FACTORS INFLUENCING THE IMPLEMENTATION OF INTEGRATED MANAGAEMENT OF NEWBORN AND CHILD HOOD ILLNESS AMONG NURSES WORKINING IN NORTH GONDAR ZONE WOREDA HEALTH CENTERS, NORTHWEST ETHIOPIA.

Abstract

Abstract INTRODUCTION: Integrated management of newborn and childhood illness relies on case detecting by using simple clinical signs, symptoms and empirical treatment under age of five. Primary health care workers especially nurses often work in remote areas to resolve a challenging conditions Integrated Management of newborn and Childhood illnessis the key strategy. Objective: to assess factors influencing the implementation of integrated management of newborn and child hood illness among nurses working in North Gondar zone woreda health centers, Northwest Ethiopia. Methods: An Institutional based cross-sectional study was employed from April 130/2017

among450 study participants . Simple random sampling techinique was employed to recruit participants Pretested,structured and self administer questioner used to collect data. The collected data were checked, coded and entered to EPI-INFO version 7 and exported to SPSS version 22 for analysis. Descriptive summery and outcome was computed byusing table and also applied multivariable logistic regressions were used in order to identify factors. Results: The overall implementation of IMNCI was53 % . In multivariable analysis, a significantly associated factors ofimplementation integrated management of newborn and child hood illnesses weretrained nurses [AOR,5, 95%CI: 3,8.8] and favorable attitude of nurses [AOR,3.25, 95%CI: 2.07, 5.1]. Conclusion and Recommendation:Nurse’simplementation ofintegrated management of newborn and child hood illnesses at North Gondar Woreda health centers wasfound to be low. Training and favorable attitude amongnurse staffs weresignificantly association with implementation of integrated management of newborn and child hood illness. Training, refreshment and supportive supervision needs to be given to nurses in order to improve implementation. Keywords- Attitude, Gondar, implementation, Integrated management of newborn and childhoodillness,Nurses.