Nutrition Services Research Articles

Barriers to Accessing Nutrition and Health Services in Uganda: A Retrospective Analysis

Barriers to Accessing Nutrition and Health Services in Uganda: A Retrospective Analysis

Health Promotion in Preschool Children.

The key for individuals to live in health and well-being is the development of healthy living habits. In order for a healthy life habit to be formed, the relevant behaviors must be acquired in the preschool period. This study aimed to promote health knowledge among children attending preschool through health education. The study was designed using the qualitative case study design. The Personal Information Form and Health Hunter Children Follow Health Interview Form were used as data collection tools in the study. Health education activities were implemented in order to improve children's knowledge about health. Activities consisted of physical activity, personal hygiene, injury prevention, sleeping habits, healthy nutrition, healthy life, and paramedic and treatment services categories. Activities were applied to children twice a week for eight weeks. As a result of the study, an improvement was observed in children's knowledge about health. The answers given by the children before and after the Health Education Activities were collected in the categories of nutrition, safe life, illness status, well-being, hygiene, environmental health, and sports.

Provider perspectives on nutrition interventions in primary care: the role of organizational structure and community partnerships.

Poor nutrition remains a significant public health concern that is often managed within primary care settings. Meanwhile, to our knowledge, there have been few studies that evaluate the intent of primary care providers to offer nutrition services, nor what type of exchanges they engage in to ensure those programs can be implemented. Semi-structured interviews were conducted with 16 primary care providers and support staff. Grounded theory analysis was utilized to identify themes and to develop a theoretical model of primary care nutrition program implementation. Three themes were identified. Patients approached primary care organizations with complex health beliefs, health severity, and barriers to care (theme 1). Providers and support staff responded by providing services that fit into existing organizational constraints, especially constraints related to workflow/time with patient, space and billing (theme 2). Providers see community as a major cue to action among patients but are unsure of the role of primary care (theme 3). Provider respondents found that implementing nutrition programs in primary care settings is difficult and that effective interventions for nutrition within health settings are limited without community-based partnerships and programming. Additional research is needed to measure existing community ties and how such ties could improve patient nutrition.

Establishing a disability-specific home enteral nutrition service in a paediatric tertiary hospital: Experience and outcomes.

The provision of Home Enteral Nutrition (HEN) is a well-established support for patients, however, significant inconsistencies in funding result in financial burden for some healthcare services across Australia. Recent government-initiated funding changes prompted the development of a new HEN service for eligible patients with a disability, moving from a universal to more individualised approach to care. This retrospective observational study included patients enrolled on a newly established disability-specific HEN service at a paediatric tertiary hospital between July 2020 and February 2022 inclusive. Components of service development were explored including service model, clinical resources, information related to patient enrolments and costings for annual HEN requirements provided by dietitians. Retrospective quantitative data was collected from the Electronic Medical Record system and analysed using descriptive statistics. A total of 362 patient enrolments occurred over a 21-month period, with an average of 17 new patients having accessed the service each month. Annual HEN supports were quoted at a median cost of $13487.94 AUD (2364.97-44170.92), mostly attributable to consumable requirements. Most eligible participants chose to receive care through the new HEN service. Supports were quoted >330% higher than previous fixed price allocations, highlighting the true cost associated with HEN care. Large variation in costings may be attributed to the diversity and complexity of patients. Funding changes presented a unique opportunity to meet pre-existing resource deficits and enabled individualised access to HEN supports for paediatric patients with a disability.

The Facilitators and Barriers to Digital Health for Managing Nutrition in People With Parkinson's Disease and Their Caregivers: A Formative, Qualitative Study

ObjectiveIdentify techniques to assist in designing digital health platforms for nutrition services for people with Parkinson's disease and caregivers to improve their quality of life. DesignSemistructured, dyadic interviews with 20 dyads (20 people with Parkinson's disease and 20 caregivers). SettingHome visits were conducted in the northeast US. ParticipantsPeople with Parkinson's disease and their caregivers were recruited via email, flyers, news articles and announcements at support groups. Phenomenon of InterestIdentification of facilitators and barriers to using digital health platforms to inform future digital nutrition services. AnalysisInterviews were recorded, transcribed and double-coded using a framework analysis method. ResultsReported digital health platforms utilization facilitators were: knowledge acquisition, convenience, intention to use, socializing, enjoyment, and forced adoption. Barriers included: negative feelings toward technology, lack of access or knowledge, disinterest, product design, frustration and functional reliability, and applying health information. Conclusions and ImplicationsAlthough dyads often lack knowledge on both how to use technology and nutrition, they are willing to use digital health platforms to increase their nutrition knowledge if platforms are convenient. Based on the identified facilitators and barriers, the added benefits of access and training nutrition digital health platforms must be clearly communicated to end-users to improve their quality of life.

Pengembangan Model Laboratorium Tumbuh Kembang Anak “Audhi Day care” di UAI

<p><strong>Day care is an ECD service that assists working parents in providing health, care, protection, and education for children. The PG PAUD study program plans to develop "AUDHI Day care" at UAI as a child development laboratory that supports the development of integrated programs in urban areas. A quantitative survey was conducted to analyze the development of service and infrastructure needs. The results showed the prioritization of: 1) health and nutrition services (nutritious food, health checks, health facility referrals); 2) psychosocial and educational services (teacher-child ratios, child psychologists, teachers with S1 PAUD degrees); 3) infrastructure facilities (waiting rooms, toilets, outdoor play areas, observation rooms); 4) protection and security services (CCTV monitoring via cell phones, special security guards). </strong></p><p><strong><em>Keywords</em></strong> - <em>C</em><em>hild development laboratorium </em><em>, D</em><em>ay care, HI ECD.</em></p>

Nutritional Services in Hills of Uttarakhand– An Overview

A healthy individual makes up a healthy community, a healthy state and a healthy country. As the saying goes – “Health is Wealth”. So, health is something which cannot be ignored. In order to maintain health, one needs to take into consideration the nutritional needs of the body and this is of utmost importance especially during the early phase of growth periods in children. Our country is facing problem of malnutrition in children which is of alarming concern and inspite of numerous projects planned by the government of our country still the bane of malnutrition prevails. There needs to be an additional intervention planned at grassroot level keeping in consideration every geographical terrain, cultural and ethnic practices in related to feeding and rearing. This will not only help in combatting the problem of malnutrition but will also keep the mother and family of child aware of nutrition status of their children. The need to strengthening our policies and services at grassroot level is of prime concern as a lot policies and services are only limited to the documents.

Sistem Informasi Posyandu Remaja Dalam Perkembangan Kesehatan Gizi dan Konseling Remaja Menggunakan Framework Codeigniter

Genius Youth Posyandu is the smallest health unit in the RW 14 area of ​​Sidanegara Subdistrict, Cilacap Regency which has the task of providing nutrition and health services to adolescents. So far, all series of Posyandu Adolescent activities are recorded conventionally in a book. The emergence of time inefficiency due to the limited number of cadres and the large number of young members of the Youth Posyandu. The difficulty of monitoring the development of nutritional health and nutrition counseling that has been carried out has also become a concern of cadres in the process of reporting Posyandu Adolescent activities to the Kelurahan level. system using blackbox testing. After testing this system, it was proven that all system functions were running well so that it made it easier for cadres to manage adolescent Posyandu anthropometric data, cadres to identify adolescent nutrition trends, and youth to view Posyandu data and offer counseling online.

Sosialisasi Sistem Informasi Pemantauan Kesehatan dan Status Gizi Ibu Hamil Cegah Stunting

Stunting is the condition of a toddler having a height that is less when compared to age. Stunting occurs due to malnutrition, especially during the first 1000 days of life. One way to prevent stunting is to fulfill nutrition and health services to pregnant women. At the examination of pregnant women, all examination results are recorded in the Maternal and Child Health book and the register book for pregnant women manually. This manual recording system can result in a slow search for the health history of pregnant women. In addition, there is a possibility that the KIA book is left at home. The purpose of this service activity is to contribute to the stunting reduction acceleration program by socializing the information system for monitoring the health and nutritional status of pregnant women for stunting prevention. The method of service using socialization begins with the introduction of the information system created and the implementation of trials. The results of this service activity are that the information system is considered very easy to use and the program can be used at Posyandu so that it can be integrated with the Primary Health Care.

Optimizing the Role of Posyandu in Suppressing Stunting Rates in Dringu Village, Dringu District, Probolinggo Regency

Posyandu is a community-based health service facility that plays a role in achieving national development goals, namely, to reduce infant and toddler mortality. The problem of stunting is a condition of chronic malnutrition caused by a lack of nutritional intake over a long period of time. This causes disturbances in the child's development period. This activity aims to help optimize the role of Posyandu to reduce stunting rates in Dringu Village, Dringu District, Probolinggo Regency. The activities were carried out from March to June 2023 at the Dringu Village Posyandu. This service activity involves all cadres and the community of mothers of toddlers. This activity is carried out by analyzing and collecting information related to mothers' understanding of children's nutrition and stunting. The results of the study set priority issues on increasing the role of the Dringu Village Posyandu in suppressing stunting in children. Posyandu has an important role in handling stunting through nutrition monitoring and services as well as counseling and education. The Dringu Village Posyandu needs to be optimized so that Dringu Village becomes stunting free.

Development of Quality Indicators for Geriatric Home Enteral Nutrition (HEN) Services.

The evidence on the safety, efficacy and patient centeredness of Home Enteral Nutrition (HEN) services is scarce. In 2015, we carried out a search of the literature to identify specific indicators for HEN services as tools to be used to assess the quality of INRCA HEN services. No specific indicators for HEN services were found. Through a subsequent search of the literature, we have identified the appropriate methodology to define quality indicators and developed eight (8) specific indicators to track the quality of our HEN service for geriatric patients. Following Donabiedan's classification, we have defined two structure indicators, two process indicators and four outcome indicators that are presented in this manuscript. Though they may be used to make a comparison of HEN services for geriatric patients and to monitor the quality of therapy provided at patients' homes, the definition of quality system indicators for HEN services requires the additional joint efforts of experts in the field of nutrition and the scientific community for their validation.

Manifestaciones dermatológicas en una lactante con síndrome de kwashiorkor: Claves para el diagnóstico y tratamiento oportuno

Kwashiorkor syndrome is characterized by protein malnutrition and edema, risk factors are recent weaning, infections, and diets based on corn and rice. This malnutrition can lead to skin manifestations such as thin, dry skin, hyperpigmentation, confluent areas of scaling, dry, hypopigmented, and detachable hair, as well as erosive dermatitis, predominantly in skin folds. The diagnosis is based on a nutritional evaluation exam, physical examination and laboratory finding, the treatment is based on early nutritional rehabilitation. Clinical case: 8-month-old female infant who attended the Instituto Nacional de Pediatría, presenting a scaling dermatosis of 1 months of evolution that was treated with topical ketoconazole. The mother reported exclusive feeding with corn gruel due to the diagnosis of “lactose allergy” and commented not enough resources to buy hydrolyzed formula. The patient presented a disseminated dermatosis to all- body segments, characterized by well-defined, irregularly shaped, hyperpigmented plaques with scaling in thick sheets in the perioral region and extremities, as well as areas of eroded skin and paleness and edema of extremities. Laboratory tests were taken, where anemia (Hb 11.2 g/dl) and hypoalbuminemia (3.3 g/dl) were documented, the diagnosis of Kwashiorkor syndrome was integrated. The clinical and laboratory findings were reported to the Gastroenterology and Nutrition service, who performed a nutritional assessment, and began nutritional treatment, emollients and general skin care were documented; twenty days later, the dermatosis and edema had subsided. Keywords: Malnutrition; dermatoses; edema; feeding; desquamation.

Nutrition services during prostate cancer androgen deprivation therapy

ObjectiveDietary interventions are effective strategies to mitigate multiple side effects from androgen deprivation therapy (ADT) in prostate cancer, however the perception of, and access to, nutrition services is relatively unknown.MethodsA...

Overview of the State of Child Nutritional Status Based on Accreditation in TK Sejahtera 4 Tasikmalaya City

Pre-school children experience various nutritional problems, including malnutrition and excess nutrition where the number is increasing every year. This is also supported by the Monthly Report (LB) from the Tasikmalaya City Health Office, reporting that the number of toddlers suffering from malnutrition in 2021 was found to be 0.82% in Tasikmalaya City. An absolute prerequisite for development in all fields is the quality of human resources (HR). Several important factors influence the quality of human resources, especially factors related to intelligence, productivity and creativity, including nutritional status. PAUD school accreditation provides very important participation in improving the nutritional status of pre-school-age children through comprehensive education, nutrition services, child health and early detection of child growth and development. This research was conducted with the aim of seeing how the nutritional status of children is described based on accreditation at PAUD school institutions. Researchers used a qualitative approach with data collection techniques through observation and interviews. This research resulted in that there is an effect of the accreditation of an PAUD institution on the nutritional status of children in Kindergarten Sejahtera 4.

Padang State University of Public Nutrition Services Center (Promotion, Quality of Resources, Quantity of Facilities)

The main objective of the PPUPIK program at the community nutrition service center is toencourage Padang State University clinics to provide holistic community nutrition services. Theimplementation of this activity is managed by a group of lecturers who scientifically have a closerelationship with the program to be created. It is hoped that the proposal for a community nutritionservice center will develop well in providing individual and community services based on clinicalnutrition. Community nutrition service centers are oriented towards other health service efforts found inclinics, namely promotive, preventive, curative and rehabilitative. The advantage of this service centercompared to other first-level health facilities such as the puskesmas is that the services provided areaccompanied in the field when carrying out counseling and provision as an integrity service. The maintargets of community nutrition services are children, adolescents, pregnant women and the elderly. Theprograms carried out include nutrition service programs for infants and toddlers, nutrition services foradolescents, nutrition services for pregnant women, nutrition services for the elderly and preparticipation examinations.

O37 What management options to increase animal nutrition and ecosystemic services?

O37 What management options to increase animal nutrition and ecosystemic services?

Increasing Equity and Inclusion of Nutrition Services for Older Adults

Increasing Equity and Inclusion of Nutrition Services for Older Adults

NAUNEHAL; Integrated immunization and MNCH interventions: A quasi-experimental study-Protocol.

Great improvements in the health of newborns, children, and women in Pakistan are needed. A large body of literature has demonstrated that the majority of maternal, newborn, and child deaths are preventable with essential health strategies including immunization, nutrition interventions, and child health interventions. Despite the importance of these interventions for the health of women and children, access to services continues to be a barrier. Furthermore, demand for services also contributes to low coverage of essential health interventions. Given the emerging threat of COVID-19 coupled with already weak maternal and child health, delivering effective and feasible nutrition and immunization services to communities, and increasing demand and uptake of services is a pressing and important need. This quasi-experimental study aims to improve health service delivery and increase uptake. The study included four main intervention strategies including community mobilization, mobile health teams offering MNCH and immunization services, engagement of the private sector, and testing of a comprehensive health, nutrition, growth, and immunization app, Sehat Nishani, for a period of 12 months. The target group of the project were women of reproductive age (15-49 years) and children under-five. The project was implemented in three union councils (UCs) in Pakistan including Kharotabad-1(Quetta District, Balochistan), Bhana Mari (Peshawar District, Khyber Pakhtunkhwa) and Bakhmal Ahmedzai (Lakki Marwat district, Khyber Pakhtunkhwa). Propensity score matching based on size, location, health facilities, and key health indicators of UC was conducted to identify three matched UCs. A household baseline, midline, endline and close-out assessment will be conducted for evaluating coverage of interventions as well as the knowledge, attitude, and practices of the community in the MNCH and COVID-19 context. Descriptive and inferential statistics will be used to test hypotheses. As well, a detailed cost-effectiveness analysis will be conducted to generate costing data for these interventions to effectively inform policymakers and stakeholder on feasibility of the model. Trial registration: NCT05135637.

Strengthening Nutrition Interventions during Antenatal Care Improved Maternal Dietary Diversity and Child Feeding Practices in Urban Bangladesh: Results of a Quasi-Experimental Evaluation Study

BackgroundBangladesh is urbanizing rapidly, facing challenges of malnutrition, low coverage and poor quality of urban nutrition services. ObjectivesWe assessed the effect of integrating maternal, infant, and young child nutrition interventions, delivered at urban Maternal Neonatal and Child Health facilities, on maternal dietary diversity, iron and folic acid (IFA) and calcium consumption, and child feeding practices. MethodsWe used a quasi-experimental design with a nonrandom assignment of 20 health care facilities in Dhaka to intensive and standard service arms. We conducted facility-based observations and community-based surveys at baseline (2020) and endline (2022) (n = 2455 observations and surveys with 1678 pregnant women [PW] or recently delivered women [RDW] at endline). We derived difference-in-difference (DID) estimates, adjusted for characteristics that differed at baseline or endline, and accounted for clustering. ResultsExposure to antenatal care (ANC) was similar in both arms: two-thirds of RDW received ANC during the first trimester and three-fourths received ≥4 ANC checkups. Compared to the standard arm, a higher proportion of PW in the intensive arm received counseling on dietary diversity (DID: 45 percentage points [pp]), and a higher proportion of RDW received IFA (25 pp) and calcium supplementation (19 pp), showed adequate weight gain (44 pp), and recorded appropriate child feeding (27 pp). Improvements were greater in the intensive than the standard arm for the number of food groups consumed (DID: 1.1 food groups) and minimum dietary diversity (23 pp); no effect was observed for IFA and calcium consumption during pregnancy. However, effects were observed for early initiation of (20 pp) and exclusive breastfeeding (45 pp), introduction of solid or semisolid foods (28 pp), and egg and/or flesh food consumption (33 pp) among children. Minimum dietary diversity and acceptable diet remained low in both arms. ConclusionsIntensifying nutrition in government-aligned health care services delivered by experienced nongovernmental organization-run facilities is a feasible model to address the urban health gap, nutrition services coverage, and improve practices.The trial was registered at clinicaltrials.gov as NCT03882268.

HUBUNGAN KEPUASAN PASIEN TERHADAP CITA RASA MAKANAN DENGAN LAMA HARI RAWAT DI RUMAH SAKIT UMUM WISMA PRASHANTI TABANAN

Taste which includes the appearance and taste of food is one of the external factors that affect patient satisfaction and length of hospitalization. The success of nutrition services in inpatient rooms is related to the satisfaction of the patients served. Nutrition services in hospitals require a good and appropriate processing as a reference for quality services that can speed up the patient's healing process, shorten the length of stay, and save on treatment costs. , identifying the length of stay at the Wisma Prashanti Tabanan General Hospital and knowing the relationship between patient satisfaction with the taste of food and the length of stay at the RSU Wisma Prashati Tabanan. Methods Observational research with cross-sectional design. The research sample was 43 samples, which was carried out by purposive sampling. Analysis using fisher exact test obtained p value 0.05 which means that there is no relationship between patient satisfaction with food taste and length of stay at Wisma Prashanti Tabanan General Hospital. The conclusion of this study is that patients' satisfaction with the taste of food which includes the appearance and taste of food at theRSU Wisma Prashanti Tabanan, the sample states that they are satisfied with the taste of the food provided with a sample satisfaction value of 80.1%. The length of stay of patients at Wisma Prashanti Tabanan General Hospital in this study was an average of 2 days, there was no relationship between patient satisfaction with food taste and length of stay at RSU Wisma Prashanti Tabanan. Keywords: Patient Satisfaction, Food Taste, Length of Hospitalization