Exploring health stakeholders' perceptions on moving towards comprehensive primary health care to address childhood malnutrition in Iran: a qualitative study

Javanparast, Sara; Coveney, John; Saikia, Udoy

doi:10.1186/1472-6963-9-36

Cited by 13 publications

(12 citation statements)

References 9 publications

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“…The variations in the skilled man power availability across different zones of Nigeria are also obvious for example; while the South-West of the country has about 7,300 doctors the North-East has only 63 16 . The average primary health center in Kogi state in north central Nigeria has 7.85 health workers, but the average for health posts was only 2.3 workers 17 .…”

Section: Discussionmentioning

confidence: 99%

Understanding the barriers to the utilization of primary health care in a low-income setting: implications for health policy and planning

Muhammed¹,

Umeh

Nasir

et al. 2013

J Public Health Africa

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The essence of primary health care is the provision of essential health services and commodities to individuals and communities using available, acceptable and sustainable resources. However, there has been a growing lack of confidence by the populace as evidenced by poor utilization of the services. This study sought to identify the predominant barriers affecting the utilization of primary health care services in Batsari Local Government in Katsina State, Nigeria. A cluster of 630 households was surveyed in the catchment of the 21 health primary health facilities. A catchment been defined as a household located within 5 km of a primary health center. Using a three digit randomly generated numbers a household was selected. Once selected the start house and twenty-nine contiguous houses were visited. a total of 630 households were surveyed. In all households, questions were asked on the predominant health problems, as well as the major determinants of access and utilization of primary health care services .The results were computed and analyzed using the Statistical Package for Social Sciences software SPSS. Version 17.0. The findings from all the respondents (n=630) showed that majority of the people preferred to seek care from the patent medicine stores (53.63%) as against only 7.6% who utilized the primary health care services. The commonest reasons why respondents do not utilize these services were lack of essential drugs, high cost of services as well as inadequate infrastructure in primary healthcare facilities. The study has highlighted some of the multiple factors affecting the utilization of primary healthcare services. It is expected that these findings will guide policy makers in improving healthcare delivery particularly where the need is greatest - at the grassroots - in line with the national health policy and national health strategic development plan.

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Section: Discussionmentioning

confidence: 99%

Understanding the barriers to the utilization of primary health care in a low-income setting: implications for health policy and planning

Muhammed¹,

Umeh

Nasir

et al. 2013

J Public Health Africa

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“…These changes may be a result of medical advice, folk medicine beliefs, or a varying food preferences and appetite. At birth, infants coordinate sucking, breathing, and swallowing and are prepared to suckle liquids but not foods with texture (Malwade Basu and Basu 1991;Javanparast et al 2009). …”

Section: Discussionmentioning

confidence: 99%

“…(Ismail, Immink, and Nantel 2005;Javanparast et al 2009;Mehryar 2004) In case of mother and child care, every pregnant woman is routinely controlled by the special staff from health care unit who explained and advised the target group, the beneficial effect of breast feeding, family planning, anthropometry and vaccination. Another aspect regarding knowledge of the respondents about signs of healthy child, 88.6% of them said that they knew about signs of a healthy child.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Habits of Mothers and Children in the Age Group 0–4 Years in Iran

Noughani

Bagheri

Ramim

2014

Ecology of Food and Nutrition

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Maternal education and attitudes and practices can significantly be associated with the child's nutritional outcomes. Our goal was to find out patterns among mothers and children in the context of beliefs, knowledge and cultural practices of Iranian mothers. This research provides primary descriptive statistical data. To administer the interviews, five hospitals in Tehran, Iran (operating in mother and child medical services) were selected. 190 mothers and their children were selected for the study. Forty seven mothers (24.7%) were giving cow milk, while 92 (48.4 %) were giving powdered milk and milk itself 49 remaining (25.8%) gave a mixture of breast and cow milk to their children below one year. The anthropometric results in majority of the children fell under Grade-I and Grade-II undernourished category, and that the prevalence of under-nutrition was more obvious in lower age group children. A majority of the children were undernourished. Poor quality and inadequacy of food intake, economy below subsistence level and poor income, and seasonal food shortage were known to cause under-nutrition. Numerous factors, such as social, economic, regional, ethnical, religious, and superstition affect the mother and child.

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“…The concept of comprehensive approach to child undernutrition basically was derived from the fundamental concept of comprehensive Primary Health Care in the Alma Ata Declaration and explicitly outlined strategies which would respond appropriately to the current health and nutrition needs, including addressing broad social determinants of poor health and nutrition [16,56]. A comprehensive approach is a holistic strategy which acknowledges the role of social determinants in influencing the nutritional status of a child.…”

Section: A Comprehensive Approach To Childhood Undernutritionmentioning

confidence: 99%

“…Because of the multifaceted aspects of child undernutrition, a comprehensive approach which incorporates preventive, health promotion activities and addresses the social, economical and environmental determinants of childhood undernutrition is described as an effective strategy in most of the reviewed literature [1,16,30,56]. The Alma-Ata Declaration explicitly outlines comprehensive primary health care as an approach that addresses the social, economic and political causes of poor health and nutrition [16].…”

Section: How a Comprehensive Approach Addresses The Problem Of Childhmentioning

confidence: 99%

Addressing childhood undernutrition in Tanzania: Challenges and opportunities

Bundara¹,

Mwanri

Masika³

2013

AJFAND

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Childhood undernutrition is highly prevalent in low and middle-income countries resulting in a substantial increase in overall disease burden and mortality. The problem is markedly severe in low-income countries particularly in Africa, and Tanzania is not exceptional. Childhood undernutrition is associated with decreased productivity resulting in a vicious cycle of poverty in affected families, communities and nations. Children who survive after two years of life may develop poor health outcomes including faltering growth and irreversible damage to their cognitive, physical and psychosocial development. In a long term, childhood undernutrition can lead to poor socio-economic development of individuals, families and affected communities. Childhood undernutrition in African countries significantly contributes to poor development and the burden of disease as it complicates the existing problem of infectious diseases. Current strategies addressing this problem largely utilise a medical care model which aims to reduce mortality and may have limited selected preventative aspects confined broadly to vaccinations, food fortifications, and micronutrient supplementations. It is apparent that environmental, cultural and social factors are receiving limited attention. This complex and dire situation demands systematic, effective comprehensive multi-level and multi-sectoral policy drivers that provide effective socioeconomic, environmental, health policies and legislations in the pursuit of effective, equitable and just delivery of social and health services for all groups of its citizens regardless of their socio-economic status. Tanzania as a nation alongside other developing countries need to recognise the magnitude of this scourge and develop comprehensive approaches that will enable development of legislations, policies and long term solution to childhood undernutrition. This paper reviews strategies outside of the health sector with high potential for preventing childhood undernutrition in Tanzania and that can be translated in many developing countries. Comprehensive range of legislations and policies are recommended for implementation of interventions to reduce their occurrence or ameliorate childhood undernutrition consequences.

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Exploring health stakeholders' perceptions on moving towards comprehensive primary health care to address childhood malnutrition in Iran: a qualitative study

Cited by 13 publications

References 9 publications

Understanding the barriers to the utilization of primary health care in a low-income setting: implications for health policy and planning

Understanding the barriers to the utilization of primary health care in a low-income setting: implications for health policy and planning

Nutritional Habits of Mothers and Children in the Age Group 0–4 Years in Iran

Addressing childhood undernutrition in Tanzania: Challenges and opportunities

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