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Knowledge on Integrated Management of Childhood Illness Among Health and Family Planning Field Workers

Mst. Akhtara Khatun
Senior Staff Nurse
Rajshahi Medical College Hospital, Rajshahi, Bangladesh

Ashees Kumar Saha
Nursing Officer, Upazilla Health Complex, Bagha, Rajshahi, Bangladesh

Sabrina Aktar
Senior Staff Nurse
Rajshahi Medical College Hospital, Rajshahi, Bangladesh

Fouzia Hasin
Department of Nutrition and Biochemistry, NIPSOM, Mohakhali, Dhaka, Bangladesh

Abstract/ Executive Summary:

Integrated Management of Childhood Illness (IMCI) is a strategy for reducing mortality among children under the age of 5 years. This study was aimed to assess the level of knowledge on IMCI among health and family planning field worker. Convenience sampling and a semi-structured questionnaire was used to collect data among 237 respondents. Knowledge level was categorized as good, average and poor while the association of categorical data were done by Chi squire test. The mean age of participants was 36.03±10.13 years where (82.3%) respondents were female. The mean duration of job was 11.27± 9.81 years where (71.7%) respondents did not have training on IMCI. Among the respondents, 42.6% didn’t know any of the objectives and 46.8% of respondents knew that one of the components of IMCI, 51.5% of respondents knew that IMCI to improve the health system and 35.3% respondents knew that IMCI is to improve family and community practice. Signs of diarrhea in 0-2 month’s old baby was not known by 27.8% of respondents. The majority of the respondents (72.2%) had knowledge about increased respiratory rate as a sign of pneumonia. Among the respondents, 42.6% respondents had poor knowledge regarding IMCI while 28.7% had well and (28.7%) had average knowledge. Level of knowledge was significantly associated with age (p<0.026), sex (p<0.001), place of job (p<0.001), designation (p<0.001), type of job (p<0.001), duration of Job (p<0.001), training status (p<0.002). There are many lacks in the knowledge of health and family planning field workers, they need training on IMCI to prevent under-five mortality and morbidity.

Keywords: Knowledge, IMCI, Health, Family planning, Field workers

Location: Boalia, Rajpara and Godagari thana of Rajshahi district

Start Date: 01-01-2019

End Date: 01-12-2019

Program Area: Knowledge Management

Commodity: Nutrition, Health hazard

Objectives:

To devote resources for achieving the best possible quality of neonatal and under five children’s health services.

Methodology:

Study pattern design: A cross-sectional study was performed using a semi-structured interviewer-administered questionnaire at Boalia, Rajpara and Godagari thana of Rajshahi district from 1st January 2019 to 31st December 2019 among the health and family planning workers of the study place where the study was done were the study population. Selection criteria: Health and family planning workers were selected on the basis of the following inclusion and exclusion criteria-
Inclusion criteria: Health and family planning workers having at least six months job experience, both male and female health and family planning workers
Exclusion criteria: Unwilling to participate in the study. Sample size: The following formula was used to calculate the sample size:
n=z²pq/d² = (1.96)² x 0.81x0.19/ (0.05)² =237. Data analysis: After completion of data collection, the data were checked and edited manually and verified before tabulation. Data were coded, entered and analyzed in a computer. The statistical analysis was conducted using SPSS (Statistical Package for Social Science) version 25 statistical software. Ethical consideration: All the information collected for the study was utilized only for the purpose of thesis and was not disclosed to anyone. Ethical approval was obtained from the ethical committee of NIPSOM, under the Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

Source of Information: Asian J. Med. Biol. Res. 2021, 7 (1), 56-63; doi: 10.3329/ajmbr.v7i1.53309; ISSN 2411-4472 (Print) 2412-5571 (Online)

Article Link (Online Journal): www.ebupress.com/journal/ajmbr

Funding Source:

Budget:

Total Budget (Tk.) :

Achievement/Findings:

It was found in the present study found that all most half of the respondents had poor knowledge regarding IMCI while nearly one-third had good knowledge. Level of knowledge is associated with age, gender, monthly family income, place of job, designation, type of job, duration of job and training on IMCI.IMCI training can improve the knowledge of health workers. It is important to increase the knowledge of health and family planning field workers through proper training and supervision. Considering the average level of knowledge regarding IMCI, the following recommendations are put forward: All health and family planning field workers should be trained on Integrated Management of Childhood Illness (IMCI). Further research work should be done on large scale.

Knowledge Management: Journal