Management of Febrile Illness Cases among under 5 years in Selected Primary Healthcare Centers in Ibadan, Oyo State, Nigeria
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2022-12
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Lead City University
Abstract
Management of febrile illness cases is one of the major cases seen and attended to at various level of health care facilities ranging from primary, secondary, and tertiary health facilities with Nigeria context, this has been guided by development, dissemination and distribution of national guidelines to health care workers at all levels of health facility. At selected Primary Healthcare Centres in Ibadan, Oyo State, Nigeria, 250 self-administered and pre-designed questionnaires were distributed to various health care professionals involved in the management of febrile patients at the primary healthcare level. The study questionnaire was divided into four sections. All questions were simple and straightforward, both open-ended and closed-ended. After consent given, questions were answered. The categories of health care providers were highest with Community health extension workers (CHEW) 62.8%, The categories of HCs covered were highest with Primary health care facility (92.4%) and lowest in Community health officer (11.6%). The results of this study showed that each health facility employee used one type of testing or another to identify the etiological agent causing the febrile illness. The most common method used was mRDTs (74.8%). The lack of some basic facilities like access to the internet, has affected the adoption and application of the treatment guidelines in the management of febrile diseases among children under the age of five in Ibadan, Oyo State, Nigeria. The study demonstrated that FMOH, Abuja authorized policy on management of febrile illness, including sufficient diagnostic processes before treatment, serves as a guide for medical staff at Nigeria's basic health institutions.
Keywords: Treatment guidelines, Community health extension workers, Management of febrile illness, Primary healthcare Centres, Rapid diagnostic test, Etiological agent
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Kate Turabian