Implementation Of Integrated Management Of Neonatal And Childhood Illness And Its Associated Factors Among Health Workers Of Public Health Institutions Of South West Shoa Zone, Oromia, Ethipia

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.