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Quality of nutrition services in primary health care facilities of Dhaka city: State of nutrition mainstreaming in urban Bangladesh.
Islam Anne, Faugia; Akter, Syeda Mahsina; Sheikh, Sifat Parveen; Ireen, Santhia; Escobar-DeMarco, Jessica; Kappos, Kristen; Ash, Deborah; Rasheed, Sabrina.
Afiliación
  • Islam Anne F; Health Systems and Population Studies Division (HSPSD), Urban Health, icddr,b, Dhaka, Bangladesh.
  • Akter SM; Wageningen University, Wageningen, Netherlands.
  • Sheikh SP; Health Systems and Population Studies Division (HSPSD), Urban Health, icddr,b, Dhaka, Bangladesh.
  • Ireen S; Alive & Thrive, FHI Solutions / FHI 360, Dhaka, Bangladesh.
  • Escobar-DeMarco J; Alive & Thrive, FHI Solutions / FHI 360, Dhaka, Bangladesh.
  • Kappos K; Alive & Thrive, FHI Solutions / FHI 360, Dhaka, Bangladesh.
  • Ash D; Alive & Thrive, FHI Solutions / FHI 360, Dhaka, Bangladesh.
  • Rasheed S; Health Systems and Population Studies Division (HSPSD), Urban Health, icddr,b, Dhaka, Bangladesh.
PLoS One ; 17(12): e0278621, 2022.
Article en En | MEDLINE | ID: mdl-36516160
ABSTRACT

INTRODUCTION:

Despite high prevalence of malnutrition little is known about the quality of nutrition services provided through urban health systems. This study aimed to fill in knowledge gaps on quality of nutrition service provision at public primary health care facilities in urban Dhaka.

METHOD:

This cross-sectional study was conducted from April-July 2019 in Dhaka City. Fifty-three health facilities were sampled following NetCode protocol. Quality of nutrition services was assessed in terms of structural readiness, process, and client satisfaction. Structural readiness included equipment, guidelines, and registers, and knowledge of health professionals (n = 130). For process, client provider interaction was observed (ANC n = 159, Pediatric n = 150). For outcome assessment, client's satisfaction with nutrition service provision was measured through interviews with pregnant women (n = 165) and caregivers of 0-24 month-old children (n = 162). Bivariate and multivariate analyses were conducted using SPSS.

RESULTS:

There were gaps in availability of equipment and guidelines in health facilities. Only 30% of healthcare providers received basic nutrition training. The mean knowledge score was 5.8 (range 0-10) among ANC providers and 7.8 for pediatric service providers. Process Only 17.6% health facilities had dedicated space for counselling, 48.4% of pregnant women received four key nutrition services; 22.6% of children had adequate growth monitoring; and 38.7% of caregivers received counselling on exclusive breastfeeding.

Outcome:

The mean satisfaction with services was 4.3 for ANC and 4.0 for paediatric visits (range 1-5). Participants attending public facilities had significantly lower satisfaction compared to those attending private and NGO health facilities.

CONCLUSION:

There were gaps in facility readiness, and implementation of nutrition services. The clients were more satisfied with services at private facilities compared to public. The gaps in nutrition service delivery need to be adequately addressed to ensure promotion of good nutrition and early detection and management of malnutrition among pregnant women and children in urban Bangladesh.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Desnutrición / Instituciones de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Child / Child, preschool / Female / Humans / Infant / Newborn / Pregnancy País/Región como asunto: Asia Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2022 Tipo del documento: Article País de afiliación: Bangladesh

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Desnutrición / Instituciones de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Child / Child, preschool / Female / Humans / Infant / Newborn / Pregnancy País/Región como asunto: Asia Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2022 Tipo del documento: Article País de afiliación: Bangladesh