Factors influencing the sustained utilization of child welfare services among children 18 to 59 months in a low-income rural community.

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Abstract ABSTRACT Background: Despite substantial progress in reducing child mortality, concerted efforts remain necessary to avoid preventable deaths in children under-5 years and to accelerate progress in improving child survival further. The patronage of child welfare services therefore remains paramount to the attainment of these goals. This study identified the factors that influence the patronage of child welfare services in a rural community in the Ho West District of the Volta region. Methodology: The study employed a quantitative descriptive cross-sectional design. Systematic sampling method was used to select 310 caregivers of children less than 60 months in the catchment area of the Abutia kloe sub district. Questionnaire was used to collect data from study respondents. The data was entered into a Microsoft Excel Spreadsheet and cleaned and subsequently exported to SPSS (version 22.0) for the data analysis. Data was analysed into simple descriptive statistics Results: The results showed that a significant number of respondents (44.2%) had defaulted at a point during the continued growth monitoring process. The reasons for the default included children had completed major immunization (72.3%), children had started school (57.4%), and poor staff attitude (3.2%). Noteworthy, It depicts that majority of mothers have an idea about the purpose of Growth chart (68%). It is also worth noting that 86.5% of mothers are able to access a Child Welfare Clinic in less than thirty minutes. In addition, the results pointed out that there is a strong association between the level of caregivers’ education and CWC attendance with a chi-square test of 3 and a P-value less than 0.05. Conclusion: Healthcare providers should intensify education on the need to continue growth monitoring up to 59 months even after the completion of major immunization. This goal can be attained if growth monitoring is incorporated into school health activities while policy implementers ensure the full implementation.

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