Adherence to IMCI guidelines for key symptoms in Ethiopian children: A 2021–2022 national service provision survey
This study confirms a low adherence rate (33%) among health professionals in Ethiopia to the IMCI guideline for assessing the three main symptoms of sick children. The study identified child's age, facility type, academic qualification, and place of residence as crucial factors correlated with adherence rate. Furthermore, 5 secondary clusters (hotspot areas) were identified using SaTScan software. To address the higher protocol refusal, interventional plan needs to be based on academic qualification of care provider, facility type, age of child and place of residency. Moreover, interventions to reduce non-adherence to IMCI guidelines should be location-tailored based on identified hotspot areas to restore guidelines adherence equality.
Authors
- Yawkal Tsega (ORCID: https://orcid.org/0000-0003-1969-7509)
- Fekade Demeke Bayou (ORCID: https://orcid.org/0000-0002-3437-9392)
- Natnael Kebede (ORCID: https://orcid.org/0000-0001-5734-6289)
- Abiyu Abadi Tareke (ORCID: https://orcid.org/0000-0002-9076-5159)
- Endalkachew Mesfin
- Abel Endawkie (ORCID: https://orcid.org/0000-0001-7613-7079)
- Asnakew Molla Mekonen (ORCID: https://orcid.org/0000-0001-7573-1594)
- Shimels Derso Kebede (ORCID: https://orcid.org/0000-0001-5416-616X)
- Mastewal Arefaynie (ORCID: https://orcid.org/0000-0001-9525-0552)
- Ermias Bekele Enyew (ORCID: https://orcid.org/0000-0002-9310-2481)
- Awoke Keleb (ORCID: https://orcid.org/0000-0002-7510-3448)
- Chala Daba (ORCID: https://orcid.org/0000-0002-4906-9610)
- Eyob Tilahun Abeje
- Lakew Asmare (ORCID: https://orcid.org/0009-0006-0455-9460)
- Kaleab Mesfin Abera (ORCID: https://orcid.org/0009-0004-6828-3286)
- Aznamariam Ayres (ORCID: https://orcid.org/0000-0002-5267-5718)
Institutions
- Wollo University (ET)
- University of Gondar (ET)
Publication Details
- Journal
- PLoS ONE
- Published
- 2024-10-16
- DOI
- https://doi.org/10.1371/journal.pone.0312138
- Citations
- 2
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 2.22