Addressing malnutrition among children in routine care: how is the Integrated Management of Childhood Illnesses strategy implemented at health centre level in Burundi?

BMC Nutrition
Manassé NimpagaritseBruno Meessen

Abstract

The Integrated Management of Childhood Illness (IMCI) strategy was adopted in Burundi in 2003. Our aim was to evaluate to what extent the malnutrition component of the IMCI guidelines is implemented at health facilities level. We carried out direct observations of curative outpatient consultations for children aged 6-59 months in 90 health centres selected randomly. We considered both the child and the health worker (HW) as units of analysis and used bivariate analysis to explore characteristics of HWs associated with tasks systematically or never performed. A total of 514 consultations carried out by 145 HWs were observed. Among the 250 children under two years, less than 30% were asked questions on breastfeeding. None of them had all seven nutrition-related questions asked to their caregivers and none of the 200 children over the age of two years had all five nutrition-related questions asked to their caregivers. Only 13 cases (3%) had all of the six examinations/tasks (weight, height/length, mid-upper arm circumference, oedema, filling in and discussing the growth curve and calculating the weight for height z-score) performed as part of their care. 393 cases (76%) reported that they had not being given any nutrition advice.W...Continue Reading

References

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Jul 11, 2003·Lancet·Gareth JonesUNKNOWN Bellagio Child Survival Study Group
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Jan 22, 2008·Lancet·Zulfiqar A BhuttaUNKNOWN Maternal and Child Undernutrition Study Group
Jan 22, 2008·Lancet·Robert E BlackUNKNOWN Maternal and Child Undernutrition Study Group
Dec 4, 2009·Malaria Journal·Alexander K RowePedro Van-Dúnem
Jun 12, 2013·Lancet·Zulfiqar A BhuttaUNKNOWN Lancet Nutrition Interventions Review Group, the Maternal and Child Nutrition Study Group
Jul 6, 2016·The Cochrane Database of Systematic Reviews·Tarun GeraHarshpal S Sachdev
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