Utilization of Integrated Management of Childhood Illnesses for Child health in Western Kenya

Abstract

Implementation of integrated management of childhood illness (IMCI) in comprehensive and holistic, forms bench mark for fifth birth day celebration for child health, free from Malaria, Pneumonia, Diarrhea, Measles and Malnutrition, which was to be achieved through quality Basic and Post-basic IMCI training, willingness of community uptake and perception, and modifying environmental factors to promote MDG 4, vision 2030 in Western Kenya.  Cross-sectional design was explored to establish how above determinants influence IMCI.  Mixed methods of data collection, procedure was adopted, in quantitative data, structured questionnaire was used, 235 respondents derived by Fishers formulae as sample size, while qualitative data, Focused Group Discussion (FGD) guides and Key informants interviews (KII) were used by forming groups of 8 to 12 discussants.  Observations and transect mapping done in partnership with key stakeholders for quality checks from 4 facilities studied.  Study population was well mothers attending / presenting their children below five years in level 1 and 2 facilities in study area, besides stakeholders attached to IMCI. Demographical data were also collected.  Showed only 14% of under five  child health care covers IMCI program contrary to WHO standard of above 68%, (95% CI 0.9 to 5.5%).  Evidence seen from limited number of service providers trained in IMCI concepts, low Community uptake and perception and limited efforts to improve environmental factors for child survival at household level.  Similar to results from studies identified noteworthy number of children still affected by Malaria, Pneumonia, Malnutrition, diarrhea and Measles.