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Virgen Milagrosa University Foundation

The Home of God-Loving and Globally Competent Individuals


Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

KNOWLEDGE AND EXTENT ON IMPLEMENTATION OF INTEGRATED


MANAGEMENT OF CHILDHOOD ILLNESSES AMONG MIDWIVES IN
PANGASINAN: BASIS FOR AN ACTION PLAN

A Thesis
Presented to
the Faculty of the Graduate School
Virgen Milagrosa University Foundation
San Carlos City, Pangasinan

In Partial Fulfillment
of the Requirements for the Degree
Master in Public Health

SAROJ NEUPANE
May 2015
APPROVAL SHEET

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

This thesis proposal entitled KNOWLEDGE AND EXTENT ON


IMPLEMENTATION OF INTEGRATED MANAGEMENT OF CHILDHOOD
ILLNESSES AMONG MIDWIVES IN PANGASINAN: BASIS FOR AN ACTION
PLAN has been prepared and submitted by SAROJ NEUPANE in partial
fulfillment of the requirements for the degree of Master in Public Health is hereby
recommended for Oral Examination.
Thesis Committee
HOLDEN KIRBY M. VALDEZ RN, MPH
Adviser
JIMMY G. CATANES, RPh, MPH, MDM
LEO B. SOLIS, DVM, MPH, DAPE
Member
Member
________________________________________________________________
Approved by the Defense Panel on _______________with a grade of ___%.
JOSE EMMANUEL C. MANDAPAT, D.A.
Chairman
JIMMY G. CATANES, RPh, MPH, MDM LEO B. SOLIS, DVM, MPH, DAPE
Member
Member
CIELO E. ALMOITE, MD, MPH
Member
________________________________________________________________
Approved in Partial Fulfillment of the Requirements for the Degree Master
in Public Health.
MA. LILIA P. JUAN, MD, FPCHA
President, VMUF

JOSE EMMANUEL C. MANDAPAT, D.A.


Dean

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

CERTIFICATE OF ADMISSION TO CANDIDACY FOR THE DEGREE


MASTER IN PUBLIC HEALTH

This is to certify that SAROJ NEUPANE was admitted to the candidacy for
the Degree of Master in Public Health after passing his Comprehensive
Examination in his Basic Concentration and Cognate Courses as of Summer
2013 2014 given last May 25, 2014 with a grade of ___ %.

JOSE EMMANUEL C. MANDAPAT, D.A.


Dean, Graduate School

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

ACKNOWLEDGMENT

The success of this research will not be attained without the people who
directed and helped him, and so he offers this part to recognize them and to say
how much he appreciated what they have done for the researcher.
To Dr. Jose Emmanuel C. Mandapat, Dean of the Graduate School, with
his paramount motivations and love to every researcher and for sharing his
expertise and who had ascertained his suggestions for the improvement of this
research;
To Mr. Holden Kirby Valdez, his thesis adviser who diligently equipped
him the knowledge and passion he needs as researcher;
To Sir Jimmy G. Catanes, Dr. Cielo M. Espinoza-Almoite and Dr. Leo
B. Solis, his esteemed members of the defense panel, who critically and
deliberately contributed insights on this research for its betterment and
improvement;
To his family for the moral and financial support, sacrifices and
understanding they keep on bestowing to him that enable him to pursue this
endeavor;
To the respondents, who patiently answered the questionnaire despite
their hectic schedule, for their interest and most of all their dedication of serving
the Filipino community in attaining optimal level of functioning;
4

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

Above all, to our Almighty God, with His unconditional love and mercy
and that His Divine Presence will still continue guiding him in everything he does.
The Glory and Honor is raised unto You!
SAROJ NEUPANE

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

DEDICATION
The researcher humbly devotes this thesis
To his beloved parents and family, thank you for the constant love,
support and understanding. Thank you for believing in his capacity and helped
him overcome his doubts and weaknesses.
To his friends for the inspirations, understandings and acclaims that they
unquestionably given to his sacrifices.
To our Almighty God, for all the countless blessings and guidance, for the
wisdom and power He bestowed to him to attain what he is now and what he
aimed to be done. He owe every success of this endeavor to You!

SAROJ NEUPANE

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

ABSTRACT

Title

: KNOWLEDGE AND EXTENT ON IMPLEMENTATION OF


INTEGRATED
MANAGEMENT
OF
CHILDHOOD
ILLNESSES AMONG MIDWIVES IN PANGASINAN: BASIS
FOR AN ACTION PLAN

Researcher

: Saroj Neupane

Degree

: Masters of Public Health

Institution

: Virgen Milagrosa University Foundation

Thesis Adviser

: Holden Kirby M. Valdez, RN, RPT, MPH

This descriptive study was conducted to determine the knowledge and


extent of implementation on Integrated Management of Childhood Illnesses
among Midwives in Pangasinan. The respondents of the study were midwives of
the top five cities and municipalities with the highest index on child mortality
namely Alaminos City, Bolinao, Lingayen, San Carlos City and Sta. Barbara.
Results revealed that most of the midwives are from San Carlos City
belonging to middle adulthood, married with more than a decade years of service
and are with recent trainings. In general, midwives are knowledgeable on
Integrated Management of Childhood Illness (IMCI). Further, in terms of Extent of
Implementation on Integrated Management of Childhood Illness (IMCI), midwives

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

highly implements IMCI based on self-evaluation and their Knowledge and


implementation on IMCI has a relation to their demographic profile.
With that, it is recommended to conduct a study including rural health
physicians to further determine the knowledge and extent of implementation of
Health Workers on IMCI and to provide relevant seminars and extension program
is proposed to enhance the midwives knowledge on IMCI.

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

CONTENTS
Page
APPROVAL SHEET

CERTIFICATE OF ADMISSION TO CANDIDACY


FOR THE DEGREE MASTER OF ARTS IN NURSING

ii

ACKNOWLEDGMENT

iii

DEDICATION

ABSTRACT

vii

CONTENTS

ix

LIST OF FIGURES

xi

LIST OF TABLES

xii

CHAPTER I: THE PROBLEM


Rationale

Theoretical Framework

Conceptual Framework

12

Paradigm of the Study

14

Statement of the Problem

15

Null Hypothesis

16

Scope and Delimitation

17

Significance of the Study

18

Definition of Terms

19

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

CHAPTER II: REVIEW OF LITERATURE AND STUDIES


Related Literature
Foreign

23

Local

34

Related Studies
Foreign

38

Local

43

Synthesis

47

CHAPTER III: RESEARCH METHODOLOGY


Research Design

54

Sources of Data
Locale of the Study

55

Population and Sampling

59

Research Instrument
Instrumentation and Data Collection

59

Validity and Reliability of the Instrument

62

Tools for Data Analysis

63

10

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

CHAPTER IV: PRESENTATION, ANALYSIS AND


INTERPRETATION OF DATA
Demographic Profile of Respondents

69

Knowledge of Midwives to Integrated


Management of Childhood Illness

61

Extent of Implementation on Integrated


Management of Childhood Illness

85

Correlations of Demographic Profile and


Knowledge of Midwives on Integrated
Management of Childhood Illness

94

Action Plan

105

Chapter V: SUMMARY, CONCLUSIONS AND RECOMMENDATIONS


Summary

109

Findings

110

Conclusions

119

Recommendations

120

BIBLIOGRAPHY

121

APPENDICES

129

CURRICULUM VITAE

11

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

LIST OF FIGURES
Figure

Title

Page

Maslows Hierarchy of Need

Florence Nightingales Environmental Theory

Self-Care Deficit Model

Model of Health Promotion (Tannahill)

10

Health Promotion Model (Pender)

11

Paradigm of the Study

14

IMCI Case Management For Cough Or Difficulty Of


Breathing

29

IMCI Case Management Guidelines For Fever

31

IMCI Case Management Guidelines For Diarrhea

32

10

IMCI Case Management For Malnutrition

34

12

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

LIST OF TABLES
Table

Title

Page

IMCI Case Management Steps

25

Demographic Profile of Midwives

69

3a

Mean Score on Knowledge of Midwives to Integrated


Management of Childhood Illness

73

3b

Extent of Knowledge of Midwives on Integrated


Management of Childhood Illness as to Pneumonia

75

3c

Extent of Knowledge of Midwives on Integrated


Management of Childhood Illness as to Diarrhea

77

3d

Extent of Knowledge of Midwives on


Management of Childhood Illness as to Malaria

79

3e

Extent of Knowledge of Midwives on Integrated


Management of Childhood Illness as to Measles

81

3f

Extent of Knowledge of Midwives on Integrated


Management of Childhood Illness as to Malnutrition

83

4a

Average Weighted Mean on Extent of Implementation on


Integrated Management of Childhood Illness

85

4b

Extent of Implementation of Midwives on Integrated


Management of Childhood Illness as to Assessment and
Classification

87

4c

Extent of Implementation of Midwives on Integrated


Management of Childhood Illness as to Management

89

4d

Extent of Implementation of Midwives on Integrated


Management of Childhood Illness as to Health Teachings

91

5a

Correlations of Demographic Profile and Knowledge of


Midwives on Integrated Management of Childhood Illness as
to Pneumonia

94

13

Integrated

Virgen Milagrosa University Foundation


The Home of God-Loving and Globally Competent Individuals
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines

GRADUATE SCHOOL

5b

Correlations of Demographic Profile and Knowledge of


Midwives on Integrated Management of Childhood Illness as
to Diarrhea

95

5c

Correlations of Demographic Profile and Knowledge of


Midwives on Integrated Management of Childhood Illness as
to Malaria

96

5d

Correlations of Demographic Profile and Knowledge of


Midwives on Integrated Management of Childhood Illness as
to Measles

98

5e

Correlations of Demographic Profile and Knowledge of


Midwives on Integrated Management of Childhood Illness as
to Malnutrition

99

6a

Correlations of Demographic Profile and Implementation of


Midwives on Integrated Management of Childhood Illness as
to Assessment

101

6b

Correlations of Demographic Profile and Implementation of


Midwives on Integrated Management of Childhood Illness as
to Management

102

6c

Correlations of Demographic Profile and Implementation of


Midwives on Integrated Management of Childhood Illness as
to Health Teachings

103

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