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Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana

A thesis submitted to the Department of Health Policy, Management, and Economics, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, in partial fulfillment of the requirement for the award of the degree of Masters of Public Health, Health Service...

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Main Author: Asante, Samuel Koranteng
Format: Thesis
Language:en_US
Published: 2021
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access_status_str Open Access
author Asante, Samuel Koranteng
author_browse Asante, Samuel Koranteng
author_facet Asante, Samuel Koranteng
author_sort Asante, Samuel Koranteng
collection Thesis
description A thesis submitted to the Department of Health Policy, Management, and Economics, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, in partial fulfillment of the requirement for the award of the degree of Masters of Public Health, Health Services Planning and Management.
format Thesis
id oai:ir.knust.edu.gh:123456789/14395
institution KNUST (Ghana)
language en_US
last_indexed 2026-06-10T12:31:23.640Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from KNUSTSpace — Kwame Nkrumah University of Science & Technology (Ghana)
publishDate 2021
publishDateRange 2021
publishDateSort 2021
record_format dspace
source_str KNUSTSpace — Kwame Nkrumah University of Science & Technology (Ghana)
spelling oai:ir.knust.edu.gh:123456789/14395 Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana Asante, Samuel Koranteng Febrile illnesses Children Atwima Kwanwoma district Ashanti region Ghana A thesis submitted to the Department of Health Policy, Management, and Economics, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, in partial fulfillment of the requirement for the award of the degree of Masters of Public Health, Health Services Planning and Management. Introduction Febrile illnesses in children and its management (especially infectious diseases) continue to result in an enormous increase in morbidity and mortality in developing countries causing a global public health concern. However, most low-middle-income countries have failed to institute systematic outcome assessment measures to ensure quality in the management of these conditions at one breadth. This study therefore aimed at assessing the quality care management of febrile illness in under five (5) in health facilities in the Atwima Kwanwoma district of Ashanti Region, Ghana. Methods The study was quantitative using a cross-sectional study design. Data were collected from 58 healthcare providers and 390 folders of children treated for febrile illnesses. Data were analyzed using STATA version 14. Univariate and multivariate analyses were performed to identify socio-demographic, patient and prescribers’ factors influencing the management of febrile illness among children under 5 years. Statistical significance for all testing was set as 0.05. Results More than fifty percent (68.4%) of the overall management of the febrile illnesses were classified as appropriate in accordance with the WHO/UNICEF IMCI guidelines. Issues of Scarcity or shortage of qualified employees; leadership interference; dissatisfaction from health care professionals; location-based challenges, absence of WHO/UNICEF guidelines for fevers management, Artemether Lumefantrine Dosing wall chart, stockout of Artemether Lumefantrine and Amoxicillin in some facilities were identified as some of the challenges inhibiting quality care management. Prescribers’ factors such as belief in superstition (pvalue=0.02) and patients’ socio-demographic factors such as the age of child below 1 year (pvalue= 0.04) and gender (p-value=0.02) were established to influence quality care management of febrile illnesses. Conclusion The study concludes that the quality of management of febrile illnesses was not impressive and required urgent attention. Stakeholders within the healthcare industry should come together and introduce policies that focus on improving the diagnostic and treatment capacity of healthcare facilities. KNUST 2021-07-14T14:08:22Z 2023-04-19T04:49:45Z 2021-07-14T14:08:22Z 2023-04-19T04:49:45Z NOVEMBER, 2019 Thesis https://ir.knust.edu.gh/handle/123456789/14395 en_US application/pdf
spellingShingle Febrile illnesses
Children
Atwima Kwanwoma district
Ashanti region
Ghana
Asante, Samuel Koranteng
Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana
title Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana
title_full Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana
title_fullStr Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana
title_full_unstemmed Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana
title_short Quality care management of febrile illnesses among children under 5 years in Atwima Kwanwoma district in the Ashanti Region of Ghana
title_sort quality care management of febrile illnesses among children under 5 years in atwima kwanwoma district in the ashanti region of ghana
topic Febrile illnesses
Children
Atwima Kwanwoma district
Ashanti region
Ghana
url https://ir.knust.edu.gh/handle/123456789/14395
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