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AVAILABILITY AND ADEQUACY OF EQUIPMENT AND SUPPLIES FOR INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI) IN RIVERS STATE, NIGERIA

STELLA NNE OKANKWU, E S SAMUEL

Abstract


Nigeria, Rivers State inclusive joined other countries in the world to implement the Integrated Management of Childhood Illness (IMCI) strategy. The strategy was developed to reduce under-five mortality and improve child health and development practices in facilities, communities and health system levels. Understanding the quality of IMCI in Rivers State is crucial to improving child health outcomes in the State. The study utilized the descriptive design to investigate availability and adequacy of equipment and supplies for IMCI in public health facilities in Rivers State. Two research questions and two hypotheses guided the study. Instrument for data collection was a researcher-designed structured questionnaire, administered to 31 Heads of public health facilities. Data analysis utilized Statistical Package for Social Sciences (SPSS) version 21. Research questions were answered using frequencies and percentages while chi-square () statistics was used to test hypotheses at 0.05 level of significance. Result indicated that equipment and supplies for IMCI was highly available (65.9%) and slightly adequate (42.6%). The study also found that availability of equipment and supplies for IMCI differed according to location but no significant difference was found in adequacy of equipment and supplies for IMCI according to location. The study concludes that quality of IMCI is compromised by inadequacy of vital equipment and supplies; and suggests periodic evaluation of programme for improvement in quality of IMCI.

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References


Abanobi, O.C. (2004). Quantitative technique in public heath and medicine. Owerri: Colon Cocnept Nig. Ltd.

Ademiluyi, I.A. & Aluko-Arowolo, S.O. (2009). Infrastructural distribution of health care services in Nigeria: An Overview. Journal of Geography and Regional Planning 2(5): 104-110.

Adewemimo, A., Kalter, H.D., Perin, J., Koffi, A.K., Quinley, J. & Black, R.E. (2017). Direct estimates of cause-specific mortality fractions and rates of under-five deaths in the Northern and Southern regions of Nigeria by verbal autopsy Interview. PLOS/ONE 12(5):e0178129

Amaral, J., Gounws, E., Bryce, J., Jorge A., Leite M; Alves, A.L; Cunha D. & Victoria, C.G; (2004). Effect of integrated management of childhood illness on health worker performance in North East Brazil. Cad.Saunde Public. Vol. 20 suppl 2.

Arifeen, S.E., Hoque, D.M., Akter, T., Rahman, M., Hoque, M.E., Begum, K., Chowdhury, E.K., Khan, R., Blum, L.S., Ahmed, S., Hossan, M.A., Siddik, A., Begum, N. Sadeq, U. R., Rahman, Q., Haque, T. M., Billah, S. M., Islam, M., Rumi, R. A., Law, E., Al-Helal, Z. A., Baqui, A. H., Schellenberg, J., Adam, T., Moulton, L. H., Habicht, J. P., Scherpbier, R. w., Victoria, C. G., Bryce, J. & Black, A. E. (2009). Effect of integrated management of childhood illness strategy on childhood mortality and nutrition in a rural area in Bangladesh: a cluster randomized trial. Lancet 374(9687): 393-403.

Armstrong S., J., Bryce, J., de Savigny, D., Lambrechts, T., Mbuya, C., Mgalula, L., Wilczyaska, K. & Tanzania IMCI Multi-Country Evaluation Health Facility Survey Study Group (2004). The effect of integrated management of childhood illness on observed quality of care of under-fives in rural Tanzania. Health Policy Plan 19(1):1-10.

Bhandari, N., Mazumder, S., Taneja, S., Sommerfelt, H. & Strand, T.A. (2012). IMCI Evaluation Study Group. Effect of implementation of integrated management of neonatal and childhood illness (IMNCI) programme on neonatal and infant mortality. Cluster randomized controlled trial. British Medical Journal 344:e1634.

Donabedian, A. (1980). The definition of quality and approaches to its assessment. Vol 1. Explorations in quality assessment and monitoring. Ann Arbor: Michigan Health Administration Press.

Ezeonwu, B.U., Chima, O.U. Oguonu, T., Ikefuna, A.N., & Nwafor, I. (2014). Morbidity and mortality pattern of childhood illness seen at the children emergency unit of Federal Medical Centre, Asaba, Nigeria. Ann Med health Sc. Res. 2014 4(Suppl 3): S 239-S244.

Federal Government of Nigeria (2017). Rivers State. Abuja: Federal Government of Nigeria.

Gera, T., Shah, D., Garner, P., Richardson, M. & Sachdev, S. (2016). Integrated management of childhood illness (IMCI) strategy for children under-five. Cochrane Database System Rev 6:1-61. PMC4943011.

Ghana Ministry of Health (2002). Integrated management of childhood illness (IMCI): Provision of introductory and early implementation phases in Ghana. Ghana: Ministry of Health.

Hornby, A.S. (2013). Oxford advanced learners dictionary. New York: Oxford University Press.

Index Mundi (2015a). Nigeria – mortality rate. Adapted from www.indexmundi. com/facts/nigeria/mortality-rate

Index Mundi (2015b). Bangladesh – mortality rate. Adapted from www.indexmundi.com /facts/bangladesh/mortality-rate.

Index Mundi (2015c). India – mortality rate. Adapted from www.indexmundi. com/facts/india/mortality-rate.

Index Mundi (2015d). Tanzania – mortality rate. Adapted from www.indexmundi. com/facts/tanzania/mortality-rate.

Index Mundi (2015e). Uganda – mortality rate. Adapted from www.indexmundi.com /facts/uganda/mortality-rate.

Kiplagat, A., Musto, R., Mwizamholya, D., & Morona, D. (2014). Factors influencing the implementation of integrated management of childhood illness (IMCI) by health care workers at public health centres and dispensaries in Mwanza, Tanzania. BMC Public Health 14:277doi:10.1186/1471-2458-14-277.

Mapaderum, O. (2002). Teaching methods for business, science, social science and technical education. Ibadan: Holyem communications.

Nigeria Biography (2016). List of 109 senatorial districts in Nigeria and their composition. www.nigeriabiography.com/2016/03/list-of-109-senatorial-districts-in.html?m=1.

Obio/Akpor Federal Representative (2016). About Obio Akpor. adapted from www.obioakporfedrep. com/aboutobioakpor

Okankwu, S.N. (2016). Evaluation of millennium development goals four and five programmes in Rivers State, Nigeria. A Ph.D Thesis submitted to Department of Human Kinetics and Health Education. University of Nigeria: Nsukka.

Okankwu, S. N. & Samuel E. S.(2017). Constraints to accessing national programme on immunization in Rivers State, south-south Nigeria. Journal of Education in Developing Areas (JEDA) 25(1): 114-124.

Olaosebikan, B.T.A (2007). Evaluation of the undergraduate physical education programme in the University of Nigeria Nsukka. A Ph.D Thesis presented to the Department of Health and Physical Education, University of Nigeria, Nsukka.

Onwasigwe, C.E. (2004). Principles and methods of epidemiology. Enugu: Institute of Development Studies, University of Nigeria, Nsukka.

Otto, G. & Ukpere, W.I. (2014). Rural development projects in Nigeria: The case of Rivers State. Mediterranean Journal of Social Sciences MCSER Publishing 5 (3): 604-612

Otto, G. (2008). Urbanization in Nigeria, implications for socio-economic development. Owerri: JORIND.

Rivers State Government (2010). Strategic health development plan 2010 – 2015. Port Harcourt: Rivers State Ministry of Health.

Rivers State Government (2016). Overview-Government of Rivers State, Nigeria. Port Harcourt: Rivers State Governor’s Office – I.C.T. Department.

Stanford Medicine (2017). Health care disparities and barriers- fact sheet -rural health. Adapted from stanford.edu/health-pros/factsheets/disparities-barriers.html.

Titilaye, C.R., Jusril, H., Ariawan, I., Soeharno, N., Setiawan, T. & Weber, M.W. (2014). Challenges to the implementation of the integrated management of childhood illness (IMCI) at community health centres in West Java Province, Indonesia. WHO South East Asia J. Public Health 3(2): 161-170.

UNICEF (2013). Ninety million children’s lives saved since 1990, says UNICEF. New York: UNICEF.

UNICEF (2015). Levels and trends in child mortality report – 2015: Estimates developed by the UN Inter-agency Group for child mortality estimate. New York: UNICEF.

UNICEF Nigeria (n.d). The children – maternal and child health. Adapted from https://www.unicef.org/Nigeria/children_1926.html.

UNICEF/Federal Ministry of Health (2005). IMCI in the hands of families. Nigeria country report baseline studies on key family and community practices in IMCI – implemented LGAs. Abuja, Nigeria: Federal Ministry of Health.

University of Virginia (2016). Using and interpreting Crobach’s Alpha. University of Virginia: Research Data and Sciences.

Uzochukwu, B.S.C., Onwujekwe, O.E., Eziolo, E.A., Nwobi, A.C., & Onoka, N.C. (2007). Integrated management of childhood illness in Nigeria: Does short term training of health workers improve their performance? Royal Institute of Public Health 122 (4): 367-370.

WHO (2000). Integrated management of childhood illness. Geneva: WHO.

WHO (2003). World Health Organization – Bangladesh: integrated management of childhood illness. Adapted from www.whoban.org/imci.html on 18/8/17.

WHO (2009). Increasing access to health workers in remote and rural areas through improved retention. Geneva: WHO.

WHO (2011). Child mortality: Millennium development goal 4. WHO: the partnership for maternal newborn and child health. Adapted from www.who.int/pmnch /media/press_materials/fs/fs_mdg4-childmortality/en

WHO (2013). UN: Global child deaths down by almost half since 1990. Adapted from www.who.int/mediacentre/news/releases/2013/child_mortality_causes_20130913/en/.

WHO (2017a). Global Health Observatory: Under-five mortality. www.who.int/gho /child_health/mortality-under-five-text/en/.

WHO (2017b). Maternal, newborn, child and adolescent health: integrated management of childhood illness (IMCI). www.who.int/maternal_child_adolescents/topics/child/ imci/en.

WHO Regional Office for the Eastern Mediterranean (2014). Child health and development: IMCI strategy. www.emro.who.int/child-health/imci-strategy/three-components.

WHO, UNFPA, UNICEF & AMDD (2009). Monitoring emergency obstetric care: A handbook. Geneva: WHO.




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