Factors influencing the sustained utilization of child welfare services among children 18 to 59 months in a low-income rural community.

Abstract

Background: Despite substantial progress in reducing child mortality, concerted efforts remain necessary to avoid preventable deaths in children under-5 years and to accelerate progress in improving child survival further. The patronage of child welfare services therefore remains paramount to the attainment of these goals. This study identified the factors that influence the patronage of child welfare services in a rural community in the Ho West District of the Volta region. Methodology: The study employed a quantitative descriptive cross-sectional design. Systematic sampling method was used to select 310 caregivers of children less than 60 months in the catchment area of the Abutia kloe sub district. Questionnaire was used to collect data from study respondents. The data was entered into a Microsoft Excel Spreadsheet and cleaned and subsequently exported to SPSS (version 22.0) for the data analysis. Data was analysed into simple descriptive statistics Results: The results showed that a significant number of respondents (44.2%) had defaulted at a point during the continued growth monitoring process. The reasons for the default included children had completed major immunization (72.3%), children had started school (57.4%), and poor staff attitude (3.2%). Noteworthy, It depicts that majority of mothers have an idea about the purpose of Growth chart (68%). It is also worth noting that 86.5% of mothers are able to access a Child Welfare Clinic in less than thirty minutes. In addition, the results pointed out that there is a strong association between the level of caregivers’ education and CWC attendance with a chi-square test of 3 and a P-value less than 0.05. Conclusion: Healthcare providers should intensify education on the need to continue growth monitoring up to 59 months even after the completion of major immunization. This goal can be attained if growth monitoring is incorporated into school health activities while policy implementers ensure the full implementation.

Burnout, Associated Determinants and Effects among Nurses and Midwives at Selected CHAG Facilities in the Greater Accra Region, Ghana

“…Furthermore, a study conducted during the COVID-19 era aimed to determine personal and job-related characteristics among health workers recruited from public hospitals in Accra. The prevalence of burnout among the participants was relatively lower (20.57%) than what is being reported in this present study [23]. Overall, these ndings highlight the signi cant issue of burnout among nurses and midwives in the selected CHAG facilities.…”

Knowledge and Other Predictors of Child Welfare Clinic Completion among Children Aged 24–59 Months in the Garu-Tempane District of Northern Ghana: A Cross-Sectional Study of Caregivers

“…Meanwhile, a preprint published by Konlan et al [25] revealed that children of married caregivers were more likely to complete the CWC schedule, even after completion of the immunization schedule, in rural parts of Tamale, Northern Ghana, compared to children of unmarried caregivers. With our study participants sharing similar socio-geographical and economic characteristics as those of Konlan et al [25], it could be assumed that children of married women in the Garu-Tempane District of Northern Ghana are more likely to attend and complete the CWC schedule, even after completion of the immunization schedule. Our finding, therefore, adds to build knowledge on the role of marriage in child health growth promotion and monitoring in Northern Ghana.…”