Lumbini Medical College and Teaching Hospital, Pravas, Palpa, Nepal.
Department of Clinical Physiology and Biophysics, Karnali Academy of Health Sciences, Chandannath, Jumla., Nepal.
JNMA J Nepal Med Assoc. 2024 Jun 30;62(275):421-426. doi: 10.31729/jnma.8637.
Community-Based Integrated Management of Neonatal and Childhood Illnesses (CBIMNCI) is the integrated approach for the management of children's common health concerns in outpatient primary health care settings and interventions at the family and community level. This study aimed to assess the knowledge and perception regarding CB-IMNCI in medical students studying in the clinical phase of a medical college.
A descriptive cross-sectional study was conducted from February to June 2023 among 218 clinical-year medical students after obtaining ethical clearance from the Institutional Review Committee (Reference number: IRC-LMC-04/M-022). A self-administered questionnaire with CB-IMNCI-related multiple-choice questions was used for data collection and the responses to knowledge-related questions were evaluated using a predefined answer key. The results were expressed in terms of the number and percentage of the participants who answered each questions correctly.
Of the 218 students, 111 (50.92%) were male and 107 (49.08%) were female. Among the participants, 164 (75.23%) (70-80% at 95% Confidence Interval) demonstrated basic knowledge of CB-IMNCI, successfully answering 50% or more of the questions. Among the males, 81 (72.97%), and among the females, 83 (77.57%) had basic knowledge of CBIMNCI. In terms of semester-wise distribution, 33(53.22%) in the 5th semester, 43 (82.69%) in the 7th semester, 41 (80.39%) in the 9th semester and 47 (88.67%) were able to answer 50% or more of the questions correctly.
This study showed that one fourth of the students lack the basic knowledge about CB-IMNCI. It suggests the need for further work to enhance effectiveness of pre-service CB-IMNCI training.
以社区为基础的新生儿和儿童疾病综合管理(CBIMNCI)是一种综合方法,用于管理门诊初级卫生保健环境中儿童常见的健康问题,并在家庭和社区层面采取干预措施。本研究旨在评估医学院临床阶段的医学生对 CB-IMNCI 的知识和看法。
2023 年 2 月至 6 月,在获得机构审查委员会(参考号:IRC-LMC-04/M-022)的伦理批准后,对 218 名临床年级医学生进行了一项描述性横断面研究。使用与 CB-IMNCI 相关的多项选择题的自我管理问卷进行数据收集,并使用预定义的答案关键来评估与知识相关问题的答案。结果以答对每个问题的参与者人数和百分比表示。
在 218 名学生中,有 111 名(50.92%)为男性,107 名(49.08%)为女性。在参与者中,有 164 名(75.23%)(95%置信区间为 70-80%)对 CB-IMNCI 有基本的了解,成功答对了 50%或更多的问题。其中男性有 81 人(72.97%),女性有 83 人(77.57%)对 CBIMNCI 有基本的了解。就学期分布而言,第 5 学期有 33 人(53.22%),第 7 学期有 43 人(82.69%),第 9 学期有 41 人(80.39%),第 11 学期有 47 人(88.67%)答对了 50%或更多的问题。
本研究表明,四分之一的学生缺乏关于 CB-IMNCI 的基本知识。这表明需要进一步努力,以提高职前 CB-IMNCI 培训的效果。