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Early Termination of Child Welfare Clinic (CWC) Attendance, the Case of Dungu Community, Tamale, Ghana

Received: 25 October 2021     Accepted: 10 November 2021     Published: 29 December 2021
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Abstract

In 2018, an estimated 6.2 million children and adolescents under the age of 15 years died, mostly from preventable causes. 5.3 million of these deaths occurred in the first five years of life. More than half of these early child deaths are preventable or can be treated with simple affordable interventions including childhood immunizations. Studies have found that, termination of child welfare services has been a major challenge to combating under-five mortality all over Africa, including Ghana. This study was conducted to assess the prevalence of Child Welfare Clinic (CWC) termination in the Dungu community, a suburb of Tamale, the northern regional capital. The objectives of the study were to assess mother’s knowledge on CWC attendance in the Dungu community, assess the prevalence of early termination of CWC attendance in the Dungu community, to ascertain the reasons for early termination of CWC attendance among mothers/ caregivers in the Dungu community and to find out the effects of child spacing on CWC attendance in the Dungu community. The study found that, termination of child welfare services is prevalent in the dungu community as it is in many parts of Ghana and Africa. Majority of the mothers were found to terminate after two years of patronizing services, when the scheduled immunization is completed. Several reasons were attributed to the termination of service attendance, some which include; attitude of service providers, few working days of CWC facilities, spacing of children and financial challenges (which was found to be the major reason for termination). Some recommendations proposed by the study includes; child welfare clinics should be operational on each working day of the week in the Dungu community, service providers should intensify public education on child welfare services in the Dungu community as well as during child welfare services. Immunizations should be spaced out to cover the entire five years if possible, this will encourage the mothers to patronize the service till the mandated five years as most of the mothers tend to terminate after the immunization schedule is completed.

Published in World Journal of Public Health (Volume 6, Issue 4)
DOI 10.11648/j.wjph.20210604.18
Page(s) 188-198
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Child Welfare Clinic, Birth Spacing, Termination, Immunization

References
[1] Duijts L, Vincent W. V. Jaddoe, Hofman A, and Henriëtte A. Moll, 2010. Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy Eidelman, A. I., & Schanler, R. J. (2012). Breastfeeding and the use of human milk. Pediatrics, 129 (3).
[2] Laryea D. O, Abbeyquaye E & Frimpong E. Timeliness of childhood vaccine uptake among children attending a tertiary health service facility-based immunization clinic in Ghana.
[3] O. AWODELE, I. A. OREAGBA, A. AKINYEDE, D. F. AWODEL AND D. C. DOLAPO, The knowledge and attitude towards childhood immunization among mothers attending antenatal clinic in Lagos University Teaching Hospital, Nigeria.
[4] COOMSON G, 2018. (perceptions and practices related to child welfare clinic attendance among women attending dansoman polyclinic).
[5] UNICEF 2007, Vitamin A supplementation. A decade of progress. Clare G 2013, what is vitamin A and why do we need it?
[6] Addae B, Adu-Gyamfi and Benjamin, 2013. Child Welfare Clinic Attendance among Children 24-59 Months in Assin North Municipality, Ghana.
[7] The Health Sector in Ghana: Facts and Figures, 2015.
[8] Agbozo F, Esi C, Albrecht J and Timothy G, 2018. Understanding why child welfare clinic attendance and growth of children in the nutrition surveillance program is below target: lessons learnt from a mixed methods study in Ghana.
[9] 2014 family health report, Ghana health service, family health division Ghana demographic and health surveys, 2014.
[10] WHO, 2019. Vitamin A supplementation in infants and children 6-59 months of age.
[11] Akesse Abigail and Obeng Ernest. (2015). Reasons for early termination of child welfare clinic attendance by mothers in bomfa-sub municipality –Ghana.
[12] Nyabuti J. I, (2015). Factors Assiociated with the Continuation of Growth Monitoring Among Children 10 To 59 Months Old in Nyamira County, Kenya.
[13] Ghassemi H. (1986). Monitoring and promotion of growth of young children: major elements of strategy. Working Document no. 2. New York: UNICEF.
[14] Greenberg, J. A., Bell, S. J., Guan, Y., & Yu, Y.-H. (2011). Folic acid supplementation and pregnancy: More than just neural tube defect prevention. Reviews in Obstetrics and Gynecology, 4, 52–59.
[15] Owusu W. B. and Lartey A. (1992). Growth monitoring: experience from Ghana. Food and Nutrition Bulletin 14, 97–100.
[16] Hubert A and Samuel H. Nyarko, (2019). Satisfaction with Maternal Healthcare Services in the Ketu South Municipality, Ghana: A Qualitative Case Study.
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  • APA Style

    Abdul Muizz Muktar, Bayor Surazu, Azure Elizabeth. (2021). Early Termination of Child Welfare Clinic (CWC) Attendance, the Case of Dungu Community, Tamale, Ghana. World Journal of Public Health, 6(4), 188-198. https://doi.org/10.11648/j.wjph.20210604.18

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    ACS Style

    Abdul Muizz Muktar; Bayor Surazu; Azure Elizabeth. Early Termination of Child Welfare Clinic (CWC) Attendance, the Case of Dungu Community, Tamale, Ghana. World J. Public Health 2021, 6(4), 188-198. doi: 10.11648/j.wjph.20210604.18

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    AMA Style

    Abdul Muizz Muktar, Bayor Surazu, Azure Elizabeth. Early Termination of Child Welfare Clinic (CWC) Attendance, the Case of Dungu Community, Tamale, Ghana. World J Public Health. 2021;6(4):188-198. doi: 10.11648/j.wjph.20210604.18

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  • @article{10.11648/j.wjph.20210604.18,
      author = {Abdul Muizz Muktar and Bayor Surazu and Azure Elizabeth},
      title = {Early Termination of Child Welfare Clinic (CWC) Attendance, the Case of Dungu Community, Tamale, Ghana},
      journal = {World Journal of Public Health},
      volume = {6},
      number = {4},
      pages = {188-198},
      doi = {10.11648/j.wjph.20210604.18},
      url = {https://doi.org/10.11648/j.wjph.20210604.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20210604.18},
      abstract = {In 2018, an estimated 6.2 million children and adolescents under the age of 15 years died, mostly from preventable causes. 5.3 million of these deaths occurred in the first five years of life. More than half of these early child deaths are preventable or can be treated with simple affordable interventions including childhood immunizations. Studies have found that, termination of child welfare services has been a major challenge to combating under-five mortality all over Africa, including Ghana. This study was conducted to assess the prevalence of Child Welfare Clinic (CWC) termination in the Dungu community, a suburb of Tamale, the northern regional capital. The objectives of the study were to assess mother’s knowledge on CWC attendance in the Dungu community, assess the prevalence of early termination of CWC attendance in the Dungu community, to ascertain the reasons for early termination of CWC attendance among mothers/ caregivers in the Dungu community and to find out the effects of child spacing on CWC attendance in the Dungu community. The study found that, termination of child welfare services is prevalent in the dungu community as it is in many parts of Ghana and Africa. Majority of the mothers were found to terminate after two years of patronizing services, when the scheduled immunization is completed. Several reasons were attributed to the termination of service attendance, some which include; attitude of service providers, few working days of CWC facilities, spacing of children and financial challenges (which was found to be the major reason for termination). Some recommendations proposed by the study includes; child welfare clinics should be operational on each working day of the week in the Dungu community, service providers should intensify public education on child welfare services in the Dungu community as well as during child welfare services. Immunizations should be spaced out to cover the entire five years if possible, this will encourage the mothers to patronize the service till the mandated five years as most of the mothers tend to terminate after the immunization schedule is completed.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Early Termination of Child Welfare Clinic (CWC) Attendance, the Case of Dungu Community, Tamale, Ghana
    AU  - Abdul Muizz Muktar
    AU  - Bayor Surazu
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    DO  - 10.11648/j.wjph.20210604.18
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
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    AB  - In 2018, an estimated 6.2 million children and adolescents under the age of 15 years died, mostly from preventable causes. 5.3 million of these deaths occurred in the first five years of life. More than half of these early child deaths are preventable or can be treated with simple affordable interventions including childhood immunizations. Studies have found that, termination of child welfare services has been a major challenge to combating under-five mortality all over Africa, including Ghana. This study was conducted to assess the prevalence of Child Welfare Clinic (CWC) termination in the Dungu community, a suburb of Tamale, the northern regional capital. The objectives of the study were to assess mother’s knowledge on CWC attendance in the Dungu community, assess the prevalence of early termination of CWC attendance in the Dungu community, to ascertain the reasons for early termination of CWC attendance among mothers/ caregivers in the Dungu community and to find out the effects of child spacing on CWC attendance in the Dungu community. The study found that, termination of child welfare services is prevalent in the dungu community as it is in many parts of Ghana and Africa. Majority of the mothers were found to terminate after two years of patronizing services, when the scheduled immunization is completed. Several reasons were attributed to the termination of service attendance, some which include; attitude of service providers, few working days of CWC facilities, spacing of children and financial challenges (which was found to be the major reason for termination). Some recommendations proposed by the study includes; child welfare clinics should be operational on each working day of the week in the Dungu community, service providers should intensify public education on child welfare services in the Dungu community as well as during child welfare services. Immunizations should be spaced out to cover the entire five years if possible, this will encourage the mothers to patronize the service till the mandated five years as most of the mothers tend to terminate after the immunization schedule is completed.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Department of Environmental and Occupational Health, School of Public Health, University for Development Studies, Tamale, Ghana

  • Department of Paediatric Nursing, School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana

  • Department of Paediatric Nursing, School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana

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