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Effectiveness of two community-based strategies on disease knowledge and health behaviour regarding malaria, diarrhoea and pneumonia in Ghana.
- Source :
- BMC Public Health; 12/12/2017, Vol. 17, p1-13, 13p, 6 Charts
- Publication Year :
- 2017
-
Abstract
- <bold>Background: </bold>Ghana has developed two community-based strategies that aim to increase access to quality treatment for malaria, diarrhoea and suspected pneumonia, and to improve household and family practices: integrated Community Case Management (iCCM) and Community-based Health Planning and Services (CHPS). The objective of the study was to assess the effectiveness of iCCM and CHPS on disease knowledge and health behaviour regarding malaria, diarrhoea and pneumonia.<bold>Methods: </bold>A household survey was conducted two and eight years after implementation of iCCM in the Volta and Northern Regions of Ghana respectively, and more than ten years of CHPS implementation in both regions. The study population included 1356 carers of children under- five years of age who had fever, diarrhoea and/or cough in the two weeks prior to the interview. Disease knowledge was assessed based on the knowledge of causes and identification of signs of severe disease and its association with the sources of health education messages received. Health behaviour was assessed based on reported prompt care seeking behaviour, adherence to treatment regime, utilization of mosquito nets and having improved sanitation facilities, and its association with the sources of health education messages received.<bold>Results: </bold>Health education messages from community-based agents (CBAs) in the Northern Region were associated with the identification of at least two signs of severe malaria (adjusted Odds Ratio (OR) 1.8, 95%CI 1.0, 3.3, p = 0.04), two practices that can cause diarrhoea (adjusted OR 4.7, 95%CI 1.4, 15.5, p = 0.02) 0and two signs of severe pneumonia (adjusted OR 7.7, 95%CI2.2, 26.5, p = 0.01)-the later also associated with prompt care seeking behaviour (p = 0.04). In the Volta Region, receiving messages on diarrhoea from CHPS was associated with the identification of at least two signs of severe diarrhoea (adjusted OR 3.6, 95%CI 1.4, 9.0), p = 0.02). iCCM was associated with prompt care seeking behaviour in the Volta Region and CHPS with prompt care seeking behaviour in the Northern Region (p < 0.5).<bold>Conclusions: </bold>Both iCCM and CHPS were associated with disease knowledge and health behaviour, but this was more pronounced for iCCM and in the Northern Region. HBC should continue to be considered as the strategy through which community-IMCI is implemented. [ABSTRACT FROM AUTHOR]
- Subjects :
- MALARIA treatment
HEALTH behavior
PUBLIC health
PNEUMONIA treatment
DIARRHEA
MALARIA
PNEUMONIA
CAREGIVERS
PSYCHOLOGY of caregivers
COMPARATIVE studies
HEALTH attitudes
HEALTH education
RESEARCH methodology
MEDICAL cooperation
RESEARCH
EVALUATION research
CROSS-sectional method
EVALUATION of human services programs
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 17
- Database :
- Complementary Index
- Journal :
- BMC Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 127005778
- Full Text :
- https://doi.org/10.1186/s12889-017-4964-6