Assessment Of Factors Influencing The Implementation Of Integrated Managaement Of Neonatal And Child Hood Illness (imnci) By Nurse At Public Health Institutions In Four Woredas Of West Arsi Zone Ethiopia2016

Background-Every year, nearly 11 million children die before reaching their fifth birthday. Inrnresponse to this challenge, World health organization (WHO) and United Nations for Children‘srnfund (UNICEF) in the early 1990s developed Integrated Management of Childhood Illnessrn(IMCI), a strategy designed to reduce child mortality and morbidity in developing countries.rnResearch that examines assessment of factors influencing the implementing the integratedrnmanagement of neonatal and childhood illnesses (IMCI) strategy in Ethiopia is limited.rnObjective- To assess factors influencing the implementation of the IMNCI strategy by nursesinrnpublic health institutions of West Arsi zone, South West Ethiopia, 2016.rnMethod- An institutional based cross-sectional studywas conducted from February to March. Arntotal of 185 nurses were selected using proportionally allocated to population sizernandinterviewed using structured and pretestedquestionnaires. Data was coded, entered andrncleaned using Epi-data 3.1 and exported to SPSS version 22 for analysis.Univariate and bivariaternanalysis was performed. Multivariate analysis was also done to control for possible confoundingrnvariablesrnResults: Data were obtained from 185 nurses, yielding a response rate of 100%. The overallrnIMNCI implementation was 58.7% as high level implementation and 41.3% as low levelrnimplementation. In multivariate analysis the implementation of IMNCI was higher amongrnIMNCI trained nurses ([AOR=2.76, 95%CI: 1.388, 5.51] and among those whose alwaysrnreferring chart booklet [AOR=2.95, 95%CI: 1.48, 5.89].rnConclusion:IMNCI strategy can be better implemented through provision of training for thernhealth workers. However, a variety of factor found to be a barrier to IMNCI implementation in arnconsistent way. Recommendations have been made related to provision of the training to thernnurses and HealthCare system strengthening among others.rnKeywords: Public heath instructions, Nurses, Integrated management of Neonatal andrnChildhood illness (IMNCI), Factors influencing the implementation of IMNCI,

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