2.76, 95%CI: 1.388, 5.51] and among those whose alwaysreferring chart booklet [AOR=2.95, 95%CI: 1.48, 5.89]. Conclusion:IMNCI strategy can be better implemented through provision of training for thehealth workers. However, a variety of factor found to be a barrier to IMNCI implementation in aconsistent way. Recommendations have been made related to provision of the training to thenurses and HealthCare system strengthening among others. Keywords: Public heath instructions, Nurses, Integrated management of Neonatal andChildhood illness (IMNCI), Factors influencing the implementation of IMNCI, en_US
dc.identifier.urihttp://etd.aau.edu.et/handle/123456789/9209
dc.language.isoenen_US
dc.publisherAddis Ababa Universityen_US
dc.subjectPublic heath instructions Nurses Integrated management of Neonatal and Childhood illness (IMNCI)en_US
dc.titleAssessment of Factors Influencing The Implementation of Integrated Managaement of Neonatal and Child Hood Illness (IMNCI) By Nurse at Public Health Institutions in Four Woredas of West Arsi Zone, Ethiopia,2016en_US
dc.typeThesisen_US

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