A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of Ethiopia
Sheka Shemsi Seid,1 Endalew Gemechu Sendo2 1School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, 2Department of Nursing and Midwifery, School of Allied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Background: In Ethiopi...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-01-01
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| Series: | Pediatric Health, Medicine and Therapeutics |
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| Online Access: | https://www.dovepress.com/a-survey-on-integrated-management-of-neonatal-and-childhood-illness-im-peer-reviewed-article-PHMT |
| _version_ | 1811268677356486656 |
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| author | Seid SS Sendo EG |
| author_facet | Seid SS Sendo EG |
| author_sort | Seid SS |
| collection | DOAJ |
| description | Sheka Shemsi Seid,1 Endalew Gemechu Sendo2 1School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, 2Department of Nursing and Midwifery, School of Allied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Background: In Ethiopia, one in 17 children dies before 1 year of age and one in 11 children dies before 5 years. Research that examines the factors influencing the implementation of the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) strategy in Ethiopia is limited. This study aimed to identify the factors compelling the execution of IMNCI by nurses in four districts of West Arsi zone of Ethiopia.Methods: A mixed-method cross-sectional study was conducted from February to March 2016 in West Arsi zone of Oromia regional state, Ethiopia. A total of 185 Integrated Management of Childhood Illness (IMCI)-trained registered nurses working at Under-Five Clinic were purposively chosen for the study among 291 registered nurses based at health centers and hospitals in the Arsi zone. The study was complemented by a qualitative method.Results: More than half (57.8%) of the nurses interviewed had been trained (51.35% of them attended in-service training). The most common issues encountered in the implementation of IMCI were: lack of trained staff (56.2%), lack of essential drugs and supplies (37.3%), and irregular supportive supervision (89.2%). The qualitative data supplemented the factors that influence IMNCI implementation, including drug unavailability, lack of human resources, and lack of effective supportive supervision and follow-up visits. Therefore, interventions aiming at ­training nurses, with emphasis on performing supportive consistent supervision and supporting the system of health care by enhancing admittance to indispensable drugs and supplies, are recommended to help IMCI implementation. Keywords: IMNCI-trained nurses, implementation, West Arsi Zone, Ethiopia |
| first_indexed | 2024-04-12T21:27:10Z |
| format | Article |
| id | doaj.art-cd99dc393bcb4ee1bf6e2650f1b0743a |
| institution | Directory Open Access Journal |
| issn | 1179-9927 |
| language | English |
| last_indexed | 2024-04-12T21:27:10Z |
| publishDate | 2018-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Pediatric Health, Medicine and Therapeutics |
| spelling | doaj.art-cd99dc393bcb4ee1bf6e2650f1b0743a2022-12-22T03:16:08ZengDove Medical PressPediatric Health, Medicine and Therapeutics1179-99272018-01-01Volume 91736278A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of EthiopiaSeid SSSendo EGSheka Shemsi Seid,1 Endalew Gemechu Sendo2 1School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, 2Department of Nursing and Midwifery, School of Allied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Background: In Ethiopia, one in 17 children dies before 1 year of age and one in 11 children dies before 5 years. Research that examines the factors influencing the implementation of the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) strategy in Ethiopia is limited. This study aimed to identify the factors compelling the execution of IMNCI by nurses in four districts of West Arsi zone of Ethiopia.Methods: A mixed-method cross-sectional study was conducted from February to March 2016 in West Arsi zone of Oromia regional state, Ethiopia. A total of 185 Integrated Management of Childhood Illness (IMCI)-trained registered nurses working at Under-Five Clinic were purposively chosen for the study among 291 registered nurses based at health centers and hospitals in the Arsi zone. The study was complemented by a qualitative method.Results: More than half (57.8%) of the nurses interviewed had been trained (51.35% of them attended in-service training). The most common issues encountered in the implementation of IMCI were: lack of trained staff (56.2%), lack of essential drugs and supplies (37.3%), and irregular supportive supervision (89.2%). The qualitative data supplemented the factors that influence IMNCI implementation, including drug unavailability, lack of human resources, and lack of effective supportive supervision and follow-up visits. Therefore, interventions aiming at ­training nurses, with emphasis on performing supportive consistent supervision and supporting the system of health care by enhancing admittance to indispensable drugs and supplies, are recommended to help IMCI implementation. Keywords: IMNCI-trained nurses, implementation, West Arsi Zone, Ethiopiahttps://www.dovepress.com/a-survey-on-integrated-management-of-neonatal-and-childhood-illness-im-peer-reviewed-article-PHMTIntegrated Management of Neonatal and Childhood Illness (IMNCI)NursesEthiopia. |
| spellingShingle | Seid SS Sendo EG A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of Ethiopia Pediatric Health, Medicine and Therapeutics Integrated Management of Neonatal and Childhood Illness (IMNCI) Nurses Ethiopia. |
| title | A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of Ethiopia |
| title_full | A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of Ethiopia |
| title_fullStr | A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of Ethiopia |
| title_full_unstemmed | A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of Ethiopia |
| title_short | A survey on Integrated Management of Neonatal and Childhood Illness implementation by nurses in four districts of West Arsi zone of Ethiopia |
| title_sort | survey on integrated management of neonatal and childhood illness implementation by nurses in four districts of west arsi zone of ethiopia |
| topic | Integrated Management of Neonatal and Childhood Illness (IMNCI) Nurses Ethiopia. |
| url | https://www.dovepress.com/a-survey-on-integrated-management-of-neonatal-and-childhood-illness-im-peer-reviewed-article-PHMT |
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