Teferi Efrem, Alemu Hibret, Bulto Tesfaye, Ali Ismael, Teno Dedefo
Ethiop Med J. 2014 Oct;52 Suppl 3:151-5.
The effect of integrated community case management (iCCM) of common childhood illness on use of vital preventive services is not known.
To measure the coverage of maternal and child health preventive and promotive interventions before and after scaling up iCCM.
In 2011 and 2013, we conducted cross-sectional, population-based, household coverage surveys in four Integrated Family Health Program target regions: Amhara, Oromia, SNNP, and Tigray.
Coverage increased for 10 of 15 indicators, mainly for maternal, immunization, and nutrition services. In some cases, we observed dramatic increases, i.e., for ≥ 4 antenatal care visits, antenatal iron and folate, and exclusive breastfeeding. Some increase occurred even when 2011 levels were already high, i.e., for immunization. Three indicators remained high and unchanged (bednet ownership, children sleeping under bednets, and any latrine). Two indicators decreased (tetanus toxoid and households with ≥ 2 bednets).
Scale-up of iCCM was consistent with increased coverage of most preventative and promotive interventions, which may contribute to the life-saving effect of iCCM.
儿童常见疾病的综合社区病例管理（iCCM）对重要预防服务利用情况的影响尚不清楚。
评估扩大iCCM规模前后母婴健康预防和促进干预措施的覆盖情况。
2011年和2013年，我们在四个综合家庭健康项目目标地区开展了基于人群的横断面家庭覆盖情况调查，这四个地区分别是阿姆哈拉、奥罗米亚、南方各族州和提格雷。
15项指标中有10项的覆盖情况有所增加，主要是孕产妇、免疫和营养服务方面。在某些情况下，我们观察到显著增长，例如至少进行4次产前检查、产前铁剂和叶酸补充以及纯母乳喂养。即使在2011年水平已经很高的情况下，某些指标仍有增长，如免疫接种。三项指标保持在较高水平且未发生变化（蚊帐拥有率、睡在蚊帐下的儿童以及有任何厕所）。两项指标有所下降（破伤风类毒素以及拥有≥2顶蚊帐的家庭）。
扩大iCCM规模与大多数预防和促进干预措施覆盖情况的增加相一致，这可能有助于iCCM发挥挽救生命的作用。
