Abstract:
Background:-"Integrated Management of Neonatal and Childhood Illnesses(IMNCI)”
combines all of the measures currently available for health promotion, prevention, and
integrated management of childhood diseases through early detection and effective
treatment. Even though it is implemented in our country for long time, the magnitude of its
implementation is not well studied in South West Shoa Zone.
Objective: To assess the implementation of integrated management of neonatal and
childhood illness and associated factors among health professionals working in public
health facilities of South West Shoa Zone
Methods: Facility- based cross- sectional study design was conducted at public health
facilities in South West Shoa Zone from May 1-30,2023.A total of 295 health professionals
selected by simple random sampling from May 1-30, 2023.At South West Shoa Zone. Data
were collected using a structured self- administered questionnaire and document review
checklist. The collected data were entered using epi-info version 7 and exported to SPSS
version 21 for analysis.binary Logistic regression analysis was performed and variables
with p-value of < 0.05 were taken as statistically significant predictors of outcome variable.
Finally the result of the study presented using text, tables and figures.
Results: A total of 295 health care workers ever worked in under-five from the start of IMNCI
implementation were participated making a response rate of 100% . The overall magnitude of
IMNCI implementation was 197 (66.8%) (95CI: 61.0, 72.2). Health professionals having in
service training on IMNCI (AOR=2.47, 95CI: 1.30, 4.68), continuous availability of IMNCI
drugs (AOR=1.93, 95CI: 1.10, 3.45) and health facilities who have no shortage of health care
workers (AOR=2.95, 95CI: 1.14, 7.63) were variables significantly associated with the
implementation of IMNCI.
Conclusion: The magnitude of IMNCI implementation among health professionals working
in health institutions of South West Shoa Zone was relatively higher as compared to the
findings of other studies. Having in-service training, continuous availability of IMNCI drugs
and no shortage of health care workers were identified as factors affecting the implementation
of IMNCI in the study area.
