Integrated community case management of childhood illnesses; impact on training of community health workers in Vandeikya, North-East Zone of Benue State, Nigeria

Uya John Abua, T. Igbudu, L. Egwuda, David Awua, Pius Enokela
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Abstract

Community health workers appropriately trained on Integrated Community Case Management (ICCM) of childhood illnesses can correctly treat children below 5 years who have pneumonia, diarrhoea and malaria. In Benue State, Nigeria, primary healthcare workers care for most children at community level, as such they need to be trained on ICCM. The objective of this study was to find out if training of primary healthcare workers in Vandeikya, North-East Zone of Benue State can improve their knowledge on ICCM. In Benue North-East, Vandeikya Local Government Area (LGA) was randomly selected out of seven LGAs. Health Officers’ in-charge of 30 Primary HealthCare Clinics were selected and trained based on our adapted ICCM training manual. The Pre- and Post-training assessment test for this study was designed based on the training manual. Paired sample t-test was conducted to find out if there was any significant difference in the knowledge of primary health care workers before and after receiving training. There was statistical difference in pre-training scores (X = 142.100, S1 = 25.925) and post-training scores (X =177.600, S2 =13.587) at (t=6.643, P=0.000). This result strongly indicated that the teaching intervention has improved the knowledge of the Primary Health Care workers on ICCM in Vandeikya LGA. 
儿童疾病的综合社区个案管理;对尼日利亚贝努埃州东北部地区Vandeikya社区卫生工作者培训的影响
接受过儿童疾病综合社区病例管理(ICCM)培训的社区卫生工作者可以正确治疗患有肺炎、腹泻和疟疾的5岁以下儿童。在尼日利亚的贝努埃州,初级卫生保健工作者在社区一级照顾大多数儿童,因此他们需要接受关于儿童综合管理的培训。本研究的目的是了解对贝努埃州东北部地区Vandeikya的初级卫生保健工作者进行培训是否可以提高他们对ICCM的认识。在贝努埃东北部,Vandeikya地方政府区(LGA)是从七个地方政府区中随机选出的。根据我们改编的ICCM培训手册,选出了负责30个初级保健诊所的卫生官员并对他们进行了培训。本研究的训练前和训练后评估测试是根据训练手册设计的。通过配对样本t检验,了解初级卫生保健工作者在接受培训前后的知识水平是否存在显著差异。训练前得分(X = 142.100, S1 = 25.925)与训练后得分(X =177.600, S2 =13.587)差异有统计学意义(t=6.643, P=0.000)。这一结果强烈表明,教学干预提高了Vandeikya LGA初级卫生保健工作者对ICCM的认识。
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