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Evaluation of Child Health Care Services in Health Facilities in Nsukka Urban of Enugu State

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Evaluation of Child Health Care Services in Health Facilities in Nsukka Urban of Enugu State.


Evaluation of child health care services in health  facilities  in Nsukka  Urban is the main focus  of this work. To achieve the purpose of this work, 430 mothers and 156 health care providers were used to collect quantitative data for the establishment of the baseline data.

The instrument for data collection was the evaluation of child health care questionnaire comprised of two questionnaires, which helped to gain responses from mothers and health care providers respectively.

The data collected was analyzed using arithmetic mean and percentages for the research questions and t-test statistics for the hypotheses.

The findings of the study showed that the components of child health care services proved supportive in the  improvement  of  children’s health status in Nsukka urban and staff were reasonably commended as competent in their effort ensure quality care for children in health facilities.

The findings of the study also showed that the investigated administrative problems and strategies for improvement in child health care services were considerable and should constitute part of the established standard protect providers in their practice in order to avoid obstacles and uphold high quality care for children.


Title Page
Approval Page
Table of Contents
List of Tables


Background to the Study – – – – – – – – 1
Statement of the Problem – – – – – – – – 8
Purpose of the Study – – – – – – – – – 9
Research Questions – – – – – – – – – 10
Hypotheses – – – – – – – – – – 10
Significance of the Study – – – – – – – – 10
Scope of the Study – – – – – – – – – 12

CHAPTER TWO: Review of Related Literature

Conceptual Framework
Theoretical Framework
Objectives and Importance of Child Health Care – – – – – 28
Factors Affecting the Provision of Child Health Care Services – – – 30
Studies on Child Health Care Services – – – – – – 32
Summary of Literature – – – – – – – – 38


Research Design – – – – – – – – – 39
Population for the Study – – – – – – – – 39
Sample and Sampling Technique – – – – – – – 40
Instrument for Data Collection – – – – – – – 40
Validity of instrument – – – – – – – – 40
Reliability of instrument – – – – – – – 40
Method of Data Collection – – – – – – – – 41
Method of Data Analysis – – – – – – – – 41

CHAPTER FOUR: Results and Discussion

Summary of Major Findings
Discussion of Findings
Efficiency of Immunization Services Provided Health Facilities for Children
Reliability of Growth Monitoring and Screening Tests
Provided in Health Facilities for Children
Effectiveness of the Curative Services Provided in Health Facilities for Children
Reliability of the Emergency Services Avaialable in Health Facilities for Children
Usefulness of Nutritional Service Available in Health Facilities for Children
Consistency of Health Education Services Available
Competency of Staff who Provide Care for Children on Health Facilities.
Problems that Affects the Provision of Child Health Care in Health Facilities
Administrative Strategies for Improvement in Child Health Care in Health Facilities
Difference in the Quality of Services Competency of Staff and administrative Problems of
Public and Private Health Facilities.

CHAPTER FIVE: Summary, Conclusion and Recommendations

Summary – – – – – – – – – – 65
Conclusion – – – – – – – – – – 68
Implications of the Study
Recommendations – – – – – – – – – 69
Suggestion for Further Study – – – – – – – – 69


Child health was once part of adult medicine, but emerged in the 19th and early 20th century as a medical specialty because of the gradual awareness that the health problems of children are different from those of grown ups and that response to illness and medication depends upon the age of the child (Hetch & Shiel, 2006).

Children are the  promise and future   of every nation and the core of development which made World Health Organization-WHO (2004) observe that investing in children’s health and  development  means investing in future of a nation.

Children are vulnerable group whose needs and rights must be protected including the right to health and development.

Paediatricts (2004) also reported that advances in prenatal intensive care have been associated with improved survival of high risk neonates, but have not resulted in decreased morbidity in children. This helped to bring about child  health  care  services.

Child health care services according to Turmen (2006) are provisions made to improve optimal growth and development in infancy and childhood through disease prevention, good nutrition and health supervision.

Hetch and Shiel (2006) defined child health care as services which focus on the well-being of children from conception and is concerned with all aspects of children’s growth and development and with the unique opportunities that each child has to achieve his or her full potential as a healthy adult.

According to Onuzulike (2005), child care services are total care and services rendered to children 0 – 5 years in order to maintain their healthy living.

Therefore, child health care services are efficient strategies provided by health workers in order to promote health and prevent diseases, disabilities and death in children through simple cost effective measures.


Action Now (1981). Action now on maternal and child health. World Health Forum, 2 (1), 79– 81.

Agbaje, O. S. (2006). Constraints to provision and utilization of basic water supply and sanitation facilities in Nsukka. Unpublished masters project. University of  Nigeria, Nsukka.

Agency for Health Care Research and quality-AHRQ (2004). The  Pocket guide  to  good health  for children. New York: Department of Health and Human services.

Agency for Health Care Research and Quality-AHRQ (2007). Advancing excellence in health care.

Akubue, P. I. (2000). Health checks and promotion: Your personal guide to a long active life. Enugu: Snaap Press.

Akuezuilo, E. O., & Agu, N. (2002). Research and statistics in education and social sciences. Methods and applications Awka: Nuel Centi Publishers and academic press.

American Academy of Paediatrics (2001). Periodic survey of fellows 46. EIK Groove Village: American Academy of Paediatrics.

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