Assessment of integrated Community Case Management of Childhood illness (iCCM) practices by trained Patent and Proprietary Medicine Vendors (PPMVs) in Ebonyi and Kaduna States, Nigeria
Notice bibliographique
Résumé
Abstract Introduction Malaria, Pneumonia and diarrhea has remained the leading cause of high mortality among children under the age of five years in Nigeria despite government responses in form of policies and programs. The most identifiable cause of these deaths has been attributed to service delivery gaps that limits access to quality child health services in the rural and hard to reach communities were most of these deaths occur at the household level. Patent and proprietary medicine vendors have remained a good resource to addressing the service delivery gaps that lead to the unacceptable high mortality, however little has been done by the government, agencies and organizations to strengthen their capacity and improve their skill to provide quality health services in their various communities. Methods In Ebonyi and Kaduna States, 387 registered PPMVs were selected and trained on integrated community case management of childhood illness, out of which 165 with consistent and accurate data reporting practice were selected for study. The 165 PPMVs selected for this study were assessed on the first and last quarter of the intervention to measure the quality-of-service delivery of child health services in their various communities. Results The study revealed a significant improvement in the quality of treatment provided by the PPMVs across the three disease areas. 21.8% trained PPMVs could not appropriately treat malaria in the first quarter of the intervention, however, there was a significant decrease to 1.8% in second quarter in the number of those that cannot appropriate diagnose and treat malaria. There was also a decrease in the number of those who could not treat cough and fast breathing from 47(28.5%) to 14(8.5%) in the second quarter and for diarrhea from 33.3% in the first quarter to 2.4% in the second quarter. Conclusion Due to the ubiquitous nature of the PPMVs and their outnumbering presence in the hard-to-reach communities, they serve as valuable resource in addressing the health care delivery gap that has led to the continuous rise in the unacceptable high mortality rate of children under the age of five years in Nigeria. Trial registration: Project No: IRB/20/099 dated 12th Jan 2021
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».