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Ethiop Med J ; 52 Suppl 3: 83-90, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25845077

RESUMO

BACKGROUND: The International Rescue Committee (IRC) supports implementation of integrated Community Case Management (iCCM) in all 20 woredas (districts) of Benishangul Gumuz Region (BSG) in Ethiopia. OBJECTIVES: To identify the gaps in the provision of quality iCCM services provided by Health Extension Workers (HEWs) and to assess caregivers' adherence to prescribed medicines for children under five years of age. METHODS: We conducted a cross-sectional descriptive study with both quantitative and qualitative study methods. We interviewed 233 HEWs and 384 caregivers, reviewed HEW records of 1,082 cases, and organized eight focus groups. RESULTS: Most cases (98%) seen by HEWs were children 2-59 months old, and 85% of the HEWs did not see any sick young infant. The HEWs' knowledge on assessments and classification and need for referral of cases was above 80%. However; some reported challenges, especially in carrying out assessment correctly and not checking for danger signs. Over 90% of caretakers reported compliance with HEWs' prescription. CONCLUSION: Partners have successfully deployed trained HEWs who can deliver iCCM according to protocol; however, additional support is needed to assure a supply of medicines and to mobilize demand for services, especially for young infants.


Assuntos
Administração de Caso/normas , Serviços de Saúde da Criança/normas , Serviços de Saúde Comunitária/normas , Adesão à Medicação/estatística & dados numéricos , Qualidade da Assistência à Saúde , Antibacterianos/uso terapêutico , Antimaláricos/uso terapêutico , Cuidadores , Pré-Escolar , Estudos Transversais , Prestação Integrada de Cuidados de Saúde , Diarreia/tratamento farmacológico , Etiópia , Feminino , Humanos , Lactente , Malária/tratamento farmacológico , Masculino , Pneumonia/tratamento farmacológico , Soluções para Reidratação/uso terapêutico
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