Najjemba Robinah, Kiapi Lilian, Demissie Shiferaw Dechasa, Gossaye Tadesse, Engida Mezgebu, Ratnayake Ruwan, Degefie Tedbabe, Legesse Hailemariam, Lemma Ataklti Fisseha, Getachew Hiwot, Gebrie Muluken
Ethiop Med J. 2014 Oct;52 Suppl 3:83-90.
The International Rescue Committee (IRC) supports implementation of integrated Community Case Management (iCCM) in all 20 woredas (districts) of Benishangul Gumuz Region (BSG) in Ethiopia.
To identify the gaps in the provision of quality iCCM services provided by Health Extension Workers (HEWs) and to assess caregivers' adherence to prescribed medicines for children under five years of age.
We conducted a cross-sectional descriptive study with both quantitative and qualitative study methods. We interviewed 233 HEWs and 384 caregivers, reviewed HEW records of 1,082 cases, and organized eight focus groups.
Most cases (98%) seen by HEWs were children 2-59 months old, and 85% of the HEWs did not see any sick young infant. The HEWs' knowledge on assessments and classification and need for referral of cases was above 80%. However; some reported challenges, especially in carrying out assessment correctly and not checking for danger signs. Over 90% of caretakers reported compliance with HEWs' prescription.
Partners have successfully deployed trained HEWs who can deliver iCCM according to protocol; however, additional support is needed to assure a supply of medicines and to mobilize demand for services, especially for young infants.
国际救援委员会（IRC）支持在埃塞俄比亚本尚古勒-古穆兹地区（BSG）的所有20个沃雷达（区）实施综合社区病例管理（iCCM）。
确定卫生推广工作者（HEW）提供的优质iCCM服务存在的差距，并评估照顾者对五岁以下儿童规定药物的依从性。
我们采用定量和定性研究方法进行了一项横断面描述性研究。我们采访了233名卫生推广工作者和384名照顾者，审查了1082例病例的卫生推广工作者记录，并组织了八个焦点小组。
卫生推广工作者接诊的大多数病例（98%）是2至59个月大的儿童，85%的卫生推广工作者没有见过任何患病的幼儿。卫生推广工作者在评估、分类及病例转诊需求方面的知识水平超过80%。然而，一些人报告了挑战，特别是在正确进行评估和未检查危险体征方面。超过90%的照顾者报告遵守卫生推广工作者的处方。
合作伙伴已成功部署了经过培训的卫生推广工作者，他们能够按照规程提供iCCM；然而，需要额外的支持来确保药品供应并调动对服务的需求，特别是对幼儿的服务需求。
