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APHA Scientific Session and Event Listing

Recorded presentation

Anbrasi Edward, PhD, MPH¹, Alan Talens, Md, MPH², Phyllis Oblander, MD², Donna Schebar, RN², and Mailyn Ontok, MD³. (1) International Health, Johns Hopkins University, 615 N Wolfe, Baltimore, MD 21205, 410-502-7663, aedward@jhsph.edu, (2) International Aid, 17011 W Hickory, Spring Lake, MI 49457, (3) Family and Community Medicine, MSU College of Medicine, 1st Dona Juave St Pala O, 9200 Iligan City, Philippines

Recurring conflicts and limited road access challenge the provision of optimal health services in Malabang district, located in Muslim Mindanao, resulting in poor health outcomes in comparison to the rest of Philippines. Pneumonia, Diarrhea, ARI and malnutrition are the major contributors to disease burden in children. The study was designed to examine the quality of child health services in the facilities to determine gaps in performance. Five rural health units and one district hospital were included in the assessments and case management observations were conducted on all 36 children under five presenting at the health facilities. Following the observations health provider interviews and exit interviews were conducted. Over 94% of the children had their weight recorded, 86% had their temperature measured, <35% asked or checked convulsions, although about 60% asked or checked for other danger signs. Symptoms for cough and diarrhea were checked for more than 80% of the cases, but <30% had been assessed for measles or rash, and duration of fever. About 60% of the children were checked for signs of malnutrition. Exit interviews indicated that 33% of them first sought care from traditional healers or private practioners, 33% reported making payments for services, and 77% said they were satisfied with the services. Shortage of essential drugs was a recurring problem and reported by both the caretakers and health workers. Increased efforts must be made to ensure adequate essential supplies to facilitate the optimal functioning of health providers who face enormous risks to deliver services in conflict settings.

Learning Objectives:

• To assess the knowledge and case management practices of health providers for IMCI illnesses
• To identify deficiencies in the support system that contribute to poor performance

Keywords: Quality of Care, Child Health

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation