Research Article

Assessment of Factors Affecting the Implementation of Integrated Management of Neonatal and Childhood Illness for Treatment of under Five Children by Health Professional in Health Care Facilities in Yifat Cluster in North Shewa Zone, Amhara Region, Ethiopia

Table 17

Association of factor influencing IMNCI implementation by health care professionals adjusted to confounding variables in Yifat cluster in North Shewa zone, April 2016 ().

VariableIMNCI implementationCOR (95% CI)AOR (95% CI)-value
High levelLow level

Attended IMNCI training
Yes80 (39.8%)36 (17.9%)2.88 (1.371,5.273)2.6 (1.278,4.562)0.002
No37 (18.4%)48 (23.9%)11

Lack of follow up training
Yes74 (36.8%)65 (32.3%)0.5 (0.123,2.182)1.2 (0.135,1.446)0.065
No43 (21.4%)19 (9.5%)11

Lack of supervision
Yes62 (30.8%)58 (28.9%)110.015
No55 (27.4%)26 (12.9%)1.97 (1.083,4.569)2.15 (0.768,1.575)

IMNCI is difficult to understand and apply
Yes14 (7%)23 (11.4%)110.067
No103 (51.2%)61 (30.4%)2.77 (1.382,4.945)1.6 (1.467,2.758)

Supervisor does not appreciate rationale for IMNCI
Yes23 (11.4%)26 (12.9%)110.084
No95 (47.3%)57 (28.4%)1.88 (2.021,5.677)3.4 (2.147,6.812)

Always apply of all stages of IMNCI
Yes89 (44.3%)47 (23.4%)2.502 (1.44, 5.76)1.3 (0.821, 5.392)0.0237
No28 (13.9%)37 (18.4%)1

Always referring chart booklet
Yes67 (33.3%)33 (16.4%)110.01
No5024.9%)51 (25.4%)2.07 (1.53, 4.732)2.76 (1.753, 5.975)

Bold values show a significant association of independent variables with dependent variables.