Implementation Evaluation of Integrated Community Case Management of Common Childhood Illness (ICCM) Program in Soro Woreda, Hadiya Zone Southern Ethiopia 2017

Abstract

Background: Integrated community case management of childhood illness (ICCM) is one of the important intervention to decrease the under-five morbidity and mortality at community level. Ethiopia is one of the country with highest under five mortality rate, 2016 Ethiopian Demographic and Health Survey key indicators report show that the under five children mortality rates are 67deaths per 1000 live births in 2016. Evaluation Objective: To evaluate the implementation of ICCM program in soro woreda in 2017. Methods and Materials: Case study design with quantitative and qualitative data collection employed with all selected health posts in soro woreda from March 01/2017 to March 28/2017. The evaluation dimensions were availability, compliance, and Acceptability. Data were collected with structured and semi -structured questionnaire. Quantitative data was entered in to epi-data and exported to SPSS version-20 and Bivariate and multivariate logistic regressions were done to determine the predictor of caregiver satisfaction. The qualitative data was analyzed manually using thematic analysis. Results: All health posts have trained health extension workers, Guideline and both registration books had available. However essential drugs stock out were still main issue in majority health posts. In the case of compliance from those observed 69 cases 50(72.5%) were checked for general danger signs and 46(66.7%), 48(69.6%,), 26(37.7%) and 59(85.5%) was correctly classified for pneumonia, diarrhea, malaria and malnutrition status according to national guidelines respectively. The overall judgment score of caregiver satisfaction fallen under category of GOOD in score of 70.95%. Conclusion and Recommendations: the overall implementation of integrated community case management in selected health post was GOOD with the overall achievement in three dimensions’ score was 74.54%. It is also recommended that, the woreda health office integrate with zonal health department and other partners timely solve essential drug shortage and Its also Woreda health office and health centers conduct only program specific regular supportive supervision and performance review meeting and health extension workers also improve chart booklet using habits for any assessment, classification, treatment and follow-up of sick under five children