AUTHOR=Debel Lemessa Negeri , Nigusso Fikadu Tadesse 

TITLE=Integrated Community Case Management Utilization Status and Associated Factors Among Caretakers of Sick Children Under the Age of 5 Years in West Shewa, Ethiopia

JOURNAL=Frontiers in Public Health

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.929764

DOI=10.3389/fpubh.2022.929764

ISSN=2296-2565

ABSTRACT=Objective: To assess the utilization status and associated factors of integrated community case management (ICCM) of caretakers with less than five years of sick.
Methods: Community-based cross-sectional study was employed with caretakers whose child was sick in the last three months before data collection. Bivariate and multivariable logistic regression analyses were employed.  
Results: About 624 respondents participated in the study; 325 (52.1%) utilized integrated community case management. Caring for children between the ages 24-36 months old, (AOR= 1.26, 95%CI: 0.23, 0.90); women health development army (WHDA) training, (AOR =5.76, 95%CI:  3.57, 9.30); certified as model family, (AOR =3.98, 95%CI: 2.45, 6.46); perceived severity, (AOR =5.29, 95%CI: 2.64,10.60); awareness of danger sign, (AOR =2.76, 95%CI: 1.69, 4.50), and awareness of ICCM, (AOR =5.42, 95%CI : 1.67,17.58) were associated with ICCM utilization.
Conclusion: This study revealed that age of the child, caretakers’ awareness of ICCM, awareness of danger signs, illness severity, women’s health developmental army training, and graduation as a model family were associated with ICCM utilization. Therefore, it is recommended that promote health education using community-level intervention modalities focusing on common childhood illness symptoms, danger signs, severity, and care-seeking behavior.