Nurses' monitoring of the Road to Health Chart at primary healthcare level in Makhado, Limpopo province

Kitenge, Gabin; Govender, Indiran

doi:10.1080/20786204.2013.10874350

Cited by 19 publications

(33 citation statements)

References 15 publications

(20 reference statements)

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“…Length and height measurements are not routinely taken at most growth monitoring and promotion sites, or even at primary healthcare facilities. 15 Thus, the identification of severe stunting in South Africa is not yet routinely performed and reported.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

“…This is often not found to be the case. 15 By investigating the involvement of other sectors, i.e. early childhood development centres for routine nutritional screening, 21 the necessary awareness can be created, not only to share the responsibility of growth monitoring with teachers and parents, but also to permit remedial measures to be implemented sooner.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

See 1 more Smart Citation

Moderate malnutrition in children aged five years and younger in South Africa: are wasting or stunting being treated?

Steenkamp

Lategan

Raubenheimer

2016

South African Journal of Clinical Nutrition

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Objectives: The objective of the study was to describe wasting and stunting in children aged 12-60 months, admitted to targeted supplementary feeding programmes for the treatment of moderate acute malnutrition (MAM) in South Africa.Design: A cross-sectional, descriptive study was performed.Subjects and setting: Children with MAM, managed as outpatients at primary healthcare facilities in three provinces, were included in the study conducted between September 2012 and August 2013.Outcome measures: Weight, height and mid-upper-arm circumference (MUAC) measurements were collected to classify the children as moderately or severely stunted or wasted.Results: Of the total sample (n = 225), 13% (n = 30) were diagnosed as wasted, 58% (n = 131) as stunted, and 21% (n = 47) as both wasted and stunted. MUAC was significantly associated with wasting. However, an association was not found between MUAC and stunting. Of the sample, 32% (n = 72) presented with severe stunting, and 29% (n = 65) with moderate wasting. Food insecurity was associated with wasting, but not with stunting. Conclusion:A low weight-for-age z-score resulted more from stunting than from wasting in this study. Severe stunting presented as a greater health concern than moderate wasting. Without scrutinising wasting and stunting, healthcare professionals may remain unaware of the drivers of underweight for age in children treated at South African primary healthcare facilities. Following this study's outcomes, the sensitivity of MUAC in screening for moderate malnutrition in South African settings with a high prevalence of stunting is questionable. It is recommended that current nutritional interventions are revisited to explore the efficacy of treating children with wasting, stunting or both.Peer reviewed.

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Section: Discussion and Recommendationsmentioning

confidence: 99%

Section: Discussion and Recommendationsmentioning

confidence: 99%

Moderate malnutrition in children aged five years and younger in South Africa: are wasting or stunting being treated?

Steenkamp

Lategan

Raubenheimer

2016

South African Journal of Clinical Nutrition

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“…Familiar examples are ante-natal clinic (ANC) cards, delivery records, under-five cards for tracking growth and immunizations in children, and TB cards. South Africa has a ‘Road to health chart’ [21] that is used to track child care and is a requirement for a child to be enrolled in primary school. Most clients who need them carry them for the duration of using the service.…”

Section: Paper Power and Network: Three Tier Developmental Infrastrumentioning

confidence: 99%

Developing and implementing national health identifiers in resource limited countries: why, what, who, when and how?

Beck

Shields²,

Tanna

et al. 2018

Global Health Action

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Many resource-limited countries are scaling up health services and health-information systems (HISs). The HIV Cascade framework aims to link treatment services and programs to improve outcomes and impact. It has been adapted to HIV prevention services, other infectious and non-communicable diseases, and programs for specific populations. Where successful, it links the use of health services by individuals across different disease categories, time and space. This allows for the development of longitudinal health records for individuals and de-identified individual level information is used to monitor and evaluate the use, cost, outcome and impact of health services. Contemporary digital technology enables countries to develop and implement integrated HIS to support person centred services, a major aim of the Sustainable Development Goals. The key to link the diverse sources of information together is a national health identifier (NHID). In a country with robust civil protections, this should be given at birth, be unique to the individual, linked to vital registration services and recorded every time that an individual uses health services anywhere in the country: it is more than just a number as it is part of a wider system. Many countries would benefit from practical guidance on developing and implementing NHIDs. Organizations such as ASTM and ISO, describe the technical requirements for the NHID system, but few countries have received little practical guidance. A WHO/UNAIDS stake-holders workshop was held in Geneva, Switzerland in July 2016, to provide a ‘road map’ for countries and included policy-makers, information and healthcare professionals, and members of civil society. As part of any NHID system, countries need to strengthen and secure the protection of personal health information. While often the technology is available, the solution is not just technical. It requires political will and collaboration among all stakeholders to be successful.

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“…Most countries have facility-based registers and patient-held road to health charts/cards/booklets (RTHB) for monitoring the health of a child under the age of 5 years (Kitenge and Govender 2013). Studies have shown that the RTHB is under-utilized by both healthcare workers (HCWs) and mothers (Cloete et al 2013).…”

Section: Results: Proposed Model To Enhance Treatment Accessmentioning

confidence: 99%

Enhancing HIV Treatment Access and Outcomes Amongst HIV Infected Children and Adolescents in Resource Limited Settings

Goga

Singh

et al. 2016

Matern Child Health J

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Introduction Increasing access to HIV-related care and treatment for children aged 0–18 years in resource-limited settings is an urgent global priority. In 2011–2012 the percentage increase in children accessing antiretroviral therapy was approximately half that of adults (11 vs. 21 %). We propose a model for increasing access to, and retention in, paediatric HIV care and treatment in resource-limited settings. Methods Following a rapid appraisal of recent literature seven main challenges in paediatric HIV-related care and treatment were identified: (1) lack of regular, integrated, ongoing HIV-related diagnosis; (2) weak facility-based systems for tracking and retention in care; (3) interrupted availability of dried blood spot cards (expiration/stock outs); (4) poor quality control of rapid HIV testing; (5) supply-related gaps at health facility-laboratory interface; (6) poor uptake of HIV testing, possibly relating to a fatalistic belief about HIV infection; (7) community-associated reasons e.g. non-disclosure and weak systems for social support, resulting in poor retention in care. Results To increase sustained access to paediatric HIV-related care and treatment, regular updating of Policies, review of inter-sectoral Plans (at facility and community levels) and evaluation of Programme implementation and impact (at national, subnational, facility and community levels) are non-negotiable critical elements. Additionally we recommend the intensified implementation of seven main interventions: (1) update or refresher messaging for health care staff and simple messaging for key staff at early childhood development centres and schools; (2) contact tracing, disclosure and retention monitoring; (3) paying particular attention to infant dried blood spot (DBS) stock control; (4) regular quality assurance of rapid HIV testing procedures; (5) workshops/meetings/dialogues between health facilities and laboratories to resolve transport-related gaps and to facilitate return of results to facilities; (6) community leader and health worker advocacy at creches, schools, religious centres to increase uptake of HIV testing and dispel fatalistic beliefs about HIV; (7) use of mobile communication technology (m-health) and peer/community supporters to maintain contact with patients. Discussion and Conclusion We propose that this package of facility, community and family-orientated interventions are needed to change the trajectory of the paediatric HIV epidemic and its associated patterns of morbidity and mortality, thus achieving the double dividend of improving HIV-free survival.

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Nurses' monitoring of the Road to Health Chart at primary healthcare level in Makhado, Limpopo province

Cited by 19 publications

References 15 publications

Moderate malnutrition in children aged five years and younger in South Africa: are wasting or stunting being treated?

Moderate malnutrition in children aged five years and younger in South Africa: are wasting or stunting being treated?

Developing and implementing national health identifiers in resource limited countries: why, what, who, when and how?

Enhancing HIV Treatment Access and Outcomes Amongst HIV Infected Children and Adolescents in Resource Limited Settings

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