Access to integrated community case management of childhood illnesses services in rural Ethiopia: a qualitative study of the perspectives and experiences of caregivers

by Bryan Shaw, Agbessi Amouzou, Nathan P Miller et al.
Health Policy Plan. (2016) 31 (5): 656-666. – First published online: November 24, 2015

11 pp. 187 kB

Utilization of community-based health workers (CBHWs) by caregivers of under-five children sick with diarrhoea, malaria and/or pneumonia remains low after scale up of the integrated community case management (iCCM) of childhood illness strategy in Ethiopia. Despite the presence of child health services in rural communities through the iCCM scale up, caregivers continue to face access barriers related to availability of CBHWs and geographic access to child health services. Caregivers described concerns about quality of interactions with CBHWs and perceptions of drugs available at rural health posts. Social networks could also act to inhibit demand for iCCM services. Efforts aimed at minimizing these barriers and improving demand for child health services need to be incorporated into the iCCM intervention model to achieve goals of reducing child mortality and promoting equity in child health outcomes.

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