Cargando…

Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives

BACKGROUND: The study obtained information on key growth promotion and developmental household and community health practices in Community-Integrated Management of Childhood Illnesses (C-IMCI) and non-C-IMCI in local government areas (LGAs) in Osun State, Nigeria, to determine the differences that e...

Descripción completa

Detalles Bibliográficos
Autor principal: Ebuehi, Olufunke M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS OpenJournals 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4565923/
http://dx.doi.org/10.4102/phcfm.v1i1.29
_version_ 1782389648876634112
author Ebuehi, Olufunke M.
author_facet Ebuehi, Olufunke M.
author_sort Ebuehi, Olufunke M.
collection PubMed
description BACKGROUND: The study obtained information on key growth promotion and developmental household and community health practices in Community-Integrated Management of Childhood Illnesses (C-IMCI) and non-C-IMCI in local government areas (LGAs) in Osun State, Nigeria, to determine the differences that existed, between these LGAs. METHOD: A cross-sectional comparative study to compare Integrated Management of Childhood Illnesses (IMCI) key growth promotion and development health practices in two LGAs in Osun State was conducted using quantitative and qualitative techniques. Data analysis was done using Epi Info version 6.0 for the quantitative survey and a content analysis method for the qualitative survey. The subjects were mothers or caregivers of children 0–59 months of age, and their index children. RESULTS: Findings revealed that the IMCI key growth and development health practices were generally better rated in the CIMCI-compliant LGA than in the non-CIMCI compliant LGA. Breastfeeding practice was widespread in both LGAs. However, the exclusive breastfeeding (EBF) rate among children under six months was higher in the compliant LGA (66.7%) than in the non-compliant LGA (25%). More caregivers (59.7%) from the non-compliant LGA introduced complementary feeds earlier than six months. Growth monitoring activities revealed that there were more underweight children (19.1%) in the non-compliant LGA. Community Resource Persons (CORPs) and health workers were the most popular sources of information on IMCI key practices in the compliant LGA, while in the non-compliant LGA the traditional healers, elders and, to a lesser extent, health workers provided information on these key practices. CONCLUSION: The IMCI strategy, if well implemented, is an effective and low-cost intervention that is useful in achieving optimal growth, development and survival of Nigerian children.
format Online
Article
Text
id pubmed-4565923
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher AOSIS OpenJournals
record_format MEDLINE/PubMed
spelling pubmed-45659232016-02-03 Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives Ebuehi, Olufunke M. Afr J Prim Health Care Fam Med Original Research BACKGROUND: The study obtained information on key growth promotion and developmental household and community health practices in Community-Integrated Management of Childhood Illnesses (C-IMCI) and non-C-IMCI in local government areas (LGAs) in Osun State, Nigeria, to determine the differences that existed, between these LGAs. METHOD: A cross-sectional comparative study to compare Integrated Management of Childhood Illnesses (IMCI) key growth promotion and development health practices in two LGAs in Osun State was conducted using quantitative and qualitative techniques. Data analysis was done using Epi Info version 6.0 for the quantitative survey and a content analysis method for the qualitative survey. The subjects were mothers or caregivers of children 0–59 months of age, and their index children. RESULTS: Findings revealed that the IMCI key growth and development health practices were generally better rated in the CIMCI-compliant LGA than in the non-CIMCI compliant LGA. Breastfeeding practice was widespread in both LGAs. However, the exclusive breastfeeding (EBF) rate among children under six months was higher in the compliant LGA (66.7%) than in the non-compliant LGA (25%). More caregivers (59.7%) from the non-compliant LGA introduced complementary feeds earlier than six months. Growth monitoring activities revealed that there were more underweight children (19.1%) in the non-compliant LGA. Community Resource Persons (CORPs) and health workers were the most popular sources of information on IMCI key practices in the compliant LGA, while in the non-compliant LGA the traditional healers, elders and, to a lesser extent, health workers provided information on these key practices. CONCLUSION: The IMCI strategy, if well implemented, is an effective and low-cost intervention that is useful in achieving optimal growth, development and survival of Nigerian children. AOSIS OpenJournals 2009-06-30 /pmc/articles/PMC4565923/ http://dx.doi.org/10.4102/phcfm.v1i1.29 Text en © 2009. The Authors http://creativecommons.org/licenses/by/2.0/ AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Ebuehi, Olufunke M.
Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives
title Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives
title_full Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives
title_fullStr Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives
title_full_unstemmed Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives
title_short Health care for under-fives in Ile-Ife, South-West Nigeria: Effect of the Integrated Management of Childhood Illnesses (IMCI) strategy on growth and development of under-fives
title_sort health care for under-fives in ile-ife, south-west nigeria: effect of the integrated management of childhood illnesses (imci) strategy on growth and development of under-fives
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4565923/
http://dx.doi.org/10.4102/phcfm.v1i1.29
work_keys_str_mv AT ebuehiolufunkem healthcareforunderfivesinileifesouthwestnigeriaeffectoftheintegratedmanagementofchildhoodillnessesimcistrategyongrowthanddevelopmentofunderfives