Purpose This study aims to estimate the magnitude of undernutrition and its associated factors [especially child health interventions at Child Welfare Clinics (CWCs)] among children in Techiman Municipality, Ghana. Design/methodology/approach A facility-based analytical cross-sectional design involving 403 mothers/caregivers with children. Simple random sampling was used to sample study sites and participants. Child health interventions were assessed by adapting items used in the Ghana Demographics and Health Survey. Weight and length of children were measured and used to calculate anthropometric z-scores based on World Health Organization guidelines. Test for associations was performed using bivariate analysis and multivariate logistic regression. Statistical significance was considered at p < 0.05. Findings The magnitudes of stunting, wasting and underweight were 20.6% [95% confidence interval (CI): 17–25], 11.4% (95% CI: 9–15), and 9.7% (95% CI: 7–13) respectively. Children aged 12–17 months [odds ratio (OR) = 3.1; CI: 1.3–7.5], male children (OR = 5.2; CI: 2.7–10.0) and children attending CWC 19–22 times (OR = 28.8; CI: 6.6–125) had increased odds of stunting. Additionally, belonging to households with one child under 5 (OR = 2.7; CI: 1.4–5.1) and using borehole/well water (OR = 2.7; CI: 1.4–5.3) were associated with increased odds of stunting. Similarly, being a female (OR = 3.5; CI: 1.6–8.0) and using borehole/well water (OR = 2.1; CI: 1.0–4.2) were associated with increased odds of underweight. Originality/value The magnitude of malnutrition, specifically stunting and wasting, exceeds the threshold for public health significance. CWC attendance frequency, age and sex of the child, number of children under five years old in households and water source were significantly associated with undernutrition.
Introduction: Understanding the experiences of women diagnosed with GDM can improve GDM care. Therefore, this study aimed to investigate the perspectives of women in northern Ghana who had been diagnosed with GDM regarding screening and management. Methods: This was a facility-based qualitative cross-sectional study among purposively sampled women diagnosed with GDM and were receiving care from healthcare providers. Women were asked about their reaction on being diagnosed with gestational diabetes, experience with care, training, self-monitoring, and challenges with management of gestational diabetes and data obtained were analysed using thematic content analysis Results: Two major themes emerged on screening and management experience for women diagnosed with GDM; intense emotional experience relating to diagnosis and management and satisfactory experience on general GDM care. The intense emotional experience was characterised by feeling of sadness, fear, worry and confusion. The satisfactory experience was based on their thoughts on dietary advice they received during GDM care, the difficulties they experienced in getting information about diet from different health care professionals, feeling about getting information about diet from different health care professionals, perception about dietary and lifestyle approaches in the management of their condition and general thoughts or impressions on how GDM is managed. Conclusion: Two major themes emerged on screening and management experience for women diagnosed with GDM; intense emotional experience relating to diagnosis and management and satisfactory experience on general GDM care.
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