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Abstract
Background:Completeandconsistenceuseofintegratedmanagementofchildhood
illness(IMCI)protocolisstrategicimplementation;promotestheaccurateidentificationof
childhoodillnessesinoutpatientsettings,ensuresappropriatecombinedtreatmentofall
majorunderfiveillnesses,strengthensthecounselingofcaregiver,andspeedsupthe
referralofseverelyillchildren.ForhealthcareprovidersimplementationofIMCIwas
criticaltodecreasechildmortalityandmorbidity.
Objective:TheobjectiveofthiscapstoneprojectwastoimprovecompletenessofIMCI
protocolfrom 37.8% to85% andcumulativeconsistence(classification,treatmentand
followup)from 41.3%to85%inSanjaprimaryHospital,NorthwestEthiopia2019.
Methods:Pre-postinterventionalstudydesignwasappliedandthestudywasconducted
in Sanja primary HospitalPre interventionalfrom Octoberto December,Forpost
interventionfrom FebruarytoApril2019.Atotalof381childrenfrom IMCIregistration
wasreviewed.Data werecollected using structured questionnaire/audittoolsimilar
formatwithIMCIprotocol.Forcompletenessandconsistencethedatawascoded,
cleanedandanalysisbyenteringtoEPIinfoversion7andexporttoSPSSversion20for
analysis.IndependentT-testwasusedforcomparingpreandpostresult.
Result:TheinterventionwasassociatedwithsignificantimprovementinIMCIprotocol
consistenceandcompleteness.IMCIprotocolconsistencewithrelatedtoclassificationof
disease,treatmentandfollowupimprovedfrom pretopostintervention,47.5%to76.9%,
42.3%to75.35% and34.1%to73% respectivelyandcompletenessincreasefrom 37.8to
79.8%.Theinterventionswerestatisticallysignificantwith95%confidenceinterval,p-value
of0.001andmeandifference0.31683.
Conclusionandrecommendations:IMCIprotocolcompletenessandconsistencewas
improvedatSanjaPrimaryHospital.Thiscapstoneproject,therefore,recommendsthe
healthprofessionalsofUnderfivedepartmentandthehospitalshouldcontinuetheir
practicestosustainablyimprovethehospitaltousetheIMCIprotocolforeachchild.
Keywords:Consistency,completeness,IMCI,
Ethiopia |
en_US |