Utilization of Integrated Community Case Management Service and Associated Factors Among Mothers/Caregivers Who Have Sick Eligible Children in Southern Ethiopia

Abstract

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.

Utilization of integrated community case management service of childhood illness (ICCM) and associated factors among under-five children in Shashogo district, Hadiya zone, South Ethiopia

“…Caregivers who had heard about ICCM services were 3.7 times more likely to use them than those who had not heard about them. This finding was supported by a study done in the Dara District, UNICEF literature, 13 , 26 south Ethiopia, Boloso Sore Woreda 22 , and Hadiya zone. 23 …”

“… 21 The probable reasons may be the difference in mode of service delivery, access of services. In contrast to this higher ICCM utilization than studies done in a study conducted in south Ethiopia, Boloso Sore Woreda (25%), 22 Southern Ethiopia, Hadiya zone (22.5%), 23 siraleone (14%), 18 Uganda (27.3%), 9 and Ghana (30%). 24 This difference might be due to access, time, place, and social context variation between this study and previous studies.…”

Integrated Community Case Management Utilization Status and Associated Factors Among Caretakers of Sick Children Under the Age of 5 Years in West Shewa, Ethiopia

“…The finding of this study is higher than other studies conducted in Ethiopia. For instance the service coverage in Boloso Sore Woreda, Wolaita zone is 25.3% ( 17 ), 22.5% in Hadiya zone ( 20 ), and 10.6% in Kindo Didaye district, Wolaita zone, Southern Ethiopia ( 21 ). The possible reason for the higher utilization of ICCM service in the current study includes the government effort to scale the program at the grassroot level communities through the health extension program.…”

“…It was reported that when caretakers observe the danger signs such as fever and fast breathing, they were more likely to visit health facilities and utilize ICCM. Congruently, studies conducted in Southern Ethiopia ( 17 ), Dawro Zone, South-west Ethiopia ( 28 ), Oromia, Ethiopia ( 29 ), Kenya ( 30 ), and India ( 31 ) have revealed that the mother's/caregiver's perception of the high severity of illness is associated with of integrated community case management service.…”

“…The sample size for the study was calculated using single population proportion formula considering 43.6% prevalence of integrated community case management utilization of caretakers in the study conducted in Shashigo Hadiya Zone, Southern Ethiopia ( 17 ) with 5% marginal error at a 95% confidence level. Accordingly, 416 samples were studied.…”