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首页> 外文期刊>International Journal of Pediatrics >Assessment of Factors Affecting the Implementation of Integrated Management of Neonatal and Childhood Illness for Treatment of under Five Children by Health Professional in Health Care Facilities in Yifat Cluster in North Shewa Zone, Amhara Region, Ethiopia
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Assessment of Factors Affecting the Implementation of Integrated Management of Neonatal and Childhood Illness for Treatment of under Five Children by Health Professional in Health Care Facilities in Yifat Cluster in North Shewa Zone, Amhara Region, Ethiopia

机译：评估影响新生儿和儿童疾病综合管理综合管理的因素，以便在北申巴区，阿马拉地区阿哈拉地区，埃塞俄比亚北部养生设施卫生保健设施

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Background. Every year some 12 million children in developing countries die before they reach their fifth birthday. Seven in ten of these deaths are due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria or malnutrition. The WHO Department of Child and Adolescent Health and Development (CAH), in collaboration with eleven other WHO programmes and UNICEF, has responded to this challenge by developing the Integrated Management of Childhood Illness (IMCI) strategy. Research that examines assessment of factors influencing the implementing the integrated management of neonatal and childhood illnesses (IMCI) strategy in Ethiopia is limited. Objective. To assess factors influencing the implementation of the IMNCI strategy by health professionals in public health institutions of Yifat cluster in North Shewa zone, Ethiopia, 2018. Method. An institutional based cross-sectional study will be conducted from March to May. A total of 201 health professionals will be selected using proportionally allocated to population size and interviewed using structured and pretested questionnaires. Data will be coded, entered and cleaned using SPSS version 20 for analysis. Univariate (frequency), Bivariate, Multiple logistic regression analysis will be employed. P-value and 95% confidence interval (CI) for OR will be used in judging the significance of the associations. P-value less than 0.05 will be taken as significant association. Results. Data were obtained from 201 health care professionals, yielding a response rate of 100%. The overall IMNCI implementation was 58% as high level implementation and 42% as low level implementation. In multivariate analysis the implementation of IMNCI was higher among IMNCI trained health care professionals ([AOR=2.7, 95% CI: (1.1.278, 4.562)]) and among those whose always referring chart booklet [AOR=2.76, 95% CI: (1.753, 5.975)]. Conclusion. IMNCI strategy can be better implemented through provision of training for the health workers. However, a variety of factor found to be a barrier to IMNCI implementation in a consistent way. Recommendations have been made related to provision of the training to the nurses and Health Care system strengthening among others.
机译：背景。在他们达到五岁的生日之前，每年有大约1200万孩子死亡。这些死亡中有七个是由于急性呼吸道感染（大多是肺炎），腹泻，麻疹，疟疾或营养不良。儿童和青少年健康和发展（CAH）的世界卫生组织和开发部（CAH）与11个其他计划和联合国儿童基金会合作，通过制定儿童疾病（IMCI）战略的综合管理来回应这一挑战。研究影响埃塞俄比亚新生儿疾病（IMCI）策略的综合管理的因素评估的研究是有限的。客观的。评估影响北申荷区埃塞俄比亚，2018年埃塞俄比亚北申藏区公共卫生机构卫生专业人士实施IMNCI战略的因素。方法。基于机构的横断面研究将于3月至5月进行。共有201人卫生专业人员将按比例分配给人口规模，采用结构化和预测试问卷进行访谈。使用SPSS版本20进行编码，输入和清除数据进行分析。将采用单变量（频率），双变量，多元逻辑回归分析。 P值和95％置信区间（CI）或将用于判断协会的重要性。 P值小于0.05将被视为重大关联。结果。数据是从201卫生保健专业人员获得的，产生100％的响应率。整体IMNCI实施为58％，高级别实施和42％的低级实施。在多元分析中，IMNCI的实施较高，IMNCI培训的医疗专业人士（[AOR = 2.7,95％CI：（1.1.278,4.562））和始终参考图表[AOR = 2.76,95％CI的那些）之间：（1.753,5.975）]。结论。可以通过为卫生工作者提供培训来更好地实施IMNCI战略。然而，各种因素以一致的方式发现了IMNCI实施的障碍。建议与向护士和医疗保健制度提供培训提供的建议。

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