An Evaluation of the Effectiveness of Infant and Child Survival Interventions in Yendi District
Introduction: Child survival continues to improve worldwide. The total number of
deaths of children under five years old fell from 12.4 million in 1990 to 8.1
million in 2009. The mortality rate in children under five years old has fallen
correspondingly from 89 per 1000 live births in 1990 to 60 per 1000 live births
in 2009, representing a reduction of about one third. At the same time, the
average annual rate of decline has accelerated over the period 2000–2009
compared with the 1990s. The level of mortality, however, remained alarmingly
high in certain regions of the world.
Method: The study
was a community-based cross sectional study. The study employed multi-stage
random cluster sampling procedure to select households and villages in Yendi
district. Both quantitative and qualitative methods were used to collect data
from the study target population which included the caregivers, the community
based agent and community health officers.
Results: Majority of
the respondents practice exclusive breastfeeding up to six months of child’s
age whiles other practice up to four months. A good percentage (48%) of the
caregivers introduced complementary food at six months and beyond and fed their
children more than five times in a day as indicated in the figure below. This
showed good feeding practice by caregivers. Greater percentage (68.5%) of
children are immunized through the outreach services and 31.5 were immunized
through the static clinic sessions
Conclusion: The finding concluded that there was general improvement in the infant and child health
interventions. These findings predict that improvement in outreach
and community level service is potential for improving child survival. There is
also low uptake of vitamin A supplementation and de-wormers. A significant
number (30.3%) of new born missed OPV at birth. As the ages of the children
increased coverage of antigens decreased. This finding is worrisome and needs
attention by health providers.
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