Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study.
Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study.
复制标题
DOI：
10.1186/1475-2875-13-367
复制
发表时间：
2014-09-18
期刊：
影响因子：
3
通讯作者：
Rutebemberwa E
中科院分区：
文献类型：
--
作者：
Bagonza J;Kibira SP;Rutebemberwa E
非专业社区卫生工作者 (CHW) 已被广泛用于为传统上缺乏医疗保健的社区提供治疗干预措施。如果要降低儿童发病率和死亡率，就需要社区卫生工作者在管理患有疟疾、肺炎和腹泻的儿童方面发挥最佳作用。本研究评估了乌干达中部瓦基索区综合社区病例管理 (iCCM) 项目下影响社区卫生工作者管理疟疾、肺炎和腹泻表现的因素。对 336 名社区卫生工作者进行了一项横断面研究。通过访谈和记录审查收集数据。绩效是根据 iCCM 计划下 CHW 的核心活动使用综合分数来衡量的。这些核心活动包括：治疗五岁以下儿童、转诊重病儿童（包括新生儿）、家访、向护理人员提供家庭护理咨询、记录保存和社区宣传。使用比值比进行描述性和推论性统计，以确定影响社区卫生工作者绩效的因素。在 336 名受访者中，242 名（72%）为女性，总体表现良好率为 21.7%（95% CI，17.3-26.1%）。与表现显着相关的因素包括：性别（女性）（AOR 2.65；95% CI，1.29 -5.43）、社区支持（AOR 2.29；95% CI，1.27-4.14）、接受卫生机构的反馈（AOR 4.90；95% CI，2.52-9.51）以及过去三个月内服用过药物（AOR 4.90；95% CI，2.52-9.51）。 2.99；95% CI，1.64-5.42）。只有五分之一的社区卫生工作者在 iCCM 计划下表现最佳。改善药品供应、社区支持和正规卫生系统提供反馈的战略对于提高社区卫生工作者的绩效是必要的。
Lay community health workers (CHWs) have been widely used to provide curative interventions in communities that have traditionally lacked access to health care. Optimal performance of CHWs managing children with malaria, pneumonia and diarrhoea in communities is desired if a reduction in childhood morbidity and mortality is to be achieved. This study assessed factors influencing performance of CHWs managing malaria, pneumonia and diarrhoea under the Integrated Community Case Management (iCCM) programme in Wakiso district, central Uganda. A cross sectional study was conducted among 336 CHWs. Data was collected using interviews and record reviews. Performance was measured using composite scores based on the core activities of CHWs under the iCCM programme. These core activities included: treating children under five years, referring severely sick children including newborns, home visits, counseling caregivers on home care, record keeping and community sensitization. Descriptive and inferential statistics using odds ratios were done to determine factors influencing performance of CHWs. Of the 336 respondents, 242 (72%) were females and the overall level of good performance was 21.7% (95% CI, 17.3-26.1%). Factors significantly associated with performance were: sex (females) (AOR 2.65; 95% CI, 1.29 -5.43), community support (AOR 2.29; 95% CI, 1.27-4.14), receiving feedback from health facilities (AOR 4.90; 95% CI, 2.52-9.51) and having drugs in the previous three months (AOR 2.99; 95% CI, 1.64-5.42). Only one in every five CHWs performed optimally under the iCCM programme. Strategies to improve drug supply, community support and feedback provision from the formal health system are necessary to improve the performance of CHWs.
登录
查看更多内容
影响因子：
4.5
作者：
Mathauer, Inke;Imhoff, Ingo
通讯作者：
Imhoff, Ingo
影响因子：
4.5
作者：
Brown, Angela;Malca, Rosa;Miranda, J Jaime
通讯作者：
Miranda, J Jaime
影响因子：
4.5
作者：
Lehmann, Uta;Van Damme, Wim;Sanders, David
通讯作者：
Sanders, David
影响因子：
5.4
作者：
ROBINSON, SA;LARSEN, DE
通讯作者：
LARSEN, DE
DOI：
10.1097/inf.0b013e31819069e8
发表时间：
2009-04
期刊：
The Pediatric infectious disease journal
影响因子：
--
作者：
Baqui AH;Arifeen SE;Williams EK;Ahmed S;Mannan I;Rahman SM;Begum N;Seraji HR;Winch PJ;Santosham M;Black RE;Darmstadt GL
通讯作者：
Darmstadt GL