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Evaluation of Integrated Community Case Management of Common Childhood Illness Program: Quality of Program Implementation in Hadiya Zone, Ethiopia

Received: 1 November 2022     Accepted: 28 December 2022     Published: 13 January 2023
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Abstract

Background: Integrated community case management of common childhood illnesses (ICCM) is life saving curative health service delivery for common childhood illnesses (CHI) at health post and community level before developing a complication. ICCMCHI quality has little information in the study area. Methods and Materials: The focus of this evaluation was to evaluate the process of ICCMCHI program, and the approach of this evaluation was formative. Availability of program resources, compliance of health extension workers with ICCM guideline and acceptability of services were the dimensions of this study. The case study was conducted with both quantitative and qualitative data. Fifty-seven health posts were included from three woreda of the zone by deviant sampling techniques. For qualitative data health extension workers and health care managers were included. Data was analyzed by using SPSS soft ware version-20. Univariate, bivariate and multivariate logistic regression were used for quantitative data, and qualitative data was analyzed by using thematic analysis. Result: Compliance was 76% which is good even though most of health extension workers (HEW) were missing opportunities and identified reasons were an inadequate use of ICCM chart booklet and poor supportive supervision. 423 mothers or caregivers with sick under-five children were interviewed from 57 health posts. The mean score of client satisfaction on the quality of ICCM services received was 48.97. Satisfaction of caregivers with a mean score of client satisfaction on quality ICCM services was associated with primary level education, family annual income of and Muslim religion and received information about when to return for next revisit were found to be more likely to satisfy on the quality of ICCM services provided. Conclusion and Recommendation: Quality of ICCMCHI program was evaluated as good. There was an inadequate level of resource availability. Client’s satisfaction with integrated community case management of common childhood illness services was also good. All concerned bodies from local government and development partners are expected to strengthen regular supportive supervision, clinical mentoring, and continues performance review.

Published in American Journal of Health Research (Volume 11, Issue 1)
DOI 10.11648/j.ajhr.20231101.11
Page(s) 1-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

ICCM, Childhood Illness, Client Satisfaction, Quality of Service

References
[1] WHO. Evidence for technical update of pocket book recomendations, Recommendations for management of common childhood conditions who 2012). 2012.
[2] children st. Tools to Introduce Community Case Management (CCM) of Serious Childhood Infection. From: http://www.savethechildren.org (accessed 21 May 2011). 2011.
[3] SahaluA. House hold illness prevalence and its determinants among under-five children. Ethiopian Journal of Health and Development. 2006; 23 (1): 10.
[4] UK stc. Ethiopia Health & HIV Policy &Programme Overview Everyone. From: http://www.savethechildren.org 2011.
[5] USAID. Community Case Management Essentials Treating Common Childhood Illnesses in the Community a guide for program managers. 1997.
[6] (https://www.doh.gov.ph/integrated-management-of-childhood-illness).
[7] Mcgorman L, Marsh D, Guenther T, GilroyKBarat L, Hammamy D, al. e. A Health Systems Approach to Integrated Community Case Management of Childhood Illness : Methods and Tools. methods and tools. 2012: 69-76.
[8] USAID. Integrated community case management of child hood illness. 2012.
[9] MillerN, AmouzouA, TafesseM, HazelE, LegesseH, DegefieT, et al. Integrated Community Case Management of Childhood Illness in Ethiopia Implementation Strength and Quality of Care. 2014; 91 (2): 424-34.
[10] DegefieT, MarshD, GebremariamA, TeferaW, OsbornG, WaltenspergerK. Community case management improves use of treatment for childhood diarrhea, malaria and pneumonia in a remote district of Ethiopia. 2012.
[11] MillerN, AmouzouA, BryceJ, VictoraC, HazelE. Assessment of ICCM Implementation Strength and Quality of Care in Oromia, Ethiopia Final report January 2013. 2013.
[12] Hamer D. Integrated Community Case Management (iCCM) in sub-Saharan Africa 2013.
[13] WHO. Pneumonia and Diarrhea Progress Report 2014.
[14] BayG, MillerT, FaijerD. Levels & Trends in Child Mortality. 2014.
[15] FMOH. Report on Progress in Implementing the World Fit for Children. 2007.
[16] A P. The Millenium Development Goals DEVELOPMENT, Addis ababa. 2012.
[17] FMOH. Tools to Introduce Community Case Management (CCM) of Serious Childhood Infection. 2011;(March).. 2011.
[18] SAVE. Save the Children MID-TERM EVALUATION REPORT Innovation for Scale : Enhancing Ethiopia ’ s Health Extension Package in. 2012. 2012.
[19] UNICEF W. WHO / UNICEF JOINT STATEMENT Integrated Community Case Management An equity-focused strategy to improve access to essential treatment services for children. 2012.
[20] Hadiya Zone health departiment. Half year plan and performance of Hadiya Zone. 2007.
[21] Wholey JS. Hand book of practical programe valuation. Third. Newcomer JSWHPHKE, editor. USA: Jossey-Bass; 2010.
[22] FMOH. Integrated Management of Newborn and Childhood Illness, Part 1. 2013.
[23] Evaluation P. I ntroduction to Program Evaluation for Public Health Programs : A Self-Study Guide. 2011;(October).
[24] Save the children. Enhancing Ethiopia’s Health Extension Package in the Southern Nations and Nationalities People's Region (SNNPR) Shebedino and Lanfero Woredas. Hawassa; 2012.
[25] C. Alkin M. Evaluation Essentials from A to Z. 2011.
[26] Baker JL. Evaluating the Impact of Development Projects on Poverty.
[27] K. yin R. Case study Research, Design and methods. Third edit. LONDON; 2003.
[28] Donabedian A. An introduction to Quality assurance in Health care. Bashir R, editor. OXFORD UNIVERSITY; 2003.
[29] FMOH. Health and Health Related Indicators Health and Health Related Indicators. 2011.
[30] Francis T&. Health Product Supply Chains in Developing Countries: Diagnosis of the Root Causes of Underperformance and an Agenda for Reform, 2015.
[31] Nigatu A, Homa G, Getachew D, Gelaw S. CAN TRAINING HEALTH EXTENSION WORKERS IN THE INTEGRATED PHARMACEUTICAL LOGISTICS SYSTEM (IPLS) BE EFFECTIVE, AFFORDABLE, AND OPPORTUNISTIC ? 2014; 52 (December 2012): 2014.
[32] Integrated Community Case Management / ICCM / story in Ethiopia Ghana, Accra Background. 2014;
[33] Degefie T, Legesse H, Lemma AF, Getachew H, Gebrie M. INTEGRATED COMMUNITY CASE MANAGEMENT : QUALITY OF CARE AND ADHERENCE TO MEDICATION IN BENESHANGUL-GUMUZ REGION, ETHIOPIA. 2014; 52: 83–90.
[34] Teferi E, Teno D, Ali I. QUALITY AND USE OF IMNCI SERVICES AT HEALTH CENTER UNDER-FIVE CLINICS AFTER INTRODUCTION OF INTEGRATED COMMUNITY-BASED CASE MANAGEMENT (ICCM) IN THREE REGIONS OF ETHIOPIA. 2014; 52 (iCCM): 91–8.
[35] Gaunteng H system rtust. Guide to Measuring Client Satisfaction. 2008.
[36] Tumuhamye N, Rutebemberwa E, Kwesiga D, Bagonza J. Client satisfaction with integrated community case management program in Wakiso District, Uganda, October 2012 : A cross sectional survey. 2013; 5 (11).
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  • APA Style

    Ermias Larebo Holamo, Dawit Wolde, Gebeyehu Tsega, Yeshanew Ayele Tiruneh. (2023). Evaluation of Integrated Community Case Management of Common Childhood Illness Program: Quality of Program Implementation in Hadiya Zone, Ethiopia. American Journal of Health Research, 11(1), 1-12. https://doi.org/10.11648/j.ajhr.20231101.11

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    ACS Style

    Ermias Larebo Holamo; Dawit Wolde; Gebeyehu Tsega; Yeshanew Ayele Tiruneh. Evaluation of Integrated Community Case Management of Common Childhood Illness Program: Quality of Program Implementation in Hadiya Zone, Ethiopia. Am. J. Health Res. 2023, 11(1), 1-12. doi: 10.11648/j.ajhr.20231101.11

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    AMA Style

    Ermias Larebo Holamo, Dawit Wolde, Gebeyehu Tsega, Yeshanew Ayele Tiruneh. Evaluation of Integrated Community Case Management of Common Childhood Illness Program: Quality of Program Implementation in Hadiya Zone, Ethiopia. Am J Health Res. 2023;11(1):1-12. doi: 10.11648/j.ajhr.20231101.11

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  • @article{10.11648/j.ajhr.20231101.11,
      author = {Ermias Larebo Holamo and Dawit Wolde and Gebeyehu Tsega and Yeshanew Ayele Tiruneh},
      title = {Evaluation of Integrated Community Case Management of Common Childhood Illness Program: Quality of Program Implementation in Hadiya Zone, Ethiopia},
      journal = {American Journal of Health Research},
      volume = {11},
      number = {1},
      pages = {1-12},
      doi = {10.11648/j.ajhr.20231101.11},
      url = {https://doi.org/10.11648/j.ajhr.20231101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20231101.11},
      abstract = {Background: Integrated community case management of common childhood illnesses (ICCM) is life saving curative health service delivery for common childhood illnesses (CHI) at health post and community level before developing a complication. ICCMCHI quality has little information in the study area. Methods and Materials: The focus of this evaluation was to evaluate the process of ICCMCHI program, and the approach of this evaluation was formative. Availability of program resources, compliance of health extension workers with ICCM guideline and acceptability of services were the dimensions of this study. The case study was conducted with both quantitative and qualitative data. Fifty-seven health posts were included from three woreda of the zone by deviant sampling techniques. For qualitative data health extension workers and health care managers were included. Data was analyzed by using SPSS soft ware version-20. Univariate, bivariate and multivariate logistic regression were used for quantitative data, and qualitative data was analyzed by using thematic analysis. Result: Compliance was 76% which is good even though most of health extension workers (HEW) were missing opportunities and identified reasons were an inadequate use of ICCM chart booklet and poor supportive supervision. 423 mothers or caregivers with sick under-five children were interviewed from 57 health posts. The mean score of client satisfaction on the quality of ICCM services received was 48.97. Satisfaction of caregivers with a mean score of client satisfaction on quality ICCM services was associated with primary level education, family annual income of and Muslim religion and received information about when to return for next revisit were found to be more likely to satisfy on the quality of ICCM services provided. Conclusion and Recommendation: Quality of ICCMCHI program was evaluated as good. There was an inadequate level of resource availability. Client’s satisfaction with integrated community case management of common childhood illness services was also good. All concerned bodies from local government and development partners are expected to strengthen regular supportive supervision, clinical mentoring, and continues performance review.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Integrated Community Case Management of Common Childhood Illness Program: Quality of Program Implementation in Hadiya Zone, Ethiopia
    AU  - Ermias Larebo Holamo
    AU  - Dawit Wolde
    AU  - Gebeyehu Tsega
    AU  - Yeshanew Ayele Tiruneh
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    N1  - https://doi.org/10.11648/j.ajhr.20231101.11
    DO  - 10.11648/j.ajhr.20231101.11
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
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    EP  - 12
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20231101.11
    AB  - Background: Integrated community case management of common childhood illnesses (ICCM) is life saving curative health service delivery for common childhood illnesses (CHI) at health post and community level before developing a complication. ICCMCHI quality has little information in the study area. Methods and Materials: The focus of this evaluation was to evaluate the process of ICCMCHI program, and the approach of this evaluation was formative. Availability of program resources, compliance of health extension workers with ICCM guideline and acceptability of services were the dimensions of this study. The case study was conducted with both quantitative and qualitative data. Fifty-seven health posts were included from three woreda of the zone by deviant sampling techniques. For qualitative data health extension workers and health care managers were included. Data was analyzed by using SPSS soft ware version-20. Univariate, bivariate and multivariate logistic regression were used for quantitative data, and qualitative data was analyzed by using thematic analysis. Result: Compliance was 76% which is good even though most of health extension workers (HEW) were missing opportunities and identified reasons were an inadequate use of ICCM chart booklet and poor supportive supervision. 423 mothers or caregivers with sick under-five children were interviewed from 57 health posts. The mean score of client satisfaction on the quality of ICCM services received was 48.97. Satisfaction of caregivers with a mean score of client satisfaction on quality ICCM services was associated with primary level education, family annual income of and Muslim religion and received information about when to return for next revisit were found to be more likely to satisfy on the quality of ICCM services provided. Conclusion and Recommendation: Quality of ICCMCHI program was evaluated as good. There was an inadequate level of resource availability. Client’s satisfaction with integrated community case management of common childhood illness services was also good. All concerned bodies from local government and development partners are expected to strengthen regular supportive supervision, clinical mentoring, and continues performance review.
    VL  - 11
    IS  - 1
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Author Information
  • Public Health Department, Hadiya Zone Health Bureaue, Hossaena, Ethiopia

  • Public Health Department, Jimma University, Jimma, Ethiopia

  • Public Health Department, Jimma University, Jimma, Ethiopia

  • Public Health Department, Wachemo University, Hossaena, Ethiopia

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