KNOWLEDGE OF HEALTH CARE WORKERS TOWARDS THE MANAGEMENT OF SEVERE ACUTE MALNUTRITION IN INFANTS UNDER SIX MONTHS IN ADJUMANI HOSPITAL UGANDA.  A CROSS-SECTIONAL STUDY.

Joshua Baru; Joseph  Kungu; Jane Frank  Nalubega

doi:10.51168/sjhrafrica.v5i12.1400

Authors

Joshua Baru Mildmay Institute Health Sciences
Joseph Kungu Mildmay Institute of Health Sciences.
Dr. Jane Frank Nalubega Mildmay Institute of Health Sciences.

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1400

Keywords:

Knowledge, Acute severe malnutrition, Adjumani Hospital, Infants

Abstract

Background

In Adjuman Hospital, there is limited knowledge among health workers understanding the nutritional treatment of SAM. This study aimed to determine the level of Knowledge of Health workers on the management of SAM among infants under 6 months of age at Adjumani Hospital.

Methodology

This was a cross-sectional study among 45 health workers at the hospital. Data was collected on participant demographics and knowledge factors using the Questionnaire and Key informant guide for qualitative data. Data was coded and entered into SPSS V 20 and analyzed. Qualitative data was transcribed as text, analyzed thematically, and presented according to major emerging themes.

Results

Most respondents were female (62.2%), 55.6% of the participants were aged (30-38) and 44.4% were diploma holders. (86.7%) of the respondents stated that they were trained in the management of SAM, (97.8%) of the participants had high Awareness about standard written guidelines to follow in the management of children with SAM, 40 % of the participants stated that their Source of information about SAM, if not trained, was through self-study and 80% of the participants mentioned correct answers that Children with SAM need to be kept dry and warm during the day and night to prevent hypothermia.

Conclusion

There is a high level of clinical knowledge on the management of SAM among health workers at Adjumani Hospital as evidenced by both quantitative and qualitative evidence even though most of the respondents interviewed were lower categories of health workers.

Recommendations

There is a need to intensify continuous medical education among staff. Knowledge of good nutrition is expected to result in better clinical practices.

References

Arafat, Y., Islam, M.M., Connell, N., Mothabbir, G., McGrath, M., Berkley, J.A., Ahmed, T. and Kerac, M., 2018. Perceptions of acute malnutrition and its management in infants under 6 months of age: a qualitative study in rural Bangladesh. Clinical Medicine Insights: Pediatrics, 12, p.1179556518771698.

https://doi.org/10.1177/1179556518771698

Bachou, H., 2008. The challenge of improving the management of hospitalized children with severe acute malnutrition in Uganda.

Benyera, O. and Hyera, F.L., 2013. Outcomes in malnourished children at a tertiary hospital in Swaziland after implementation of the World Health Organization treatment guidelines. South African.

https://doi.org/10.7196/sajch.626

Chapman, C., Barker, M. and Lawrence, W., 2015. Improving nutritional care: innovation and good practice. Journal of Advanced Nursing, 71(4), pp.881-894.

https://doi.org/10.1111/jan.12571

Fahim, S.M., Islam, M.R., Rasul, M.G., Raihan, M.J., Ali, N.M., Bulbul, M.M.I. and Ahmed, T., 2022. A qualitative assessment of facility readiness and barriers to the facility-based management of childhood severe acute malnutrition in the public healthcare settings in Bangladesh. Public Health Nutrition, 25(11), pp.2971-2982.

https://doi.org/10.1017/S1368980022002014

Gaur, A. and Bansal, A., 2016. Severe acute malnutrition: what is lacking in the office practice. Int J Contemp Pediatr, 3(3), pp.1064- 70.

https://doi.org/10.18203/2349-3291.ijcp20162392

Kerac, M. et al. (2011) 'Prevalence of wasting among under 6-month-old infants in developing countries and implications of new case definitions using WHO growth standards: A secondary data analysis', Archives of Disease in Childhood, 96(11). doi: 10.1136/adc.2010.191882.

https://doi.org/10.1136/adc.2010.191882

Morgan, K., 1970. Sample size determination using Krejcie and Morgan table. Kenya Projects Organization (KENPRO), 38, pp.607- 610.

Mowe, M., Bosaeus, I., Rasmussen, H.H., Kondrup, J., Unosson, M., Rothenberg, E. and Irtun, Ø., 2008. Insufficient nutritional knowledge among health care workers. Clinical nutrition, 27(2), pp.196-202.

https://doi.org/10.1016/j.clnu.2007.10.014

Nalwanga, D., Musiime, V., Kizito, S., Kiggundu, J.B., Batte, A., Musoke, P. and Tumwine, J.K., 2020. Mortality among children under five years admitted for routine care of severe acute malnutrition: a prospective cohort study from Kampala, Uganda. BMC Pediatrics, 20(1), pp.1-11.

https://doi.org/10.1186/s12887-020-02094-w

Nyeko, R., Calbi, V., Ssegujja, B.O. and Ayot, G.F., 2016. Treatment outcome among children under five years hospitalized with severe acute malnutrition in St. Mary's Hospital Lacor, Northern Uganda. BMC Nutrition, 2(1), pp.1-7.

https://doi.org/10.1186/s40795-016-0058-6

Nzioki, C., Irimu, G., Musoke, R. and English, M., 2009. Audit of care for children aged 6 to 59 months admitted with severe malnutrition at Kenyatta National H Hospital, Kenya. International health, 1(1), pp.91-96.

https://doi.org/10.1016/j.inhe.2009.06.008

De Onis, M. et al. (2012) 'United Nations Children's Fund, World Health Organization, The World Bank.', Africa.

Polit, D.F. and Beck, C.T., 2008. Nursing research: Generating and assessing evidence for nursing practice. Lippincott Wasiams & Wilkins.

Puoane, T., Cuming, K., Sanders, D. and Ashworth, A., 2008. Why do some hospitals achieve better care for severely malnourished children than others? Five-year follow-up of rural hospitals in Eastern Cape, South Africa. Health policy and planning, 23(6), pp.428-437.

https://doi.org/10.1093/heapol/czn036

Tafese, Z. and Shele, A., 2015. Knowledge, attitude, and practice towards malnutrition among health care workers in Hawassa City, Southern Ethiopia. Global journal of public health research, 1(1), pp.1-8.

Moges, T. and Haidar, J., 2009. Management and outcome of severely malnourished children admitted to Zewditu Memorial Hospital, Ethiopia. East African Journal of Public Health, 6(2), pp.162-167.

Uganda Bureau of Statistics, 2016 'Uganda Demographic and Health Survey 2016', Udhs, p. 625. Available at: www.DHSprogram.com. UNAP II,2019 'The Uganda Nutrition Action Plan (UNAP) II, 2019/20 - 2024/25'.

Warfa, O. et al. (2014) 'Evaluating the level of adherence to Ministry of Health guidelines in the management of severe acute malnutrition at Garissa Provincial General Hospital, Garissa, Kenya', The Pan African medical journal, 17. doi: 10.11604/pamj.2014.17.214.3821.

https://doi.org/10.11604/pamj.2014.17.214.3821

UNICEF/WHO/The World Bank Group, 2021 'Joint Child Malnutrition Estimates: Levels and Trends in Child Malnutrition: Key Findings of the 2021 Edition', Who.