Кључне речи
Child health
Health care worker
immunisation
micro-nutrients knowledge and practices
Апстракт
Background: Nigeria along with other low-income
countries still contribute significantly to the high
under–five mortality globally, hindering the attainment
of the Sustainable Development Goal (SDG) 3:2, as
these deaths are caused by five major preventable
diseases. At the community level, Primary Health
Care Workers (PHCWs) are the major source of
information for caregivers on key child health
practices to help prevent these diseases, however,
knowledge of PHCWs in Nigeria about these
practices are yet to be fully assessed.
Objectives: The objective of the study was to assess
the knowledge and practice of PHCWs in primary
health care centers, related to five key child health
practices, and to determine correlates and factors
associated with the depth of knowledge of PHCWs
on the key practices in Ibadan, Nigeria.
Subjects and Methods: This cross–sectional study
was carried out to assess PHCWs’ knowledge and
practice regarding five key child health practices
(exclusive breastfeeding, infant immunisation, micro
nutrient supplementation, hygiene among mothers and
caregivers, and prevention of malaria), and a 3-stage
sampling technique was used to select 6 local
governments, 52 primary health centres, and 160
PHCWs. A self-administered questionnaire was used.
A score of 1 was given for each correct answer,
while a total score of e” 60% was considered ‘good’.
Descriptive and inferential statistics were utilised in
analysing data with level of significance set at P<0.05.
Results: Out of 157 PHCWs, ninety two percent
were females, 83% married, 35% aged between 40–
49 years and 31% were in the SCHEW cadre. Fifty
five percent had attended training sessions on the
key child health practices. On knowledge, 67.5%,
88.5%, 20.4%, 65.6%, and 91.1% of respondents
correctly defined exclusive breastfeeding, indicated
the number of times a child should be vaccinated,
defined micro-nutrient, and sleeping under ITNs
respectively. Only 28% of the respondents had a good
knowledge score on the five key child health
practices. There was no significant difference in the
level of knowledge and duration of practice (p>0.05)
and also the level of knowledge and attendance at
training courses on key child health practices (p>0.05).
Conclusion: The study reveals that the knowledge
of primary health care workers on some of the key
child health practices is sub-optimal.
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