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Research Article Open access CC BY 4.0

Assessment of Utilization of HBCP Services for Children Diagnosed with Chronic and Terminal Illnesses Aged between 1-14 Years in Meru County, Kenya

P. K. Kubai, A. M. Mutema, M. R. Kei

Asian Journal of Advanced Research and Reports · pp. 29–45 · Published 24 May 2021

10.9734/ajarr/2021/v15i330379

Abstract

Introduction: Worldwide, 57 million people died in 2008 from Chronic Illnesses, an estimated 40 million were in need of HBCP services with 6.6 - 10.8 million Children and adolescents dying [1,2]. 98% of Children with Chronic and Terminal illnesses (CI/TI) are found in low and middle-income Countries. Chronic and Terminal illnesses in Children are on the rise in Sub Saharan Africa. Kenya has lagged in implementation of Home Based Care to mitigate effects of CI/TI [3]. According to WHO, 2017 and Ministry of Health-Kenya 2013, millions of Children are affected by these Illnesses such as Tuberculosis, Asthma, Congenital abnormalities, HIV/AIDS and Cancer among others [4,5]. These illnesses have made families’ to suffer emotional, psychosocial and economic hardships [6,7]. Evaluation of utilization of Home Based Care Program (EHBCP) services is significant in assessing effectiveness and quality delivery of HBCP [8,9].  Aims: To assess usage of minimum essential package required in provision of Home Based Care program services for Children aged between 1-14 years diagnosed with selected Chronic and Terminal illnesses in Meru County Kenya. Study Design:  A descriptive Cross Sectional Survey. Place and Duration of Study: Conducted in Meru County Kenya Health facilities between June 2018 and Dec 2019. Methodology: Descriptive Cross Sectional Survey of 245 Health Care Providers and Caregivers of Children diagnosed with selected Chronic and Terminal illnesses by proportionate to size sampling and simple random sampling from different health facilities across Meru County was utilized. Results: Utilization, delivery of quality and effective Home Based Care program was positively associated with age, experience of Health Care Workers (HCWs) 4.8 [95% CI = 1.06 – 21.68, P = 0.041]. HCWs profession, gender and years of work were positively related to utilization and delivery of HBCP services 3.03 [95%CI = 1.64 – 5.59, P<0.001]. Conclusion: Current study concludes that utilization of Minimum HBCP essential package by participants was not effective and the quality delivery of minimum HBCP essential services was inadequate, which agrees with Sips et al., 2014 study that poor service delivery leads to inadequate utilization, it concludes that restructuring HBCP services would meet individual needs for ill Children.

Evaluation caregivers chronic and terminal illnesses children home based care program health care workers

References (16)

  1. 1 Transforming Our World: The 2030 Agenda for Sustainable Development [DOI]
  2. 2 The International Journal of Tuberculosis and Lung Disease [DOI]
  3. 3 Statistics: An Introductory Analysis
  4. 4 Prevention and Control of Multidrug-Resistant Gram-Negative Bacteria in Adult Intensive Care Units: A Systematic Review and Network Meta-analysis [DOI]
  5. 5 Integrated, home-based treatment for MDR-TB and HIV in rural South Africa: an alternate model of care [Perspectives] [DOI]
  6. 6 Paediatric palliative care improves patient outcomes and reduces healthcare costs: evaluation of a home-based program [DOI]
  7. 7 Where and why are 10 million children dying every year? [DOI]
  8. 8 Twenty years of home-based palliative care in Malappuram, Kerala, India: a descriptive study of patients and their care-givers [DOI]
  9. 9 Common Components of Efficacious In‐Home End‐of‐Life Care Programs: A Review of Systematic Reviews [DOI]
  10. 10 Assessing Community Based Improved Maternal Neonatal Child Survival (IMNCS) Program in Rural Bangladesh [DOI]
  11. 11 A cost and outcomes analysis of alternative models of care for young children with severe disabilities in Ireland [DOI]
  12. 12 Palliative and End-of-Life Care [DOI]
  13. 13 The cochrane database of systematic reviews [DOI]
  14. 14 Journal of the American Geriatrics Society [DOI]
  15. 15 Tackling Africa's chronic disease burden: from the local to the global [DOI]
  16. 16 Culture matters: using a cultural contexts of health approach to enhance policy-making

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