Utilization of Integrated Community Case Management Service and Associated Factors Among Mothers/Caregivers Who Have Sick Eligible Children in Southern Ethiopia
Received 30 October 2020
Accepted for publication 18 January 2021
Published 3 February 2021 Volume 2021:14 Pages 431—438
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Marco Carotenuto
Serawit Samuel1 1, Aseb Arba2 2
1School of Public Health, College of Medicine and Health Science, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2School of Nursing, College of Medicine and Health Science, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Correspondence: Aseb Arba Tel +251916038833
Background: Proper utilization of integrated community case management service has a significant contribution in reducing the under-five children mortality. However, the utilization of integrated community case management service is low especially in developing countries like Ethiopia. Therefore, this study was planned to assess the utilization of integrated community case management service and associated factors among mother/caregivers who have sick children aged 2– 59 months in Boloso Sore Woreda, Southern Ethiopia.
Methods: Community-based cross-sectional study design was done from January 15-February 15, 2018. Face to face interview was conducted using pre-tested structured questionnaire. Bivariable and multivariable logistic regression analysis were carried out to assess the association between independent and outcome variables. Odds ratio along with 95% confidence interval and p-value < 0.05 were estimated to measure the strength of the association and statistical significance.
Results: The magnitude of the utilization of integrated community case management service was 25.3%. Mothers/caregiver’s education of secondary and above (AOR=4.15, 95% CI: 1.94– 8.90), mothers/caregivers having good knowledge about childhood illness (AOR=2.00, 95% CI: 1.08– 3.69), the previous visit of mothers/caregivers to health post (AOR=2.92, 95% CI: 1.01– 8.54), short distance to health post (AOR=2.42, 95% CI: 1.02– 5.76), the child with cough (AOR=2.52, 95% CI: 1.13– 5.63) and mother’s/caregiver’s perception of high severity of illness (AOR=2.51, 95% CI: 1.19– 5.27) were significantly associated with utilization of integrated community case management service.
Conclusion: The magnitude of the utilization of integrated community case management was low in the study area. Mother/caregiver’s education of secondary and above, having good knowledge of childhood illness, history of mother’s/caretaker’s visit to the health post, short distance to the health post, and perceived high severity of disease and presence of cough were factors significantly determining service utilization. Therefore, health education should be provided to mothers by Health Extension Workers, community leaders, and organizations.
Keywords: common childhood illness, integrated community case management, mothers/caregivers
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