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  • ISSN: 2333-6706
    Volume 8, Issue 2
    Research Article
    Adewale M Adejugbagbe*, IkeOluwapo O Ajayi, Aderemi O Ayegbusi, and Olubunmi P Oki
    Background: Community Management of Acute Malnutrition (CMAM) is a proven approach for the reduction of under-five morbidity and mortality in Nigeria.
    Objective: To assess knowledge of and compliance with National Operational Guidelines (NOG) for Community Management of Acute Malnutrition (CMAM) among Community Health Workers (CHWs).
    Method: A descriptive cross-sectional study was conducted in Primary Health Care (PHC) facilities in Konduga Local Government Area of Borno State, Nigeria. All 48 CHWs providing CMAM services were included in the study, and assessed on knowledge and compliance with NOG for CMAM. A point was assigned to correct response to 6 knowledge and 5 compliance questions. Respondents with scores above 3 were categorized as those with good knowledge, while those with scores above 2 were categorized as good compliance. Data were analyzed using independent samples T-test and correlation analysis, with the level of significance set at 0.05.
    Results: Generally, 29 (69.0%) of the respondents had good knowledge of the CMAM guidelines, and 31 (73.9%) had good compliance with the guidelines. High level of compliance with the CMAM guidelines was significantly associated with having 5 or more years of working experience (t (30.6) = -2.27, P = 0.030) and increase in the level of knowledge of the guidelines (r = 0.37, P = 0.017).
    Conclusion: Our findings revealed that the level of compliance with the CMAM guidelines is high particularly among health workers with high years of working experience and high level of knowledge of the CMAM guidelines. Regular training of health workers on the guidelines, particularly among those with low years of experience is recommended.
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