Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh
Background In 2011, the Bangladesh Government introduced the National Nutrition Services (NNS) by leveraging the existing health infrastructure to deliver nutrition services to pregnant woman and children. This study examined the quality of nutrition services provided during antenatal care (ANC) and...
| Autores principales: | , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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Public Library of Science
2017
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| Acceso en línea: | https://hdl.handle.net/10568/148185 |
| _version_ | 1855534928559603712 |
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| author | Billah, Masum Saha, Kuntal K. Khan, Abdullah Nurus Salam Chowdhury, Ashfaqul Haq Garnett, Sarah P. Arifeen, S. E. Menon, Purnima |
| author_browse | Arifeen, S. E. Billah, Masum Chowdhury, Ashfaqul Haq Garnett, Sarah P. Khan, Abdullah Nurus Salam Menon, Purnima Saha, Kuntal K. |
| author_facet | Billah, Masum Saha, Kuntal K. Khan, Abdullah Nurus Salam Chowdhury, Ashfaqul Haq Garnett, Sarah P. Arifeen, S. E. Menon, Purnima |
| author_sort | Billah, Masum |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background In 2011, the Bangladesh Government introduced the National Nutrition Services (NNS) by leveraging the existing health infrastructure to deliver nutrition services to pregnant woman and children. This study examined the quality of nutrition services provided during antenatal care (ANC) and management of sick children younger than five years. Methods Service delivery quality was assessed across three dimensions; structural readiness, process and outcome. Structural readiness was assessed by observing the presence of equipment, guidelines and register/reporting forms in ANC rooms and consulting areas for sick children at 37 primary healthcare facilities in 12 sub-districts. In addition, the training and knowledge relevant to nutrition service delivery of 95 healthcare providers was determined. The process of nutrition service delivery was assessed by observing 381 ANC visits and 826 sick children consultations. Satisfaction with the service was the outcome and was determined by interviewing 541 mothers/caregivers of sick children. Results Structural readiness to provide nutrition services was higher for ANC compared to management of sick children; 73% of ANC rooms had >5 of the 13 essential items while only 13% of the designated areas for management of sick children had >5 of the 13 essential items. One in five (19%) healthcare providers had received nutrition training through the NNS. Delivery of the nutrition services was poor: <30% of women received all four key antenatal nutrition services, 25% of sick children had their weight checked against a growth-chart and <1% had their height measured. Nevertheless, most mothers/caregivers rated their satisfaction of the service above average. Conclusions Strengthening the provision of equipment and increasing the coverage of training are imperative to improve nutrition services. Inherent barriers to implementing nutrition services in primary health care, especially high caseloads during the management of sick under-five children, should be considered to identify alternative and appropriate service delivery platforms before nationwide scale up. |
| format | Journal Article |
| id | CGSpace148185 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Public Library of Science |
| publisherStr | Public Library of Science |
| record_format | dspace |
| spelling | CGSpace1481852025-10-28T10:12:08Z Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh Billah, Masum Saha, Kuntal K. Khan, Abdullah Nurus Salam Chowdhury, Ashfaqul Haq Garnett, Sarah P. Arifeen, S. E. Menon, Purnima pregnancy equipment child health nutrition health care Background In 2011, the Bangladesh Government introduced the National Nutrition Services (NNS) by leveraging the existing health infrastructure to deliver nutrition services to pregnant woman and children. This study examined the quality of nutrition services provided during antenatal care (ANC) and management of sick children younger than five years. Methods Service delivery quality was assessed across three dimensions; structural readiness, process and outcome. Structural readiness was assessed by observing the presence of equipment, guidelines and register/reporting forms in ANC rooms and consulting areas for sick children at 37 primary healthcare facilities in 12 sub-districts. In addition, the training and knowledge relevant to nutrition service delivery of 95 healthcare providers was determined. The process of nutrition service delivery was assessed by observing 381 ANC visits and 826 sick children consultations. Satisfaction with the service was the outcome and was determined by interviewing 541 mothers/caregivers of sick children. Results Structural readiness to provide nutrition services was higher for ANC compared to management of sick children; 73% of ANC rooms had >5 of the 13 essential items while only 13% of the designated areas for management of sick children had >5 of the 13 essential items. One in five (19%) healthcare providers had received nutrition training through the NNS. Delivery of the nutrition services was poor: <30% of women received all four key antenatal nutrition services, 25% of sick children had their weight checked against a growth-chart and <1% had their height measured. Nevertheless, most mothers/caregivers rated their satisfaction of the service above average. Conclusions Strengthening the provision of equipment and increasing the coverage of training are imperative to improve nutrition services. Inherent barriers to implementing nutrition services in primary health care, especially high caseloads during the management of sick under-five children, should be considered to identify alternative and appropriate service delivery platforms before nationwide scale up. 2017 2024-06-21T09:24:00Z 2024-06-21T09:24:00Z Journal Article https://hdl.handle.net/10568/148185 en Open Access Public Library of Science Billah, Masum; Saha, Kuntal Kumar; Khan, Abdullah Nurus Salam; Chowdhury, Ashfaqul Haq; Garnett, Sarah P.; Arifeen, S. E.; and Menon, Purnima. 2017. Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh. PLoS One 12(5): e0178121: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178121 |
| spellingShingle | pregnancy equipment child health nutrition health care Billah, Masum Saha, Kuntal K. Khan, Abdullah Nurus Salam Chowdhury, Ashfaqul Haq Garnett, Sarah P. Arifeen, S. E. Menon, Purnima Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh |
| title | Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh |
| title_full | Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh |
| title_fullStr | Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh |
| title_full_unstemmed | Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh |
| title_short | Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh |
| title_sort | quality of nutrition services in primary health care facilities implications for integrating nutrition into the health system in bangladesh |
| topic | pregnancy equipment child health nutrition health care |
| url | https://hdl.handle.net/10568/148185 |
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