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加纳北部加鲁-滕帕内区24至59个月儿童儿童福利诊所就诊完成情况的知识及其他预测因素:一项针对照顾者的横断面研究

Knowledge and Other Predictors of Child Welfare Clinic Completion among Children Aged 24-59 Months in the Garu-Tempane District of Northern Ghana: A Cross-Sectional Study of Caregivers.

作者信息

Nibelo Maxwell, Manu Emmanuel

机构信息

University of Health and Allied Sciences, PMB 31, Hohoe, Ghana.

Department of Population and Behavioural Sciences, University of Health and Allied Sciences, PMB 31, Hohoe, Ghana.

出版信息

Adv Prev Med. 2020 Aug 11;2020:6840609. doi: 10.1155/2020/6840609. eCollection 2020.

Abstract

BACKGROUND

While completion of the Child Welfare Clinic (CWC) schedule for children remains a crucial factor in the prevention of illness and promotion of better child health, there has been low attendance among caregivers in Ghana. This study examined knowledge of 220 caregivers of children aged 24-59 months on CWC and other factors influencing attendance in the Garu-Tempane District of Northern Ghana.

METHODS

This health facility-based descriptive cross-sectional study was carried out among caregivers of children using a structured questionnaire. Descriptive and inferential statistics comprising frequency, percentage, Fisher's exact test, and logistic regression were adopted in analysing the data.

RESULTS

Less than half (46.9%) of the children completed their CWC schedules. Meanwhile, caregivers' knowledge on CWC was 97.7%. Children aged 37-48 months (AOR = 0.42, 95%CI = 0.21-0.86, =0.017) and 49-59 months (AOR = 0.27, 95%CI = 0.10-0.77, =0.014), respectively, had lower odds of completing CWC. Children with caregivers not having any formal education also had lower odds of completing CWC (AOR = 0.45, 95%CI = 0.21-0.95, =0.036).

CONCLUSION

Educational programmes on the importance of CWC completion should focus on caregivers with children aged 37 months and above and those caregivers with low educational level. It is further recommended that studies be conducted to explore the extent of association between caregivers' marital status, occupation, level of knowledge, and child CWC completion in the Garu-Tempane District.

摘要

背景

虽然完成儿童福利诊所(CWC)的儿童日程安排仍是预防疾病和促进儿童健康的关键因素,但加纳的看护人就诊率较低。本研究调查了加纳北部加鲁-滕帕内区220名24至59个月大儿童的看护人对儿童福利诊所的了解情况以及影响就诊率的其他因素。

方法

本基于卫生机构的描述性横断面研究对儿童看护人使用结构化问卷进行。数据分析采用了包括频率、百分比、费舍尔精确检验和逻辑回归在内的描述性和推断性统计方法。

结果

不到一半(46.9%)的儿童完成了儿童福利诊所的日程安排。与此同时,看护人对儿童福利诊所的了解率为97.7%。37至48个月大(比值比[AOR]=0.42,95%置信区间[CI]=0.21-0.86,P=0.017)和49至59个月大(AOR=0.27,95%CI=0.10-0.77,P=0.014)的儿童完成儿童福利诊所日程安排的几率较低。看护人未接受任何正规教育的儿童完成儿童福利诊所日程安排的几率也较低(AOR=0.45,95%CI=0.21-0.95,P=0.036)。

结论

关于完成儿童福利诊所日程安排重要性的教育项目应侧重于37个月及以上儿童的看护人以及教育水平较低的看护人。进一步建议开展研究,以探索加鲁-滕帕内区看护人的婚姻状况、职业、知识水平与儿童完成儿童福利诊所日程安排之间的关联程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b15/7439200/a503d210036b/APM2020-6840609.001.jpg

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