Background In integrated community case management (iCCM) care, community health workers (CHWs) p... more Background In integrated community case management (iCCM) care, community health workers (CHWs) provide home-based management of fever, diarrhea and fast breathing for children aged <5 y. The iCCM protocol recommends that children with danger signs for severe illness are referred by CHWs to health facilities within their catchment area. This study examines the management of danger signs by CHWs implementing iCCM in a rural context. Methods A retrospective observational study that examined clinical records for all patients with danger signs evaluated by CHWs from March 2014 to December 2018 was conducted. Results In total, 229 children aged <5 y had been recorded as having a danger sign during 2014–2018. Of these children, 56% were males with a mean age of 25 (SD 16.9) mo, among whom 78% were referred by the CHWs as per the iCCM protocol. The age category of 12 to 35 mo had the highest numbers of prereferred and referred cases (54% and 46%, respectively). Conclusions CHWs play ...
International Journal of Scientific Research Updates
Introduction: Prompt and Skilled postnatal care attendance coupled with skilled Antenatal and del... more Introduction: Prompt and Skilled postnatal care attendance coupled with skilled Antenatal and delivery care can drastically reduce maternal morbidity and mortality and also improve newborn outcomes. Research shows that men are decision makers in the home but they may also restrict resources, hence preventing women and children from health care seeking. But however if involved men may lead to better health care seeking behavior and better utilization of Antenatal care, delivery and postnatal care services. The postnatal care attendance at 1 week is low in Uganda, Ibanda district reported 4% in 2018. The aim of this study was to innovate, implement and document an intervention of house hold couple counseling for male involvement and compare the intervention and control clusters on the utilization of postnatal care services at 1 week. Methods: This was a two arm cluster randomized Community trial with a parallel design with the aim of comparing utilization of postnatal care services. I...
Background Pre-referral treatment is critical for management of childhood illnesses. Under iCCM s... more Background Pre-referral treatment is critical for management of childhood illnesses. Under iCCM strategy, community health workers (CHWs) give pre-referral treatment to children under five years of age with danger signs. The study examined the magnitude and predictors of pre-referral treatment in a rural setting. Methods A retrospective study premised on secondary data reviewed was conducted in 2022. The data reviewed was based on CHWs records March 2014 to December 2018. A total of 1,086 child records that were referred by the CHWs were included in the anlysis. Results The mean age of children reviewed was 24.5 months (SD ± 17). Of these, one hundred twenty five (12%) received pre-referral treatment. Children presenting with RDT positive results (aOR = 2.9, 95%CI: 1.6-5.0), diarrhea (aOR = 3.8, 95%CI: 2.0-7.1), fast breathing (aOR = 2.3, 95%CI: 1.3-4.0) and danger signs (aOR = 5.6, 95%CI: 3.1–10.1) were more likely to receive pre-referral treatment. Conclusion The proportion of chi...
<b>Copyright information:</b>Taken from "Maintaining quality of health services ... more <b>Copyright information:</b>Taken from "Maintaining quality of health services after abolition of user fees: A Uganda case study"BMC Health Services Research 2008;8():102-102.Published online 9 May 2008PMCID:PMC2397390.
Introduction:Male involvement in the reproductive health of their partners has been shown to have... more Introduction:Male involvement in the reproductive health of their partners has been shown to have positive outcomes of health. However male involvement description varies within communities due to different social and gender contexts. The description of male involvement is not documented in Ibanda.Therefore this study was done to describe male involvement in the local context.Methods:The study was conceptualized, planned, and executed with combined cross-sectional, exploratory, and Grounded Theory research designs because of its complexity in nature and the fact that this theory conceptualizes behavior. Data collection was using qualitative methods; narrative interviews and analyzed using a content-based approach. All methods were done in accordance with the relevant guidelines and regulations. Results:The two broad themes that describe male involvement were mostly instrumentalist and included the Level of involvement and social support perspective of involvement. Sub-themes were ob...
Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in mo... more Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in morbidity and mortality among children under five years. Uganda has adopted the Integrated Community Case Management strategy using Community Health Workers to address this challenge. The extent and trend of these three conditions managed by the Community Health Workers are not well documented. This study was done to document Community Health Workers’ contribution towards treatment and the trends of the three common illnesses in Bugoye Sub-County in rural Uganda.
Background In integrated community case management (iCCM) care, community health workers (CHWs) p... more Background In integrated community case management (iCCM) care, community health workers (CHWs) provide home-based management of fever, diarrhea and fast breathing for children aged <5 y. The iCCM protocol recommends that children with danger signs for severe illness are referred by CHWs to health facilities within their catchment area. This study examines the management of danger signs by CHWs implementing iCCM in a rural context. Methods A retrospective observational study that examined clinical records for all patients with danger signs evaluated by CHWs from March 2014 to December 2018 was conducted. Results In total, 229 children aged <5 y had been recorded as having a danger sign during 2014–2018. Of these children, 56% were males with a mean age of 25 (SD 16.9) mo, among whom 78% were referred by the CHWs as per the iCCM protocol. The age category of 12 to 35 mo had the highest numbers of prereferred and referred cases (54% and 46%, respectively). Conclusions CHWs play ...
International Journal of Scientific Research Updates
Introduction: Prompt and Skilled postnatal care attendance coupled with skilled Antenatal and del... more Introduction: Prompt and Skilled postnatal care attendance coupled with skilled Antenatal and delivery care can drastically reduce maternal morbidity and mortality and also improve newborn outcomes. Research shows that men are decision makers in the home but they may also restrict resources, hence preventing women and children from health care seeking. But however if involved men may lead to better health care seeking behavior and better utilization of Antenatal care, delivery and postnatal care services. The postnatal care attendance at 1 week is low in Uganda, Ibanda district reported 4% in 2018. The aim of this study was to innovate, implement and document an intervention of house hold couple counseling for male involvement and compare the intervention and control clusters on the utilization of postnatal care services at 1 week. Methods: This was a two arm cluster randomized Community trial with a parallel design with the aim of comparing utilization of postnatal care services. I...
Background Pre-referral treatment is critical for management of childhood illnesses. Under iCCM s... more Background Pre-referral treatment is critical for management of childhood illnesses. Under iCCM strategy, community health workers (CHWs) give pre-referral treatment to children under five years of age with danger signs. The study examined the magnitude and predictors of pre-referral treatment in a rural setting. Methods A retrospective study premised on secondary data reviewed was conducted in 2022. The data reviewed was based on CHWs records March 2014 to December 2018. A total of 1,086 child records that were referred by the CHWs were included in the anlysis. Results The mean age of children reviewed was 24.5 months (SD ± 17). Of these, one hundred twenty five (12%) received pre-referral treatment. Children presenting with RDT positive results (aOR = 2.9, 95%CI: 1.6-5.0), diarrhea (aOR = 3.8, 95%CI: 2.0-7.1), fast breathing (aOR = 2.3, 95%CI: 1.3-4.0) and danger signs (aOR = 5.6, 95%CI: 3.1–10.1) were more likely to receive pre-referral treatment. Conclusion The proportion of chi...
<b>Copyright information:</b>Taken from "Maintaining quality of health services ... more <b>Copyright information:</b>Taken from "Maintaining quality of health services after abolition of user fees: A Uganda case study"BMC Health Services Research 2008;8():102-102.Published online 9 May 2008PMCID:PMC2397390.
Introduction:Male involvement in the reproductive health of their partners has been shown to have... more Introduction:Male involvement in the reproductive health of their partners has been shown to have positive outcomes of health. However male involvement description varies within communities due to different social and gender contexts. The description of male involvement is not documented in Ibanda.Therefore this study was done to describe male involvement in the local context.Methods:The study was conceptualized, planned, and executed with combined cross-sectional, exploratory, and Grounded Theory research designs because of its complexity in nature and the fact that this theory conceptualizes behavior. Data collection was using qualitative methods; narrative interviews and analyzed using a content-based approach. All methods were done in accordance with the relevant guidelines and regulations. Results:The two broad themes that describe male involvement were mostly instrumentalist and included the Level of involvement and social support perspective of involvement. Sub-themes were ob...
Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in mo... more Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in morbidity and mortality among children under five years. Uganda has adopted the Integrated Community Case Management strategy using Community Health Workers to address this challenge. The extent and trend of these three conditions managed by the Community Health Workers are not well documented. This study was done to document Community Health Workers’ contribution towards treatment and the trends of the three common illnesses in Bugoye Sub-County in rural Uganda.
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