Department of Community Health, College of Medical Sciences, University of Benin, Benin-City, Nigeria.
Department of Community Health, University of Benin Teaching Hospital, Benin-City, Nigeria.
West Afr J Med. 2021 Oct 29;Vol. 38(10):963-971.
The Integrated Maternal, Newborn and Child Health (IMNCH) strategy which advocates for integrated care of mother and newborn requires skilled health care workers (HCWs) for effective implementation. This study assessed the capacity of HCWs in Primary Health Care (PHC) facilities in Edo State to implement the IMNCH strategy.
This cross-sectional study involved 333 HCWs drawn from PHC facilities in Edo State using multistage sampling technique. Data was collected by structured self-administered questionnaire and analysed using IBM SPSS version 21.0. Descriptive and inferential statistics were done with level of significance set at p<0.05.
One hundred and seventy-four (52.3%) of the respondents had good knowledge of IMNCH strategy, 223 (67.0%) had good practice of focused antenatal care (FANC) while 92 (27.6%) had good of routine and basic emergency obstetric care (BEOC) including essential newborn care (ENC). Respondents' designation was the only significant predictor of knowledge of IMNCH strategy (aOR=5.03, 95%CI=2.92-8.67, p<0.001). Respondents' designation (aOR=6.50; 95%CI=3.11-13.99, p<0.001) and good knowledge of IMNCH strategy (aOR=0.21, 95%CI=0.12-0.38, p<0.001) were the significant predictors of good practice of FANC. Respondents' designation (aOR=6.13, 95%CI=3.27-11.48, p<0.001) and good knowledge of IMNCH strategy (aOR=0.28, 95%CI=0.14-0.54, p<0.001) were the significant predictors of good practice of routine and BEOC including ENC.
The study found overall good knowledge of IMNCH strategy, good practice of FANC but poor practice of routine, basic emergency obstetric and newborn care among HCWs in PHC facilities in Edo State. Engaging more skilled HCWs and continuous professional training of employed staff is recommended for effective implementation of the IMNH strategy.
提倡母婴综合保健（IMNCH）的综合母婴儿童健康策略需要熟练的卫生保健工作者（HCWs）来有效实施。本研究评估了埃多州初级保健（PHC）设施中 HCWs 实施 IMNCH 策略的能力。
本横断面研究采用多阶段抽样技术，从埃多州的 PHC 设施中抽取了 333 名 HCWs。通过结构化的自我管理问卷收集数据，并使用 IBM SPSS 版本 21.0 进行分析。采用描述性和推断性统计方法，显著性水平设为 p<0.05。
174 名（52.3%）受访者对 IMNCH 策略有较好的了解，223 名（67.0%）对重点产前保健（FANC）有较好的实践，92 名（27.6%）对常规和基本产科急诊护理（BEOC）有较好的了解，包括基本新生儿护理（ENC）。受访者的职位是知识了解 IMNCH 策略的唯一显著预测因素（优势比=5.03，95%置信区间=2.92-8.67，p<0.001）。受访者的职位（优势比=6.50；95%置信区间=3.11-13.99，p<0.001）和对 IMNCH 策略的良好了解（优势比=0.21，95%置信区间=0.12-0.38，p<0.001）是 FANC 良好实践的显著预测因素。受访者的职位（优势比=6.13，95%置信区间=3.27-11.48，p<0.001）和对 IMNCH 策略的良好了解（优势比=0.28，95%置信区间=0.14-0.54，p<0.001）是常规和 BEOC 良好实践的显著预测因素，包括 ENC。
本研究发现，埃多州 PHC 设施中的 HCWs 对 IMNCH 策略总体有较好的了解，对 FANC 有较好的实践，但对常规、基本产科急诊和新生儿护理的实践较差。建议更多地使用熟练的 HCWs，并对在职员工进行持续的专业培训，以有效实施 IMNH 策略。
