Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data

Sambo, Júlia; Bauhofer, Adilson Fernando Loforte; Boene, Simone; Djedje, Marlene; Júnior, António; Pilale, Adalgisa; Gonçalves, Luzia; Deus, Nilsa de; Chicumbe, Sérgio

doi:10.3390/healthcare10071200

Cited by 4 publications

(5 citation statements)

References 49 publications

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“…Compared to a study in Mozambique, where 58.2% of health professionals received nutrition-related training [34], our study showed a more pronounced emphasis on staff training. This can potentially be attributed to the recent waves of training in the new national guidelines for managing acute malnutrition in Ethiopia [21].…”

Section: Discussioncontrasting

confidence: 99%

“…The presence of quick reference guides in 73.6% of the facilities and trained staff in 88.9% of them underscores the concerted efforts put forth to bolster the knowledge base and training in these facilities. Compared to a study in Mozambique, where 58.2% of health professionals received nutrition-related training[34], our study showed a more pronounced emphasis on staff training. This can potentially be attributed to the recent waves of training in the new national guidelines for managing acute malnutrition in Ethiopia[21].…”

Section: Discussioncontrasting

confidence: 91%

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Effective Coverage of Management of Wasting in Ethiopia

Farah,

Gebremedhin,

Rago

et al. 2024

Preprint

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Background: Child wasting, or acute malnutrition, is a life-threatening condition that increases the risk of death and serious illness. Despite efforts such as the Global Action Plan on Child Wasting, which aims to reduce wasting prevalence to less than 3% by 2030, challenges persist, with Ethiopia recording a 7.2% rate. A major shortcoming of the global strategy is the focus on contact coverage, which often overlooks service quality. Effective coverage that incorporates the quality of health services offers a solution. Objective: To assess the effective coverage of management of child wasting in six regions of Ethiopia. Data and Methods: We conducted a secondary analysis of cross-sectional data obtained from household and institutional surveys. Participants included caregivers and children aged 6-59 months. By combining household data with expanded measures of health facility readiness and process quality from health posts, we calculated the quality-adjusted coverage. Results: Contact coverage for severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) was 40% and 37%, respectively. Readiness scores for providing SAM and MAM services at health posts were 57.9% and 76.4%, respectively. The input-adjusted coverage for SAM and MAM, considering facility readiness, was 23% and 28%, respectively. The coverage adjusted for complete intervention receipt was 7% for SAM and 12% for MAM. Quality-adjusted coverage for both SAM and MAM was 4%. Conclusion: Efforts to address acute malnutrition in the Ethiopian health system show commendable progress but also highlight critical gaps and inconsistencies. A holistic, quality-driven approach is needed to effectively combat child-wasting in Ethiopia.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 91%

Effective Coverage of Management of Wasting in Ethiopia

Farah,

Gebremedhin,

Rago

et al. 2024

Preprint

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“…This is similar to a study in Mozambique which showed the percentage of health professionals who received at least one training on nutritional services in the last two years were 58.2%, with training on the feeding of babies and young children being the most reported (40.3%). The study also showed only 33.3% of nutritionists had received training in two years (Sambo et al, 2022).…”

Section: Resultsmentioning

confidence: 88%

Availability and capacity of nutrition units in primary health centers in Sokoto State, North Western Nigeria

Isah1*,

Inoh2

2023

J. Public Health Dis.

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A cross sectional descriptive study was carried out in Primary Health Centers (PHCs) in Sokoto State to assess the availability of nutritional units in primary health care facilities in the state and their capacities. The target for the study were the in-charge of the sampled PHCs and nutrition units of the PHCs. The study PHCs were selected using the cluster sampling method. Data were collected using an interviewer-administered questionnaire and observer checklist. The study shows a lack of adequate demonstration kitchens and utensils in many PHCs, inappropriate, multitasking and poorly trained personnel. It is recommended that demonstration kitchens in the PHCs be revitalized and adequate staffing and training be provided for nutrition staff across the state.

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“…Similar to other studies on nutrition in Mozambique, our results demonstrate that there are gaps in the Mozambican health system related to the availability and provision of items at health facilities required for adequate delivery of maternal and child nutrition interventions. [37][38][39] We also found that many health facilities offer maternal and child nutri- • Population with access to a health facility-refers to the population that lives within 10 kilometers of any health facility that is ready to deliver nutrition services.…”

Section: Discussionmentioning

confidence: 99%

Structural readiness of health facilities in Mozambique: how is Mozambique positioned to deliver nutrition-specific interventions to women and children?

Maulide Cane,

Sheffel,

Salomão

et al. 2023

Journal of Global Health Reports

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Background The health sector is essential in delivering high-quality nutrition interventions to women and children in low and middle-income countries, and Mozambique is no exception. Still, the quality and readiness of health services to deliver nutritional services have yet to be comprehensively mapped across the country. We assessed the accessibility and readiness of health facilities to deliver maternal and child nutrition services in Mozambique. Methods Using multiple data sources within a geographic information system (GIS) environment, we calculated facility readiness to deliver nutritional services, population access to health facilities, and health facilities ready to deliver nutrition services. Data from Mozambique’s 2018 Service Availability and Readiness Assessment (SARA) was used to calculate readiness scores for each facility in the country. We used geospatial data from the ´WorldPop´ initiative to estimate the proportion of people in Mozambique within 10 kilometers of a ready facility. For each province and the country as a whole, we calculated the proportion of people with access to a ready facility for maternal and child nutrition interventions. Results At the national level, 29.1% and 37.3% of the population were within 10 kilometers of a facility ready to deliver all maternal and child nutrition services, respectively. Pregnancy growth monitoring (73.8%) and vitamin A supplementation (72.4%) were the most available interventions to the population. In contrast, anemia testing/iron supplementation (45.1%) was the least available nutritional intervention. The Center (30.5%) and North (26.9%) regions of Mozambique had much lower coverage than the South region (71.7%) across the maternal and child nutrition interventions. Nampula (14.9%) and Zambézia (17.9%) provinces were the least ready to deliver maternal nutrition services while Nampula (20.4%) and Cabo Delgado (21.2%) provinces were the least ready to deliver nutrition services to children. Conclusions To achieve high coverage of nutrition interventions, facilities need a full suite of commodities and equipment. Currently, too many facilities in Mozambique have only some of these supplies, meaning that only a minority of the children and pregnant women will receive effective nutrition services when they need them. Multi-sectoral efforts, including those outside the health system, are necessary to improve nutrition in Mozambique.

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Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data

Cited by 4 publications

References 49 publications

Effective Coverage of Management of Wasting in Ethiopia

Effective Coverage of Management of Wasting in Ethiopia

Availability and capacity of nutrition units in primary health centers in Sokoto State, North Western Nigeria

Structural readiness of health facilities in Mozambique: how is Mozambique positioned to deliver nutrition-specific interventions to women and children?

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