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Utilization and influencing factors of integrated community case management in southern Ethiopia: a facility based cross-sectional study

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Document pages: 8 pages

Abstract: Background the integrated community case management (ICCM) program promotes access to child health care and appropriate treatment of child diseases at the community level in Ethiopia. There is little evidence that mother child caregivers in rural southern Ethiopia use ICCM services. Therefore, the purpose of this study was to determine the utilization of integrated community case management (ICCM) by mothers child caregivers in rural southern Ethiopia and its influencing factors. method. The study participants of medical institutions providing children s health services were selected by multi-stage sampling technique. Exit interviews were conducted with 574 mother child caregivers in randomly selected public health centres. Use EPI information and transfer input data to SPSS version 20 for analysis. Results. Only less than a quarter of participants visited health posts for ICCM services during the study period. Those study participants who have not heard about ICCM service before the survey were about 6.53 times more likely not to use the services as compared to those who have heard about the service. Participants who were not members of the women’s development team were about 2.23 times more likely not to utilize ICCM services when compared to their counterparts. Conclusion. The study shows low utilization of ICCM service by children less than five years. Prior information about ICCM services and membership in the health development army was significantly associated with ICCM use. Therefore, our finding may suggest the need for advocacy to increase participation in the health development army and information education to increase the level of awareness and formal education efforts.

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