Quality of care for children with acute malnutrition at health center level in Uganda: a cross sectional study in West Nile region during the refugee crisis

BMC Health Services Research
Humphrey WanziraMarzia Lazzerini

Abstract

Arua district, in Uganda, hosts some of the largest refugee camps in the country. The estimated prevalence of moderate and severe acute malnutrition in children is higher than the national estimates (10.4 and 5.6% respectively, compared to 3.6 and 1.3%). This study aimed at assessing the quality of care provided to children with acute malnutrition at out-patient level in such a setting. Six facilities with the highest number of children with malnutrition were selected. The main tool used was the National Nutrition Service Delivery Assessment Tool, assessing 10 key areas of service delivery and assigned a score as either poor, fair, good or excellent. Health outcomes, quality of case management and data quality were assessed from the health management information system and from the official nutrition registers. All facilities except two scored either poor or fair under all the 10 assessment areas. Overall, 33/60 (55%) areas scored as poor, 25/60 (41%) as fair, 2/60 (3.3%) as good, and none as excellent. Main gaps identified included: lack of trained staff; disorganised patient flow; poor case management; stock out of essential supplies including ready-to-use therapeutic foods; weak community linkage. A sample coverage of 45.4% ...Continue Reading

References

Nov 25, 2005·Health Policy and Planning·George W PariyoUNKNOWN Uganda IMCI Impact Study Team
Apr 4, 2006·Cadernos de saúde pública·Ana Rodrigues FalboJosé Eulálio Cabral-Filho
Jan 22, 2008·Lancet·Robert E BlackUNKNOWN Maternal and Child Undernutrition Study Group
Jun 21, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·S N KiwanukaG W Pariyo
Oct 28, 2011·Conflict and Health·Shannon DoocyPaul Spiegel
Jun 3, 2014·BMC Medical Informatics and Decision Making·Vincent Micheal KiberuRhoda K Wanyenze
Jul 17, 2015·Advances in Nutrition·Stuart GillespieAndrew L Kennedy

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