How effective are Community-Based Primary HealthCare Interventions on Infant and Child Survival?
Abstract:
Introduction.
Child survival remains one of the most important public health challenges in Ghana.
The promotion of community-based child health interventions is among the key strategies
to improve child survival. The primary goal of the study was therefore to
assess the potential of community-based primary health care interventions on
child survival in Yendi Municipality. Method.
The study was a community-based cross sectional study. The study
employed multi-stage random cluster sampling procedure to select households and
villages in Yendi district. Both quantitative and qualitative methods were used
to collect data from the study target population which included the caregivers,
the community based agent and community health officers. Results. The study established high
level of caregivers’ knowledge on prevention of diarrhea, and malaria. It
revealed similarities in some knowledge and practice and showed significant
difference in some home based care of children. It also noted significant
association between caregivers’ health seeking behavior and presence or
availability of health facility. Conclusion.
The finding concluded that there was general improvement in the health and
survival of children less than five years of age. This was however, better in
communities with health facility. Hence community-based primary health care
have a positive effects on child survival.
References:
[1.] Abhay,
B.M., Dohare, S., AND Gitte, S.V., (2012). Child health: Understanding the home
care practices in some illnesses among Under-five children in IMNCI implemented
rural area. International Journal of Biological & Medical Research,
3(5): 1251-1254
[2.] Ahmad,
O.B., Lopez, A.D., Inoue, M. (2000). The decline in child mortality: Reapraisal
Bulletin WHO 78: 1175-1191
[3.] American
Public Health Association (2009). Report to the Expert Review Panel, Community-
Based Primary Health Care Working Group, International Health Section, American
Public Health Association. Retrieved on 25/11/2011 from
http://www.apha.org/membergroups/sections/aphasections/intlhealth/cbphcw
[4.] Anaman,
K.A. (2003). Research Methods in Applied Economics and Other Social Sciences.
Bandar Seri Begawan: Brunei Press, Sendirian Berhad
[5.] Black R. E.,
Morris S. S., Bryce J. (2003). Where and why are 10 million children dying
every year? The lancent, 361:2226–34.
[6.] Breman J.G,
Egan A, Keusch G. T. (2001). The intolerable burden of malaria: a new look at
the numbers. American Journal of Tropical Medicine Hygiene. 64 (Suppl
1):iv–vii.
[7.] Bryc EJ,
Arifeen S., Pariyo G., Lanata C., Gwatkin D, Habicht J.P. (2003). Reducing
child mortality: Can public health deliver? The Lancet; 362:159-64.
[8.] Cooper, D.
R. & Schindler, P. S. (2001). Business Research Methods, New York:
McGraw-Hill Company
[9.] Daily
GraphiC(2012). Reducing child mortality by 2015 is off track. Daily
Graphic, Wednesday, November 21, 2012.
[10.] Darmstadt,
G. L., Bhutta, Z. A., Cousens, S., Adam, T., Walker, N. & De Bernis, L.
(2005). Evidence-based, cost-effective interventions: How many newborn babies
can we save? Lancet, 365, 977 – 988
[11.] Easterby-Smith,
M., Thorpe, R. & Lowe, A. (2002). Management Research: An Introduction (2nd
ed), London: Sage publications
[12.] Ghana
Statistical Service & Ghana Health Service (2008). Ghana Demographic and
Health Survey, Accra: Ghana ICF Macro Calverton, Maryland, U.S.A.
[13.] Ghana
Statistical Service & Ghana Health Service, (2009). Ghana Maternal
Health Survey. Calverton Maryland: GSS, GHS, and Macro International, Inc.
[14.] Glanz K,
Lewis FM, Rimer BK. (2002). "Health Behavior and Health Education"
ISBN 0787957151
[15.] Jones, G.,
Steketee, R. W., Black, R. E., Bhutta, Z. A. & Morris, S. S. (2003). How
many child deaths can we prevent this year? Lancet, 362, 65-71.
[16.] King, R.,
Mann, V., & Boone, P. D., (2010). Knowledge and reported practice of men
and women on metal and child health in rural Guinea Bissau: a cross sectional
survey. Bio Med Central public health publication; 1471- 2458/10: 319
[17.] Kumekpor,
T. K. B. (2002). Research methods and Techniques of social Research.
Accra: Son Life Press and Services: p132
[18.] Mclennan,
J. D. (2000). Prevention of Diarrhoea in a Poor District of Santo Domingo, Dominican
Republic: Practices, Knowledge, and Barriers. Center for health and
Population Research, Journal of Health and Nutrition, 18(1):15-22
[19.] MOH &
GHS, (2010). Home management of malaria, Acute Respiratory Infection, and
Diarrhea in Ghana: Participants’ Training Manual, Accra: NMCP, GHS
[21.] Perry, H.
& Freeman, P. (2009). A Review of the Evidence: How Effective Is
Community-Based Primary Health Care in Improving the Health of Children? Summary
Findings
[22.] Perry, H.,
Berggren, W., Berggren, G., Dowell, D., Menager, H., Bottex, E., Dortonne, J.
R., Philippe, F. & Cayemittes, M. (2007a). Long-term reductions in
mortality among children under age 5 in rural Haiti: effects of a comprehensive
health system in an impoverished setting. American Journal of Public Health,
97, 240-6.
[23.] Perry, H.,
Freeman, P., Rassekh, B. & Gupta, S. (2009a). How cost-effective is
community-based primary health care in improving child health? World Health
Organ, 84, 949-
[24.] Perry, H.,
Northrup, R., Bryant, J., Berggren, W. & Berggren, G., (2009b). The
cost-effectiveness of a long-term comprehensive primary health care program in
reducing under-5 mortality: findings from rural Haiti. Document submitted for
publication
[25.] Phillips,
J. F., Bawah, A. A. & Binka, F. N. (2006), Accelerating reproductive and
child health program, impact with community-based services: the Navrongo
experiment in Ghana. Bulletin of the world health organization; 84,
949-55.
[26.] Rutherford
E. M., Dockertyy, J. D, Jasseh, M., Howie, S.R.C., Herbison, P., Jeffries, D.J.
Leach, M., Stevens, W, Mulholland, K, Adegbola R.A., Hill, P. C, (2009). Access
to health care and mortality of children under 5 years of age in the Gambia: a
case-control study. Bulletin of WHO; 87:216-224.
[27.] Saunders,
M., Lewis, P & Thornhill, A., (2007). Research Methods for Business
Students (4th edn)Harlow: Pearson Education Limited.
[28.] Schellenberg
JA, Victora CG, Mushi A, De Savigny D, Schellenberg D, Mshinda H, Bryce J. (2003).
Tanzania Integrated Management of Childhood Illness MCE Baseline Household Survey
Study Group. Inequities among the very poor: health care for children in rural southern
Tanzania. Lancet.; 361:561–6
[29.] Seyal,
T. & Hanif, A. (2009). Knowledge, Attitude and Practices of the Mothers and
Doctors Regarding Feeding, Oral Rehydration Solution (ORS)and Use of Drugs in
Children during Acute Diarrhea. ANNALS, vol 15. No. 1: 38-41
[30.] UNICEF
(2008a). State of the World’s Children 2008, New York, NY: United Nations
Children’s Fund. Oxford University Press
[31.] UNITED NATIONS
(2000). Resolution 55/2 adopted by the General Assembly: United Nations Millennium
Declaration
[32.] Varkevisser
C. M., Pathmanathan I. &, Brownlee A. (2003). Designing and Conducting
Health Systems Reseach Projects: Health System Research Training Serirs.
Vol II part 1, Ottawa: IDRCand WHO.
[33.] WHO & UNICEF
(1978). Alma Ata Declaration, USSR, December 6-12, 1978. Geneva, Switzerland:
World Health Organization. Primary Health Care, Report on the International Conference
on Primary Health Care.
[34.] WHO
(2006). Multicenter Growth Reference Study Group, WHO child growth
standards: Length/height-for-age, weight-for-age, weight-for-length,
weight-for-height and body mass index-for-age: Methods and development.
Geneva: World Health Organization
[35.] WHO Regional
office for Africa, (2010). Ghana Factsheets of Health
Statistics 2010. Retrieved from: ghndp.org/childmedicines or
http://childmedicines.ghndp.org 13:32
[36.] WHO,
(2005). The World health report: make every mother and child count. Geneva, Switzerland:
World Health Organization.
[37.] Yendi
District Health MANagement Team (2010). Annual performance review, Yendi
Municipal Health Directorate
[38.] Yendi
District Health Management Team (2011). Annual performance review: 2011
programme of work, Yendi: Municipal Health Directorate 43