Case management by community health workers of children with acute respiratory infections : implications for national ARI control programme.
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 exit 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.
Mots-clés Pascal : Infection, Appareil respiratoire, Aigu, Enfant, Homme, Nigéria, Afrique, Prévention, Programme sanitaire
Mots-clés Pascal anglais : Infection, Respiratory system, Acute, Child, Human, Nigeria, Africa, Prevention, Sanitary program
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0459971
Code Inist : 002B05B02E. Création : 01/03/1996.