SEARCHCROSS-SECTIONALpediatrics, nutrition

cross-sectional·pediatrics, nutrition, public health, clinical nutrition, epidemiology·PMC10034359

Barriers to adequate nutrition care for child malnutrition in a low-resource setting: Perspectives of health care providers

Frontiers in Public Health · 6 authors, 4 centres

AI SUMMARY

FIDELITY 100%

POPULATIONHealthcare providers (five out of seven) working in the child malnutrition clinic at a Children's University Hospital in Egypt

INTERVENTION

COMPARISON

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

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TL;DR

An exploratory cross-sectional study using qualitative interviews and PEMAT-P scoring with five healthcare providers at a children's malnutrition clinic in Egypt found that nutritional deficiencies (rickets, underweight, kwashiorkor, and failure to thrive) were the most common conditions, and barriers to care spanned physician-centered, health system-centered, and caregiver-centered categories.

Full summary

369 CHARS

This exploratory cross-sectional study used purposive sampling to recruit five of seven healthcare providers (two male physicians, one female physician, and two female nurses) at a children's malnutrition clinic in a low-resource setting in Egypt. Qualitative data were collected through in-depth semi-structured interviews and analyzed using thematic content analysis.

PICO

PPOPULATION

Healthcare providers (five out of seven) working in the child malnutrition clinic at a Children's University Hospital in Egypt

OOUTCOME

Perceived barriers to providing adequate nutrition care and PEMAT-P scores for understandability and actionability of patient education materials

STUDY TYPE

cross-sectional

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10034359

Barriers to adequate nutrition care for child malnutrition in a low-resource setting: Perspectives of health care providers

Frontiers in Public Health

READ THE FULL PAPER

ABSTRACT

Abstract Introduction Several studies in developing countries found that more need-based training is required for health care providers (HCPs) in child malnutrition management. Methods An exploratory cross-sectional study was conducted to explore barriers to providing adequate nutrition care as perceived by the healthcare providers (HCPs) in the child malnutrition clinic at a Children's University Hospital in Egypt. Participants were selected using the purposive sampling technique. Five out of seven HCPs in the clinic were included (two male physicians, one female physician, and two female nurses). Qualitative data were collected through in-depth interviews. The interview guide consisted of semi-structured open-ended questions. Quantitative data were the resulting scores from the scoring system used to assess the understandability and actionability of the patient education materials (PEMs) that are available in the clinic. The Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) for the scoring. Statistical analysis: The thematic content analysis technique was employed for qualitative data. The percent score was generated for the PEM actionability and understandability for quantitative data. Results Most common child malnutrition conditions encountered by HCPs were nutritional deficiencies. Barriers to the delivery of adequate nutrition care to children were physician-centered: limited nutrition education in the medical school, health system-centered: an insufficient number of HCPs, lack of nutritional supplements, lack of patient education materials (PEMs) that suit the characteristics of the served community, lack of updated standard of practice (SOP) and guidelines, inadequate nutrition training of HCPs, and insufficient time for each patient, and caregivers-centered: the low socioeconomic status and false cultural, nutritional beliefs. Conclusion There are different barriers to adequate nutrition care for child malnutrition in low-resource healthcare settings. Mainly nutritional deficiencies. Most of the barriers were health system-related in the form of insufficient resources (shortage of workforce; concerning the high caseload, nutritional supplements, and PEMs) and inadequate management of resources (lack of skill-based training, lack of updated SOP and guidelines, and lack of properly designed PEMs that facilitate communication with the target caregivers). Keywords: malnutrition, low-resource healthcare settings, skill-based training, updated standard of practice, guidelines, nutritional supplements, patient education materials

CITATION EXPORT

Ghada Wahby Elhady, Sally kamal Ibrahim, Enas S Abbas et al.. Barriers to adequate nutrition care for child malnutrition in a low-resource setting: Perspectives of health care providers. Frontiers in Public Health. (2023). https://doi.org/10.3389/fpubh.2023.1064837

AUTHORS

6 · 4 CENTRES

Ghada Wahby Elhady, Sally kamal Ibrahim, Enas S Abbas, Ayat Mahmoud Tawfik, Shereen Esmat Hussein, Marwa Rashad Salem

1Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Manial, Cairo, Egypt
2Pediatric Department, Faculty of Medicine, Cairo University, Manial, Cairo, Egypt
3Pediatric Clinical Nutrition Department, National Nutrition Institute, Cairo, Egypt
4Public Health and Community Medicine Department, Faculty of Medicine, Port Said University, Port Said, Egypt