Health System Related Factors Influencing the Implementation of the Integrated Management of Childhood Illness Guideline in the Management of Febrile Illness Among Under-five children in Biharamulo District, Kagera (Record no. 18732)

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000 -LEADER
fixed length control field 02671nam a22002057a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193658.0
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fixed length control field 230228b |||||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Transcribing agency ddc
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Gresmus Nkurunziza Ssebuyoya
9 (RLIN) 48460
245 ## - TITLE STATEMENT
Title Health System Related Factors Influencing the Implementation of the Integrated Management of Childhood Illness Guideline in the Management of Febrile Illness Among Under-five children in Biharamulo District, Kagera
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania
Name of publisher, distributor, etc. CUHAS - Bugando
Date of publication, distribution, etc. ©2014
300 ## - PHYSICAL DESCRIPTION
Extent vii, 65pgs
Extent Includes References and Appendices
520 ## - SUMMARY, ETC.
Source Abstract:<br/><br/>Background: Integrated Management of Childhood Illness (IMCI) was introduced in Tanzania in 1996 and has been scaled up in all districts in the country. In Biharamulo District, the IMCI guidelines were implemented in 2003 with the training of 20 health workers from different health facilities. Since then, the training of health workers continued on a yearly basis until 2010.<br/><br/>Objective: The purpose of this study was to identify health system related factors that contribute to the implementation of the IMCI guidelines, focusing on the management of febrile illness among under-five children in Biharamulo District, Kagera Region.<br/><br/>Methods: A cross sectional study in which 126 health workers from all health facilities in Biharamulo District were interviewed using questionnaire. Facility pharmacy store ledgers were reviewed using a checklist to assess the availability of drugs and supplies.<br/><br/>Results: Of the 127 respondents, 68 (53.5%) had attended IMCI training. The duration IMCI training of all workers was 11 days. Furthermore, 36 (52.9%) of the respondents who had attended IMCI training had attended refresher training on the IMCI guidelines. In addition, 73 (57.5%) received supportive supervision about 2 to 5 times in a month. The providers of supportive supervision were the national IMCI team, the CHMT and RHMT. There were 47 (37.0%) respondents who had an excellent knowledge about the IMCI guidelines. There were 72 (57%), 35 (28%) and 20 (16%) respondents pointed out that there were no adequate drugs, laboratory reagents and IMCI guideline books respectively.<br/><br/>Conclusion: Addressing and tackling health system related factors challenges and constraints, such as drugs supplies and equipment availability, training of health staff on IMCI guidelines, availability of adequate qualified staff and effective supportive supervision and mentorship would facilitate IMCI implementation.<br/><br/><br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Public Health
9 (RLIN) 30696
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 22989
9 (RLIN) 44292
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type POSTGRADUATE DISSERTATIONS
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              MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   02/28/2023   02/28/2023 02/28/2023 POSTGRADUATE DISSERTATIONS
Catholic University of  Health and Allied Sciences - CUHAS
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