Health-seeking behaviour and community perceptions of childhood undernutrition and a community management of acute malnutrition (CMAM) programme in rural Bihar, India: a qualitative study

Public Health Nutrition
Doris Burtscher, Sakib Burza

Abstract

Since 2009, Médecins Sans Frontières has implemented a community management of acute malnutrition (CMAM) programme in rural Biraul block, Bihar State, India that has admitted over 10 000 severely malnourished children but has struggled with poor coverage and default rates. With the aim of improving programme outcomes we undertook a qualitative study to understand community perceptions of childhood undernutrition, the CMAM programme and how these affected health-seeking behaviour. Semi-structured and narrative interviews were undertaken with families of severely malnourished children, non-undernourished children and traditional and allopathic health-care workers. Analysis of transcripts was by qualitative content analysis. Biraul, Bihar State, India, 2010. One hundred and fifty people were interviewed in individual or group discussions during fifty-eight interviews. Undernutrition was not viewed as a disease; instead, local disease concepts were identified that described the clinical spectrum of undernutrition. These concepts informed perception, so caregivers were unlikely to consult health workers if children were 'only skinny'. Hindu and Muslim priests and other traditional health practitioners were more regularly consulted a...Continue Reading

References

Apr 1, 1978·Social Science & Medicine·J M Janzen
Jan 1, 1988·Social Science & Medicine·J G Cleland, J K Van Ginneken
Jun 1, 1987·The American Journal of Medicine·C A McNamaraT D Fraker
Jan 1, 1987·Social Science & Medicine·N Reissland, R Burghart
Mar 13, 1999·Social Science & Medicine·I de ZoysaM K Bhan
Aug 23, 2002·Social Science & Medicine·Paula GriffithsAndrew Hinde
Jan 23, 2003·Journal of Biosocial Science·Rennie M D'Souza
Sep 23, 2003·Social Science & Medicine·Merlyn RodriguesNandita de Souza
Oct 1, 2003·Tropical Medicine & International Health : TM & IH·Amod K PoudyalTadatoshi Kuratsuji
Jun 18, 2005·Tropical Medicine & International Health : TM & IH·Krishna C PoudelSusumu Wakai
Mar 8, 2006·International Braz J Urol : Official Journal of the Brazilian Society of Urology·P KumarJ Pati
Jul 27, 2006·Journal of Biosocial Science·Suparna SomPremananda Bharati
Jul 5, 2007·The Journal of Family Planning and Reproductive Health Care·Stephen C Pearson, Paul Clarke
Aug 7, 2009·Social Science & Medicine·Ritesh MistryMichael Lu
Feb 18, 2010·Visual Anthropology Review : Journal of the Society for Visual Anthropology·Martin G Otañez, Stanton A Glantz
Nov 26, 2010·Journal of Tropical Pediatrics·Emmanuelle EspiéRebecca F Grais
Mar 5, 2011·Journal of Community Health·Jennifer Furin
Mar 8, 2011·Health Policy and Planning·Robyn WilfordDamian G Walker
Jul 30, 2011·Social Science & Medicine·Praveen Kumar Pathak, Abhishek Singh
Aug 25, 2011·West African Journal of Medicine·A Antwi
Jun 2, 2012·Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine·Gunjan TanejaSanjay Chourasiya
Jan 17, 2014·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Michael C Thomas, Adetola O Ademolu
Apr 4, 2015·The American Journal of Clinical Nutrition·Sakib BurzaKripa Nath Mishra
Jan 1, 2012·The Journal of Hand Surgery, European Volume

❮ Previous
Next ❯

Citations

Nov 21, 2017·PLoS Neglected Tropical Diseases·Valerie MakogeMaria Koelen
Dec 14, 2017·Health Promotion International·Valerie MakogeMaria Koelen
Apr 18, 2018·The American Journal of Tropical Medicine and Hygiene·Tariku Nigatu BogaleZemene Tigabu Kebede
Feb 13, 2019·Maternal & Child Nutrition·Sheila ChananiAnuja Jayaraman
Jan 21, 2017·Tropical Medicine and Health·Valerie MakogeMaria Koelen
Sep 19, 2019·International Journal for Equity in Health·Divya RavindranathLora Iannotti
Jun 3, 2018·International Journal of Environmental Research and Public Health·Yangyu ZhangChanggui Kou
Sep 3, 2019·Bulletin of the World Health Organization·Blandina Rosalina BaitMaria Reneldys Lino
Oct 27, 2020·Journal of Family Medicine and Primary Care·Bijit BiswasBobby Paul

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The South African Journal of Communication Disorders. Die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
Tasneem Dangor, Eleanor Ross
The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Ha-Neul Seo, Luisa Pettigrew
The Australian Nursing Journal : ANJ
Rachel Marsden
© 2022 Meta ULC. All rights reserved