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Case management by community health workers of children with acute respiratory infections: implications for national ARI control programme.
J Trop Med Hyg. 1995 Aug; 98(4):241-6.JT

Abstract

Health worker performance in the management of children with acute respiratory infections (ARI) was assessed in two local government areas (LGAs) in Nigeria. The data derived were utilized to identify training needs. Survey instruments included an inventory list for ARI-related equipment and supplies, observation checklists for children presenting to the health worker with ARI symptoms, a questionnaire for exist interviews with mothers, and a supervisor performance checklist. One hundred and twenty-three health workers in Ife Central LGA and 50 in Ojo were observed at selected public health facilities. Most health workers took a good general history, but specific ARI-related history and physical examination were frequently omitted. Symptomatic diagnosis and treatment were common. Drugs most commonly prescribed for treatment of ARI were chloroquine, paracetamol and antibiotics. Essential drugs and supplies for ARI management were not available in some facilities. Communication with mothers was generally unsatisfactory and instruction on home management incomplete. Many of the health workers had not attended a continuing education programme in the previous two years and supervision which could have provided on-the-spot training was irregular. Improvements in ARI case management will require attention to policy, logistics, training (including in-service education) and supervision. The possible role of an integrated approach to the management of the sick child in improving the quality of health worker performance is discussed.

Authors+Show Affiliations

Fagbule D
Ogun State University, Sagamu, Nigeria.
Kalu A
No affiliation info available

MeSH

Child Health ServicesChild, PreschoolCommunication BarriersCommunity Health WorkersEmployee Performance AppraisalFemaleHumansInfantNigeriaRespiratory Tract InfectionsSurveys and Questionnaires

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

7636920

Citation

Fagbule, D, and A Kalu. "Case Management By Community Health Workers of Children With Acute Respiratory Infections: Implications for National ARI Control Programme." The Journal of Tropical Medicine and Hygiene, vol. 98, no. 4, 1995, pp. 241-6.
Fagbule D, Kalu A. Case management by community health workers of children with acute respiratory infections: implications for national ARI control programme. J Trop Med Hyg. 1995;98(4):241-6.
Fagbule, D., & Kalu, A. (1995). Case management by community health workers of children with acute respiratory infections: implications for national ARI control programme. The Journal of Tropical Medicine and Hygiene, 98(4), 241-6.
Fagbule D, Kalu A. Case Management By Community Health Workers of Children With Acute Respiratory Infections: Implications for National ARI Control Programme. J Trop Med Hyg. 1995;98(4):241-6. PubMed PMID: 7636920.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Case management by community health workers of children with acute respiratory infections: implications for national ARI control programme. AU - Fagbule,D, AU - Kalu,A, PY - 1995/8/1/pubmed PY - 1995/8/1/medline PY - 1995/8/1/entrez KW - Africa KW - Africa South Of The Sahara KW - Age Factors KW - Child KW - Community Workers KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - English Speaking Africa KW - Health KW - Health Personnel KW - Health Services Evaluation KW - Infections KW - Nigeria KW - Organization And Administration KW - Population KW - Population Characteristics KW - Program Evaluation KW - Programs KW - Quality Of Health Care KW - Research Report KW - Respiratory Infections--prevention and control KW - Treatment KW - Western Africa KW - Youth SP - 241 EP - 6 JF - The Journal of tropical medicine and hygiene JO - J Trop Med Hyg VL - 98 IS - 4 N2 - Health worker performance in the management of children with acute respiratory infections (ARI) was assessed in two local government areas (LGAs) in Nigeria. The data derived were utilized to identify training needs. Survey instruments included an inventory list for ARI-related equipment and supplies, observation checklists for children presenting to the health worker with ARI symptoms, a questionnaire for exist interviews with mothers, and a supervisor performance checklist. One hundred and twenty-three health workers in Ife Central LGA and 50 in Ojo were observed at selected public health facilities. Most health workers took a good general history, but specific ARI-related history and physical examination were frequently omitted. Symptomatic diagnosis and treatment were common. Drugs most commonly prescribed for treatment of ARI were chloroquine, paracetamol and antibiotics. Essential drugs and supplies for ARI management were not available in some facilities. Communication with mothers was generally unsatisfactory and instruction on home management incomplete. Many of the health workers had not attended a continuing education programme in the previous two years and supervision which could have provided on-the-spot training was irregular. Improvements in ARI case management will require attention to policy, logistics, training (including in-service education) and supervision. The possible role of an integrated approach to the management of the sick child in improving the quality of health worker performance is discussed. SN - 0022-5304 UR - https://www.unboundmedicine.com/medline/citation/7636920/Case_management_by_community_health_workers_of_children_with_acute_respiratory_infections:_implications_for_national_ARI_control_programme_ L2 - https://medlineplus.gov/childrenshealth.html DB - PRIME DP - Unbound Medicine ER -