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International Journal of Pediatrics
Volume 2017, Article ID 5173416, 7 pages
Research Article

Adherence to Integrated Management of Childhood Illnesses Guideline in Treating South Sudanese Children with Cough or Difficulty in Breathing

1Institute of Public Health and Management, International Health Sciences University, P.O. Box 7782, Kampala, Uganda
2Uganda Society for Health Scientists, Makerere University College of Health Sciences, Department of Anatomy, P.O. Box 7072, Kampala, Uganda
3The International Rescue Committee, South Sudan Program, Juba, South Sudan
4School of Public Health, St. Augustine International University, P.O. Box 88, Kampala, Uganda

Correspondence should be addressed to Jonathan Izudi; moc.liamg@dzhanoj

Received 16 May 2017; Accepted 15 August 2017; Published 18 September 2017

Academic Editor: Samuel Menahem

Copyright © 2017 Jonathan Izudi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Pneumonia substantially kills children aged 2–59 months in South Sudan. However, information on health workers adherence to Integrated Management of Childhood Illnesses (IMCI) guideline in treating children with cough/difficulty in breathing remains scarce. This study assessed factors associated with adherence to IMCI guideline in Aweil East County, South Sudan. Methods. This cross-sectional study involved 232 health workers from 36 health facilities. Data collected using structured questionnaire and checklist was double-entered in EpiData and analyzed with STATA at 5% significance level using logistic regression. Results. Respondents mean age was years, 154 (66.4%) were males, 104 (44.8%) reached secondary education, and 190 (81.9%) had certificate. 23 (9.9%, 95% CI: 6.4–14.5) adhered to IMCI guideline. Holding diploma (adjusted odds ratio (AOR) = 6.97; 95% Confidence Interval (CI): 1.82–26.67; ), shorter time to follow guideline steps (AOR = 12.0; 95% CI: 2.73–61.66; ), and nondifficult use (AOR = 27.7; 95% CI: 5.40–142.25; ) were associated with adherence. Conclusion. Adherence was low. Academic qualifications, guideline complexity, and availability of IMCI drugs were associated factors.