scholarly journals Outcome of nurses’ training on treatment of selected diseases, utilising integrated management of childhood illness module inagege local governemnt, Lagos State

Author(s):  
Fadipe Ololade Omolayo

Background: In developing countries, parents seek health care for their sick children daily at available health centers, pharmacies, hospitals and traditional healing centers, but the care received are not always adequate, this invariably result in use of obsolete ideas and regimens in the care of sick children. However, it was observed that some nurses do not treat sick children according to IMCI module hence the objective of the study is to explore the outcome of nurses training in the treatment of selected childhood diseases utilizing IMCI.Methods: The study utilized one group pre-posttest quasi experimental research design. Total enumeration was used to enroll 150 participants. Two research instruments were used to collect data with reliability index of 0.803 and 0.617. Inferential statistics was used to test the hypotheses at 0.05 level of significance. Data were collected over six weeks in three phases.Results: Results revealed significant differences between pre and post intervention mean scores of nurses knowledge in the treatment of malaria (t=22.626, p=0.00); pneumonia (t=19.760, p=0.00); and diarrhoea (t=19.608, p=0.00).Conclusions: The training package used in this study enhanced the knowledge in the treatment of selected childhood illness. It is therefore recommended that there is need to train all nurses working at the primary health centers on the use of integrated management of childhood illness module which will contribute to the reduction of infant morbidity and mortality rate in Ages local government area of Lagos State.

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Mohammed Abayneh ◽  
Tsegaye Gebremedhin ◽  
Endalkachew Dellie ◽  
Chalie Tadie Tsehay ◽  
Asmamaw Atnafu

Background. A complete and consistent use of integrated management of childhood illness (IMCI) protocol is a strategic implementation that has been used to promote the accurate assessment and classifications of childhood illnesses, ensures appropriate combined treatment, strengthens the counseling of caregiver, and speeds up the referrals to decrease child mortality and morbidity. However, there is limited evidence about the complete and consistent use of IMCI protocol during the assessment and classifications of childhood illness in Ethiopia. Therefore, this intervention was implemented to improve the assessment and classifications of childhood illness according to the IMCI protocol in Sanja primary hospital, northwest Ethiopia. Methods. A pre-post interventional study was used in Sanja primary hospital from January 01 to May 30, 2019. A total of 762 (381 for pre and 381 for postintervention) children from 2 months up to 5 years of age were involved in the study. Data were collected using a structured questionnaire prepared from the IMCI guideline, and a facility checklist was used. A five-month in-service training, weekly supportive supervision, daily morning session, and availing essential drugs and materials were done. Both the descriptive statistics and independent t -test were done. In the independent t -test, a p value of <0.05 and a mean difference with 95% CI were used to declare the significance of the interventions. Results. The findings revealed that the overall completeness of the assessment was improved from 37.8 to 79.8% (mean difference: 0.17; 95% CI: 0.10-0.22), consistency of assessment with classification from 47.5 to 76.9% (mean difference: 0.34; 95% CI: 0.27-0.39), classification with treatment from 42.3 to 75.4% (mean difference: 0.35; 95% CI: 0.28-0.47), and classification with follow-up from 32.8 to 73.0% (mean difference: 0.36; 95% CI: 0.29-0.42). Conclusion. The intervention has a significant improvement in the assessment and classification of childhood illness according to the IMCI protocol. Therefore, steps must be taken to ensure high quality of training, adequate supervision including the observation of health workers managing sick children during supervisory visits, and a constant supply of essential drugs and job aids for successful implementation of IMCI in the hospital and also to other facilities.


Author(s):  
Oluwatoyin Modupeore Babarimisa

Background: Dysmenorrhoea is very common among female adolescents and the associated pain could be severe and significantly impact their daily and academic lives. Dysmenorrhea can be effectively managed if properly understood and given proper management, hence, this study determined the outcome of educational intervention on pharmacological knowledge and management of dysmenorrhea among undergraduates in Lagos State University.Methods: The study utilized a one-group pre-post-test quasi experimental design. Total enumeration of 126 respondents female accounting students were selected. Two instruments of Self-Report Questionnaire (SQR) and Test Paper on Knowledge and Management of dysmenorrhea (TRKM) were used to collect data. Descriptive statistics of frequencies, percentages, mean scores and standard deviation were used to analyze the research questions.Results: Findings showed that majority of the participants 91 (72.2%) were between the ages of 20-24 years, 97 (77.0%) started menstruation between 10-15 years of age, and 76 (59.9%) only menstruated for 3 days. The pre and post intervention mean scores on knowledge of pharmacological management of dysmenorrhea were (2.981±1.176) and (8.115±0.997) with a mean gain of 6.670. Also, there is significant difference between pre and post intervention of knowledge on dysmenorrhea with knowledge gained 16.130, t=47.806 at p=0.00).Conclusions: The organized education programs on knowledge and management of dysmenorrhea benefited the participants, therefore, resulting in an increase in knowledge and management of dysmenorrhea. It was recommended that Community health practitioners, public health educators and social workers should plan appropriate technique to modify the attitude and beliefs of females on management of dysmenorrhea.


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Annif Munjidah

Learning differences of integrated management of children sick (IMCI) Learning through Visual Media and Audiovisual. Integrated management of childhood illness is effective cost to solve toddler’s death that is caused by acute respiratory infections, diarrhea, measles, malaria, and malnutrition The students of midwifery as candidate of midwife must have good ability in integrated management of childhood illness. The purpose of this research is analysis study result of integrated management of childhood illness of learning media visual and audiovisual for students of Midwifery Diploma Degree Department FKK of UNUSA. This research used experimental analytic design by quasi experimental design “after only with control quasi experimental”. The populations were all students of Midwifery Diploma Degree, faculty of medical sains Nahdatul Ulama University Surabaya are 177 students. The sampling technique used simple random sampling technique. The total of sample is 60 respondents that were divided into 30 respondents in treatment group and 30 respondents in control group. Data analysis used independent t test. There was the difference of study result statically significant between the students who got material by visual and audiovisual learning media. They who got material by audiovisual media had higher study result than those using visual media.


2017 ◽  
Vol 3 (5) ◽  
pp. 555-568
Author(s):  
Wirda Hayati ◽  
Sri Supar Yati Soenarto ◽  
Fitri Haryanti ◽  
Yayi Suryo Prabandari

Background: Integrated Management of Childhood Illness (IMCI) is an integrated guideline in dealing with infants and sick children at the community health center. However, many students cannot apply this guideline because they are not being exposed.Objective: This study aims to explore the perspectives of nurse educators and clinical instructors regarding the effectiveness of teaching learning process of IMCI in diploma nursing students.Methods: This was a qualitative study with interpretive approach. There were 9 informants selected using purposive sampling, which consisted of nurse educators and clinical instructors. Data collection was conducted in December 2016 - February 2017 using focus group discussions and in-depth interviews. Data were analyzed using Colaizzi process.Result: There were four themes emerged from data, namely 1) Competency of IMCI for Diploma Nursing Students, 2) Deepening of IMCI Material, 3) Learning methods of IMCI in the class and clinic should be active and structured, 4) Student confidence in the application of IMCI in clinical setting.Conclusion: The learning process of IMCI will have an impact on the improvement of knowledge, skills and attitude in the application of IMCI in the clinical setting.


2008 ◽  
Vol 42 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Débora G Amorim ◽  
Taghreed Adam ◽  
João J F Amaral ◽  
Eleanor Gouws ◽  
Jennifer Bryce ◽  
...  

OBJECTIVE: The Integrated Management of Childhood Illness is a strategy designed to address major causes of child mortality. The aim of this study was to assess the impact of the strategy on the quality of child health care provided at primary facilities. METHODS: Child health quality of care and costs were compared in four states in Northeastern Brazil, in 2001. There were studied 48 health facilities considered to have had stable strategy implementation at least two years before the start of study, with 48 matched comparison facilities in the same states. A single measure of correct management of sick children was used to assess care provided to all sick children. Costs included all resources at the national, state, local and facility levels associated with child health care. RESULTS: Facilities providing strategy-based care had significantly better management of sick children at no additional cost to municipalities relative to the comparison municipalities. At strategy facilities 72% of children were correctly managed compared with 56% in comparison facilities (p=0.001). The cost per child managed correctly was US$13.20 versus US$21.05 in the strategy and comparison municipalities, respectively, after standardization for population size. CONCLUSIONS: The strategy improves the efficiency of primary facilities in Northeastern Brazil. It leads to better health outcomes at no extra cost.


2016 ◽  
Vol 5 (1) ◽  
pp. 76
Author(s):  
Hermine Iita ◽  
Hanna Neshuku ◽  
Moses Chirimbana

<p>The purpose of this study was to determine if guided simulation practice could enhance practical skills of student nurses in management of childhood illnesses, based on the Integrated Management of Newborn and Childhood Illness (IMNCI) approach.</p><p>The objective was to determine the level at which guided classroom simulation practice enhances the skills of student nurses regarding assessment and classification of sick children aged two months to five years for treatment. A quantitative research approach using a pre-test and post- test strategy was used. Descriptive statistics were done and a t-test was also performed to determine the difference in the means. Findings demonstrate that there is an improvement in the performance of student nurses as a result of the guided classroom simulation practice. Recommendations include that student nurses be exposed to guided simulation practice before they are deployed in the clinical area for the actual assessment and classification of sick children based on the Integrated Management of Neonatal and Childhood Illness.</p>


2015 ◽  
Vol 6 (1) ◽  
pp. 78
Author(s):  
María Del Pilar Gallardo-Lizarazo

ResumenLa enfermedad diarreica aguda (EDA), a nivel mundial, se encuentra establecida como la segunda causa de muerte, afectando principalmente a los menores de 5 años sin desconocer los demás grupos cronológicos y sin distinguir características étnicas. En Colombia ocupa el segundo lugar de morbi-mortalidad en la población menor de cinco años, especialmente en los municipios con mayor porcentaje de necesidades básicas insatisfechas; por ello se han identificado estrategias para educar a las madres o cuidadores sobre el manejo adecuado en casa y centros de salud de primer nivel buscando la oportuna atención y realización de las convenientes prácticas de hidratación, para lo cual se creó la estrategia de Atención Integrada de las Enfermedades Prevalentes de la Infancia (AIEPI) que está encaminada en disminuir la mortalidad por las enfermedades prevalentes de la infancia específicamente en menores de 5 años. En el presente artículo se pretende describir la situación epidemiológica de EDA en los departamentos de Santander y Norte de Santander así como de las creencias, costumbres y conocimientos en madres y cuidadores sobre los signos de alarma en EDA en niños menores de 5 años de edad.Palabras Claves: Cuidado, Enfermedad Diarreica Aguda, Morbilidad, AbstractAcute diarrheal disease (ADD), globally, is established as the second cause of death, affecting mainly children under 5 years without ignoring the chronological other ethnic groups without distinguishing characteristics. In Colombia it ranks second in morbidity and mortality in the population under five years, especially in the municipalities with the highest percentage of unmet basic needs; therefore they have identified strategies to educate mothers and caregivers about the proper management at home and health centers looking for first-rate care and timely implementation of appropriate hydration practices, for which the strategy of Integrated Management was established Prevalent ChildhoodIllness (IMCI) that aims to reduce mortality from prevalent childhood diseases specifically in children under 5 years. In the present article is to establish the epidemiological situation of ADD in the departments of Santander and Norte de Santander and beliefs, habits and knowledge among mothers and caregivers about the signs of alarm in ADD in children under 5 years of age.Keywords: Care, Acute Diarrheal Disease, Morbidity.


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