| Title |
What influences availability of medicines for the community management of childhood illnesses in central Uganda? Implications for scaling up the integrated community case management programme
|
|---|---|
| Published in |
BMC Public Health, November 2015
|
| DOI | 10.1186/s12889-015-2525-4 |
| Pubmed ID | |
| Authors |
James Bagonza, Elizeus Rutebemberwa, Tim Eckmanns, Elizabeth Ekirapa-Kiracho |
| Abstract |
The integrated Community Case Management (iCCM) of childhood illnesses strategy has been adopted world over to reduce child related ill health and mortality. Community Health workers (CHWs) who implement this strategy need a regular supply of drugs to effectively treat children under 5 years with malaria, pneumonia and diarrhea. In this paper, we report the prevalence and factors influencing availability of medicines for managing malaria, pneumonia and diarrhea in communities in central Uganda. A cross sectional study was conducted among 303 CHWs in Wakiso district in central Uganda. Eligible CHWs from two randomly selected Health Sub Districts (HSDs) were interviewed. Questionnaires, check lists, record reviews were used to collect information on CHW background characteristics, CHW's prescription behaviors, health system support factors and availability of iCCM drugs. Multivariable logistic regression analysis was done to assess factors associated with availability of iCCM drugs. Out of 300 CHWs, 239 (79.9 %) were females and mean age was 42.1 (standard deviation =11.1 years). The prevalence of iCCM drug availability was 8.3 % and 33 respondents (11 %) had no drugs at all. Factors associated with iCCM drug availability were; being supervised within the last month (adjusted OR = 3.70, 95 % CI 1.22-11.24), appropriate drug prescriptions (adjusted OR = 3.71, 95 % CI 1.38-9.96), regular submission of drug reports (adjusted OR = 4.02, 95 % CI 1.62-10.10) and having a respiratory timer as a diagnostic tool (adjusted OR =3.11, 95 % CI 1.08-9.00). The low medicine stocks for the community management of childhood illnesses calls for strengthening of CHW supervision, medicine prescription and reporting, and increasing availability of functional diagnostic tools. |
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 115 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | <1% |
| Unknown | 114 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 28 | 24% |
| Researcher | 16 | 14% |
| Student > Bachelor | 10 | 9% |
| Student > Doctoral Student | 9 | 8% |
| Student > Postgraduate | 7 | 6% |
| Other | 18 | 16% |
| Unknown | 27 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 35 | 30% |
| Nursing and Health Professions | 10 | 9% |
| Social Sciences | 10 | 9% |
| Pharmacology, Toxicology and Pharmaceutical Science | 10 | 9% |
| Business, Management and Accounting | 6 | 5% |
| Other | 14 | 12% |
| Unknown | 30 | 26% |
Attention Score in Context
This research output has an Altmetric Attention Score of 13. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 June 2023.
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#2,583,729
of 23,853,707 outputs
Outputs from BMC Public Health
#2,993
of 15,651 outputs
Outputs of similar age
#43,760
of 393,290 outputs
Outputs of similar age from BMC Public Health
#38
of 226 outputs
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