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Impact of Community Based Integrated Management of Childhood Illness in ‘Urawn’ Ethnic Community of Nepal with Special Reference to Acute Respiratory Infection

KrishiKosh

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Title Impact of Community Based Integrated Management of Childhood Illness in ‘Urawn’ Ethnic Community of Nepal with Special Reference to Acute Respiratory Infection
 
Creator Koirala, Arun Kumar
 
Contributor Bose, Dipak Kumar
 
Subject Acute Respiratory Infection, public health, Childhood Illness
 
Description Thesis titled “Impact of Community Based Integrated Management of Childhood Illness in ‘Urawn’ Ethnic Community of Nepal with Special Reference to Acute Respiratory Infection” submitted in partial fulfillment of the requirements for the award of the degree of Doctor of Philosophy in PUBLIC HEALTH by Arun Kumar Koirala.
After recognition of Acute Respiratory Infection (ARI) as a major public health
problem by Ministry of Health Nepal (MoH), an integrated approach to manage childhood
illness at the community level, Community Based Integrated Management of (CB-IMCI) program was implemented and several studies have been conducted in
various areas. Unfortunately, study of the said program on ethnic community has not been
conducted. Therefore, researcher in this study had tried to explore the Impact of CB-IMCI
on ARI among the children under 5 years in Urawn community and its associating factors.
Five VDCs from each district (Morang and Sunsari districts) were selected purposively for
sample by probability proportion to size using Microsoft Office Excel. A cross sectional
study design was adopted and significance levels were observed with 95% confidence
level (p≤0.05 for significant) with the sample size 401 of women having children less than
5 years from Urawn ethnic Communities. Data was analyzed through the Statistical
Package for Social Sciences (SPSS) version 16.
The respondents were with the mean  SD age was 28.90  4.46 years. Among
total respondents, about 82.80% were Illiterate. About 4/5th of the respondents worship
Nature. Most of the households had multiple income sources viz. 77.81% daily wages,
63.34% labor work, 49.88% agriculture and so on (multiple answers). But 2/5th (40.6%) of
family members had sufficient family income for their survival throughout year. Most of
all (98.50%) households had general stove made by clay and they use biomass (firewood
and cow dung) for cooking purpose. About 1/4th (24.4%) of total households had
stagnation of smoke in the kitchen where 38.5% mothers take their children beside them
during cooking time. About half of the family members lived with smokers. This showed
that the children and women are always at risk of getting ARI in Urawn communities.
General education in school and socio-economic status of respondents did not
show any significance difference with knowledge on CBIMCI program and getting
pneumonia respectively (p>0.05). After implementation of CBIMCI, maximum number of
mothers (95%) found capable to identify the major signs pneumonia (Kukukhla in their
Kuduk tongue) which was highly significant difference (P
 
Date 2016-12-19T13:10:21Z
2016-12-19T13:10:21Z
2016
 
Type Thesis
 
Identifier http://krishikosh.egranth.ac.in/handle/1/91012
 
Language en
 
Format application/pdf
 
Publisher Sam Higginbottom Institute of Agriculture, Technology & Sciences (SHIATS)