ArticleHealth systems and policy research
Acceptability and Utilization of Community Health Workers after the Adoption of the Integrated Community Case Management Policy in Kabarole District in Uganda.
Article in Health systems and policy research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Utilization of integrated community-based case management of childhood illness and associated factors in Ethiopia: a systematic review and meta-analysis.Italian journal of pediatrics · 2024Pooled it
- Health extension service utilization in Ethiopia: systematic review and meta-analysis.BMC health services research · 2024Pooled it
- Community caregivers' perceptions: Family-centred postnatal care in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2025Article
- Exploring the feasibility and acceptability of community paramedicine programs in achieving vaccination equity: a qualitative study.BMC health services research · 2024Article
- Examining the referral of patients with elevated blood pressure to health resources in an under-resourced community in South Africa.BMC public health · 2024Article
- Measuring health system responsiveness in a national community health worker primary care programme in rural Liberia.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Article
- Article
- Utilization of integrated community case management service of childhood illness (ICCM) and associated factors among under-five children in Shashogo district, Hadiya zone, south Ethiopia.SAGE open medicine · 2022Article
- Heterogeneity of Modern Contraceptive Use among Urban Slum and Nonslum Women in Kinshasa, DR Congo: Cross-Sectional Analysis.International journal of environmental research and public health · 2021Article
- Barriers to the utilization of community-based child and newborn health services in Ethiopia: a scoping review.Health policy and planning · 2021Article
- Usage of and satisfaction with Integrated Community Case Management care in western Uganda: a cross-sectional survey.Malaria journal · 2021Article
- Utilization of Integrated Community Case Management Service and Associated Factors Among Mothers/Caregivers Who Have Sick Eligible Children in Southern Ethiopia.Risk management and healthcare policy · 2021Article
- Thematic areas and complexity of integrated community case management (iCCM) design, implementation, and evaluation: protocol for a scoping review.Systematic reviews · 2020Article
- Malaria Burden through Routine Reporting: Relationship between Incidence and Test Positivity Rates.The American journal of tropical medicine and hygiene · 2019Article
- Effect of community-based intervention on improving access to treatment for sick under-five children in hard-to-reach communities in Niger State, Nigeria.Journal of global health · 2019Article
- Exploring health care seeking knowledge, perceptions and practices for childhood diarrhea and pneumonia and their context in a rural Pakistani community.BMC health services research · 2018Article
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5 authors.
Funding
Abstract
backgroundMalaria, pneumonia and diarrhea remains to be the major causes of morbidity and mortality among children in Uganda. To address such challenges, the government adopted a national policy on Integrated Community Case Management (ICCM) for malaria, pneumonia and diarrhea in 2010. The aim of this study was to assess household access, utilization and acceptability of ICCM services in Kabarole District.
methodsThe study was carried out between 22nd November to 4th December, 2014 in Rwimi sub-county, Kabarole district. A cross sectional household survey was conducted amongst caretakers of children below 5 years of age and a total of 384 respondents were interviewed about distance from nearest health facility and community health worker, socio-demographic characteristics, type of housing, history of fever, health-seeking behavior, perceptions of quality and utilization of ICCM services. Data was cleaned, coded and analysed using STATA 14.0 to produce results.
resultsMost 53.1% of the studied children were males and their age ranged from 1-52 months. Nearly all the care takers, 97.1% (373/384) had utilized health services for their children in the three proceeding months to the study and of those, 0.5% (2/373) sought from a traditional healer, 8.6% (32/373) sought treatment at home, 27.3% (102/373) from community health worker, 27.3% (102/373) from government health unit and 36.2% (133/373) from non-government health units. The caretakers who stay near CHWs are more likely to utilize ICCM services than those staying near health facilities (P=0.001). The majority 65.6% of the caretakers stay near CHWs and use only 10 minutes to reach the CHWs. Trust in CHWs [AOR 0.85, 95%CI [0.641-1.135]], level of awareness [AOR 0.73, 95%CI [0.538-0.979]] and distance (≤1 km) to CHWs [AOR 1.65, 95%CI [1.075-2.522]] are positively associated with the utilisation of ICCM services.
conclusionThe implementation of ICCM policy in kabarole has been an effective approach in increasing the utilization of malaria, diarrhea and pneumonia treatment services and hence increasing access to health services at community level. Trust in the CHWs, level of community awareness and distance to the CHWs are positively associated with the utilisation of ICCM services.
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26998446PMC4794268What OpenQuestion holds
Registered trials
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