The Effect of Nutrition Education on Nutritional Status of Tuberculosis Patients

Aslam, Maria; Safdar, Mahpara; Khalid, Sidra; Sharmeen, Zainab; Irfan, Tabeen; Seher, Kinza

doi:10.26717/bjstr.2021.33.005391

Cited by 1 publication

(1 citation statement)

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“…Effective nutrition-specific and nutrition-sensitive interventions have been implemented to improve the nutritional status of vulnerable groups particularly children and women [15]. Though evidence about the potential interventions to improve the nutritional status of TB patients is limited, a pre-post intervention study reported that nutrition education can improve the nutritional status of TB patients [16]. More importantly, given the complex relationship between nutrition and infections [17], nutrition assessment, counseling, and support (NACS) is suggested for patients with HIV and/or TB.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators of nutrition assessment, counseling, and support for tuberculosis patients: a qualitative study

Degefa¹,

Bezabih

Kahsay

et al. 2021

BMC Nutr

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Background Nutrition has a substantial role in the prevention, treatment, and cure of tuberculosis. Thus, nutrition assessment, counseling, and support (NACS) have been implemented as part of tuberculosis treatment. However, evidence on the barriers and facilitators (enablers) of its implementation is lacking. Objective To explore barriers and facilitators of implementation of NACS for tuberculosis patients. Methods An exploratory qualitative study was conducted in public health facilities and health offices of Mekelle City, Northern Ethiopia. We conducted 17 interviews using purposively selected key informants comprising health professionals (n = 12) and tuberculosis patients (n = 5). Interviews were tape-recorded, transcribed verbatim, and coded and analyzed using a thematic approach in ATLAS.ti 7 software. Results Barriers were identified at three levels -organization, care provider, and patient levels. Suboptimal nutritional supply, lack of supportive supervision, lack of adequate workforce, staff turn-over, the sudden withdrawal of partners, and weak link with social service were the barriers at the organization level. Lack of commitment was reported as the only barrier at the care provider level, and socioeconomic status of patients, sharing and selling of supplies, perceived improved status, and perceived stigma were identified as the major barriers for the implementation of nutrition assessment, counseling, and support service. While training, availability of measurement and educational tools, the inclusion of nutrition indicators in the tuberculosis register, and the presence of collaborating partners were identified as facilitators at the organizational level. Patients’ motivation to know their health status was reported to be a facilitator at the patient level. Conclusions Organization, care provider, and patient-level barriers and facilitators were found to influence the implementation of NACS. Hence, multilevel factors should be considered to successfully implement the program and to gain its potential impact.

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Section: Introductionmentioning

confidence: 99%