scholarly journals Recovery Focused Nutritional Therapy across the Continuum of Care: Learning from COVID-19

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3293
Author(s):  
Emanuele Cereda ◽  
Pere Clavé ◽  
Peter F. Collins ◽  
Anne Holdoway ◽  
Paul E. Wischmeyer
Keyword(s):  
Nutritional Therapy ◽  
Continuum Of Care ◽  
Severe Illness ◽  
Nutrition Interventions ◽  
Patient Journey ◽  
Lack Of Information ◽  
Organisational Knowledge ◽  
Patient Groups ◽  
Hospital To Home ◽  
The Continuum

Targeted nutritional therapy should be started early in severe illness and sustained through to recovery if clinical and patient-centred outcomes are to be optimised. The coronavirus disease 2019 (COVID-19) pandemic has shone a light on this need. The literature on nutrition and COVID-19 mainly focuses on the importance of nutrition to preserve life and prevent clinical deterioration during the acute phase of illness. However, there is a lack of information guiding practice across the whole patient journey (e.g., hospital to home) with a focus on targeting recovery (e.g., long COVID). This review paper is of relevance to doctors and other healthcare professionals in acute care and primary care worldwide, since it addresses early, multi-modal individualised nutrition interventions across the continuum of care to improve COVID-19 patient outcomes. It is of relevance to nutrition experts and non-nutrition experts and can be used to promote inter-professional and inter-organisational knowledge transfer on the topic. The primary goal is to prevent complications and support recovery to enable COVID-19 patients to achieve the best possible nutritional, physical, functional and mental health status and to apply the learning to date from the COVID-19 pandemic to other patient groups experiencing acute severe illness.

scholarly journals Quality-Adjusted Coverage of Nutrition Interventions Across the Continuum of Care: Insights from Household and Health Facility Data in Bangladesh

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 254-254
Author(s):  
Phuong Nguyen ◽  
Long Khuong ◽  
Priyanjana Pramanik ◽  
Purnima Menon ◽  
Sk Masum Billah ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Institutional Delivery ◽  
Continuum Of Care ◽  
Demographic And Health Surveys ◽  
Nutrition Interventions ◽  
Nutrition Services ◽  
Service Readiness ◽  
The Impact ◽  
The Continuum

Abstract Objectives Improving the impact of nutrition interventions requires adequate measurement of both reach and quality of interventions, but limited evidence exists on advancing coverage measurement. We adjust crude health coverage estimates, taking into consideration the inputs required to deliver quality nutrition services, across the continuum of care in Bangladesh. Methods We used data from Bangladesh Demographic and Health Surveys 2014 to assess use of maternal and child health services and Service Provision Assessments 2014 to determine facility readiness to deliver nutrition interventions during antenatal (ANC), institutional delivery, and postnatal care (PNC). Service readiness was computed as the mean availability of four nutrition-specific inputs, capturing human resources and training, equipment, diagnostics, and medicines. Crude coverage was combined with service readiness to create a measure of input-adjusted nutrition coverage at the national and regional levels, across place of residence, and by maternal educational and household socio-economic quintiles. Results Crude coverage varied, with greater use of any ANC (79%) and postnatal care (61–81%), than institutional delivery (37%). Nutrition service readiness was lower than crude coverage at each time point, such that nutrition input-adjusted coverage was 45% for ANC, 25% for institutional delivery, and 38–49% for preventive and sick child postnatal care, respectively. Input-adjusted coverage varied by 10–22 percentage points (pp) between regions within the country. Inequalities in input-adjusted coverage were large during ANC and institutional delivery (12–17 pp between urban and rural areas, ∼17pp between low and high education, and 30–36pp between highest and lowest wealth quintiles), and less variable for postnatal care (<10%). Conclusions Nutrition input-adjusted coverage was suboptimal and varied sub-nationally and across the continuum of care in Bangladesh. Special efforts are needed to improve the reach as well as the quality of health and nutrition services to achieve the Sustainable Development Goals. Funding Sources Bill & Melinda Gates Foundation through A4NH.

scholarly journals Clinical and economic outcomes of nutrition interventions across the continuum of care

2014 ◽  
Vol 1321 (1) ◽  
pp. 20-40 ◽  
Author(s):  
Marian de van der Schueren ◽  
Marinos Elia ◽  
Leah Gramlich ◽  
Michael P. Johnson ◽  
Su Lin Lim ◽  
...  
Keyword(s):  
Continuum Of Care ◽  
Economic Outcomes ◽  
Nutrition Interventions ◽  
The Continuum

scholarly journals Effective coverage of nutrition interventions across the continuum of care in Bangladesh: insights from nationwide cross-sectional household and health facility surveys

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040109
Author(s):  
Phuong Hong Nguyen ◽  
Long Quỳnh Khương ◽  
Priyanjana Pramanik ◽  
Sk Masum Billah ◽  
Purnima Menon ◽  
...  
Keyword(s):  
Child Care ◽  
Sick Child ◽  
Institutional Delivery ◽  
Continuum Of Care ◽  
Child Growth ◽  
Growth Monitoring ◽  
Nutrition Interventions ◽  
Nutrition Services ◽  
Service Readiness ◽  
The Continuum

IntroductionImproving the impact of nutrition interventions requires adequate measurement of both reach and quality of interventions, but limited evidence exists on advancing coverage measurement. We adjusted contact-based coverage estimates, taking into consideration the inputs required to deliver quality nutrition services, to calculate input-adjusted coverage of nutrition interventions across the continuum of care from pregnancy through early childhood in Bangladesh.MethodsWe used data from the 2014 Bangladesh Demographic and Health Surveys to assess use of maternal and child health services and the 2014 Service Provision Assessment to determine facility readiness to deliver nutrition interventions. Service readiness captured availability of nutrition-specific inputs (including human resources and training, equipment, diagnostics and medicines). Contact coverage was combined with service readiness to create a measure of input-adjusted coverage at the national and regional levels, across place of residence, and by maternal education and household socioeconomic quintiles.ResultsContact coverage varied from 28% for attending at least four ANC visits to 38% for institutional delivery, 35% for child growth monitoring and 81% for sick child care. Facilities demonstrated incomplete readiness for nutrition interventions, ranging from 48% to 51% across services. Nutrition input-adjusted coverage was suboptimal (18% for ANC, 23% for institutional delivery, 20% for child growth monitoring and 52% for sick child care) and varied between regions within the country. Inequalities in input-adjusted coverage were large during ANC and institutional delivery (14–17 percentage points (pp) between urban and rural areas, 15 pp between low and high education, and 28-34 pp between highest and lowest wealth quintiles) and less variable for sick child care (<2 pp).ConclusionNutrition input-adjusted coverage was suboptimal and varied subnationally and across the continuum of care in Bangladesh. Special efforts are needed to improve the reach as well as the quality of health and nutrition services to achieve the Sustainable Development Goals.

scholarly journals Measuring the coverage of nutrition interventions along the continuum of care: time to act at scale

2019 ◽  
Vol 4 (Suppl 4) ◽  
pp. e001290 ◽  
Author(s):  
Stuart Gillespie ◽  
Purnima Menon ◽  
Rebecca Heidkamp ◽  
Ellen Piwoz ◽  
Rahul Rawat ◽  
...  
Keyword(s):  
Data Collection ◽  
Case Studies ◽  
Continuum Of Care ◽  
High Impact ◽  
Acute Malnutrition ◽  
Growth Monitoring ◽  
Nutrition Interventions ◽  
Core Set ◽  
Coverage Measurement ◽  
The Continuum

The global community is committed to addressing malnutrition. And yet, coverage data for high-impact interventions along the continuum of care remain scarce due to several measurement and data collection challenges. In this analysis paper, we identify 24 nutrition interventions that should be tracked by all countries, and determine if their coverage is currently measured by major household nutrition and health surveys. We then present three case studies, using published literature and empirical data from large-scale initiatives, to illustrate the kind of data collection innovations that are feasible. We find that data are not routinely collected in a standardised way across countries for most of the core set of interventions. Case studies—of growth monitoring and screening for acute malnutrition, infant and young child feeding counselling, and nutrition monitoring in India—highlight both challenges and potential solutions. Advancing the nutrition intervention coverage measurement agenda is essential for sustained progress in driving down rates of malnutrition. It will require (1) global consensus on a core set of validated coverage indicators on proven, high-impact nutrition-specific interventions; (2) the inclusion of coverage measurement and indicator guidance in WHO intervention recommendations; (3) the incorporation of these indicators into data collection mechanisms and relevant intervention delivery platforms; and (4) an agenda for continuous measurement improvement.

Gaining patient experience insights

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Maitane GARCÍA-LÓPEZ ◽  
Ester VAL ◽  
Ion IRIARTE ◽  
Raquel OLARTE
Keyword(s):  
Type 1 Diabetes ◽  
Patient Experience ◽  
Patient Perspective ◽  
Continuum Of Care ◽  
Theoretical Framework ◽  
Cognitive Responses ◽  
The Continuum

Taking patient experience as a basis, this paper introduces a theoretical framework, to capture insights leading to new technological healthcare solutions. Targeting a recently diagnosed type 1 diabetes child and her mother (the principal caregiver), the framework showed its potential with effective identification of meaningful insights in a generative session. The framework is based on the patient experience across the continuum of care. It identifies insights from the patient perspective: capturing patients´ emotional and cognitive responses, understanding agents involved in patient experience, uncovering pain moments, identifying their root causes, and/or prioritizing actions for improvement. The framework deepens understanding of the patient experience by providing an integrated and multi-leveled structure to assist designers to (a) empathise with the patient and the caregiver throughout the continuum of care, (b) understand the interdependencies around the patient and different agents and (c) reveal insights at the interaction level.

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