Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh
The National Nutrition Services of Bangladesh aims to deliver nutrition services through the primary health care system. Little is known about the feasibility of reshaping service delivery to close gaps in nutrition intervention coverage and utilization. We used a scenario-based feasibility testing...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
Wiley
2022
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/141369 |
| _version_ | 1855543671804395520 |
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| author | Nguyen, Phuong Hong Pramanik, Priyanjana Billah, Sk Masum Avula, Rasmi Ferdous, Tarana E. Sarker, Bidhan K. Rahman, Musfikur Ireen, Santhia Mahmud, Zeba Menon, Purnima Ash, Deborah |
| author_browse | Ash, Deborah Avula, Rasmi Billah, Sk Masum Ferdous, Tarana E. Ireen, Santhia Mahmud, Zeba Menon, Purnima Nguyen, Phuong Hong Pramanik, Priyanjana Rahman, Musfikur Sarker, Bidhan K. |
| author_facet | Nguyen, Phuong Hong Pramanik, Priyanjana Billah, Sk Masum Avula, Rasmi Ferdous, Tarana E. Sarker, Bidhan K. Rahman, Musfikur Ireen, Santhia Mahmud, Zeba Menon, Purnima Ash, Deborah |
| author_sort | Nguyen, Phuong Hong |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | The National Nutrition Services of Bangladesh aims to deliver nutrition services through the primary health care system. Little is known about the feasibility of reshaping service delivery to close gaps in nutrition intervention coverage and utilization. We used a scenario-based feasibility testing approach to assess potential implementation improvements to strengthen service delivery. We conducted in-depth interviews with 31 service providers and 12 policymakers, and 5 focus group discussions with potential beneficiaries. We asked about the feasibility of four hypothetical scenarios for preventive and promotive nutrition service delivery: community-based events (CBE) for pregnant women, well-child services integrated into immunization contacts; CBE for well-children, and well-child visits at facilities. Opinions on service delivery platforms were mixed; some recommended new platforms, but others suggested strengthening existing delivery points. CBE for pregnant women was perceived as feasible, but workforce shortages emerged as a key barrier. Challenges such as equipment portability, upset children and a fast-moving service environment suggested low feasibility of integrating nutrition into outreach immunization contacts. In contrast, CBE and facility-based well-child visits emerged as feasible options, conditional on having the necessary workforce, structural readiness and budget support. On the demand side, enabling factors include using interpersonal communication and involving community leaders to increase awareness, organizing events at a convenient time and place for both providers and beneficiaries, and incentives for beneficiaries to encourage participation. In conclusion, integrating preventive and promotive nutrition services require addressing current challenges in the health system, including human resource and logistic gaps, and investing in creating demand for preventive services. |
| format | Journal Article |
| id | CGSpace141369 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1413692025-10-26T13:02:11Z Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh Nguyen, Phuong Hong Pramanik, Priyanjana Billah, Sk Masum Avula, Rasmi Ferdous, Tarana E. Sarker, Bidhan K. Rahman, Musfikur Ireen, Santhia Mahmud, Zeba Menon, Purnima Ash, Deborah maternal and child health infants child nutrition pregnancy health child health nutrition children maternal nutrition health care communities The National Nutrition Services of Bangladesh aims to deliver nutrition services through the primary health care system. Little is known about the feasibility of reshaping service delivery to close gaps in nutrition intervention coverage and utilization. We used a scenario-based feasibility testing approach to assess potential implementation improvements to strengthen service delivery. We conducted in-depth interviews with 31 service providers and 12 policymakers, and 5 focus group discussions with potential beneficiaries. We asked about the feasibility of four hypothetical scenarios for preventive and promotive nutrition service delivery: community-based events (CBE) for pregnant women, well-child services integrated into immunization contacts; CBE for well-children, and well-child visits at facilities. Opinions on service delivery platforms were mixed; some recommended new platforms, but others suggested strengthening existing delivery points. CBE for pregnant women was perceived as feasible, but workforce shortages emerged as a key barrier. Challenges such as equipment portability, upset children and a fast-moving service environment suggested low feasibility of integrating nutrition into outreach immunization contacts. In contrast, CBE and facility-based well-child visits emerged as feasible options, conditional on having the necessary workforce, structural readiness and budget support. On the demand side, enabling factors include using interpersonal communication and involving community leaders to increase awareness, organizing events at a convenient time and place for both providers and beneficiaries, and incentives for beneficiaries to encourage participation. In conclusion, integrating preventive and promotive nutrition services require addressing current challenges in the health system, including human resource and logistic gaps, and investing in creating demand for preventive services. 2022-07 2024-04-12T13:37:46Z 2024-04-12T13:37:46Z Journal Article https://hdl.handle.net/10568/141369 en https://doi.org/10.1093/cdn/nzaa043_116 Open Access Wiley Nguyen, Phuong Hong; Pramanik, Priyanjana; Billah, Sk. Masum; Avula, Rasmi; Ferdous, Tarana; Sarker, Bidhan K.; Rahman, Musfikur; Ireen, Santhia; Mahmud, Zeba; Menon, Purnima; and Ash, Deborah. 2022. Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh. Maternal and Child Nutrition 18(3): e13366. https://doi.org/10.1111/mcn.13366 |
| spellingShingle | maternal and child health infants child nutrition pregnancy health child health nutrition children maternal nutrition health care communities Nguyen, Phuong Hong Pramanik, Priyanjana Billah, Sk Masum Avula, Rasmi Ferdous, Tarana E. Sarker, Bidhan K. Rahman, Musfikur Ireen, Santhia Mahmud, Zeba Menon, Purnima Ash, Deborah Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh |
| title | Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh |
| title_full | Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh |
| title_fullStr | Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh |
| title_full_unstemmed | Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh |
| title_short | Using scenario-based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh |
| title_sort | using scenario based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in bangladesh |
| topic | maternal and child health infants child nutrition pregnancy health child health nutrition children maternal nutrition health care communities |
| url | https://hdl.handle.net/10568/141369 |
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