scholarly journals Healthcare providers and caregivers’ perspectives on factors responsible for persistent malnutrition of under 5 children in Buhweju district, South Western Uganda; a phenomenological qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine N. Abaasa ◽  
Godfrey Zari Rukundo ◽  
Savino Ayesiga ◽  
Susan Pearl Atukunda ◽  
Susan Campisi ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Qualitative Study ◽  
Social Services ◽  
Healthcare Providers ◽  
Parental Alcoholism ◽  
Team Members ◽  
Under Five ◽  
Childhood Malnutrition ◽  
Under Five Children ◽  
Western Uganda

Abstract Background Unacceptably high levels of childhood malnutrition have been registered in all regions of Uganda over the years. Buhweju district alone contributed 46% prevalence of childhood malnutrition to the 47.8% estimated national prevalence for the whole of western Uganda in 2014. This study assessed health provider and caregiver opinions on factors responsible for persistent malnutrition among under five children in Engaju and Nyakishana sub counties. Methods In this phenomenological qualitative study, we conducted two key informant interviews and six focus group discussions with Village Health Team members and care takers of under five children in Engaju and Nyakishana sub-counties respectively.to explore their opinions on the factors responsible for persistent malnutrition in Buhweju District in May 2018. Data were thematically analyzed manually and using Atals Ti 7.5. Results Historical and geographical challenges, poverty and economic occupation, parental alcoholism and domestic violence as well as inadequate childcare services were identified as factors responsible for persistent malnutrition among under five children in Engaju and Nyakishana sub counties. Conclusion Persistent malnutrition in under five children is mainly due to historical and geographical challenges and its associated factors that include poverty and economic occupation, parental alcoholism and domestic violence and inadequate childcare services. Thus literacy education for mothers and young adolescent boys and girls through engaging local leaders, local nongovernmental organizations and Companies operating in the district to contribute to social services provision would limit the domestic violence and increase sensitization on male responsibilities in the children care in Buhweju district.

scholarly journals Healthcare providers and Caregivers’ perspectives on factors underlying the persistent malnutrition of Children aged 0-59 months in Buhweju district, southwestern Uganda

2020 ◽  
Author(s):  
Abaasa N Catherine ◽  
Godfrey Zari Rukundo ◽  
Savino Ayesiga ◽  
Susan Pearl Atukunda ◽  
Susan Campisi ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Healthcare Providers ◽  
Well Being ◽  
Nutrition Status ◽  
District Health ◽  
Parental Alcoholism ◽  
Team Members ◽  
Health Team ◽  
Education And Health ◽  
Village Health Team

Abstract Background The nutritional well-being of infants and young children is influenced by economic, environmental and maternal factors that range from food intake, health, sanitation and care. All regions of Uganda have registered unacceptably high levels of childhood malnutrition over the years, although with an uneven distribution across regions. This study assessed health provider and caregiver perspectives on factors responsible for persistent malnutrition among children aged 0-59 months in Engaju and Nyakishana sub counties in Buhweju district.Methods In this phenomenological qualitative study, we conducted six Focus group discussions with Village Health Team members and care takers of children aged 0-59 months in Engaju and Nyakishana sub-counties and two key informant interviews with two members of the district health team to explore their perceptives on the factors responsible for persistent malnutrition in Buhweju District in May 2018. Data were thematically analyzed manually and using Atals Ti 7.5Results Historical and geographical challenges, poverty and economic occupation, parental alcoholism and domestic violence as well as inadequate childcare services were identified as factors responsible for persistent malnutrition among children aged 0-59 months in Engaju and Nyakishana sub counties in Buhweju district Conclusion Persistent malnutrition in children aged 0-59 months in Buhweju district is mainly due to historical and geographical challenges and its associated factors that include poverty and economic occupation, parental alcoholism and domestic violence and inadequate childcare services . Addressing these factors from the grassroots up through, multisectoral collaboration between infrastructure, Agriculture, Education and health, engaging communities and effective policy changes and implementation has the potential to improve the nutrition status of children in Buhweju district

scholarly journals Childhood Malnutrition and Its Determinants among Under-Five Children in Ghana

2015 ◽  
Vol 29 (6) ◽  
pp. 552-561 ◽  
Author(s):  
Justice Moses K. Aheto ◽  
Thomas J. Keegan ◽  
Benjamin M. Taylor ◽  
Peter J. Diggle
Keyword(s):  
Under Five ◽  
Childhood Malnutrition ◽  
Under Five Children

scholarly journals Child malnutrition and mortality in Swaziland: Situation analaysis of the immediate, underlying and basic causes

2012 ◽  
Vol 12 (50) ◽  
pp. 5994-6006
Author(s):  
SKS Masuku-Maseko ◽  
◽  
EE Owaga ◽  
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Urban Areas ◽  
Child Nutrition ◽  
Child Malnutrition ◽  
Live Births ◽  
Under Five ◽  
Childhood Malnutrition ◽  
Under Five Children ◽  
Depth Analysis

Malnutrition is a major confounding factor for child morbidity and mortality in developing countries. In Swaziland, about 31% of the under-five children are stunted in growth, where-as 1% and 6% are wasted and underweight, respectively. Hhohho region has the highest prevalence of underweight children (8.2%) relative to other regions such as Shiselweni (7.3%), Lubombo (6.7%) and Manzini (6.4%). The prevalence of infant and under-five children mortality rate (per 1,000 live births) are 85 and 102 deaths, respectively. Lubombo region has the highest cases of under-five mortality rate (deaths per 1,000 live births) of 115 when compared to rates in other regions, namely; Manzini (112), Shiselweni (100) and Hhohho (96). Despite the several child healthcare programmes, the problem of high child malnutrition places a significant hindrance towards the attainment of the Millennium Development Goals (MDG) 4 on reduction of child mortality. Potential determinants of childhood malnutrition and mortality in Swaziland can be categorized into three levels, namely: (a) immediate causes (inadequate dietary intake of protein, energy and micronutrients; diseases such as pneumonia, diarrhoeal diseases and HIV/AIDS, (b) underlying causes (inadequate access to food due to poverty and decline in food production; inadequate care of children and women, insufficient health services and unhealthy environment), and (c) basic causes (inadequate mother’s education and nutrition knowledge, insufficient human resources in child health care; inadequate policies on child nutrition and health care; inequitable distribution of household and national socioeconomic resources). This paper presents an in-depth analysis of the causal factors of childhood malnutrition and mortality in Swaziland, and further explores opportunities that could be adopted to address the malnutrition and mortality problem. It also aims to reinforce that in order to ensure effectiveness and sustainability of intervention programmes, there is need for multi-dimensional strategies and collaboration between all the stakeholders concerned with child nutrition, health and socio-economic development. However, the interventions must recognize the existing socio-economic differentials between the rural and urban areas, and the administrative regions.

scholarly journals Prevalence of malnutrition and associated risk factors among under-five children in Amhara Region, Ethiopia: evidence from 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Damitie Kebede Mengesha ◽  
Yidnekachew Merkeb
Keyword(s):  
Health Survey ◽  
Household Head ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Binary Logistic Regression Analysis ◽  
Amhara Region ◽  
Under Five ◽  
Childhood Malnutrition ◽  
Under Five Children ◽  
Associated Risk Factors

Abstract Background Childhood malnutrition is the most widely prevalent among under-five children in Amhara Region, Ethiopia. This study intended to explore the major determinants of malnutrition and its association with anemia among under-five children in Amhara Region, Ethiopia.Methods The data from the 2016 Ethiopian Demographic and Health Survey were used. A total of 977 under-five children were included in this analysis. A multivariable binary logistic regression analysis was used at a 5% level of significance to determine the individual- and community-level factors associated with childhood malnutrition. Results The prevalence of stunting, wasting, and underweight were 46.3%, 9.8%, and 28.4%, respectively. About 23.1% of children were both stunting and underweight, 7.3% were both underweight and wasting, and only 4.5% of children had all the three conditions. Among the factors considered in this study, Age of child in months, size of child at birth, mother highest education level, sex of household head, sources of drinking water, and type of toilet facility were significantly associated with malnutrition in Amhara Region. Conclusion Malnutrition among under-five children was one of the public health problems in the Amhara Region. The influence of these factors should be considered to develop strategies for reducing malnutrition in Amhara Region. Finally improving the living standards of the children is important to get better health care, to enhance the child’s nutritional status, and reduce child mortality.

scholarly journals Peer support workers as a bridge: a qualitative study exploring the role of peer support workers in the care of people who use drugs during and after hospitalization

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Robin Lennox ◽  
Larkin Lamarche ◽  
Tim O’Shea
Keyword(s):  
Qualitative Study ◽  
Peer Support ◽  
Healthcare Providers ◽  
People Who Use Drugs ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Support Worker ◽  
Team Members ◽  
Key Stakeholders

Abstract Background To describe the key qualities and unique roles of peer support workers in the care of people who inject drugs during and after hospitalization. Methods We conducted a qualitative study. Key stakeholders were recruited including: people who use drugs who had been hospitalized, healthcare team members, peer support workers, and employers of peer support workers. Data were collected from 2019 to 2020 using semi-structured interviews that were audio-recorded, transcribed, and analyzed thematically. Results Fourteen participants were interviewed: 6 people who use drugs who had been hospitalized, 5 healthcare team members, 2 peer support workers, and 1 employer of peer support workers. At the core of the data was the notion of peer workers acting as a bridge. We found four themes that related to functions of this bridge: overcoming system barriers, advocacy, navigating transitions within the healthcare system, and restoring trust between HCPs and PWUD. We found two themes for building a strong bridge and making the role of a peer support worker function effectively (training and mentorship, and establishing boundaries). We found three themes involving characteristics of an effective peer worker (intrinsic qualities, contributions of shared experiences, and personal stability). Conclusion Peer support workers are highly valued by both people who use drugs and members of the healthcare team. Peer support workers act as a bridge between patients and healthcare providers and are critical in establishing trust, easing transitions in care, and providing unique supports to people who use drugs during and after hospitalization.

scholarly journals Healthcare Providers and Caregivers’ Perspectives on Factors Underlying the Persistent Malnutrition of Children Aged 0-59 Months in Buhweju District, Southwestern Uganda

2020 ◽  
Author(s):  
Abaasa N Catherine ◽  
Catherine N Abaasa ◽  
Godfrey Zari Rukundo ◽  
Savino Ayesiga ◽  
Susan Pearl Atukunda ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Well Being ◽  
Nutrition Status ◽  
Growth Monitoring ◽  
Group Discussions ◽  
Team Members ◽  
Village Health Team ◽  
Western Uganda ◽  
The Impact ◽  
Southwestern Uganda

Abstract Background Nutritional well-being is fundamental to the attainment of the full social, economic, mental and physical potential of individuals, communities and populations. The nutritional well-being of infants and young children is positively and negatively affected by economic, environmental and maternal factors that range from food intake, health, sanitation and care. Several initiatives such as growth monitoring, vitamin A distribution, deworming programs have been undertaken to reduce the impact of nutritional deficiency and promotion of health of children under five years in Uganda. All regions of Uganda have registered unacceptably high levels of childhood malnutrition over the years, although with an uneven distribution across regions. Western Uganda has persistently registered the highest levels of malnutrition with Buhweju district having the highest levels above the national average. This study assessed health provider and caregiver perspectives on factors responsible for persistent malnutrition among children aged 0-59 months in Engaju and Nyakishana sub counties in Buhweju district.Methods Focus group discussions and key informant interviews with Village Health Team members and care takers of children aged 0-59 months in Engaju and Nyakishana sub-counties and healthcare providers in Buhweju district were conducted respectively to explore their perceptives on the factors responsible for persistent malnutrition in Buhweju District in May 2018.Results Inadequate childcare services, poverty and economic occupation, parental alcoholism and domestic violence as well as historic and geographic challenges were identified as factors responsible for persistent malnutrition among children aged 0-59 months in Engaju and Nyakishana sub counties in Buhweju district Conclusion Several factors are responsible for persistent malnutrition of children aged 0-59 months in Buhweju. Some can be readily addressed and should lead to improvement in the nutrition status of children in Buhweju district.

scholarly journals Predictors of in-hospital mortality among under-five children with severe acute malnutrition in South-Western Uganda

PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0234343
Author(s):  
Timothy Nduhukire ◽  
Daniel Atwine ◽  
Luwaga Rachel ◽  
Joseph E. Byonanebye
Keyword(s):  
Hospital Mortality ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Under Five ◽  
Under Five Children ◽  
Western Uganda

Determinants of non-adherence to home injury prevention practice among parents of under-five children in North Seberang Perai district, Penang: A mixed-methods study protocol (Preprint)

2020 ◽  
Author(s):  
Nurul Abdul ◽  
Hayati Kadir @ Shahar ◽  
Nor Afiah Mohd Zulkefli ◽  
Ahmad Iqmer Nashriq Mohd Nazan
Keyword(s):  
Mixed Methods ◽  
Linear Regression ◽  
Qualitative Study ◽  
Injury Prevention ◽  
Quantitative Study ◽  
Mixed Methods Study ◽  
Under Five ◽  
Under Five Children ◽  
Home Injury ◽  
At Home

BACKGROUND Unintentional injury is a global burden of disease that occurs everywhere, including our home. Young children are most vulnerable to home injuries because they are still developing their physical and psychological skills and spent most of their time at home. Despite being largely preventable, three consecutive national surveys show no reduction in the rate of injury among children under-five. More surprising, children from high-income families were found to have the highest incidence of injury, contradicting the findings from other countries. OBJECTIVE This study aims to identify the determinants of a non-adherence to unintentional home injury prevention practice among parents of under-five children in North Seberang Perai district, Penang. METHODS This sequential explanatory mixed-methods study consists of two phases starting with a quantitative study looking into respondents and their child’s sociodemographic status and their home injury prevention practice, followed by a qualitative study that interview parents with a low level of home injury prevention practice. In phase I, the parent or primary caregiver of a child age less than five years old who age 18 or older and is a Malaysian will be included in the study while being disabled or having a severe psychiatric disorder or having the index child diagnosed with chronic disease will make them not eligible to participate in the study. Derived using two population means formula, a sample size of 495 parents will be sampled among those with under-five children following up at the Maternal Child Health Department in the health clinics of North Seberang Perai using stratified systematic sampling. Independent t-test/Mann Whitney U, simple linear regression and multiple linear regression will be used for data analysis. The sample will be stratified according to household income to look for associated factors and determinants of low prevention practice. In phase II, parents with a low score from the quantitative study will be selected to participate in the qualitative study using purposive sampling. A semi-structured interview using the help of an interview guide will be carried out and recorded with a voice recorder. Thematic analysis approach will be used to analyse the qualitative data. RESULTS The study has been registered under the National Medical Research Registry and awaiting ethical approval. CONCLUSIONS It is hoped that findings from this study can shed light on the barriers faced by under-five parents in carrying out preventive measures at home.

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